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Geographical zone: World wide
Overall Annual Limit (OAL) : Ush400,000,000
AGE LIMITS
Minimum age when joining: 1 month
Maximum age when joining: 55 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.
Maternity (Delivery) : 12 months
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). |
Accident hospitalisation limit:
Ush200,000,000
Illness hospitalisation limit:
Ush200,000,000
Accidents and emergencies, intensive care and theatre costs:
100% in Network
Hospital accommodation:
100% in Network
Hospital Room Limit Per Night:
Ush200,000.
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 or following 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 Ush1,500,000 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
Upto Ugx. 1,500,000 in network for Inpatient and Antenatal treatments and examinations:100% in Network
Post hospitalisation treatment:
100% in Network |
(Only available in Uganda)
Overall Annual Limit:
Ugx 400,000
All prescribed lenses excluding contact lenses. Lenses and frame may be replaced in course of membership year to the maximum benefit per member for the year:
100% in Network
NOTES :
Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs). |
OUTPATIENT(Only available in Uganda)
Overall Annual Limit:
Ugx 400,000
Consultation, simple extractions, difficult extractions, fillings (temporary, permanent, amalgam, composite GIC). Scaling and polishing, gum surgery, root
canal treatment, pulpotomy & minor oral surgery:
100% in Network
NOTES: Network = The coverage is within the AAR Health Centres and / or contracted Preferred Provider Organisations (PPOs). |
(Only available in Uganda)
Normal Delivery Limit:
Ugx 900,000
Caesarean Section Limit:
Ugx 1,500,000
Complications of pregnancy:
1) treatment of a medical condition that results in hospitalisation which arises during the antenatal stages of pregnancy
2) termination of pregnancy when medically necessary:
Covered up to normal delivery limit
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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 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 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)
Worldwide 100% in Network (North America limited to 50% of each benefit limit)
Funeral Expense:
Ugx 2,000,000
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 20M Adults;
Ugx 2M 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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To Get a Quote or if you have any Enquiry /Enquiries concerning our Health Plans click here and one of our representatives will get back to you. |
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