Madison medical insurance form
Stay secured by renewing your health insurance before it lapses.
Prepare & Protect your financial wellbeing by arranging your renewal early.
BetterLife gets Better when you are continually secured.
We will then carry out a customary verification of the required documents.
Important Things to Note While Renewing Your Cover.
While we hope that you stay full of good health, in case of any unforeseen incident you can do the following; Read More
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- Fire, Lightning, Earthquake or Volcanic eruptions (including flash floods) underground fire, subsidence or landslides.
- Explosions.
- Riot, Strike and civil commotion.
- Malicious damage by persons other than anyone else from your household.
- Aircraft or other aerial devices that may land on your house.
- Bursting or overflowing or escape of water from tanks, pipes etc.
- Wind, Storms and tempest including floods and overflow of sea water.
- Covers liability under WIBA for domestic employees as results of any bodily injury by accident or diseases arising out of and in the course of employment.
- Accidental bodily injuries/death to third parties to both occupants and owners liability.
- Accidental loss of or damage to property belonging to third parties to occupants and owners liability.
Benefits for Domestic Workers:
- Death, PTD, TTD, Medical expenses and Funeral Expenses are covered under WIBA.
Minimum premium per policy KSHS. 3,000
Benefits of having Madison Betterlife:
- Exclusive Covid-19 cover ranging from Kshs. 300,000 to Kshs.
1,000,000.
- Flexible pricing allowing you to choose benefits based on your financial capability.
- Allows you to purchase a cover for medical access that excludes co-payment option.
- A wide Scope of Benefits to choose from, ranging from Kshs. 500,000 to Kshs. 5,000,000 for inpatient per person and Kshs. 50,000 to Kshs. 200,000 for outpatient per person.
- Enables you to conveniently buy a cover online by logging into the Madison website.
- Get E-policy & Virtual Biometric Smart Card for efficient access to medical services.
What’s not covered:
- Political risks and terrorism.
- Any loss occasioned directly/indirectly by order of government, any public municipal or local authority.
- Unspecified jewelry, watches, gold and silver articles, binoculars and photographic equipment etc for private use.
- Unspecified luggage, clothing and personal effects.
How long should a member wait before accessing the Betterlife Health Insurance Cover Kenya?
Key waiting periods to note:
- No waiting period for accident cases.
- 30 days for outpatient illnesses and inpatient non-chronic admissions.
- 30 days for inpatient Covid-19 treatment.
- Ten months for maternity deliveries and related complications.
- One year for pre-existing, chronic and congenital conditions.
- One year for removal of fibroids, uterus, adenoids, tonsils, Iipomas and repair of hernia.
- One year for optical laser treatment.
- Two years for Cancer treatment.
- Two years for organ transplant.
What is required for enrollment?
- Duly completed medical application form.
- Copies of national IDs/Passports for Principal and spouse
- Birth certificates for children aged between 0-18 years.
- Proof of schooling for dependant children aged 19-25 years.
- A copy of KRA PIN Certificate for the principal member.
- Payment of full applicable premium.
Frequently Asked Questions
Why the Madison Betterlife Health Insurance Cover is For You.
We offer a whole lot when it comes to protecting your own health and that of your loved ones. Do not let medical emergencies weigh you down. Prepare and protect yourself with the most affordable and extensive health insurance cover in Kenya.
How can I buy the Madison Betterlife Health Insurance Cover in Kenya?
You can easily purchase the Madison Betterlife Health Insurance Cover through the following channels:
- Preferred insurance broker or agent.
- Visiting any of our branches.
- Convenient online purchase via our website or USSD platform *828#.
Who is eligible for this amazing cover?
Simple, everybody!! The Madison Betterlife Health Insurance Cover is all-inclusive and provides coverage to a wide category of people in Kenya.
Whether you are single or married with a dependent, we’ve got you.
The principal member must be between 18 – 64 years with persons aged 50 years and above being required to undertake a medical examination test prior to joining.
Children are covered from birth (upon notification) up till the age of 18 years or to the age of 25 years if residing with their parents and enrolled full-time in a recognized post-secondary institution.
Disabled Children are covered from birth (upon notification) up till the principal member terminates the policy or the child gets married/ employed.
For how long is a member covered?
Once purchased, the cover remains valid for life as long as it is renewed annually or until policy termination.
How can a member access health services after purchase?
Upon payment and confirmation of cover, members will receive an SMS from Smart Access to download the Smart Access app for accessing medical services at listed providers.
Additionally, you will also get an E-policy document. This contains; a cover note detailing benefits purchased, receipt of premium paid, and a list of accredited hospitals.
Does the cover extend to overseas treatment?
Overseas treatment is covered on a pre-authorization basis for a maximum of 8 consecutive weeks while traveling for business or leisure.
Can one pay and claim later?
We have a vast provider panel hence encourage our members to strictly stick to accessing services from the accredited panel.
How can a member reach the care managers?
For care-related queries, members can contact the 24/7 care line at 0709922555 or email caremanagement@madison.co.ke.
Disclaimer:
The policy document, application forms and policy schedule shall be read as one document
