Megahealth Insurance Premium Summary
Megahealth Insurance Premium Summary
Megahealth Insurance Premium Summary
Young Lawyers
Medical Scheme and
Professional
Indemnity Cover
FRIDAY FROM
Milimani Ceremonial Hall,
26
MAY
th
3:00pm Milimani Law Courts
PREMIUM SUMMARY
Inpatient Outpatient M M+1 M+2 M+3 M+4 M+5
750,000 100,000 51,536 92.289 96,212 139,285 155,345 171,945
500,000 75,000 46,168 90,176 100,863 116,598 130,666 145,141
200,000 50,000 39,625 65,903 81,936 90,008 98,081 109,539
1,000,000 100,000 66,518 110,497 136,314 161,230 176,035 191,065
INPATIENT
LIMITS 1,000,000 500,000 200,000
BENEFITS 6,000 6,000 5,000
Bed limit per day 75,000 50,000 50,000
Maternity 10 months waiting period 300,000 200,000 200,000
Declared chronic conditions and related conditions 100,000 50,000 50,000
Congentital conditions 50,000 50,000 50,000
Psychiatric benefits 100,000 50,000 50,000
Last expense
OUTPATIENT
LIMIT 100,000 75,000 50,000
DENTAL 10,000 7,500 5,000
OPTICAL 10,000 7,500 5,000
ANNUAL CHECK-UP 10,000 5,000 5,000
CATEGORY 1 INPATIENT OUTPATIENT
OPTION 1 750,000 100,000
OPTION 2 500,000 75,000
OPTION 3 200,000 50,000
CATEGORY 2 1,000,000 100,000
CATEGORY 1
This category will be excluded from accessing all major providers for both inpatient and outpatient
Excluded providers include; I. Nairobi Hospital II. M.P Shah III. Aga Khan Hospital IV. Mater Hospital V. Karen Hos-
pital • Outpatient Cover includes a dental and optical benefit that is 10% of outpatient benefit
CATEGORY 2
There is co-payment at major hospitals, this is as follows:
1. KSh 1,000 at Nairobi Hospital, Agha Khan Hospital, Matter Hospital, Karen Hospital, M.P. Shah and all other satellite clinics.
2. KSh 500 at all AAR clinics.
Cover includes a Personal Accident (Death) benefit of Kshs.1,OOO,OOO Outpatient Cover includes a dental and optical benefit
that is 10% of outpatient benefit
Cover includes a Professional Indemnity with a limit of liability of KSh. 2Million