Tender Notice for Providing Medical Insurance Service Provider

BENEFIT ITEMS

CATEGORY 1

CATEGORY 2

Coverage

EAC (Rwanda, Uganda, Ethiopia, Tanzania, Kenya, Malawi, Egypt, Mozambique and South Soudan) and referral to India and South Africa

RWANDA only

Cover contribution

100% covered to all benefits (no copay)

100% covered to all benefits (no copay)

Inpatient per family

20,000,000 Rwf

15,000,000 Rwf

Outpatient per family

3,000,000 Rwf

2,500,000 Rwf

Maternity per family

1,100,000 Rwf

1,100,000 Rwf

Dental per person- stand alone

500,000 Rwf

400,000 Rwf

Optical per person- stand alone

500,000 Rwf

400,000 Rwf

Last expense per life

1,000,000 Rwf

1,000,000 Rwf

Room limit

100,000 Rwf in Rwanda & 200$ outside Rwanda

100,000 Rwf in Rwanda 

Family planning per visit

50,000 Rwf

50,000 Rwf

Circumcision

Covered for both children & adults

Covered for both children & adults

Annual checkup per family

200,000 Rwf

200,000 Rwf

Inpatient pre-existing and chronic conditions

50% of inpatient overall

50% of inpatient overall

Inpatient congenital conditions

50% of inpatient overall

50% of inpatient overall

Inpatient dental, ophthalmology, and psychiatric conditions

30% of inpatient overall

30% of inpatient overall

Hepatitis B vaccines per person

30,000 Rwf

30,000 Rwf

Infertility investigations & treatment per family

1,000,000 Rwf

1,000,000 Rwf

Excess of loss on outpatient

10,000,000 Rwf as pool

10,000,000 Rwf as pool

Foot abduction braces 

1,000,000 Rwf

1,000,000 Rwf

Travel insurance to all members

Covered

Covered

Reimbursement for claims

Applicable both within and outside geographical scope based on EAC rates

Applicable both within and outside geographical scope based on EAC rates

Hospital accommodation for accompanying parents and/or guardian

Allowed for children of 18 years and below

Allowed for children of 18 years and below

Wellness & fitness

GYM on discount

GYM on discount