1
Inpatient Hospitalisation
Covers standard hospital stay, doctor/surgeon fees, theatre charges, ICU, and ward bed charge net of SHIF benefits.
Solutions > Insure > Personal > Protect Who You Love > Enhanced Family Health Cover (Jamii Plus)
Enhanced Family Health
Cover for Peace
of Mind All Year
Round
10 Million Inpatient Cover
Premium health security for your family
Chronic Management & Telemedicine
24/7 care and direct pharmacy deliveries
What is Enhanced Family Health Cover (Jamii Plus)?
Jamii Plus is a premium family health cover offering a superior health benefit of up to Kshs. 10 Million, covering treatment costs at hospitals across Kenya and partner facilities in Uganda & Tanzania depending on your selected policy limit. It caters for various conditions, both acute & chronic diseases and includes a Chronic Disease Management Programme to help you get the most from your cover. The plan caters to every member of the family – from a term baby (38 weeks) to an adult aged 80 years.
Highlights
- Inpatient core cover of up to Kshs. 10 Million across East Africa.
- Chronic Disease Management Programme with direct drug delivery (Pharma First).
- Riders for Dental (including braces) and Optical (including blue block lenses).
- Mums' Club support, maternity care, and IVF fertility cover.
What is Covered and Not Covered Under Enhanced Family Health Cover (Jamii Plus)?
Enhanced Family Health Cover (Jamii Plus) combines superior family health benefit limits with critical riders and programs. Toggle between the categories below to understand the comprehensive scope of our cover details.
2
Outpatient Services
Covers consultation, lab diagnostics, radiology, physiotherapy, and prescription drugs at panel clinics/hospitals.
3
Dental Rider Coverage
Includes root canal treatment, extractions, fillings, and braces coverage under specific limits.
4
Optical Rider Coverage
Covers eye tests, frames, and prescription lenses including specialized photochromatic and blue block lenses.
5
Maternity Care & IVF
Covers pregnancy and childbirth expenses (normal delivery & C-section). Offers fertility IVF coverage under selected plans.
6
Chronic & Congenital Cover
Full cover for pre-existing and chronic conditions (subject to waiting periods and limits) and congenital anomalies.
Access Over 2,000 Providers
Find hospitals, clinics, and pharmacies in Kenya, Uganda, and Tanzania.
Eligibility & Documentation for Enhanced Family Health Cover (Jamii Plus)
Eligibility Criteria
Specifications
Principal Member
Aged 18 to 80 years old.
Child Dependents
Aged from birth (term baby at 38 weeks) up to 18 years (or 25 with student proof).
Medical Exam
Required only for members above the age of 60 years.
Nationality
Residents and valid permit holders residing in East Africa.
How to Buy Enhanced Family Health Cover (Jamii Plus)?
1
Fill out the Individual Health Application Proposal Form with complete disclosures.
2
Submit parent national ID/KRA PIN copy and birth certificates for child dependents.
3
Undergo medical examinations at a panel center (only for members over 60).
4
Make premium payment via NCBA Bank, M-Pesa Paybill, or sign IPF installment terms.
Everything You Need, All in One Place
Access policy documents, claim forms, renewals, and important resources anytime.
Claim Form
PDF • 1.1 MB
Terms & Conditions
PDF • 1.8 MB
Bima Bamba Insurance Brochure
PDF • 2.4 MB
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Frequently Asked Questions
Jamii Plus is a premium family health cover offering a superior health benefit of up to Kshs. 10 Million, covering treatment costs at accredited hospitals across Kenya and partner facilities in Uganda & Tanzania. The plan caters to every member of the family, from a term baby born at 38 weeks to an adult aged 80 years, and includes a Chronic Disease Management Programme.
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APA, Insuring Happiness
Manage Your Insurance on the Go
Experience the future of insurance management. Our mobile app provides a seamless digital curator experience for your policies, claims, and peace of mind.
APA, Insuring Happiness
What would you like to protect?
+
Health Insurance
Your Health, Our Priority
+
Motor Insurance
Drive Safely
+
Life Insurance
Enjoy every moment
“The easiest way to manage my cover.”
— Sarah K., Nairobi
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