Why you should think about your health
- We will cover medical expenses
- Cover yourself and your family including children
- Access to countrywide UAP Old Mutual medical providers
- Enjoy medical benefits with flexible packages for yourself, family, groups and the self-employed
Don't wait until the last minute. We've got a range of health care plans to choose from.
Health Care Plans
What is the age limit?
Providers
In-patient limits KSh
Out-patient limits KSh
Afyaimara
Comprehensive family cover with access to a wide range of providers.
Joining age 0 - 65 years old. Renewable for life.
UAP Old Mutual medical providers
500K - 10M
Afyaimara Junior
Tailored medical cover for children between 0-18yrs old.
Covers children from 0 to 18 years old. Can extend to above 18 years up to a maximum of 21 years old.
UAP Old Mutual medical providers
500K - 5M
50K - 150K
Afyaimara Junior - Gertrudes Hospital option
Tailored medical cover for children between 0-18yrs old.
Covers children from 0 to 18 years old. Can extend to above 18 years up to a maximum of 21 years old.
Gertrudes Children's Hospital
500K - 5M
50K - 150K
Afyaimara Senior
Cover tailored for seniors between 65 and 80 years.
The joining age is Seniors between 65 and 80 years. Renewable for life.
UAP Old Mutual medical providers
500K - 10M
100K - 200K
Afyaimara County
Cover for individuals and families with access to county hospitals across the country.
Joining age of 0 - 65 years old.
County-Level medical providers
100K - 1M
25K - 50K
Afyaimara Executive
Provides high cover limits for individuals or families.
Joining age of 0- 80 years old.
UAP Old Mutual medical providers
10M- 20M
200K - 250K
Afyaimara
Comprehensive family cover with access to a wide range of providers.
Afyaimara Junior
Tailored medical cover for children between 0-18yrs old.
Afyaimara Junior - Gertrudes Hospital option
Tailored medical cover for children between 0-18yrs old.
Afyaimara Senior
Cover tailored for seniors between 65 and 80 years.
Afyaimara County
Cover for individuals and families with access to county hospitals across the country.
Afyaimara Executive
Provides high cover limits for individuals or families.
What is the age limit?
Joining age 0 - 65 years old. Renewable for life.
Providers
UAP Old Mutual medical providers
In-patient limits KSh
500K - 10M
Out-patient limits KSh
What is the age limit?
Covers children from 0 to 18 years old. Can extend to above 18 years up to a maximum of 21 years old.
Providers
UAP Old Mutual medical providers
In-patient limits KSh
500K - 5M
Out-patient limits KSh
50K - 150K
What is the age limit?
Covers children from 0 to 18 years old. Can extend to above 18 years up to a maximum of 21 years old.
Providers
Gertrudes Children's Hospital
In-patient limits KSh
500K - 5M
Out-patient limits KSh
50K - 150K
What is the age limit?
The joining age is Seniors between 65 and 80 years. Renewable for life.
Providers
UAP Old Mutual medical providers
In-patient limits KSh
500K - 10M
Out-patient limits KSh
100K - 200K
What is the age limit?
Joining age of 0 - 65 years old.
UAP Old Mutual medical providers
County-Level medical providers
In-patient limits KSh
100K - 1M
Out-patient limits KSh
25K - 50K
What is the age limit?
Joining age of 0- 80 years old.
Providers
UAP Old Mutual medical providers
In-patient limits KSh
10M- 20M
Out-patient limits KSh
200K - 250K
- Waiting periods of 28 days for illness claims and 60 days for non-accident surgical claims
- Persons over 60 years will be required to submit a medical report in the prescribed manner for eligibility
- A member has to present their Old Mutual medical cards to the health service provider. Inform the attending provider that they are covered by Old Mutual
- Eligible dependents include one spouse, own children from age of 0 months to 18 years of age. Children 19 years and above will be covered as principal persons
- Expenses where material information is withheld or misstated
- Infertility treatment
- Cosmetic surgery unless caused by accident
- Weight management treatments and drugs
- Participation in professional and hazardous sports e.g. bungee jumping, paragliding
- Treatment other than by registered medical practitioner
- Self-referred or self-prescribed treatment
- Drugs dispensed by the treating doctor
- Nutritional supplements unless prescribed as part of medical treatment.
- Alternative treatment - Chiropractors, Acupuncturist, Herbalist
- Drunkenness, drug addiction, intentional self-injury
- Expenses incurred in connection with participation in riot, strike and civil commotion
- Naval, military or air force operations
- Expenses recoverable under any other insurance e.g. NHIF, GPA, WIBA
- Beauty treatment in nature cure clinics or health hydro’s
- Diagnostic equipment (e.g. Glucometers, BP machines)
- Experimental treatment
- Declared pandemics, epidemics, and natural disasters
- Contamination by radioactivity from nuclear fuel, waste, or fission
- Illness claims incurred within the first 28 days of cover
- Surgical claims incurred within the first 60 days of cover
- Benefits not purchased or not indicated in the brochure
Below are general exclusions from the cover:
*Refer to the policy document for detailed exclusions