The MUA Tulizo Bora Health insurance product is designed for individuals and families looking for quality health insurance coverage to protect them against the high hospitalisation expenses arising from both illness and accident when they do occur.
The Policy covers hospitalisation expenses incurred during the period of admission, including Bed charges, Diagnostic services, Specialist doctors’ fee, Prescribed physiotherapy/Chemotherapy/radiology, Prescribed drugs/dressing, Operating theatre and ICU/HDU charges, among others.
Benefits covered under the Policy include Pre-existing & Chronic conditions, HIV/AIDS, Psychiatric illness, emergency evacuation within East Africa, first emergency caesarean section, Post-hospitalisation follow up treatment, and Day care surgery for minor surgical treatment.
The maximum joining age is 60 years (Age next birthday). Eligible membership include the Applicant (Principal member), spouse and children ( own, legally adopted and foster children).
Benefit |
M |
M+1 |
M+1 |
M+3 |
M+4 |
Extra person |
|---|---|---|---|---|---|---|
|
5,000,000
|
36,300
|
48,400
|
57,475
|
69,575
|
80,163
|
15,125
|
|
4,000,000
|
33,275
|
45,375
|
55,963
|
66,550
|
78,650
|
13,613
|
|
3,000,000
|
30,250
|
42,350
|
54,450
|
65,038
|
77,138
|
12,100
|
|
2,000,000
|
27,225
|
40,838
|
52,938
|
63,327
|
75,625
|
10,588
|
|
1,500,000
|
25,713
|
31,763
|
40,838
|
48,400
|
57,475
|
9,832
|
|
1,000,000
|
24,200
|
30,250
|
36,300
|
41,594
|
46,888
|
9,075
|
|
900,000
|
23,444
|
29,494
|
35,544
|
40,838
|
46,063
|
8,319
|
|
800,000
|
22,688
|
28,738
|
34,788
|
40,082
|
45,375
|
7,865
|
|
700,000
|
21,932
|
27,982
|
34,032
|
39,325
|
44,619
|
7,563
|
|
600,000
|
21,175
|
27,225
|
33,275
|
38,569
|
43,863
|
6,807
|
|
500,000
|
20,419
|
26,469
|
32,519
|
37,813
|
43,107
|
6,353
|
|
400,000
|
19,663
|
25,713
|
31,763
|
37,057
|
42,350
|
6,050
|
|
300,000
|
18,150
|
24,200
|
30,250
|
35,544
|
40,838
|
5,445
|
|
200,000
|
16,638
|
22,688
|
28,738
|
34,032
|
39,325
|
4,840
|
|
100,000
|
15,125
|
21,175
|
27,225
|
32,519
|
37,813
|
4,538
|
Note: The rates exclude the applicable levies (0.2% T.L, 0.25% P.H.C.F, and Kes 40.00 S.D)
For quotations or further information/clarification, please contact us at medical-underwriting@mua.co.ke or call us on +254 (20) 2243681/2, 2219486
Note: The rates exclude the applicable levies (0.2% T.L, 0.25% P.H.C.F, and Kes 40.00 S.D)
For quotations or further information/clarification, please contact us at medical-underwriting@mua.co.ke or call us on +254 (20) 2243681/2, 2219486
| Overall Benefit Limits in Kshs perinsured family per annum | 5,000,000 | 3,000,000 | 2,000,000 | 1,000,000 | 500,000 |
|---|---|---|---|---|---|
| Day CaseSurgeryunder generalanesthesia | Covered within the applicable limit | ||||
| Posthospitalization treatment – up to 3 weeks after dischargefrom hospital on reimbursement | 40,000 | 35,000 | 20,000 | 20,000 | 15,000 |
| Medically necessary home nursing on doctor’srecommendation after discharge from hospital | 45days | ||||
| Physicians,specialists,surgical feesincluding anesthetistsfees, theatre charges, HDU, CCU& ICU,Diagnostic tests, physiotherapy as part of Inpatient Treatment | Upto full limit | Upto full limit | Upto full limit | Upto full limit | Upto full limit |
| Surgical appliances/Internal prosthesis | Upto full limit | Upto full limit | Upto full limit | Upto full limit | Upto full limit |
| Inpatient diagnostic tests for therapeutic purposes(ECGs, MRI Scans, Xrays, Pathology (authorization required) | Upto full limit | Upto full limit | Upto full limit | Upto full limit | Upto full limit |
| Reconstructivesurgerydue to anacciden | Upto full limit | Upto full limit | Upto full limit | Upto full limit | Upto full limit |
| Other Benefits Included Within Inpatient Cove | |||||
| Localroad and air ambulance to hospital for emergency caseswithin Kenya only | Covered within the annual inpatient limit | ||||
| Commercial Air Evacuation out of Kenya (must be pre-authorized) for treatment not available or not safeto undertake locally | Economy return fare onlywithin Africa, India and Pakistan | Not applicable | |||
| Funeral Expenses Cover per family | 100,000 | 100,000 | 75,000 | 50,000 | 50,000 |
The following documents are required to enable MUA process the application and confirm cover:
- Medical Application Form(Fully filled)
- Copies of National ID for Applicant and spouse, and birth certificates for children.
- Copy of Applicant’s KRA PIN
- Full annual premium payment.
Note: The start of cover is subject to submission of all the requirements above and confirmation by MUA in writing.
For more information