AFYA NAFUU

At APA, we believe that a healthy family is a happy family. Good health equates to good living, that means having everyone in the family covered for all medical needs.
Our Afya Nafuu health cover, caters to everyone in your family, from a term baby born at 38 weeks to an adult 80 years of age.

WHAT AFYA NAFUU CATERS FOR:

Bed Charges

Including all accommodation expenses net of NHIF during your stay in the hospital. Whether in the Wards, HDU or ICU.

Medication

All prescribed drugs and dressings through our designated partners.

Doctor’s Fees

Any doctor related charges including those of physicians, surgeons, anesthetists, and specialists for visits and consultations.

Diagnostics

All prescribed laboratory tests, X-rays, Ultrasounds, MRI and CT Scans.


Our main products include:

Inpatient cover is the core cover.

With this, one is covered for; Pre-existing, Chronic, Congenital, HIV/AIDS-related conditions, cancer treatment, organ transplant, lodger fees, accidental dental/reconstructive surgery among many more other treatments.

Optional Benefits:

  1. Outpatient cover.
  2. Maternity cover.
  3. Dental & Optical Cover.
  4. Last expense cover.
  5. Personal Accident cover.

The cover also provides for enhanced benefits. This include:

  1. Cover for Pre-Existing, Chronic, Psychiatric, congenital and HIV/AIDS including related conditions.
  2. Countrywide Provider Network.
  3. Overseas inpatient referrals covered on credit under-listed hospitals.
  4. Cover for inpatient dental and optical treatment.
  5. Post hospitalisation benefit.
  6. Funeral expenses benefit.
  7. Free Personal Accident benefit for the Principal member.

Who is eligible for the cover?

  1. Adults between the age of 18 and 80 years.
  2. Children between the age of 1 month and 17 years.

Maternity Cover

Children bring us happiness and blessings. As we prepared for our new bundle of joy, it is best that we cater to the mother’s health and conditions prior to birth. This is why we have a Maternity Cover that caters for:
  1. Normal delivery including professional fees, labour and recovery wards for all plans.
  2. Cost of delivery, and other related ailments and complications including ectopic pregnancies, miscarriage, etc.
  3. Cesarean section delivery including professional fees, labour and recovery wards.

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Main Features include:


Inpatient cover is the core cover.

With this, one is covered for; Pre-existing, Chronic, Congenital, HIV/AIDS-related conditions, cancer treatment, organ transplant, lodger fees, accidental dental/reconstructive surgery among many more others.

Optional Benefits:

  1. Outpatient cover.
  2. Maternity cover.
  3. Dental & Optical Cover.
  4. Last expense cover.
  5. Personal Accident Benefit Cover.

The cover also provides for enhanced benefits. This include:

  1. Cover for Pre-Existing, Chronic, Psychiatric, congenital and HIV/AIDS including related conditions.
  2. Countrywide Provider Network.
  3. Overseas inpatient referrals covered on credit under-listed hospitals.
  4. Cover for inpatient dental and optical treatment.
  5. Post hospitalisation benefit.
  6. Funeral expenses benefit.
  7. Free Personal Accident benefit for Principle member.

Who is eligible for the cover?

  1. Adults between the age of 18 years and 75 years.
  2. Children between the age of 1 month and 17 years.

Maternity Cover

Children bring us happiness and blessings. As we prepared for our new bundle of joy, it is best that we cater to the mother’s health and conditions pre-birth. This is why we have a Maternity Cover that caters for:
  1. Normal delivery including professional fees, labour and recovery wards for all plans.
  2. Costs of delivery, and other related ailments and complications including ectopic pregnancies, miscarriage, etc.
  3. Cesarean section delivery including professional fees, labour and recovery wards.

INPATIENT CORE PLANS

Overall maximum benefit per year 2,000,000 1,000,000 750,000 500,000 300,000 100,000
Bed limits net of NHIF General Ward Bed General Ward Bed General Ward Bed General Ward Bed General Ward Bed General Ward Bed
Prescription drugs and dressings-discharge drugs allowed up to a maximum of 30 days supply Covered Covered Covered Covered Covered Covered
Physicians, Specialist & Surgical fees, including anaesthetist fees subject to APA panel rates Covered Covered Covered Covered Covered Covered
Theatre charges, HDU & ICU Covered Covered Covered Covered Covered Covered
Diagnostic tests Covered Covered Covered Covered Covered Covered
Physiotherapy as part of treatment Covered Covered Covered Covered Covered Covered
Pre-existing / chronic conditions/ HIV/AIDS / Congenital conditions after 12 months of cover and on full disclosure at the time of joining 300,000 250,000 200,000 150,000 100,000 50,000
In Patient Dental 75,000 40,000 30,000 30,000 20,000 10,000
Reconstructive surgery following an accident Covered Covered Covered Covered Covered Covered
Emergency dental/optical treatment following an accident Covered Covered Covered Covered Covered Covered
Funeral expenses 50,000 30,000 25,000 25,000 20,000 20,000
Post hospitalisation Treatment reimbursement only limited to the first 2 weeks after discharge 25,000 20,000 15,000 10,000 10,000 7,500
Accommodation costs for 1 parent staying in hospital with an insured child under 8 years. Covered Covered Covered Covered Covered Covered
Day Care Surgery under general anaesthesia Covered Covered Covered Covered Covered Covered
Home Nursing (on doctor’s recommendation) Up to a maximum of 30 days Up to a maximum of 30 days Up to a maximum of 30 days Up to a maximum of 30 days Up to a maximum of 30 days Up to a maximum of 30 days
Local ambulance to hospital for emergency cases Covered Covered Covered Covered Covered Covered
CT, MRI and PET scans subject to pre authorisation Covered Covered Covered Covered Covered Covered
1st ever emergency C-section &/or maternity related complications after being on cover for 12 months. 75,000 50,000 40,000 30,000 30,000 30,000
In Patient non-accidental Ophthalmology : includes cost of cataract removal (1 year waiting period) 75,000 50,000 40,000 30,000 30,000 30,000

OUTPATIENT CORE PLANS

Annual Limits Per Person 30,000 40,000 50,000 75,000 100,000
Maximum Consultation Limit per visit 1,000 1,000 1,500 1,500 1,500
Physicians consultation fees Covered Covered Covered Covered Covered
Prescription drugs up to a maximum of 30 days Covered Covered Covered Covered Covered
Specialists fees (strictly on referral by a GP) 2,000 2,000 2,000 2,000 2,000
X-Ray, MRI’s, CT and other diagnostic tests Covered Covered Covered Covered Covered
Physiotherapy prescribed by a GP Covered Covered Covered Covered Covered
Pre-existing/ Chronic conditions/ HIV AIDS/ Congenital Conditions after 12 months of cover & full disclosure at the time of joining Covered Covered Covered Covered Covered

If you are interested in learning how much this insurance product would cost you, or if you are interested in purchasing this insurance product, please click Get Cover.

If you would like further explanation or assistance about this insurance product, please click I Need Assistance.

Download formswill give you access to any relevant documents for this insurance product, such as the claim form, proposal form, etc.



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Download Form
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