Medical insurance cover provides adequate financial protection against a wide range of hospitalization expenses arising from both illness and accident, including chronic ailments, pre existing conditions, HIV/AIDS related ailments, emergency air evacuation, emergency ambulance services and emergency overseas treatment. Other additional benefits may include daily cash benefit, homecare cover, annual well person check up, last expense cover, personal accident cover and critical illness benefit cover.
In-patient expenses covered by the policy include specialist doctor’s fee, prescribed physiotherapy, chemotherapy, radiotherapy, nursing care, prescribed medicines, dressings and diagnostic tests.
The respective annual limits provided are either per family or per member. Per family benefit limit means that for a given benefit limit, all the medical expenses are shared by the family members and hospitalization expenses paid out of the given limit on a first claim basis until the limit is exhausted. Per member benefit on the other hand means that each member, whether principal, spouse or child, has a fixed limit from which all his/her medical expenses will be paid from hence no sharing.
Notably is that waiting periods are imposed for various medical conditions at inception of cover with the exception of accident related hospitalization expenses which are payable from inception of cover. The waiting period may be waived in cases where the client is joining from another underwriter or Health insurer provider.
Once cover is in place, the medical insurance provider will provide a membership card, acceptance letter/policy document and current listing of medical providers that a member can utilize.
Extensions
Critical illness insurance
Critical illness cover makes a cash payout benefit in the event the insured is diagnosed with a terminal illness such as coronary heart disease requiring surgery, heart attack, kidney failure, cancer, Blindness, Paraplegia or major Organ treatment.
Breast cancer insurance
This is a cash benefit for any policy holder diagnosed with Breast or Cervical cancer. The plan pays on diagnosis of either breast or cervical cancer.
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