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Health Insurance In Kenya: 7 Best Medical Insurance Companies 2023

Have you ever considered that a single illness could push you from any economic class into poverty? In Kenya, this harsh reality is a looming threat to everyone, regardless of their income.

Most public hospitals face serious management problems and often lack essential health services. Unfortunately, many private hospitals are often out of reach due to their high cost.

It is a double-edged sword where public healthcare is lacking, and private healthcare is prohibitively expensive. Getting medical insurance is not just a smart choice but a lifeline.

Here are the 7 best Medical/Health Insurance in Kenya

AAR Medical Insurance

AAR Insurance is known for its comprehensive health insurance plans. They provide various medical coverage options, including individual and family plans, making quality healthcare more accessible.

Their premiums are affordable depending on your age, the limit of inpatient and outpatient you take, and your family size.

Jubilee Insurance

Jubilee Medical Insurance is the biggest health insurance company in Kenya. It enjoys a wide market coverage, making it a household name for medical insurance.

Jubilee Insurance offers various insurance products, including medical, life, motor, and general insurance.

It offers 3 insurance plans based on age. They include

  • J-care for individuals aged between 18-65 years
  • J-seniors for those aged between 66-79 years
  • J-care juniors for children below 18 years.

Britam Health Insurance

Britam Insurance offers affordable medical insurance cover that you can take up as an individual or family.

Britam health insurance provides 3 main benefits: inpatient, outpatient, and last expense. In addition, Britam offers an insurance product that comes with a fire cash benefit.

Some of the British health Insurance plans Include

  • Advantage plan with a minimum annual premium of Kshs. 17,332
  • Premier plan with a minimum annual premium of Kshs. 11,099
  • Essential 1 plan with a minimum annual premium of Kshs. 9,001
  • Essential 2 plan with a minimum annual premium of Kshs. 8,127

APA Medical Insurance

APA Insurance is known for its innovative insurance solution. It offers budget-friendly insurance plans and enhanced insurance plans.

Taking an Enhance Family Health Cover with APA health insurance provides a stress-free life and a healthy family.

APA also offers Afya Nafuu health cover, which pays for you and your family for hospitalization expenses arising from an illness or accident.

Madison Medical Insurance Cover

Madison Medical Insurance Cover provides insurance cover specifically for you and your family that caters to all your healthcare needs. It has flexible pricing to accommodate any budget with a wide scope of benefits to choose from.

Madison Betterlife Medical cover offers four health insurance plan

Madison Betterlife Premier has the highest inpatient, outpatient, dental, and optical benefits limits.

Madison Betterlfe Executive allows you to enjoy full access to all facilities at a pocket-friendly premium.

Madison Betterlife Budget which is an economy plan with greatly discounted premiums

Madison Betterlife Ignite is best for young single-person.

OLD Mutual Insurance

Old Mutual Insurance, formerly UAP, enjoys a larger market share in Kenya.  It comes with amazing insurance perks for everyone.

Its five healthcare insurance plans include

Afya Imara is a comprehensive family cover that provides access to various providers.

Afya Junior is a tailored medical insurance for children between 0-18 years old.

Afya Senior is a tailored medical insurance cover for seniors between 65 and 85.

Afya County is tailored to individuals and families with access to county hospitals across the country.

Afya Executive provides high cover limits for individuals and families.

CIC Health Insurance Cover

The CIC Group provides world-class insurance services. It has been operational for more than five decades.

CIC Medical Insurance Cover provides flexible health insurance that is hassle-free and with perks that give you the most out of your premium.

CIC insurance offers four insurance perks

  • Family Health Insurance
  • CIC Medisure Corporate Inpatient cover
  • CIC Medipack
  • Afya Bora cover

Factors to Consider When Choosing a Health Insurance Plan

Choosing the right medical insurance in Kenya is crucial and requires careful consideration.

Here are several factors to keep in mind when making your choices

Coverage needs. Assess your specific healthcare needs. Consider factors such as your age, the health of your family members, and any pre-existing conditions. Ensure that the insurance plan you choose covers these needs adequately.

Type of plan. Understand the different types of health insurance plans available, such as individual, family, and group plans. Choose the type that aligns with your needs and circumstances.

Premium costs. Determine your budget for health insurance premiums. Premiums vary widely among providers and plans, so choose a plan you can comfortably afford without straining your finances.

Coverage limits. Review the limits on specific services or treatments, such as maternity care, surgery, or specialized procedures. Ensure that the coverage limits meet your potential healthcare needs.

Claim process. Research the ease and efficiency of the insurance company’s claim process. Quick and hassle-free claims processing is essential when you need medical assistance.

Waiting periods. Some health insurance plans have waiting periods before certain benefits become available. Understand these waiting periods, especially for pre-existing conditions or maternity coverage.

Why You Should Consider Getting a Medical Insurance?

Having the right medical insurance plan can be a game-changer for you and your family. Here are compelling reasons why securing health insurance is not just a smart financial move but a crucial safeguard for your well-being.

Medical Insurance Offer Financial Protection

Investing in health insurance offers you financial security. Medical emergencies can be incredibly costly, and without insurance, these expenses can quickly deplete your savings or push you into debt.

Medical insurance acts as a safety net, covering a significant portion of your medical bills and ensuring you don’t have to choose between your health and finances.

Access to Quality Care

With health insurance, you gain access to the best public and private hospitals and receive timely medical attention and quality care without worrying about exorbitant costs.

Preventive Care

Many medical insurance plans also cover preventive services such as vaccination, regular check-ups, and screenings. These services can help detect and address health issues early, potentially saving you from more severe and expensive treatment down the line.

Peace of Mind

Knowing that you and your family are covered by health insurance brings peace of mind. You can comfortably focus on your health and recovery without constant worry about how you will pay for medical bills.

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