Optional Benefits

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Capture your details

Enter the details that will appear on your medical card

Capture your details - My Spouse

Enter the details that will appear on your spouse's medical card

Capture your details - My Child(ren)

Enter the details that will appear on your child(ren)'s medical card. A child is considered as someone that is below 18 years of age.

Your Confidential Medical History

Please answer the following medical history questions

Whether you or any of your dependents have ever been treated or are currently receiving treatment or expect to receive treatment for any of the following ailments, including but not limited to:

  • 1. Cancer, growths or tumors whether benign or malignant.

  • 2. Cardiovascular (heart and blood vessels) and Endocrine disorders

  • 3. Eye, Ear, Nose and Throat disorders

  • 4. Respiratory disorders

  • 5. Gastrointestinal disorders

  • 6. Gynaecological and obstetric disorders

Your Confidential Medical History

Please answer the following medical history questions

Whether you or any of your dependents have ever been treated or are currently receiving treatment or expect to receive treatment for any of the following ailments, including but not limited to:

  • 7. Genitourinary disorders

  • 8. Musculoskeletal and neurological disorders

  • 9. Mental health disorders

  • 10. Skin, venereal and tropical diseases

  • 11. Hereditary disorders, bleeding disorders, birth defects or congenital conditions.

Your Current Medical Treatment

Please answer the following medical history questions

Whether you or any of your dependents have ever been treated or are currently receiving treatment or expect to receive treatment for any of the following treatments, including but not limited to:

  • 1. Are you or your dependents currently undergoing or expect to undergo or expect to undergo investigations for any medical conditions and/or symptoms not yet diagnosed?

  • 2. Are you or any of your dependents currently receiving, or expect to receive specialized treatment (chemotherapy, radiotherapy, bone marrow transplant, mechanical ventilation, oxygen therapy, dialysis, psychotherapy or counselling)?

  • 3. Are you or any of your dependents on any medication?

Your Policy Profile - Next of Kin

Please fill in the details of your Next of Kin
Do you wish to have your next of kin as your beneficiary?

Your Medical Quote

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Principal Member
JCare Classic Plan
Quote Reference Number
Policy Benefits
Outpatient benefits
Annual Premium Total
Ksh.
(Based on your current selections)

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Your Quote

1. Your cover plan
Recommended Cover
Policy highlights
Inpatient Limit 2,000,000
Annual Inpatient & Outpatient
Benefit Cover Limit
Inpatient Limit 500,000
Annual Inpatient & Outpatient
Benefit Cover Limit
Inpatient Limit 1,000,000
Annual Inpatient & Outpatient
Benefit Cover Limit
Inpatient Limit 3,000,000
Annual Inpatient & Outpatient
Benefit Cover Limit
Inpatient Limit 5,000,000
Annual Inpatient & Outpatient
Benefit Cover Limit
Purchasing for
2. Estimated Premium
Ksh. 0
(Based on your current selections)
3. Your details
Your Age
Child 1
Child 2
Child 3
Child 4
Child 5
Living In