M-Tiba Medical Cover FAQs

1. What does M Tiba Medical scheme covers?
The cover has an inpatient and funeral insurance benefit. Inpatient benefit covers hospital bills due to hospitalization and funeral insurance provides a lump sum payout to the next of the kin in case of demise of the insured member.
2. What are the main benefits of M-tiba Cover?
There are three main benefits, namely; Inpatient and Last expense.
3. Who is eligible for the cover?
 Adults + spouses between 18-65 years of age
 Biological/adopted children
 Even university/school going children up to 24 years of age are covered

4. What is the scope of the benefit being offered?
Member can choose between a number of options

5. How do I get cover?

1. Client opens Mpesa Mini App
2. Client Select Britam IP Product
3. Client fills in details in the step by step process
4. Upon payment via Mpesa/M-tiba Myhealth funds, policy cover note is issued
6. Where can I get health services?
Any registered customer can access over 400 hospital country wide based on one which is convenient.
7. What if I am admitted in a non-network hospital?
The customer should notify Britam within 24 hours through the helpline indicated in the card only in the case of
an accident.
8. How do I identify myself to get health services?
National ID card
Policy number issued from the platform.
9. Is the waiting period applicable? If Yes, for what period of time?
Yes,
Natural illness 1 month.
Maternity and pregnancy related conditions 10 months
Surgery 12 months.
10. Is the cover still valid upon the lapse of the date of renewal?
In the event of non- payment of premiums within the grace period, all the attached benefit cover shall lapse
and become suspended
11. What is the minimum / maximum age for clients and dependants on M-tiba?
Age

12. Are all medical conditions covered under M-TIBA?
No, there are a few exclusions.
13. Will I get covered for my pre-existing illnesses?
Yes, chronic and pre-existing conditions are covered up to 25% of the preferred benefit limit.
14. Are clients allowed to visit any of the hospitals in Kenya?
One can visit one of the over 400 hospitals countrywide in the Britam Medical Panel of Hospitals.
15. What if I am admitted in a non-network hospital?
The customer should notify Britam within 24 hours through the Britam helpline (0709165000)
only in the case of an accident.
16. What documents are required to process Last expense claim

17. How long does it take for a death claim to be processed?
All valid claims will be paid out within 48 hours with effect from the time of lodging of the claim.
18. Whom do I call at the time of an emergency hospitalization?
Get in touch with Britam Medical Call Centre 0709165000.
*Terms and Conditions Apply
Regulated by the Insurance Regulatory of Kenya

https://mtiba.com

Gallin Wekesa-Financial Advisor @Britam 0712870447 gwwekesa@britam.com