Options
UgaMed Basic
Benefits
Minimum Number
50 members
Inpatient Benefits
Hospital accommodation and nursing expenses
General ward at UgaMed approved hospitals
Physicians', surgeons', consultants' and anaesthetists' fees
Covered within overall limits
Cost of prescribed medicines and dressings
Covered within overall limits
Prescribed laboratory tests and x-rays
Covered within overall limits
ECGs, CT scans and other diagnostic tests and procedures
Covered within overall limits
Operation theatre charges
Covered within overall limits
Intensive care and high dependency unit
Covered within overall limits
Physiotherapy
Covered up to shs 200 000
General surgery, orthopaedic surgery, gynaecology, paediatrics, internal medicine, cardiology, opthalmology
Covered within overall limits
Treatment of chronic and pre-existing illnesses including HIV, opportunistic infections, hypertension
Not covered
Outpatient Benefits
Doctors consultations, specialist consultations, surgeons; and anaesthetists' fees
Covered within overall limit
Cost of prescribing medicines and dressings
Covered within overall limit
Prescribed laboratory tests and approved x-rays
Covered within overall limit
ECGs, CT scans and other approved diagnostic tests and procedures
Covered
HIV cover or ART
1st line
Outpatient surgery
Covered
UNEPI immunisations
Covered
Family planning including contraceptive pills and Norplant
Covered
Emergency Road Ambulance within Uganda
Covered
Treatment of chronic and pre-existing illnesses including HIV, opportunistic infections, hypertension
Not covered
Dental Treatment
Annual check-up, x-rays, cleaning, scaling and polishing, ordinary extraction, black amalgam fillings, root canal
Covered up to 100 000 shs
Opthalmology Benefits
Annual eye check up, visual acuity tests, treatment of eye infections, simple outer eye surgical procedures such as removal of miobian cysts
Covered
Optical Benefits
Provision of plain lenses and frames, reading glasses, bifocal and multifocal lenses up to 100 000 per annum
Not covered
Maternity Expenses
Antenatal care, normal delivery, emergency and medically necessary c-sections, 1 month outpatient cover for baby on mother's membership
Covered up to 500 000 shs, excluding one month baby's outpatient cover
Service Providers
Kampala Area Hospitals
Bugolobi Nursing Home
Nsambya Hospital
Mulago Hospital
Kampala Area Clinics
Kampala Children's Clinic
Industrial Medical Services
Ntinda Family Doctors
Dental Units
Industrial Medical Services
Countrywide Treatment
Restricted to agreed areas of operation
Price List
| Overall annual limit - UGX | 10m | 20m |
| Below 50 people | N/A | N/A |
| 50 - 500 | 200 000 | 270 000 |
| 500 - 1 000 | 175 000 | 240 000 |
| 1 000 and above |