MyKava Medical Insurance – Apply Now

Woodvale Grove, Krishna Centre, 4th Floor Westlands
insurance@imana.co.ke
0796209402
0113619635

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MyKava Medical Insurance
Kesho Iko Secured

ABOUT MYKAVA

MyKava Medical Insurance is an affordable and flexible health cover designed to provide reliable protection for individuals, families, and groups. It ensures you and your loved ones have access to quality healthcare without financial stress.

Why You Need This Cover.

Affordable premiums tailored to fit your budget

Comprehensive inpatient and outpatient medical cover

Individual plan for children

Regional protection across East Africa

Dental and optical benefits included

Annual Benefits & Premiums Per Person (KES)

INPATIENT

Limit	1M–20Yrs	21–40Yrs	41–54Yrs	55–65Yrs	66–75Yrs
750,000	6,620	11,800	17,310	23,450	33,350
500,000	5,890	10,190	14,910	20,180	26,680
300,000	5,350	9,260	13,200	17,610	22,680
100,000	4,810	7,790	9,730	14,480	17,400

OUTPATIENT

Limit	1M–20Yrs	21–40Yrs	41–54Yrs	55–65Yrs	66–75Yrs
75,000	12,210	14,440	16,670	20,390	20,390
50,000	9,710	11,290	14,260	18,160	18,160
40,000	7,880	9,700	11,770	15,590	15,590
30,000	5,860	7,960	10,080	12,910	12,910

Individual Health Application Form

Personal

Dependants

Plan

Health

Declare

Step 1 of 5

Applicant Details

Title *

Mr Mrs Miss Dr Other

First Name *

Surname *

Date of Birth *

Occupation *

Mobile Number *

Email Address *

ID Number *

KRA PIN *

P.O. Box

Postal Code

Physical Address

City / Town *

Step 2 of 5

Dependants & Next of Kin

Add each dependant using the button below.

* Attach Birth Certificate for children under 18 years

Next of Kin / Beneficiary

Full Name *

Phone Number *

ID / Passport

Email Address

Step 3 of 5

Plan Details – MyKava Medical

Select Inpatient Benefit Limit *

KES 750,000Inpatient KES 500,000Inpatient KES 300,000Inpatient KES 100,000Inpatient

Outpatient Cover

Select an inpatient plan first to see your outpatient option.

Matched outpatient:

This tier is automatically matched to your inpatient plan. You may include or remove it below, but cannot switch to a different tier.

Include Add outpatient cover Remove Inpatient only

Premium Estimate

Principal Member Premium—

Dependants Premium—

Gross PremiumSelect a plan above

Levies (0.45%)—

Stamp DutyKES 40

Total Premium (KES)—

* Estimate based on age band 21–40 Years (default). Enter your date of birth for an accurate rate.

Step 4 of 5

Health Declaration

Please answer to the best of your knowledge and belief.

Do you or your dependants have any deformity, impairment or loss of hearing, vision or limbs?

Yes No

Q3a

Ever been admitted into a hospital or had a surgical operation?

Yes No

Q3b

Ever been advised to have a surgical operation which has not been performed?

Yes No

Q4a

Skin, ears, nose, throat, eyes — e.g. sinusitis, cataracts, glaucoma?

Yes No

Q4b

Stomach, intestines, liver, kidneys, bladder — e.g. hernia, diabetes, piles?

Yes No

Q4c

Lungs, bones, joints — e.g. asthma, bronchitis, tuberculosis, arthritis?

Yes No

Q4d

Heart, brain, nervous disorder — e.g. blood pressure, stroke, paralysis?

Yes No

Q4e

Lymphatic system — e.g. goitre, gout, thyroid?

Yes No

Q4f

Cancer, tumour, cyst or growth of any kind?

Yes No

Q4g

Female reproductive system — e.g. fibroids, cysts, fallopian tubes?

Yes No

Q4h

Any other conditions not listed above?

Yes No

In the past 5 years, consulted a physician for any reason not previously noted?

Yes No

Currently taking any medication or treatment regularly?

Yes No

Currently suffering from any symptoms not yet consulted a doctor for?

Yes No

Currently insured under any other medical, hospitalisation, accident or life insurance?

Yes No

Ever had a medical insurance application rejected, cancelled or subject to special terms?

Yes No

Q8 — If Yes, please provide insurer details

If any answer is Yes, provide details (question, diagnosis, dates, physician)

Step 5 of 5

Member's Declaration

I confirm that all the above statements are true and complete to the best of my knowledge and belief. The Company will rely on them for acceptance of this application.

I consent to MyKava / Imana Insurance seeking health information from any physician or healthcare provider on my behalf.

Important: This policy is only effective after acceptance and full premium payment. Pre-existing conditions are not covered for the first 10 months.

Date of Signing *

I, the above-named principal member, confirm that all statements in this application are true and complete. *

Application Summary

Name—

Date of Birth—

Age Band—

Mobile—

Email—

Inpatient Limit—

Outpatient Limit—

Dependants—

Total Premium—

Insurance that reflects the way you live your life.

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Contact Info.

Woodvale Grove, Krishna Centre, 4th Floor Westlands

+254 796209402
+254 113806810
Insurance@imana.co.ke

MyKava Medical Insurance Kesho Iko Secured

Why You Need This Cover.

Individual Health Application Form

Applicant Details

Dependants & Next of Kin

Next of Kin / Beneficiary

Plan Details – MyKava Medical

Health Declaration

Member's Declaration

MyKava Medical Insurance
Kesho Iko Secured