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In hospital daily cash pay-out cover
Select your cover
How many months do you want cover for?
3
6
12
Choose the cover option you want
The table below illustrates the premium and daily hospital cash benefit per adult
Gold
Silver
Bronze
Hospital Benefit
KES 5 000 per day
Hospital Benefit
KES 5 000 per day
Hospital Benefit
KES 5 000 per day
Hospital Benefit
KES 3 000 per day
Hospital Benefit
KES 3 000 per day
Hospital Benefit
KES 3 000 per day
Hospital Benefit
KES 1 000 per day
Hospital Benefit
KES 1 000 per day
Hospital Benefit
KES 1 000 per day
Add your spouse for only KES
1080
Yes
No
Do you want to add you child/children for only KES
per child
Yes
No
Please note the cover for children between the ages of 18-24 is only available in the event that the child is a full time student.
How many children do you want to add?
1
2
3
4
5
6
7
8
9
10
Referrer agent Code (Mobile number or Contract No.)
Total Premium
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