Duka duka plan
Health Plan | Gold | Gold |
Over all Annual Limit | Covered to Ugx10,000,000 | Covered to Ugx60,000,000 |
Illness Hospitalisation | Covered upto overall annual limit | Covered upto overall annual limit |
Accident Hospitalisation | Covered upto overall annual limit | Covered upto overall annual limit |
Intensive Care and Theatre Charges | Covered upto full Accident/Illness Hospitalisation Limit | Covered upto Ugx25,000,000 within Accident/Illness Hospitalisation Limit |
Admission for Chronic conditions developed on cover | Covered Upto Ugx 2,500,000 within Illness Hospitalisation Limit | Covered Upto Ugx 10,000,000 within Illness Hospitalisation Limit |
Rescue Cover (Uganda only) | Covered | Covered |
Ambulance Cover(Uganda only) | Covered | Covered |
Room Limit | UGX150,000 | UGX200,000 |
Maternity for Principal Member | Not Covered | Normal Delivery- Ugx1,500,000, Caesarian Section- Ugx1,800,000 |
Outpatient Cover | Covered to Ugx1,500,000 | Covered to Ugx3,500,000 |
Outpatient Services for Chronic conditions developed on cover | Covered Upto Ugx 750,000 within Outpatient Limit | Covered Upto Ugx 1,500,000 within Outpatient Limit |
Dental Cover (Uganda only) | Covered to Ugx150,000 | Covered to Ugx400,000 |
Optical Cover (Uganda only) | Covered to Ugx150,000 | Covered to Ugx400,000 |
Permanent Total disability benefit for Main Member | Covered upto Ugx1,000,000 | Covered upto Ugx3,500,000 |
Last Expenses | Covered upto Ugx1,000,000 | Covered upto Ugx1,500,000 |
Minimum age when joining | 1 month | 18 Years |
Enrollment Medex Required | Not Required | 45 years |
Maximum age when joining | 17 years | 60 years |
Waiting Period | ||
Chronic Conditions | 12 Months | |
Illness Hospitalisation | 90 Days | |
Maternity cover | N/A | 12 months |
New Applicant subject to underwriting | 7 working days | |
Exclusions | Refer to contract | |
Premium for Principle Member on The Gold Plan | ||
(18-30 yrs) | UGX1,713,283 | |
(31-43 yrs) | UGX1,914,673 | |
(44-55 yrs) | UGX2,921,977 | |
(56-60 yrs) | UGX3,124,222 | |
Buy the Gold Plan (Get The Gold Plan for your child at zero Cost) |
Enrollment Notes:
- All Medical bills incurred outside the contractual Network on this cover will not be covered by AAR Insurance
- All Hospitalisations should be pre-authorized through the Case Management Arm of AAR Insurance
- Chronics Conditions will be covered if Acquired on Cover.
- Preexisting Conditions are not covered.
- All claims incurred in providers where AAR has no affiliate will be covered if pre-authourized and if reported with genuine receipts within 48
- The quoted standard premium can be increased at point of underwriting by AAR based on the risk profile presented at that point