Medical Insurance - Minor Please enable JavaScript in your browser to complete this form.Name *FirstLastPhone Number *Email *How many child(ren) do you wish to cover? Selected Value: 1 Date of birth Child(ren) *Please enter the date of birth for each child. If you have more than one child, separate each date with a comma (e.g., 15/03/2020, 22/08/2022).What is your annual budget range? *Less than KES 60,000/yearKES 60,000–120,000/yearKES 120,000–240,000/yearKES 240,000–600,000/yearThis is the total amount you are comfortable paying for your insurance cover in one year. It helps us recommend a policy that fits your budget.Inpatient Cover Limit *--- Select Choice ---KES 500,000KES 1,000,000KES 2,000,000KES 3,000,000KES 5,000,000KES 10,000,000Inpatient cover pays for your medical expenses when you are admitted to a hospital and stay overnight or longer for treatment.Outpatient Cover Limit *--- Select Choice ---KES 50,000KES 75,000KES 100,000KES 150,000KES 200,000Outpatient cover pays for medical care when you visit a hospital or clinic but go back home the same day. You do not need to be admitted.Additional Benefits DentalOpticalAdditional Benefits Limit ( Dental & Optical)--- Select Choice ---KES 5,000 - KES 15,000KES 20,000 - KES 25,000KES 30,000 - KES 50,000Optical coverage must match your Dental coverage amount. What is your preferred mode of communication? *EmailPhone callSubmit
