Inpatient and outpatient suitable for micro-enterprises & registered chamas.

Budget ‘Pocket’ Friendly

budget-pocket-friendly

Inpatient and outpatient suitable for micro-enterprises & registered chamas.

Health Insurance Cover Limits
Inpatient KES 100,000 KES 150,000 KES 200,000 KES 250,000
Premium per person, excluding taxes (50 - 100 pax) KES 6,210 KES 6,758 KES 7,306 KES 7,852
Premium per person, excluding taxes (51 - 200 pax) KES 5,175 KES 5,632 KES 6,088 KES 6,544
Premium per person, excluding taxes (201 & above pax) KES 4,140 KES 4,505 KES 4,870 KES 5,235
Outpatient KES 25,000 KES 30,000 KES 35,000 KES 40,000
Premium per person, excluding taxes (50 - 100 pax) KES 6,184 KES 7,006 KES 7,358 KES 7,709
Premium per person, excluding taxes (51 - 200 pax) KES 5,154 KES 5,839 KES 6,132 KES 6,424
Premium per person, excluding taxes (201 & above pax) KES 4,123 KES 4,671 KES 4,905 KES 5,139
Added value within the Annual Inpatient Limits
Annual Limit KES 100,000 KES 150,000 KES 200,000 KES 250,000
Bed capacity Ward bed Ward bed Ward bed Ward bed
Hospitalization services Covered Covered Covered Covered
Dental KES 5,000 KES 5,000 KES 5,000 KES 5,000
Pre-existing/chronic/HIV/AIDS conditions Cover limit Cover limit Cover limit Cover limit
Congenital conditions KES 50,000 KES 50,000 KES 75,000 KES 100,000
Maternity (delivery only), 9 month waiting period KES 10,000 KES 10,000 KES 10,000 KES 10,000
Cataract/ophthalmology KES 5,000 KES 5,000 KES 5,000 KES 5,000
Emergency evacuation/ambulance services Covered Covered Covered Covered
Rehabilitation 15 days from discharge, max. KES 15,000 15 days from discharge, max. KES 15,000 15 days from discharge, max. KES 25,000 15 days from discharge, max. KES 25,000
Overseas evacuation for treatment not available locally Covered Covered Covered Covered
Geographical cover Kenya Kenya Kenya Kenya
Funeral expenses, per person KES 20,000 KES 20,000 KES 20,000 KES 20,000
Main exclusions
  • General health check-ups
  • War and kindred risks (whether war be declared or not)
  • Cosmetic surgery, unless necessitated by an accident
  • Family planning/infertility
  • Treatment other than by registered medical practitioner
  • Intentional self-injury, drunkenness, drug addiction
  • Naval, military or air force operation
  • Expenses recoverable under any other insurance, e.g. GPA, NHIF, WIBA
  • Beauty treatment in nature cure clinics or health hydros
  • Contamination by radio activity from nuclear fuel, waste or fisision
  • Age related hearing aids and senility
  • Outpatient optical
  • Outpatient dental
  • Supplemantals such as vitamins

Ready to start?

Download form

Downloading the application form, then fill it out, and present it to your nearest GA Insurance office, together with the required documents.