EAST AFRICA INDIVIDUAL HEALTH PLAN

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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 Ugx30,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will berequired)
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 to Ugx5,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 3,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX1,250,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 3,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx350,000, Caesarian Section-Ugx550,000
Outpatient Cover	Covered to Ugx3,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX375,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx200,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx200,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx2,000,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days

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 Ugx30,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will berequired)
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 to Ugx5,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 3,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX1,250,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 3,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx350,000, Caesarian Section-Ugx550,000
Outpatient Cover	Covered to Ugx3,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX375,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx200,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx200,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx2,000,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days

Over all Annual Limit	Covered to Ugx30,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will berequired)
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 to Ugx5,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 3,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX1,250,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 3,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 3,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx350,000, Caesarian Section-Ugx550,000
Outpatient Cover	Covered to Ugx3,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX375,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx200,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx200,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx2,000,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days

Over all Annual Limit	Covered to Ugx40,000,000
Exclusive Care and Case Management tailored for the individual
Inpatient Benefits (Pre-authorisation will berequired)
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 to Ugx10,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 4,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX2,500,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 4,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx550,000, Caesarian Section-Ugx750,000
Outpatient Cover	Covered to Ugx3,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX375,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx250,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx250,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx2,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
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 berequired)
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 to Ugx10,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 4,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX2,500,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 4,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx550,000, Caesarian Section-Ugx750,000
Outpatient Cover	Covered to Ugx3,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX375,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx250,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx250,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx2,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
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 berequired)
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 to Ugx10,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 4,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX2,500,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 4,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 4,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx550,000, Caesarian Section-Ugx750,000
Outpatient Cover	Covered to Ugx3,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX375,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 1,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx250,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx250,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx2,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx50,000,000
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 to Ugx15,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 5,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX3,750,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 5,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx750,000, Caesarian Section-Ugx950,000
Outpatient Cover	Covered to Ugx4,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX500,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx300,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx300,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx3,000,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx50,000,000
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 to Ugx15,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 5,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX3,750,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 5,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx750,000, Caesarian Section-Ugx950,000
Outpatient Cover	Covered to Ugx4,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX500,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx300,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx300,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx3,000,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx50,000,000
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 to Ugx15,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 5,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX3,750,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 5,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 5,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx750,000, Caesarian Section-Ugx950,000
Outpatient Cover	Covered to Ugx4,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX500,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,000,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx300,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx300,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx3,000,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx60,000,000
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 to Ugx20,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 6,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX5,000,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 6,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx950,000, Caesarian Section-Ugx1,200,000
Outpatient Cover	Covered to Ugx4,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX625,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx350,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx350,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx3,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx60,000,000
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 to Ugx20,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 6,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX5,000,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 6,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx950,000, Caesarian Section-Ugx1,200,000
Outpatient Cover	Covered to Ugx4,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX625,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx350,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx350,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx3,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx60,000,000
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 to Ugx20,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 6,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX5,000,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 6,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 6,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx950,000, Caesarian Section-Ugx1,200,000
Outpatient Cover	Covered to Ugx4,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX625,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx350,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx350,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx3,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx70,000,000
Illness Hospitalisation cover	Covered to Ugx35,000,000
Accident Hospitalisation cover	Covered to Ugx35,000,000
*Admissions to Intensive Care & high care units for Non Chronic Ilness*	*Covered to Ugx25,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 7,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX6,250,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 7,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 7,000,000 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,200,000, Caesarian Section-Ugx1,500,000
Outpatient Cover	Covered to Ugx5,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX625,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx400,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx400,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx.4,000,000
Last Expenses	Covered upto Ugx.1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx70,000,000
Illness Hospitalisation cover	Covered to Ugx35,000,000
Accident Hospitalisation cover	Covered to Ugx35,000,000
*Admissions to Intensive Care & high care units for Non Chronic Ilness*	*Covered to Ugx25,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 7,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX6,250,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 7,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 7,000,000 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,200,000, Caesarian Section-Ugx1,500,000
Outpatient Cover	Covered to Ugx5,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX625,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx400,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx400,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx.4,000,000
Last Expenses	Covered upto Ugx.1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx70,000,000
Illness Hospitalisation cover	Covered to Ugx35,000,000
Accident Hospitalisation cover	Covered to Ugx35,000,000
*Admissions to Intensive Care & high care units for Non Chronic Ilness*	*Covered to Ugx25,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 7,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX6,250,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 7,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 7,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 7,000,000 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,200,000, Caesarian Section-Ugx1,500,000
Outpatient Cover	Covered to Ugx5,000,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX625,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 2,500,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx400,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx400,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx.4,000,000
Last Expenses	Covered upto Ugx.1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx80,000,000
Illness Hospitalisation cover	Covered to Ugx40,000,000
Accident Hospitalisation cover	Covered to Ugx40,000,000
*Admissions to Intensive Care & high care units for Non Chronic Ilness*	*Covered to Ugx30,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to Ugx30,000,000 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 8,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX7,500,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 8,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 8,000,000 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,500,000, Caesarian Section-Ugx1,700,000
Outpatient Cover	Covered to Ugx5,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX750,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx450,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx450,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx4,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx80,000,000
Illness Hospitalisation cover	Covered to Ugx40,000,000
Accident Hospitalisation cover	Covered to Ugx40,000,000
*Admissions to Intensive Care & high care units for Non Chronic Ilness*	*Covered to Ugx30,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to Ugx30,000,000 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 8,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX7,500,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 8,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 8,000,000 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,500,000, Caesarian Section-Ugx1,700,000
Outpatient Cover	Covered to Ugx5,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX750,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx450,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx450,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx4,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

Over all Annual Limit	Covered to Ugx80,000,000
Illness Hospitalisation cover	Covered to Ugx40,000,000
Accident Hospitalisation cover	Covered to Ugx40,000,000
*Admissions to Intensive Care & high care units for Non Chronic Ilness*	*Covered to Ugx30,000,000 within Illness Hospitalisation Limit*
*Admissions to Intensive Care & high care units for Accident*	*Covered to Ugx30,000,000 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)* *(Subject to a waiting period)*	*Covered Up to Ugx 8,000,000 within Illness Hospitalisation Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX7,500,000*
*Nursing fees, medical expenses and ancillary charges*	*Covered*
*General Surgery, Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees*	*Covered*
*Reconstructive surgery*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Inpatient Opthamology*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Inpatient Dental Treatment*	*Covered Up to Ugx 8,000,000 within Accident Hospitalisation Limit*
*Psychiatric treatment*	*Covered Up to Ugx 8,000,000 within Illness Hospitalisation Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 8,000,000 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 (East Africa)*	*Covered*
*Ambulance Cover (East Africa)*	*Covered*
Maternity for Principal Member or Spouse	Normal Delivery-Ugx1,500,000, Caesarian Section-Ugx1,700,000
Outpatient Cover	Covered to Ugx5,500,000
Pre-existing Conditions	Not covered
*Chronic conditions developed on cover (CDL)* *(Subject to a waiting period)*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Oncology tests, drugs & consultation, Chemotherapy and radiotherapy*	*Covered Upto CDL Limit*
*Treatment of covid-19 and related co-morbidities*	*UGX750,000*
*Antenatal and Postnatal Treatment (Postnatal is subject to maternity waiting period)*	*UGX500,000*
*Psychiatric Treatment*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Congenital and genetic conditions defects*	*Covered Up to Ugx 3,000,000 within Outpatient Limit*
*Dental Cover(Uganda Only)*	*Covered to Ugx450,000*
*Optical Cover (Uganda Only)*	*Covered to Ugx450,000*
*Outpatient treatment of HIV/AIDS and all opportunistic infections*	*Covered up to CDL Limit, as per WHO guidelines and procedures*
Annual Health Checks(Basic Medex): Complete blood count test, Random blood sugar test, Breast Exam and VIA for Females above 30 years, PSA for males above 45 years	Covered upto Ugx100,000 within Outpatient Limit
Permanent Total disability benefit for Main Member	Covered upto Ugx4,500,000
Last Expenses	Covered upto Ugx1,500,000
Minimum age when joining	1 month
Enrollment Medex Required	45 years
Maximum age when joining	60 years
Chronic conditions developed on cover	12 months
Illness Hospitalisation	90 days
Maternity cover	12 months
New Applicant subject to underwriting	7 working days
Exclusions	Refer to contract

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E-REGISTRATION MEMBERSHIP FORM

MEMBER DETAILS

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

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

(h). Gastro - Intestinal