Corporate Plan

We offer you a diverse range of corporate plans available in three categories; Executive, Mid level & Entry Level catering for your specific healthcare and financial needs.

Our plans are a hybrid component of the low claims account and insured benefit. Member benefits are per membership year, they are effective the date the member/ beneficiary joins the . These benefits are paid up to an annual global limit.

Executive Plans

Opal

General Practitioners,
Specialist and grade A Private Hospitals-private wards,
Specialist foreign treatment up to approved limit

Sapphire Plus

General Practitioners,
Specialist and grade A Private Hospitals-private wards,
Specialist foreign treatment up to approved limit

Sapphire

General Practitioners,
Specialist and grade A Private Hospitals-private wards,
Specialist foreign treatment up to approved limit

Mid Level Plans

Amber

General Practitioners,
Specialist and grade A Private Hospitals two bedded wards,
Specialist foreign treatment up to approved limit

Ruby

General Practitioners,
Specialist and grade A Private Hospitals General wards
Specialist foreign treatment up to approved limit

Emerald

General Practitioners,
Specialist and grade A Private Hospitals General wards,
100% cover Grade B to F

Entry Level Plans

Coral

General Practitioners
100% cover Grade C to F
Private Wards, Government Hospitals

Topaz

General Practitioners
Council Clinics
Mission & Government Hospitals

Benefits

Medical Benefits

All plans ensure members get cover for essential health care at government and private facilities. These include; Hospitalisation, Drugs, Pathology, Specialised Radiology, Dental, Optical, Pathology & Rehabilitative Services

Managed Care

This is a support structure for members with chronic conditions, support is in the form of SMS’s, calls, hospital visits and drug facility access. The drug facility is designed to help members access the chronic drugs easily in conjunction with partner pharmacies located across the country.

Immediate Benefits

Corporate accounts with 10-49 members from inception enjoy immediate access to General Practitioners and Pharmacies without any waiting periods. Corporates with over 50 members from inception enjoy further immediate cover for admission or treatment at a hospital, MRI, CT Scans and nuclear medicine.