As you work to provide a future for your young ones, we are here to provide you with an insurancesolution that gives you peace of mind.

Introducing KCB Simba Health Junior, a medical insurance cover that caters for childrenfrom birth up to twenty four (24) years of age.


Why KCB Simba Health Junior?

We have partnered with leading pediatricians to offer the best healthcare solutions for children available in Kenya today.

Product Features:

Inpatient and Outpatient benefits.

Inpatient and Outpatient benefits.

Check-ups

Routine check-ups, dental / optical care.

Medical Conditions

Pre-existing, chronic conditions, cancer, HIV/AIDS (including ARVs) and organ transplants.

Child immunization

Child immunization (baby friendly and KEPI compliant).

Treatment

Covers treatment of congenital defects and genetic disorders.

Post-hospitalisation Benefit

Home nursing & post-hospitalisation benefit.

Lodger fees

Lodger fees for children up to 14 years of age.

Travel vaccines

Travel vaccines (yellow fever and oral polio). Other inoculations may be added from time to time.

Emergencies

Emergency road and air evacuation.

Extensive Provider Network

Extensive provider network and access to treatment in India in case of need.

To enhance your experience we have included the following list of services:

  • Milestones developmental assessments.
  • Pre-school health check-up and wellness programs for children.
  • Nutrition and diet programs.
  • Teens mentorship programs and wellness clubs.
  • Free online chat with pediatric specialists.
  • Chronic disease management.
Option OUTPATIENT (KSHS) INPATIENT (KSHS)
1 50,000 500,000
2 750,000 750,000
3 100,000 1M
4 200,000 2M
5 250,000 5M
6 250,000 8M

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Premium Rates

Applicable premiums are computed in accordance with selected package.

Eligibility

  • Children born and discharged from hospital up to 18 years of age.
  • Children above eighteen (18) years and below twenty four (24) years will be covered subject to proof of formal schooling.

Special Conditions

  • Inpatient Benefit - This is the primary cover offered under this policy and can be purchased alone or combined with outpatient benefit.
  • Outpatient Benefit – This is not available as a separate benefit. Cover combination can only be amended at inception or during renewal of policy.

Exclusions:

  • Weight management treatment and drugs.
  • Cosmetic surgery unless for an injury caused by accident.
  • Family planning/infertility related treatment i.e. cost of treatment related to infertility and impotence.
  • Treatments prescribed other than by a registered medical practitioner.
  • Self-referred or self-prescribed treatment.
  • Alternative treatment - chiropractic, acupuncture, or herbalist treatments.
  • Drunkenness, drug addiction, intentional self-injury or attempted suicide.
  • Participation in a riot, strike, or civil commotion.
  • Diagnostic equipment (e.g. Glucometers, BP machines, etc.) and hearing aids.
  • Laser correction of eyesight.
  • Non-corrective eye lensesExpense where material information is withheld or misstated.
  • Benefits not specified in the brochure and policy.
  • Participation in professional & hazardous sports e.g. bungee jumping, paragliding, mountaineering, motor racing, etc.

Standard Provider Panel Hospitals & Medical Facilities

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