UGANDA ONLY INDIVIDUAL HEALTH PLAN

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AAR Health Services (U) Ltd
Plot 11, Salmon Rise Street,
Luthuli Avenue, Bugolobi

P.O. Box 6240 Kampala, Uganda
Tel: (+256 414) 560 900

Fax: +256 414258615

info.ug@aar-insurance.com
www.aar-insurance.com

QUOTATION

Dear: {{_name}} {{surname}}
Email: {{email}}
Contact Number: {{contact_number}}

Health Cover: {{health_cover_plan}}

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Over All Annual Limit

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Over all Annual Limit	Covered to Ugx10,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx5,000,000
Accident Hospitalisation cover	Covered to Ugx5,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto full Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto full Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx350,000, Caesarian Section-Ugx550,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Enrollment Notes:
 This cover doesn’t include bills incurred while in Rwanda & South Sudan.
 All Medical bills incurred outside the contractual Network on this cover will not be covered by AAR Insurance
 Preexisting conditions will not be covered under this Cover
 Illness Hospitalization, maternity and Chronic conditions developed on cover are subject to waiting periods
 All claim incurred in providers where AAR has no affiliate will be covered if pre-authorized and if reported with genuine receipts within 48 hrs.
 All Hospitalizations must be Pre-authorized through the Case Management Arm of AAR Insurance
 The quoted standard premium can be increased at point of underwriting by AAR based on the risk profile presented at that point
 Immunizations & vaccinations are not covered

Over all Annual Limit	Covered to Ugx10,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx5,000,000
Accident Hospitalisation cover	Covered to Ugx5,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto full Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto full Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx350,000, Caesarian Section-Ugx550,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx10,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx5,000,000
Accident Hospitalisation cover	Covered to Ugx5,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto full Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto full Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 1,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 1,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx350,000, Caesarian Section-Ugx550,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx20,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx10,000,000
Accident Hospitalisation cover	Covered to Ugx10,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx5,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx5,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx550,000, Caesarian Section-Ugx750,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx20,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx10,000,000
Accident Hospitalisation cover	Covered to Ugx10,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx5,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx5,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx550,000, Caesarian Section-Ugx750,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx20,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx10,000,000
Accident Hospitalisation cover	Covered to Ugx10,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx5,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx5,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered Upto Ugx 2,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered Upto Ugx 2,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx550,000, Caesarian Section-Ugx750,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx30,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx15,000,000
Accident Hospitalisation cover	Covered to Ugx15,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx10,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx10,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation
*Psychiatric treatment*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx750,000, Caesarian Section-Ugx950,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx30,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx15,000,000
Accident Hospitalisation cover	Covered to Ugx15,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx10,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx10,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation
*Psychiatric treatment*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx750,000, Caesarian Section-Ugx950,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx30,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx15,000,000
Accident Hospitalisation cover	Covered to Ugx15,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx10,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx10,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered Upto Ugx 3,000,000 within Accident Hospitalisation
*Psychiatric treatment*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered Upto Ugx 3,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx750,000, Caesarian Section-Ugx950,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx40,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx20,000,000
Accident Hospitalisation cover	Covered to Ugx20,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx15,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx15,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx950,000, Caesarian Section-Ugx1,200,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx40,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx20,000,000
Accident Hospitalisation cover	Covered to Ugx20,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx15,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx15,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx950,000, Caesarian Section-Ugx1,200,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx40,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx20,000,000
Accident Hospitalisation cover	Covered to Ugx20,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx15,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx15,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX100,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 4,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 4,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx950,000, Caesarian Section-Ugx1,200,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx50,000,0000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx25,000,000
Accident Hospitalisation cover	Covered to Ugx25,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx20,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx20,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX150,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,200,000, Caesarian Section-Ugx1,500,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx50,000,0000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx25,000,000
Accident Hospitalisation cover	Covered to Ugx25,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx20,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx20,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX150,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,200,000, Caesarian Section-Ugx1,500,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx50,000,0000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx25,000,000
Accident Hospitalisation cover	Covered to Ugx25,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx20,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx20,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX150,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 5,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 5,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,200,000, Caesarian Section-Ugx1,500,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx60,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx30,000,000
Accident Hospitalisation cover	Covered to Ugx30,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx25,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx25,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX150,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,500,000, Caesarian Section-Ugx1,800,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx60,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx30,000,000
Accident Hospitalisation cover	Covered to Ugx30,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx25,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx25,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX150,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,500,000, Caesarian Section-Ugx1,800,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx60,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will be required)
Illness Hospitalisation cover	Covered to Ugx30,000,000
Accident Hospitalisation cover	Covered to Ugx30,000,000
Admissions to Intensive Care & high care units for Non Chronic Ilness	Covered upto Ugx25,000,000 within Illness Hospitalisation Limit
Admissions to Intensive Care & high care units for Accident	Covered upto Ugx25,000,000 within Accident Hospitalisation Limit
*Admissions to Intensive Care & high care units for Chronic (subject to chronic waiting period)*	*Covered Upto CDL Limit*
Hospital Room Limit Per Night within hospitalization limit	UGX150,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	Covered Upto CDL Limit
*Nursing fees, medical expenses and ancillary charges*	Covered
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	Covered
*Reconstructive surgery*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Inpatient Opthamology*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Inpatient Dental Treatment*	Covered UptoUgx 6,000,000 within Accident Hospitalisation Limit
*Psychiatric treatment*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Congenital and genetic conditions defects*	Covered UptoUgx 6,000,000 within Illness Hospitalisation Limit
*Inpatient treatment of HIV/AIDS and all opportunistic infections*	Covered up to CDL Limit, as per WHO guidelines and procedures
*Rescue Cover (Uganda only)*	*Covered*
*Ambulance Cover(Uganda only)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,500,000, Caesarian Section-Ugx1,800,000
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	No waiting Period
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

E-REGISTRATION MEMBERSHIP FORM

MEMBER DETAILS

Sur Name: {{surname}}

Other Name: {{other_name}}

Phone Number: {{contact_number}}

Postal Address

Occupation

Allergies

Blood Group

First Name: {{_name}}

Email Address: {{email}}

GENDER

Male

Female

*Date of Birth

*Marital Status

Hight

Weight

ENTER BELOW DETAILS OF THE SPOUSE(01) AND DEPENDANTS WHERE APPLICABLE

Sur Name

First Name

GENDER

Male

Female

Date of Birth

Allergies

MEDICAL DICLARATION

NOTE: FOR MEMBERSHIP TO BE CONSIDERED, THIS DECLARATION MUST BE COMPLETED IN FULL AND ALL QUESTIONS ANSWERED IF THE ANSWER IS YES TO ANY OF THE QUESTIONS WHICH FOLLOW, KINDLY OBTAIN A MEDICAL REPORT FROM YOUR ATTENDING DOCTORS & ADDRESS OR FORWARD IT TOGETHER WITH YOUR APPLICATION FORM UNDER CONFIDENTIAL COVER TO THE UNDERWRITER OR EMAIL ADDRESS: underwriter.ug@aar-insurance.com WITHOUT WHICH YOUR APPLICATION MAY BE DELAYED.

(a). Cardiovascular

High Blood Pressure

Yes

Heart Disease

Yes

(b). Respiratory

Asthma

Yes

Tuberculosis

Yes

(c). Endocrine

Thyroid Disease

Yes

Diabetes

Yes

(d). Neurological

Paralysis

Yes

Epilepsy

Yes

(e). Musculo Skeletal

Arthritis

Yes

Gout

Yes

Slipped Disc

Yes

(f). Blood Disorders

Sickle Cell Anaemia

Yes

Leukaemia

Yes

HIV/AIDS

Yes

(g). Genito - Urinary

Pelvic Inflammatory Disease (Female)

Yes

Fibroids (Female)

Yes

Enlargement of the Prostate (Male)

Yes

(h). Gastro - Intestinal

Duodenal or Stomach Ulcers

Yes

Liver Disease

Yes

PREVIOUS SURGICAL OPERATIONS

Yes

OTHER MEDICAL CONDITIONS OR DISABILITIES(Not specifically covered)

Yes

(k). Have you been hospitalised within the last 3 years?

Yes

If yes give a reason

(l). Are you on any regular prescribed medication?

Yes

If yes give a reason

(m). Have you been screened or tested for any condition in the last three years?

Yes

If yes give a reason

(n). Are you a member of any rescue or medical insurance organization?

Yes

If yes (Give details)

(o). Have you had a pap smear (screening test for cervical cancer) in the last 1 year?

Yes

(p). Have you had a PSA (screening test for prostate cancer) done?

Yes

(q). Other than those declared above do you have any particularHealth concerns you wish to inform AAR about?

Yes

If yes (Give details)

This is a signed declaration that this information is true and that AAR have the express authority to access any medical information from any source as required from time to time. I hereby consent to authorise AAR to receive/disclose to my employer any and all information, reports, records and or details relating to me including such medical or other information that would otherwise be confidential for the administration of the medical scheme Failure to disclose correct information will mean what may have been coverable becomes automatically excluded for both in-patient and out-patient cover

*DATE OF SUBIMISSION

Who Introduced/ Encouraged/ Invited/ Inspired you to join AAR membership?

AGENT/INTERMEDIARY

AAR STAFF

*Select Agent/Intermediary

Type Staff Name