Health Insurance

Portfolio

Get coverage built to protect your Family.

As a Leading Broking house, we are privilege to serve over 5,000 corporate and Individual clients in various economic sectors and industry. Our clientele base is from both the public and private sectors where we broke for their medical insurance covers placed under various Underwriters or manage inhouse their funded medical structures through Third Party Administration methodology commonly referred to us TPA.

Underwriter Selection

Our approach on Underwriter selection is guided by Financial Soundness & Regulatory Compliance, Experience of The Underwriter, Claims Management and Offering Terms
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Insurance Placement & Policy Review

We establish risk profile and insurance needs, analyze the current placement, handle insurance and risk transfer solutions including market submissions and negotiations
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Portfolio Servicing

We handle placement instructions, annual servicing plan, prepare summary of covers, advice on key warranty and condition to adhere, training n policy coverage, claims management and advocacy.
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Our medical service provider panel is expansive enabling a country wide reach. This guarantees our clients easy access to medical treatment regardless of their geographical work station. The medical system we have adapted operates with a state-of-the-art technology platform ensuring seamless 24-hour service. This in turn reduces fraud cases, misuse of cover, over-utilization and over charging of services at the hospitals.

In addition, we continuously revamp our panel partners by regularly engaging facilities in remote areas. Quality of services offered to our clients in key and thus we leverage on a vigorous onboarding process.

 

What risks does your policy cover?

It depends where you live, but standard medical insurance
policies will typically help pay:

Hospital bed accommodation charges (minus NHIF rebate amount)
Pre existing conditions are declared and accepted
Diagnostics for member and spouse
In- patent prescribed physiotherapy, chemotherapy, radiotherapy, nursing care, prescribed drugs/medicine, dressing and diagnostic test.
Non-accident maxillofacial and ophthalmologic, dental surgery subject to authorization.
Day care surgery
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          Get an Insurance Quote
          Reliable. Personable. Fast.

          Start a fast, free medical insurance quote with Sedgwick. We help you find any insurance coverages that are right for you, so you’re not paying for anything you don’t want!

          Get a insurance quote – typically within a working day or less. Switch to Sedgwick for an insurance policy from a brand you can trust.

          Facing any problem to get a quote!

          Call: +254 020 291 3000

          What is health insurance?
          Health insurance is an insurance product that provides cover for medical and surgical expenses of an insured person, in case of a medical emergency. However, you are required to pay a premium to avail health insurance policy.
          Is there a limit to the amount I can claim?
          Claims are generally payable up to the annual maximum limit as specified in your policy schedule. Certain treatments have their own sub-limits.
          What is the eligible age to buy health insurance?
          While the eligibility age for health insurance policies differs, the general eligibility age for adults ranges between 18 years up to 65 years. The eligibility age for children lies between 90 days up to 18 years.
          How will insurance pay for my medical expenses?
          Your health insurance will either pay your hospital bills directly if opted for the cashless facility or it will reimburse any payment made by you towards medical expenses incurred due to an illness or injury.
          Why should I buy health insurance?
          You should purchase health insurance so that you don’t lose your lifelong savings while paying for medical bills in a critical situation.
          Will I be allowed to cover my family under my health insurance?
          Yes! You can gain coverage for self, spouse, children, dependent parents, and multiple other relationships such as parents-in-law, siblings, and others if your plan allows.

          Still have you any problem for solutions?

          For any inquiries relating to our insurance products and services, feel free to speak to us by calling us during business hours.

          Head office address:

          14th Floor, 4th Avenue Towers,
          4th Ngong Avenue, Nairobi.

          Call for help:

          T: +254 020 291 3000, 020 272 3083
          M: 0722 205 321, 0733 624 435
          Medical: +254 727222269
          General: +254 707650431

          Mail for information:

          info@sedgwick.co.ke
          feedback@sedgwick.co.ke