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FIRST ASSURANCE CO LTD


Choose from this options

Choose Father insurance


Minimum: 19 Maximum: 30







Minimum: 31 Maximum: 40







Minimum: 41 Maximum: 50







Minimum: 51 Maximum: 65






Choose Mother insurance


Minimum: 19 Maximum: 30







Minimum: 31 Maximum: 40







Minimum: 41 Maximum: 50







Minimum: 51 Maximum: 65






Choose Children insurance


Minimum: 1 Maximum: 18
Number of children:






TOTAL PREMIUM

see what is covered

1.      Bed limit

For a limit of KES. 5,000,000: Standard ward is covered

For a limit of KES. 2,500,000: Standard word is covered

For a limit of KES. 1,000,000: Standard ward is covered

For a limit of KES. 500,000: Standard ward is covered

For a limit of KES. 300,000: Standard ward is covered

For a limit of KES. 200,000: Standard ward is covered

 

2.      Prescription drugs and dressing upon discharge-maximum of 30 days supply

 

3.      Surgical appliances

 

4.      Internal prostheses

For a limit of KES. 5,000,000: Internal prostheses is covered to a sublimit of KES. 300,000/-

For a limit of KES. 2,500,000: Internal prostheses is covered to a sublimit of KES. 200,000/-

For a limit of KES. 1,000,000: Internal prostheses is covered to a sublimit of KES. 200,000/-

For a limit of KES. 500,000: Internal prostheses is covered to a sublimit of KES. 200,000/-

For a limit of KES. 300,000: Internal prostheses is covered to a sublimit of KES. 100,000/-

For a limit of KES. 200,000: Internal prostheses is covered to a sublimit of KES. 100,000/-

 

5.      Maxillofacial surgery resulting from an illness

For a limit of KES. 5,000,000: It is covered to a sublimit of KES. 150,000/-

For a limit of KES. 2,500,000: It is covered to a sublimit of KES. 150,000/-

For a limit of KES. 1,000,000: It is not covered

For a limit of KES. 500,000: It is not covered

For a limit of KES. 300,000: It is not covered

For a limit of KES. 200,000: It is not covered

 

6.      Nursing care

 

7.      Physiotherapy as part of treatment

 

8.      Physical fees, Specialist fees, Procedure fees and anaesthetist fees:

Paid according to the fees guideline of the Kenya Medical Practitioners and Dentist Board.

 

9.      Gynaecological illness and treatment

 

10.  Pre-existing, chronic and HIV cover (year 2) Cancer treatment (year 3) Organic transplant (year 2) Theatre charges, ICU & HDU.

For a limit of KES. 5,000,000: It is covered to a sublimit of KES. 500,000/-

For a limit of KES. 2,500,000: It is covered to a sublimit of KES. 250,000/-

For a limit of KES. 1,000,000: It is covered to a sublimit of KES. 100,000/-

For a limit of KES. 500,000: It is covered to a sublimit of KES. 75,000/-

For a limit of KES. 300,000: It is covered to a sublimit of KES. 75,000/-

For a limit of KES. 200,000: It is covered to a sublimit of KES. 50,000/-

 

11.  Lodger fee for parent accompanying child below 6 years

 

12.  Day surgery under General anaesthesia or heavy sedation

 

13.  Local emergency road ambulance medically necessary

For a limit of KES. 5,000,000: It is covered to KES. 6,000 per event

For a limit of KES. 2,500,000: It is covered to KES. 6,000 per event

For a limit of KES. 1,000,000: It is covered to KES. 5,000 per event

For a limit of KES. 500,000: It is covered to KES. 5,000 per event

For a limit of KES. 300,000: It is covered to KES. 5,000 per event

For a limit of KES. 200,000: It is covered to KES. 6,000 per event

 

14.  Air evacuation through international air ambulance

For a limit of KES. 5,000,000: It is covered to a sublimit of KES. 300,000/-

For a limit of KES. 2,500,000: It is covered to a sublimit of KES. 180,000/-

For a limit of KES. 1,000,000: It is covered to a sublimit of KES. 300,000/-

For a limit of KES. 500,000: It is covered to a sublimit of KES. 250,000/-

For a limit of KES. 300,000: It is covered to a sublimit of KES. 150,000/-

For a limit of KES. 200,000: It is covered to a sublimit of KES. 250,000/-

 

15.  Non elective (Emergency) within applicable treatment outside Kenya-preauthorization compulsory (INDIA, PAKISTAN & SOUTH AFRICA) cost of airfare excluded: Is covered within applicable limits

 

16.  Psychiatric treatment (year 2)

For a limit of KES. 5,000,000: It is covered to a sublimit of KES. 200,000/-

For a limit of KES. 2,500,000: It is covered to a sublimit of KES. 200,000/-

For a limit of KES. 1,000,000: It is covered to a sublimit of KES. 100,000/-

For a limit of KES. 500,000: It is covered to a sublimit of KES. 100,000/-

For a limit of KES. 300,000: It is covered to a sublimit of KES. 100,000/-

For a limit of KES. 200,000: It is covered to a sublimit of KES. 100,000/-

 

17.  Pathology, Radiology and paid in full other necessary diagnostic test.

 

18.  Accidental related dental treatment

 

19.  Accidental related optical treatment

 

20.  Maternity Expenses-delivery complications, caesarean sections, pre and post natal expenses (year 2)

For a limit of KES. 5,000,000: It is covered to a sublimit of KES. 100,000/-

For a limit of KES. 2,500,000: It is covered to a sublimit of KES. 100,000/-

For a limit of KES. 1,000,000: It is covered to a sublimit of KES. 75,000/-

For a limit of KES. 500,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 300,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 200,000: It is covered to a sublimit of KES. 50,000/-

 

21.  Funeral Expenses

For a limit of KES. 5,000,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 2,500,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 1,000,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 500,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 300,000: It is covered to a sublimit of KES. 50,000/-

For a limit of KES. 200,000: It is covered to a sublimit of KES. 50,000/-

 

WAITING PERIODS

General waiting period (new entrants) 60 days.

Maternity: 12 Months

Cancer: 3 Years

Organ Transplant: 2 Years

Psychiatric treatments: 2 Years

Fibroids: 2 Years

Piles/haemorrhoids: 2 years

Diabetes and related conditions: 2 Years

 

EXCLUSIONS

1.       Internal self-injury while sane or insane, suicide or attempted suicide, treatment of chronic alcoholism and drugs addition.

2.       Expenses recoverable under any other insurance e.g. NHIF.

3.       Treatment for pre-existing and chronic conditions (with the first 12 months)

4.       Treatment for HIV/AIDS and related iailments (within the first 24 months)

5.       Sexual transmitted diseases.

6.       Congenital illness and conditions related to generic disorders.

7.       Cosmetic or plastic surgery unless necessitated by an accidental injury that occurs while the insured is covered under this contract.

8.       Riding or driving in any kind of race.

9.       Participating in any extreme sports.

10.   Beauty treatment or message.

11.   Naval, military and air force operations.

12.   Stays at sanatoria, old age homes, places of rest etc.

13.   Medical check-up, general health examinations, private vaccinations.

14.   Transportation other that a licenced ambulance, as provided for under the in-patient coverage of this contract.

15.   Hearing tests or cost of deaf aids unless resulting from an accidental injury.

16.   Nutrition food supplement.

17.   Prophylactic treatment i.e preventive treatment e.g yellow fever vaccines.

18.   Family planning and fertility treatment i.e cost of treatment related to infertility and impotence.

19.   Injury or illness resulting from insurrection or war, declared, civil commotion or act of terrorism.

20.   Injury as a result of participating in riot and strike.

21.   Nervous breakdown, general debility and psychoneurosis unless resulting from accidental injury.

22.   Alternative treatment such as herbal treatment, acupuncture treatment, chiropractors act.

23.   Expenses resulting from the insured participating n a hazardous sports and activities

24.   No pain monument.

25.   Dental treatment including teeth extractions, fillings, teeth scaling, etc.

26.   Optical treatment relating to correction of eyesight e.g. eye glasses, contact lenses, laser eye treatments.

 

 



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