Standard

Access to general ward in private hospitals grade B to F

 

Introduction of a Low Claims Bonus Benefit per family

The low claims bonus is introduced as reward mechanism for families with low levels of utilisation.

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                                  3 months

      Optical Services                            6 months

      Hospitalisation                              6 months

      Maternity                                        9 months

      MRI & CT Scan                              12 months

      Chemotherapy                               24 months

      Dental procedures                        6 months

      Surgical Operations                     6 months

      Dialysis                        24 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence

Adult                                                $957

Child Under 18                                  $576

Students 18-24 years                        $768

  • Benefits Limits Schedule

      Anesthetic                                           16,920

      Gynecology                                        8,100

      Hospitalisation                                 86,400

      Optical (2 years)                                7,200

     Cancer Treatment  43,200 subject to hospitalization limit

      Global Limit                                       270,000

      Consultation                                       17,460

     Orthodontic                    7,560 subject to dental

      Lab Test                                               16,200

      Physiotherapy                                      8,100

      Radiology                                            25,560

    Prosthesis                           12,600 sub- ject Hosp

      Dental                                                  10,800

      Hearing Aid                                          9,900

      Maternity (2 years)                              16,200

      Prescription Drugs                             20,160

      Surgery                                                27,000

    Dialysis       36,000 subject to hospitalization limit

• Free Eco-sure Lite funeral benefit of $50,000 on all packages.

• Free Hospital cash back of $5,000 per day from the 4th day of hospitalization.

(Applicable to members on Active and Vitality packages)

• Low claims bonus – Loyal members will get a bonus after every 3 year anniversary of their joining.

The bonus is based on the member’s claims/contribution ratio

• Free Connected Health device for Diabetes/Hypertension patients

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NB: Subject to terms and conditions as specified in the Maisha Health Fund Policy available through our Membership and Subscriptions department.

We are your partner for health, helping you live well by bringing the best in medicine and healthcare to your door.

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  • Benefits Limits Schedule

      Anesthetic                                     5,640

      Gynecology                                  2,700

      Hospitalisation                           28,800

     Optical (2 years)                           2,400

     Cancer Treatment     14,400 subject to hospitalization limit

      Global Limit                                90,000

      Heart                                                120

      Prescription Drugs                         600

      Consultation                                 5,820

      Orthodontic       2520 subject to dental

      Lab Test                                           240

      Physiotherapy                              2,700

      Radiology                                     1,800

      Dental                                           3,600

      Maternity (2 years)                      5,400

      Surgery                                       9,000

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                        3 months

      Optical Services                  6 months

      Hospitalisation                    6 months

      Maternity                              9 months

      MRI & CT Scan                  12 months

      Chemotherapy                  24 months

      Dental procedures              6 months

      Surgical Operations           6 months

      Dialysis                              24 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence

Adult                          $245

Child Under 18               $147

Students 18-24 years           $196

  • Waiting Periods

    The following waiting periods will apply for the below services:

      Consultation                        3 months

      Hospitalisation                    6 months

      MRI & CT Scan                  12 months

      Dental procedures              6 months

      Dialysis                              24 months

      Optical Services                  6 months

      Maternity                              9 months

      Chemotherapy                  24 months

      Surgical Operations           6 months

  • Requirements

    • Copy of ID for adults
    • Copy of B/Certificate for children under 18
    • Proof of residence