Eligibility:
Student cover All bonafide UNIMA, LUANAR, MUBAS, and KUHeS undergraduate students.
BENEFIT CATEGORY | BENEFITS (2024 – 2025) |
---|---|
External Hospitals | – Not Covered. |
Acute pharmacy medication | – 85%* cover in UNIMED accredited service providers. Subject to the overall annual limit. |
Chronic pharmacy medication | – 85%* cover in UNIMED accredited service providers. Subject to the overall annual limit. UNIMED will allow a monthly supply of drugs |
Minor Procedures | – 100% cover in UNIMED designated service providers. Subject to the overall annual limit. |
Optical Benefits | – 1 eye test every 24 months. – Frames and Lenses – K30,000.00 once every 24 months. – UNIMED pre-authorisation required. |
General Dentistry: Cleaning, extraction, filling, denture placement | – 50% cover in Government and CHAM hospitals. Subject to the overall annual limit. – Check-up limited to once every 6 months. |
Specialized Dentistry | – Not covered |
Physiotherapy | – 100% cover in Government and CHAM hospitals. Subject to the overall annual limit. |
Psychiatry | – 100% * cover. Subject to the overall annual limit. |
Medical Examinations | – Subject to the annual limit of K8,000.00 – Once during the period of study. – For foreign education visit purposes only. – UNIMED preauthorization required. |
All hospital admissions and major procedures | – 100% cover in Government and CHAM hospitals subject to the overall annual limit. – UNIMED pre-authorization required. |
Maternity: Antenatal | – 100% in UNIMED designated service providers. Subject to the overall annual limit. – Covered once during the period of study. – UNIMED pre-authorisation required. |
Maternity: Delivery and Postnatal | – Not covered. |
Audiology | – Hearing aids covered once every four years. – Subject to a limit of MK200,000.00. – UNIMED pre-authorisation required. |
Medical check-ups | – Not Covered |
Note:
* UNIMED offers 85% cover in selected private hospitals and 100% in CHAM and government hospitals. Please refer to the approved list of service providers.
Chronic conditions are diseases such as Diabetes, Hypertension and Peptic ulcers.
Please refer to UNIMED Exclusions.