Afya Tele Medical Cover.
COMPREHENSIVE GROUP MEDICAL INSURANCE
Afya Tele Medical Cover is a unique comprehensive group medical insurance that covers for inpatient, outpatient and a funeral cover. This policy is available to registered groups within SMEs, microfinance institutions, sacco's, chama's, self-help groups, government institutions, education institutions and religious groups.
Benefits.
- Inpatient Cover: This is a health care plan to manage unforeseen illness or injuries that lead to hospitalization. Includes Maternity, Radiology, Covid, Congenital, Dental, Funeral Expense, Ambulance, Optical, Chronic/pre-existing / psychiatric condition
- Outpatient Cover: This is a health care plan to pay for outpatient treatments which includes reasonable costs incurred at duly appointed hospitals and doctors' clinics
- Last Expense: This cover provides support to cover funeral expenses following the death of the insured
Eligibility.
Members should be more than 10 people to take up the cover. The applicant and the spouse should be between 18 and 65 years at entry. Children between 30 days and 18 years automatically qualify for inclusion. Those above 18 years up to 24 years can be included only if they are students in school/college. Evidence of one as a student must be provided
Waiting Periods.
- 1 month for all illnesses but treatment as a result of accidental causes are covered from commencement date.
- 1 month waiting period on death as a result of natural causes. Death as a result of any accident is covered from commencement date.
- 9 months' waiting period for maternity and pregnancy related treatments.
- 1 year waiting period for surgical treatment unless surgery is as a result of an accident.
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