copay of KES. 500 shall be applicable for all outpatient visits. Outpatient
visits at Aga Khan Hospital Nairobi shall attract a co-pay of KES. 1,000 per
for routine outpatient care and treatment.
and chronic conditions have a waiting period of 1 year.
routine medical check-ups.
providers on our standard panel; no reimbursements for providers outside the
dental and optical benefits.
cover exclusions apply.
cancer treatment. (Radiotherapy and Chemotherapy) after one year of cover.
claims incurred within the first 28 days of cover.
claims incurred within the first 60 days of cover.
recoverable from other insurances such as NHIF, GPA.
where material information is withheld or misstated.
not specified in the brochure and policy.
by any other than a certified medical practitioner.
incurred in connection with active participation in riots, civil unrest etc.
injury and attempted suicide.
chiropractic treatment, acupuncture, herbal medicine and treatment.
costs due to experimental treatment.
and hazardous sports activities.
Bills incurred by a member at a non-appointed provider.
& conditions related to alcohol intoxication.