1
Inpatient Hospitalisation
Covers standard hospital stay, doctor/surgeon fees, theatre charges, ICU, and ward bed charge net of SHIF benefits.
Solutions > Enhanced Family Health Cover (Jamii Plus)
Enhanced Family Health Cover for Peace of Mind All Year Round
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
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
- Drug addiction, alcoholism & related complications.
- Prescribed emollients, soaps, oils and pharmaceutical creams, limited to Oilatum, Epimax, Epimol, Oatveen Eczema
- KEPI & Baby friendly vaccines
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.
Eligibility & Documentation
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.
Medical Examination & Important considerations
Required only for members aged 60 years and above.
Nationality
Citizens and valid permit holders residing in Kenya.
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.
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
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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“The easiest way to manage my cover.”
— Sarah K., Nairobi
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
+
Motor Insurance
+
Life Insurance
“The easiest way to manage my cover.”
— Sarah K., Nairobi
