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Health Insurance

Comprehensive medical coverage for you and your family's healthcare needs

Your Health is Your Greatest Wealth

At Clear Plan Insurance, we understand that quality healthcare is essential for you and your loved ones. Our comprehensive health insurance plans are designed to provide financial protection against medical expenses while ensuring access to the best healthcare facilities and professionals across Kenya.

Whether you're seeking coverage for routine check-ups, emergency medical care, or specialized treatments, our health insurance solutions offer peace of mind knowing that you're protected when you need it most.

What Our Health Insurance Covers

Inpatient Services

Complete coverage for hospital admissions, including room and board, surgical procedures, intensive care, and post-operative care at our network of accredited hospitals.

  • Hospital accommodation (private or shared rooms)
  • Surgical procedures and operations
  • ICU and CCU services
  • Medical consultations during admission

Outpatient Services

Access comprehensive outpatient care without hospital admission, including doctor consultations, diagnostic tests, and minor procedures.

  • General practitioner consultations
  • Specialist doctor visits
  • Laboratory tests and diagnostics
  • X-rays and imaging services

Prescription Medications

Coverage for prescribed medications and pharmaceutical needs, ensuring you can access necessary treatments without financial strain.

  • Prescription drugs and medications
  • Chronic disease medication management
  • Generic and branded pharmaceuticals
  • Pharmacy network access

Maternity Care

Comprehensive coverage for expectant mothers, from prenatal care through delivery and postnatal support for both mother and baby.

  • Prenatal consultations and tests
  • Normal and cesarean deliveries
  • Postnatal care for mother and newborn
  • Complications during pregnancy

Dental & Optical Care

Extended coverage for dental treatments and optical services to maintain your overall health and wellbeing.

  • Routine dental check-ups
  • Dental treatments and procedures
  • Eye examinations
  • Prescription glasses and contact lenses

Emergency Services

24/7 emergency medical services with ambulance coverage and emergency room treatment for urgent medical situations.

  • Emergency ambulance services
  • Emergency room treatment
  • Accident and emergency care
  • Urgent medical procedures

Frequently Asked Questions

What is the waiting period for health insurance coverage?

For new policies, there is a 30-day waiting period for general illnesses and a 10-month waiting period for maternity coverage. Pre-existing conditions have a 12-month waiting period. Emergency coverage is effective immediately upon policy activation.

Can I add family members to my existing policy?

Yes, you can add eligible family members including spouse, children, and dependent parents at any time during your policy period. The premium will be adjusted accordingly, and standard waiting periods will apply to new members.

How do I make a claim?

Claims can be made through three convenient methods: direct cashless treatment at network hospitals using your insurance card, reimbursement claims by submitting medical bills and receipts, or through our mobile app. Most claims are processed within 48-72 hours.

Are pre-existing conditions covered?

Pre-existing conditions are covered after a 12-month waiting period from the policy start date. Full disclosure of all pre-existing conditions is required during application to ensure proper coverage and avoid claim rejections.

What happens if I need treatment outside the network?

You can still receive treatment at non-network facilities. You'll need to pay upfront and submit a reimbursement claim. However, coverage may be subject to our standard rates, and you may be responsible for any difference in costs.

Ready to Protect Your Health?

Get started with a personalized health insurance quote today and secure peace of mind for you and your family.