Comprehensive Corporate Outpatient Care
Premium healthcare solutions tailored for Registered Organizations, Chamas, and Saccos. Empowering your team with accessible, quality medical services.
Our Services
Comprehensive outpatient services designed to keep your workforce healthy and productive
Medical Consultations
Expert general and specialist consultations with experienced healthcare professionals
Diagnostic Exams
Comprehensive diagnostic testing including blood work, urinalysis, X-rays, laboratory, scans and MRI
Pharmacy & Prescriptions
Prescribed medicines including for pre-existing, chronic and HIV/AIDS conditions
Dental Care
Consultation, extractions, fillings, root canals, dental x-rays, scaling and polishing
Optical Care
Lenses, frames and contact lenses for comprehensive vision care
Maternity & Wellness
Antenatal & postnatal care, ultrasounds, delivery, wellness check-ups and baby vaccinations
SPECIALIZED PROGRAMS
Dedicated Care Services
Specialized healthcare programs for comprehensive family wellness
Well Baby Programme
Comprehensive infant care following the KEPI Immunization Programme with baby-friendly vaccines and developmental monitoring.
- KEPI Immunization Schedule
- Baby-Friendly Vaccines
- Growth & Development Tracking
- Nutritional Counselling
HIV Services
Comprehensive support for HIV management and prevention of mother-to-child transmission.
- Adherence and nutritional counselling
- Follow-up every 3 months
- Prevention of mother to child Transmission (PMTCT)
- ARV's and Monitoring
- Opportunistic infections
Coverage Details
Overview
Our flexible health insurance solutions help reduce the risk and unpredictability inherent in your organization's cost of healthcare.
The core plan is a fully insured inpatient scheme with optional riders of outpatient, dental, optical, maternity, group excess of loss and last expense.
Eligibility; Registered Organization or entity/Chama's/Sacco's/Schools employees and their spouse aged between 18 years and 70 years.
Their children 0-19 years and dependent children till 25 years.
Our corporate outpatient insurance package enables your employees to access the following out-patient services;
- Outpatient consultations
- Diagnostic examinations
- Injections and procedures performed at a primary care level in a doctor's consultation room
- Prescribed medicines
- X-rays, laboratory, scans and MRI
- Antenatal & Postnatal care
- Minor trauma treatment
- Well baby check-ups inclusive of KEPI Immunization Programme at our selected well baby clinics only
- Baby friendly vaccines as a benefit to the member's child
- HIV services:
- Adherence and nutritional counselling
- Follow-up every 3 months
- Prevention of mother to child Transmission (PMTCT)
- ARV's and Monitoring
- Opportunistic infections
Inpatient
Inpatient covers the following:
- Hospitalization including surgeon, physician, ICU and HDU expenses
- Day surgery
- Accommodation costs for parent/guardian accompanying a child of 10 years and below
- Pre-existing, chronic and HIV/AIDS
- Congenital and prematurity conditions
- Cancer treatment
- Critical illness
- Organ transplant
- Gynaecological illness and surgery
- Emergency Road and Air evacuation
Outpatient
Outpatient covers the following:
- Routine outpatient care and treatment
- Prescribed drugs including for pre-existing, chronic and HIV/AIDS
- Wellness check-up
- Baby vaccinations
- X-rays, CT Scans and MRI's Maternity This will cover
- Routine antenatal and post natal screening (covered under outpatient)
- Ultrasounds
- Delivery and maternity related complications including prematurity
Dental
Dental covers the following:
- Consultation
- Extractions
- Fillings and Root canals
- Dental x-rays
- Scaling and Polishing
Optical
Optical covers the following:
- Lenses and frames
- Contact Lenses
Corporate Medical FAQs
1.What is the minimum number of employees required for a corporate scheme?
Corporate group schemes typically require a minimum of 10 primary members (employees) to qualify for group rates.
2.Are pre-existing and chronic conditions covered for staff?
Yes, for corporate schemes of a certain size, pre-existing and chronic conditions are often covered up to the full inpatient limit.
3.Do employees need to undergo a medical check-up to join?
Medical check-ups are generally waived for standard group limits but may be required for high-level management opting for exceptionally high cover limits.
4.Can employees upgrade their cover at their own expense?
Yes, we offer a "buy-up" option where employees can pay an additional premium to increase their limits or add dependents.
5.How do we handle employees joining or leaving the company?
HR simply sends a monthly debit/credit schedule. Premiums are pro-rated for joiners, and refunds are processed for leavers.