KENYA PRIVATE HEALTH INSURANCE - MATERNITY OPTIONS

Maternity (Routine)

Where covered, routine maternity refers to medically necessary costs incurred during pregnancy and childbirth, including hospital charges, specialist fees, the mother's pre- and post-natal care, midwife fees (during labour only) as well as newborn care.

Routine Maternity benefits include:

  • Ante natal care such as ultrasound scans
  • Hospital charges, obstetricians’ and midwives’ fees for pregnancy and childbirth
  • Post natal care required by the mother immediately following normal childbirth, such as stitches
  • Pregnancy and childbirth complications, by which we mean those conditions which only ever arise as a direct result of pregnancy or childbirth

Maternity (Caesarean) benefits:

Any non-medically necessary caesarean sections will be covered up to the cost of a routine delivery in the same hospital, subject to any benefit limit in place. Costs related to complications of pregnancy or complications of childbirth are not payable under routine maternity.

Free maternity benefits depend on the inpatient plan chosen where applicable. One can also increase the maternity benefit at an additional fee.

MATERNITY OPTIONS KES 1,000,000.00 KES 200,000.00 KES 150,000.00 KES 100,000.00 KES 75,000.00 KES 50,000.00
get a kenyan insurance quote get a kenyan insurance quote get a kenyan insurance quote get a kenyan insurance quote get a kenyan insurance quote get a kenyan insurance quote
Waiting period (waived if more than 5 people*) 12 Months 10 Months 10 Months 10 Months 10 Months 10 Months
In hospital cost incurred for normal routine deliveries KES 1,000,000.00 KES 200,000.00 KES 150,000.00 KES 100,000.00 KES 75,000.00 KES 50,000.00
In hospital cost incurred for caesarean deliveries KES 1,000,000.00 KES 200,000.00 KES 150,000.00 KES 100,000.00 KES 75,000.00 KES 50,000.00
Complications of childbirth: conditions that arise during childbirth and that require a recognised obstetric procedure KES 2,000,000.00          
Surgical operations and procedures Covered Covered Covered Covered Covered Covered
Theatre fees Covered Covered Covered Covered Covered Covered
Labour and recovery wards Covered Covered Covered Covered Covered Covered
Anesthetics for surgery Covered Covered Covered Covered Covered Covered
Accommodation Private room with own basin Covered Covered Covered Covered Covered
First emergency Caesarean Section Covered Covered Covered Covered Covered Covered
Second emergency Caesarean Section Covered where a Maternity Cover is in place upto the Limit of Maternity Cover Covered where a Maternity Cover is in place upto the Limit of Maternity Cover Covered where a Maternity Cover is in place upto the Limit of Maternity Cover Covered where a Maternity Cover is in place upto the Limit of Maternity Cover Covered where a Maternity Cover is in place upto the Limit of Maternity Cover Covered where a Maternity Cover is in place upto the Limit of Maternity Cover
Pre, post and antenatal care Covered as part of Maternity Cover Covered as part of Maternity Cover Covered as part of Maternity Cover Covered as part of Maternity Cover Covered as part of Maternity Cover Covered as part of Maternity Cover
Well baby check-ups at well baby clinics only Covered, where the baby is on cover Covered, where the baby is on cover Covered, where the baby is on cover Covered, where the baby is on cover Covered, where the baby is on cover Covered, where the baby is on cover
KEPI immunization programme Covered Covered Covered Covered Covered Covered
Professional fee Covered Covered Covered Covered Covered Covered