UGANDA ONLY INDIVIDUAL MATERNITY PLAN

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Contact
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Preview Quotation
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Membership Form

Health Cover Plan

Do you have Dependants?

Yes

*Your Age Bracket

*Over all Annual Limit

UGX0

Annual Premium Calculated

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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

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MEMBER DETAILS

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MEDICAL DICLARATION

NOTE: FOR MEMBERSHIP TO BE CONSIDERED, THIS DECLARATION MUST BE COMPLETED IN FULL AND ALL QUESTIONS ANSWERED

(a). Cardiovascular

(b). Respiratory

(c). Endocrine

(d). Neurological

(e). Musculo Skeletal

(f). Blood Disorders

(g). Genito - Urinary

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