AFYA NAFUU
The perfect life is a healthy life.
Our Family health cover, caters to everyone in your family, from a term baby born at 38 weeks to an adult 80 years of age.
This insurance policy is affordable for all our clients because it offers a wide range of options and benefits which can be custom tailored according to the needs of each person on an individual basis.
We believe that a healthy family is a happy family, and we want to ensure that you are as comfortable as possible while you are on this journey.
WHAT AFYA NAFUU CATERS FOR:
Covid-19 Covered
Covid-19 cover limit extended to match the limits offered limits offered under chronic / pre-existing conditions limit
Bed Charges
Including all accommodation expenses net of NHIF during your stay in the hospital. Whether in the Wards, HDU or ICU.
Medication
All prescribed drugs and dressings through our designated partners.
Doctor’s Fees
Any doctor related charges including those of physicians, surgeons, anesthetists, and specialists for visits and consultations.
Diagnostics
All prescribed laboratory tests, X-rays, Ultrasounds, MRI and CT Scans.
Our main products include:
Inpatient cover is the core cover.
With this, one is covered for; Pre-existing, Chronic, Congenital, HIV/AIDS-related conditions, cancer treatment, organ transplant, lodger fees, accidental dental/reconstructive surgery among many more other treatments.Optional Benefits:
- Outpatient cover.
- Maternity cover.
- Dental & Optical Cover.
- Last expense cover.
- Personal Accident cover.
The cover also provides for enhanced benefits. This include:
- Cover for Pre-Existing, Chronic, Psychiatric, congenital and HIV/AIDS including related conditions.
- Countrywide Provider Network.
- Overseas inpatient referrals covered on credit under-listed hospitals.
- Cover for inpatient dental and optical treatment.
- Post hospitalisation benefit.
- Funeral expenses benefit.
- Free Personal Accident benefit for the Principal member.
Who is eligible for the cover?
- Adults between the age of 18 and 80 years.
- Children between the age of 1 month and 17 years.
Maternity Cover
Children bring us happiness and blessings. As we prepared for our new bundle of joy, it is best that we cater to the mother’s health and conditions prior to birth. This is why we have a Maternity Cover that caters for:
- Normal delivery including professional fees, labour and recovery wards for all plans.
- Cost of delivery, and other related ailments and complications including ectopic pregnancies, miscarriage, etc.
- Cesarean section delivery including professional fees, labour and recovery wards.
INPATIENT CORE PLANS
| OVERALL MAXIMUM BENEFIT PER YEAR | 2,000,000 | 1,000,000 | 750,000 | 500,000 | 300,000 | 100,000 |
|---|---|---|---|---|---|---|
| Bed limits net of NHIF | General Ward Bed | General Ward Bed | General Ward Bed | General Ward Bed | General Ward Bed | General Ward Bed |
| Prescription drugs and dressings-discharge drugs allowed up to a maximum of 30 days supply | Covered | Covered | Covered | Covered | Covered | Covered |
| Physicians, Specialist & Surgical fees, including anaesthetist fees subject to APA panel rates | Covered | Covered | Covered | Covered | Covered | Covered |
| Theatre charges, HDU & ICU | Covered | Covered | Covered | Covered | Covered | Covered |
| Diagnostic tests | Covered | Covered | Covered | Covered | Covered | Covered |
| Physiotherapy as part of treatment | Covered | Covered | Covered | Covered | Covered | Covered |
| Pre-existing / chronic conditions/ HIV/AIDS / Congenital conditions after 12 months of cover and on full disclosure at the time of joining | 300,000 | 250,000 | 200,000 | 150,000 | 100,000 | 50,000 |
| In Patient Dental | 75,000 | 40,000 | 30,000 | 30,000 | 20,000 | 10,000 |
| Reconstructive surgery following an accident | Covered | Covered | Covered | Covered | Covered | Covered |
| Emergency dental/optical treatment following an accident | Covered | Covered | Covered | Covered | Covered | Covered |
| Funeral expenses | 50,000 | 30,000 | 25,000 | 25,000 | 20,000 | 20,000 |
| Post hospitalisation Treatment reimbursement only limited to the first 2 weeks after discharge | 25,000 | 20,000 | 15,000 | 10,000 | 10,000 | 7,500 |
| Accommodation costs for 1 parent staying in hospital with an insured child under 8 years. | Covered | Covered | Covered | Covered | Covered | Covered |
| Day Care Surgery under general anaesthesia | Covered | Covered | Covered | Covered | Covered | Covered |
| Home Nursing (on doctor’s recommendation) | Up to a maximum of 30 days | Up to a maximum of 30 days | Up to a maximum of 30 days | Up to a maximum of 30 days | Up to a maximum of 30 days | Up to a maximum of 30 days |
| Local ambulance to hospital for emergency cases | Covered | Covered | Covered | Covered | Covered | Covered |
| CT, MRI and PET scans subject to pre authorisation | Covered | Covered | Covered | Covered | Covered | Covered |
| 1st ever emergency C-section &/or maternity related complications after being on cover for 12 months. | 75,000 | 50,000 | 40,000 | 30,000 | 30,000 | 30,000 |
| In Patient non-accidental Ophthalmology : includes cost of cataract removal (1 year waiting period) | 75,000 | 50,000 | 40,000 | 30,000 | 30,000 | 30,000 |
OUTPATIENT CORE PLANS
| ANNUAL LIMITS PER PERSON | 30,000 | 40,000 | 50,000 | 75,000 | 100,000 |
|---|---|---|---|---|---|
| Maximum Consultation Limit per visit | 1,000 | 1,000 | 1,500 | 1,500 | 1,500 |
| Physicians consultation fees | Covered | Covered | Covered | Covered | Covered |
| Prescription drugs up to a maximum of 30 days | Covered | Covered | Covered | Covered | Covered |
| Specialists fees (strictly on referral by a GP) | 2,000 | 2,000 | 2,000 | 2,000 | 2,000 |
| X-Ray, MRI’s, CT and other diagnostic tests | Covered | Covered | Covered | Covered | Covered |
| Physiotherapy prescribed by a GP | Covered | Covered | Covered | Covered | Covered |
| Pre-existing/ Chronic conditions/ HIV AIDS/ Congenital Conditions after 12 months of cover & full disclosure at the time of joining | Covered | Covered | Covered | Covered | Covered |
If you are interested in learning how much this insurance product would cost you, or if you are interested in purchasing this insurance product, please click Get Cover.
If you would like further explanation or assistance about this insurance product, please click I Need Assistance.
Download formswill give you access to any relevant documents for this insurance product, such as the claim form, proposal form, etc.
Main Features include:
Inpatient cover is the core cover.
With this, one is covered for; Pre-existing, Chronic, Congenital, HIV/AIDS-related conditions, cancer treatment, organ transplant, lodger fees, accidental dental/reconstructive surgery among many more others.
Optional Benefits:
- Outpatient cover.
- Maternity cover.
- Dental & Optical Cover.
- Last expense cover.
- Personal Accident Benefit Cover.
The cover also provides for enhanced benefits. This include:
- Cover for Pre-Existing, Chronic, Psychiatric, congenital and HIV/AIDS including related conditions.
- Countrywide Provider Network.
- Overseas inpatient referrals covered on credit under-listed hospitals.
- Cover for inpatient dental and optical treatment.
- Post hospitalisation benefit.
- Funeral expenses benefit.
- Free Personal Accident benefit for Principle member.
Who is eligible for the cover?
- Adults between the age of 18 years and 75 years.
- Children between the age of 1 month and 17 years.
Maternity Cover
Children bring us happiness and blessings. As we prepared for our new bundle of joy, it is best that we cater to the mother’s health and conditions pre-birth. This is why we have a Maternity Cover that caters for:
- Normal delivery including professional fees, labour and recovery wards for all plans.
- Costs of delivery, and other related ailments and complications including ectopic pregnancies, miscarriage, etc.
- Cesarean section delivery including professional fees, labour and recovery wards.
