APA Insurance offers flexible tailor made corporate products for groups with ten (10) or more employees. The main benefit is a fully insured in-patient scheme.
Other benefits offered at a fee:
Fund management / Scheme administration only
Structure of Cover
Cover can be either on a:
Scope of Cover
Inpatient Cover: Minimum Kshs.100, 000 to a maximum 5,000,000
Inpatient cover provides for medically necessary hospital bed charges, doctor’s bills, anesthetist’s bills, operating theatre fees, ICU expenses, day surgery, physiotherapy pharmacy, laboratory and investigations reasonably incurred by an insured member. Local road and air evacuation is also included. This cover will be on credit facility with our providers.
Outpatient: Limit of cover offered: Kshs. 30,000 to 300,000
Outpatient cover provides for medically necessary consultation fees, investigatory procedures (laboratory & radiology), and referral to specialists, pharmacy and dressings Cover will be on credit facility basis with our providers and on 80% re-imbursement.
Dental: Limit of cover offered: Kshs. 10,000 to 30,000
This provides for: Cost of fillings, X-rays, Extractions including surgical extraction together with anesthetics fees
Optical: Limit of cover offered: Kshs. 10,000 to 30,000
This provides for the cost of eyeglasses and eye testing.
This benefit shall cover Delivery fees, consultation and treatment for both mother and child only during the period of confinement in hospital.
Costs for miscarriages and abortions may be covered, provided they are certified by a gynecologist as being necessary to save the life of the mother.
This benefit is only available to staff/spouse
At APA Health, we: