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Medical Insurance
Rank: Elder Joined: 3/2/2009 Posts: 26,328 Location: Masada
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Vote @baba in 2017 polls, he will bring us an #Obamacare equivalent! Portfolio: Sold You know you've made it when you get a parking space for your yatcht.
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Rank: Chief Joined: 5/9/2007 Posts: 13,095
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The Linda Jamii one really sorted us for some time, then suddenly it was disqualified.
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Rank: Veteran Joined: 5/13/2010 Posts: 869 Location: Nairobi
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Xymalos wrote:Looking for insurance for my elderly 72 year old mom - anybody with good experience with any insurance covering elderly people? Currently she is with Faulu, it has been a blessing, but now I hear they've merged with UAP and premiums are way too high, with lots of exclusions - seems like age discrimination. Who in their 70s would not have pre-existing conditions? Advice welcome. Keep renewing the Faulu covr and do not default. If you do, you cannot join afresh. UAP has a seniors cover, but get all details first. Halafu, please continue paying their NHIF. It is being expanded every day. ....above all, to stand.
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Rank: Elder Joined: 4/22/2010 Posts: 11,522 Location: Nairobi
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Ms Mkenya wrote:Xymalos wrote:Looking for insurance for my elderly 72 year old mom - anybody with good experience with any insurance covering elderly people? Currently she is with Faulu, it has been a blessing, but now I hear they've merged with UAP and premiums are way too high, with lots of exclusions - seems like age discrimination. Who in their 70s would not have pre-existing conditions? Advice welcome. Keep renewing the Faulu covr and do not default. If you do, you cannot join afresh. UAP has a seniors cover, but get all details first. Halafu, please continue paying their NHIF. It is being expanded every day. NHIF...NHIF...NHIF that's what the common mwananchi should be fighting for its improvement...they paid for chemo for my buddies mum...you are right @Ms Mkenya they are evolving well but a lot more can be done. possunt quia posse videntur
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Rank: Veteran Joined: 5/13/2010 Posts: 869 Location: Nairobi
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NHIF is paying even for dialysis so please enroll the older folk. In Nairobi i know they are paying in Coptic Hospital alongside others and of course KNH. Let us keep fighting for this. Secondly, for something like dialysis, please note that it is an exclusion on some policies, e.g. the Resolution one. They can only pay if you have 'Acute renal failure' so if it is the kind brought on by diabetes and hypertension (Which is where most of our older folk lie), they will not be covered. Lastly, you can choose a facility near them where they can go for outpatient treatment at no cost as long as they are NHIF members. The list of hospitals is huge. For more information visit their website but for even more accurate info, visit an NHIF office. Just for the record i do not work for NHIF but if something is working, it is working.. ....above all, to stand.
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Rank: Member Joined: 9/14/2011 Posts: 834 Location: nairobi
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Has anyone used Equimed https://insurance.equity...oup.com/products/health
someone told me they have no exclusions?
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Rank: Veteran Joined: 8/25/2012 Posts: 1,826
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Ms Mkenya wrote:NHIF is paying even for dialysis so please enroll the older folk. In Nairobi i know they are paying in Coptic Hospital alongside others and of course KNH. Let us keep fighting for this.
Secondly, for something like dialysis, please note that it is an exclusion on some policies, e.g. the Resolution one. They can only pay if you have 'Acute renal failure' so if it is the kind brought on by diabetes and hypertension (Which is where most of our older folk lie), they will not be covered.
Lastly, you can choose a facility near them where they can go for outpatient treatment at no cost as long as they are NHIF members. The list of hospitals is huge. For more information visit their website but for even more accurate info, visit an NHIF office.
Just for the record i do not work for NHIF but if something is working, it is working.. just make sure if you are not employed to pay your premiums annually, otherwise utashanga if you are a jua kali type and try get the services if you pay monthly, happened to me.
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Rank: Elder Joined: 3/2/2009 Posts: 26,328 Location: Masada
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What are the annual premiums for the Equimed? Portfolio: Sold You know you've made it when you get a parking space for your yatcht.
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Rank: Veteran Joined: 6/23/2011 Posts: 1,740 Location: Nairobi
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Try NHIF , the have greatly improved and I don't think they descriminate
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Rank: Elder Joined: 3/2/2009 Posts: 26,328 Location: Masada
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streetwise wrote:Try NHIF , the have greatly improved and I don't think they descriminate Their network is always down whenever my local health center have tried to connect and check the card details. Portfolio: Sold You know you've made it when you get a parking space for your yatcht.
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Rank: New-farer Joined: 11/16/2015 Posts: 39 Location: Nairobi
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sitaki.kujulikana wrote:Ms Mkenya wrote:NHIF is paying even for dialysis so please enroll the older folk. In Nairobi i know they are paying in Coptic Hospital alongside others and of course KNH. Let us keep fighting for this.
Secondly, for something like dialysis, please note that it is an exclusion on some policies, e.g. the Resolution one. They can only pay if you have 'Acute renal failure' so if it is the kind brought on by diabetes and hypertension (Which is where most of our older folk lie), they will not be covered.
Lastly, you can choose a facility near them where they can go for outpatient treatment at no cost as long as they are NHIF members. The list of hospitals is huge. For more information visit their website but for even more accurate info, visit an NHIF office.
Just for the record i do not work for NHIF but if something is working, it is working.. just make sure if you are not employed to pay your premiums annually, otherwise utashanga if you are a jua kali type and try get the services if you pay monthly, happened to me. Barikiwa tufanane
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Rank: Member Joined: 8/25/2015 Posts: 839 Location: Kite
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No problem paying for jua kali at all,as long as you pay by 9Th of each month,500/-!
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Rank: Veteran Joined: 8/25/2012 Posts: 1,826
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Taurrus wrote:No problem paying for jua kali at all,as long as you pay by 9Th of each month,500/-! trust me better pay annual if you are jua kali, if an emergency happens before then then you will know being jua kali nobody trusts you, happened to me on the 2nd of a month, the hospital refused, said that my monthly pay had not been done so no service, got pissed of told them about the deadline, they said that for self employed they require one to be active for like 2 - 3 months in advance, ati for employed people they are sure the employer will send the contribution. I got angry and asked them why they have the deadline for monthly pay as the 9th if they have not factored in such a situation, nika ambiwa the guys who come up with these things are thinking of employed people, nyinyi wengine ni props tu. my 2cents, kama wewe ni jua kali, wachana na the rosy stories those guys tell you, just make sure you are covered in advance, mambo ya monthly wacha. now the worst part for my emergency was that it was at night, and to make matters worse, nhif do not work at night, nobody to call to sort out issues, nilijiongelesha if I was a judge I would sue for embarrassment or something
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Rank: Elder Joined: 3/2/2009 Posts: 26,328 Location: Masada
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sitaki.kujulikana wrote:Taurrus wrote:No problem paying for jua kali at all,as long as you pay by 9Th of each month,500/-! trust me better pay annual if you are jua kali, if an emergency happens before then then you will know being jua kali nobody trusts you, happened to me on the 2nd of a month, the hospital refused, said that my monthly pay had not been done so no service, got pissed of told them about the deadline, they said that for self employed they require one to be active for like 2 - 3 months in advance, ati for employed people they are sure the employer will send the contribution. I got angry and asked them why they have the deadline for monthly pay as the 9th if they have not factored in such a situation, nika ambiwa the guys who come up with these things are thinking of employed people, nyinyi wengine ni props tu. my 2cents, kama wewe ni jua kali, wachana na the rosy stories those guys tell you, just make sure you are covered in advance, mambo ya monthly wacha. now the worst part for my emergency was that it was at night, and to make matters worse, nhif do not work at night, nobody to call to sort out issues, nilijiongelesha if I was a judge I would sue for embarrassment or something Please seek justices from @Judge JB. Kariuki, the chief litigator! Portfolio: Sold You know you've made it when you get a parking space for your yatcht.
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Rank: Veteran Joined: 8/25/2012 Posts: 1,826
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Impunity wrote:sitaki.kujulikana wrote:Taurrus wrote:No problem paying for jua kali at all,as long as you pay by 9Th of each month,500/-! trust me better pay annual if you are jua kali, if an emergency happens before then then you will know being jua kali nobody trusts you, happened to me on the 2nd of a month, the hospital refused, said that my monthly pay had not been done so no service, got pissed of told them about the deadline, they said that for self employed they require one to be active for like 2 - 3 months in advance, ati for employed people they are sure the employer will send the contribution. I got angry and asked them why they have the deadline for monthly pay as the 9th if they have not factored in such a situation, nika ambiwa the guys who come up with these things are thinking of employed people, nyinyi wengine ni props tu. my 2cents, kama wewe ni jua kali, wachana na the rosy stories those guys tell you, just make sure you are covered in advance, mambo ya monthly wacha. now the worst part for my emergency was that it was at night, and to make matters worse, nhif do not work at night, nobody to call to sort out issues, nilijiongelesha if I was a judge I would sue for embarrassment or something Please seek justices from @Judge JB. Kariuki, the chief litigator! was thinking if only I was 'a your honor guy', I would make some good coins from the embarrassment I was being dragged through, imagine me pulling out that ka richly colored blue card, with a wide grin towards the receptionist, only for them to ask me are you employed, to which I proudly replied mimi ni employer, self employed, and contributing richly to the economy by creating employment, only for her to look at me and tell me I had not paid up my contribution. felt the same way gothi felt after davi twangad him with that rock in the head.
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Rank: Veteran Joined: 8/25/2012 Posts: 1,826
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... but in honesty to all jua kali guys on the national health fund, please make sure at all times you have at least paid in advance, avoid the monthly thing at least lipa 2-3 months in advance, and dont wait for that period to expire make sure you renew way in advne before the active period ends ... please I beg of you, you don't want an emergency wrong footing you.
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Rank: Elder Joined: 8/4/2008 Posts: 2,849 Location: Rupi
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Does PACIS have medical covers for individuals? Lord, thank you!
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Rank: Member Joined: 8/25/2015 Posts: 839 Location: Kite
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sitaki.kujulikana wrote:... but in honesty to all jua kali guys on the national health fund, please make sure at all times you have at least paid in advance, avoid the monthly thing at least lipa 2-3 months in advance, and dont wait for that period to expire make sure you renew way in advne before the active period ends ... please I beg of you, you don't want an emergency wrong footing you. Good advise,I also noted last week that from the hospital side the nhif system is a month behind,say like for this month august it reads covered for july though one has payed for august.
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Rank: Member Joined: 6/6/2016 Posts: 165 Location: Nairobi
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As others have mentioned, the NHIF is a decent option but you have to make sure your monthly contributions are very updated because the administration systems between the NHIF and the list of hospitals is not so efficient. The schedule for the NHIF hospital benefits from their website is http://www.nhif.or.ke/he...IF_Benefits_Package.pdf
The NHIF is now offering surgery benefits as of September 2016 and members can enjoy services from some private medical providers! This is the article from nation http://www.nation.co.ke/...61850-30j16o/index.html UAP has a good medical insurance for seniors, the joining age is 65-80, once you are in, its for life, they also have a chronic disease management scheme, check it on their website page https://www.uap-group.co...Imara-Senior-Kenya.aspx
You can also view quotes for UAP and APA medical cover for the seniors from this website http://www.pesabazaar.co...nsurance/senior_citizen
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