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Geographical zone:
East Africa
Overall Annual Limit (OAL)
Ugx 30,000,000
AGE LIMITS
Minimum age when joining: 1 month
Maximum age when joining: 60 years
Medical Examinations (medex) for joining (basic medex costs will be borne by AAR at AAR Clinics): 50 years
WAITING PERIOD
Inpatient hospital services for Illness hospitalisation :
90 Days from commencement date.
Hysterectomy and myomectomy:
12 months
REGISTRATION PERIOD
New Applicant subject to underwriting:
14 working days
EXCLUSIONS:
Refer to contract
NOTES
Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs).
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Accident hospitalisation limit:
Ugx 15,000,000
Illness hospitalisation limit:
Ugx 15,000,000
Accidents and emergencies, intensive care and theatre costs:
100% in Network
Hospital accommodation:
100% in Network
Hospital Room Limit Per Night:
Ugx 100,000.
Nursing fees, medical expenses and ancillary charges:
100% in Network
Surgeons’, consultants’, anaesthetists’, medical practitioners’ fees:
100% in Network
Prescribed medicines and drugs:
100% in Network
Reconstructive surgery following an accident orfollowing surgery for an eligible medical condition:
100% in Network
Internal Prostheses:
100% in Network
X-rays:
100% in Network
MRI and CT scans:
100% in Network
Pathology, diagnostictests & procedures:
100% in Network
Oncology tests, drugs & consultation fees including cover for chemotherapy and radiotherapy:
100% in Network
Accidental damage to natural eyes:
100% in Network
Accidental damage to natural teeth:
100% in Network
Psychiatric treatment:
Upto Ugx. 1,500,000 in network for Inpatient and Outpatient
Physiotherapy:
100% in Network
Parent Accommodation, member parent with a memberchild under 8 years of age in hospital:
100% in Network
NOTES
Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs).
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(Within AAR Clinics in East Africa) (Inclusive)
Overall Annual Limit:
Unlimited
Visit Fee:
Ugx 1000 in Network
Primary consultations and treatment to include medical practioners' fees, prescribed
medicines, drugs and dressings:
100% in Network
X-rays, pathology, diagnostic tests & procedures:
100% in Network
Specialists & Consultation fees for consultations, prescribed medicines, drugs and dressings. (Pre-authorisation required) :
100% in Network
Physiotherapy by a registered physiotherapist, when referred by a medical practitioner or consultant or specialist (Pre-authorisation required) :
100% in Network
Oncology tests, drugs & consultation fees including cover for chemotherapy and
radiotherapy. (Pre-authorisation required) :
100% in Network
MRI and CT scans (Pre-authorisation required):
100% in Network
Out-patient surgical operations (Pre-authorisation required)
100% in Network
Psychiatric treatment
Upto Ugx. 1,500,000 in network for Inpatient and Outpatient
Antenatal treatments and examinations:
100% in Network
Post hospitalisation treatment:
100% in Network
NOTES
Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs).
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Overall Annual Limit:
As per accident or illness hospitalisation limit.
Local Emergency road ambulance:Costs of road ambulance transport required due to an emergency or medical necessity to the nearest available and appropriate medical facility.
100% in East Africa Network
Local Emergency Evacuation: The transportation costs of a member from a medical facility where the it is considered the care is inadequate to another medical facility.(Pre-authorisation required)
100% in East Africa Network
International emergency rescue and evacuation (Pre-authorisation required)
100% in East Africa Network
NOTES
Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs). |
Other Benefits
International emergency medical cover area - up to the first 45 days of absence from the territory in any membership year. This is only for hospitalization (Pre-authorisation required)
100% in East Africa Network
Funeral Expense:
Ugx 1,000,000
NOTES
Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs).
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