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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
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Accident hospitalisation limit: Ugx 20,000,000
Illness hospitalisation limit: Ugx 10,000,000
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, diagnostic tests & 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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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 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).
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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). |
Personal Accident with Permanent Total Disability Cover of Ugx 20M Adults; Ugx 2M Children Inclusive: Ugx 5M Adults; Ugx 2.5M Children
Hospital Cash Benefit: Cash payment payable for each night where treatment is received by a member as a non-paying patient : Ugx 20,000 per night from 2nd night of admission up to a maximum of Ugx 3,600,000
NOTES Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs). |
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