Starter PLUS

Exclusively for government, mission and council facilities.

 

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                                                  $411

Children Under 18                             $246

Students 18-24 years                          $327

  • Benefits Limits Schedule

      Anesthetic                                           9,000

      Gynecology                                         3,240

      Hospitalisation                                   43,200

      Optical (2 years)                                 4,500

     Cancer Treatment  21,600 subject to hospitalization limit

      Global Limit                                    135.000

      Consultation                                         8,730

     Orthodontic                    2,430 subject to dental

     Hearing Aids                                          4,950

      Physiotherapy                                      4,050

      Radiology                                            12,780

    Prosthesis                            5,400 subject Hosp

      Dental                                                   4,050

      Pathology                                             8,100

      Maternity (2 years)                              8,100

      Prescription Drugs                            10,080

      Surgery                                               14,220

    Dialysis       18,000 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                                     1,500

      Gynecology                                     720

      Hospitalisation                             4,800

      Optical (2 years)                           1.500

    Cancer Treatment       subject to hospitalization limit

      Global Limit                                23.500

      Heart                                                120

      Prescription Drugs                         600

      Consultation                                 1,380

      Orthodontic       540 subject to dental

      Lab Test                                           240

      Physiotherapy                              1,350

      Radiology                                     1,800

      Dental                                           1,250

      Maternity (2 years)                      1,150

      Surgery                                        4.400

  • 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                            $58

Children Under 18           $58

Students 18-24 years       $58