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APA Care (Affordable Health Cover)

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Affordable Health Cover for Your Whole Family

APA Care is an affordable, customisable family health insurance plan offering inpatient cover (with optional outpatient, maternity, dental and optical riders) across six plans — Platinum, Diamond, Gold, Silver, Bronze and Copper — with annual limits from UGX 15,000,000 to UGX 150,000,000.

Cashless Panel Treatment

Access to multiple accredited hospitals across Uganda

1 Day to 80 Years Cover

The widest age coverage in the health insurance market

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What is APA Care?

APA Care is an affordable, customisable family health insurance plan offering inpatient cover (with optional outpatient, maternity, dental and optical riders) across six plans — Platinum, Diamond, Gold, Silver, Bronze and Copper — with annual limits from UGX 15,000,000 to UGX 150,000,000. It provides cashless treatment at an accredited panel of hospitals across Uganda and covers pre-existing and chronic diseases (including HIV/AIDS) after 12 months.

Highlights

  • Six inpatient cover plan options with limits from UGX 15 Million to 150 Million.
  • Covers pre-existing and chronic conditions (including HIV/AIDS) after 12 months.
  • cashless treatment using medical smart cards at accredited hospitals across Uganda.
  • India treatment referrals if not locally available in East Africa.
  • Optional riders for Outpatient, Maternity, Dental/Optical, and COVID-19.
APA Care (Affordable Health Cover)

What is Covered and Not Covered Under APA Care (Affordable Health Cover)?

Toggle between the categories below to understand the comprehensive scope of our cover details.

1

Bed Charges & ICU

Covers hospital accommodation expenses including standard ward, HDU, or Intensive Care Unit (ICU) bed charges.

2

Professional Fees

Covers consultation and surgical/procedure fees for physicians, surgeons, anaesthetists, and other specialists.

3

Prescribed Discharge Drugs

Reimbursement or direct cover for necessary prescribed medication up to a 30 days' supply upon discharge.

4

Diagnostics & Imaging

Covers essential diagnostics, including laboratory tests, X-rays, ultrasounds, MRI, and CT scans.

5

Organ Transplants & Psychiatric Care

Organ transplant surgery and psychiatric hospitalisation are covered subject to policy limits and waiting periods.

6

Pre-existing, Chronic & HIV/AIDS

Cover is provided for pre-existing conditions, chronic illnesses, and HIV/AIDS after a 12-month waiting period.

7

Post-Hospitalisation Benefit

Covers follow-up outpatient treatments and checks for up to 3 weeks immediately after hospital discharge.

8

Local Ambulance & India Referrals

Covers emergency local road ambulance and overseas treatment referrals to India if not locally available in East Africa.

9

Optional Riders

Customize your cover with optional outpatient, maternity, dental, optical, and COVID-19 riders.

Eligibility & Documentation

Eligibility Criteria
Specifications
Principal & Family
Individuals and families from age 1 day (term baby at 38 weeks) to 80 years.
Maximum Entry Age
Up to 50 years of age for new members joining the plan.
Medical Screening
Required only for members aged 50 years and above.
Provider Network
Cashless treatment at accredited panel providers across Uganda.

How to Buy APA Care?

1

Choose your preferred inpatient plan tier (Platinum, Diamond, Gold, Silver, Bronze, or Copper).

2

Select any optional riders (Outpatient, Maternity, Dental/Optical, COVID-19) you wish to add.

3

Complete the health application form with full disclosures (medical report required if age 50+).

4

Make premium payment to APA Insurance (Uganda) Ltd or your agent to activate cover and receive your smart card.

Real Stories from Customers Who Trust Our Coverage

Learn why professionals trust our solutions to complete better customer journeys.

Support became faster, clearer, and more consistent across every customer touchpoint. It changed how we interact with our clients.

Nia Afolayan

Customer Expert

Chioma Nwosu

Customer Success

The onboarding was smooth from day one, and our team saw measurable results quickly. It gave us a much faster customer journey.

Jordan Mensah

Growth Manager

Daniel Okoro

Founder

It helped us create a better customer journey without adding complexity for the team, keeping all departments aligned.

Robert Hayes

Regional Partner

Frequently Asked Questions

APA Care is an affordable, customisable family health insurance plan offering inpatient cover across six plan tiers (Platinum, Diamond, Gold, Silver, Bronze, Copper), with optional outpatient, maternity, dental, and optical riders.

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