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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.

Adult                                                  $228

Children Under 18                             $228

Students 18-24 years                          $228

• 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

  • Benefits Limits Schedule

      Anesthetic                                           4,500

      Gynecology                                          2,160

      Hospitalisation                                  14,400

      Optical (2 years)                                 4,500

     Cancer Treatment  10,800 subject to hospitalization limit

      Global Limit                                      70.500

      Consultation                                         4,140

     Orthodontic                    1,620 subject to dental

      Lab Test                                                3,600

      Physiotherapy                                      2,700

      Radiology                                              5,400

    Prosthesis                            2,700 sub- ject Hosp

      Dental                                                  2,700

      Hearing AIDS                                        1080

      Maternity (2 years)                              2,700

      Prescription Drugs                              5,100

      Surgery                                               13,200

    Dialysis       9,000 subject to hospitalization limit

  • 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

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

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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