AfyaSure · Nairobi, Kenya

Does your group need medical cover?

SACCOCHAMACOOPERATIVEWELFARE GROUPMFICOMPANYSCHOOL
Minimum 4 principal members
Member-only or family cover
Three inpatient options
Underwritten by CIC Microinsurance Ltd
How Group Cover Works

One product, three ways to fit your group's budget

AfyaSure helps your group choose, structure and enrol in medical cover — built for Cooperatives, MFIs and registered groups with a minimum of 4 principal members. The cover itself is CIC CoopCare, underwritten by CIC Microinsurance Ltd, and it spans Inpatient, Outpatient, Maternity, Dental, Optical and Last Expense, on a panel of mission and private hospitals, up to age 70.

Option I · Entry

KES 100,000

Inpatient limit
  • Outpatient30,000
  • Maternity15,000
  • Dental5,000
  • Optical5,000
  • Last Expense50,000
Option III · Full Cover

KES 300,000

Inpatient limit
  • Outpatient50,000
  • Maternity25,000
  • Dental7,500
  • Optical7,500
  • Last Expense50,000

For members without SHA, CIC pays the hospital admission bill less KES 500 per day — that shortfall is payable by the member at the hospital, so it's worth confirming every member's SHA registration is active before enrolling.

Figures are family limits, net of SHA, on Ward Bed accommodation. Outpatient, Maternity, Dental and Optical selections must match the chosen Inpatient option.

Who We Serve

Built for registered groups, not individual walk-ins

Group-based enrolment is what keeps cover affordable. AfyaSure works directly with boards, committees and group leaders to design cover that fits their members.

Financial

SACCOs

A value-added membership benefit that strengthens loyalty and loan uptake.

Informal

Chamas & Table-Banking Groups

Shared protection that replaces the informal emergency harambee.

Trade

Cooperative Societies

Agriculture, trade and transport cooperatives covering their member base.

Lending

MFIs & Welfare Associations

Bundle medical cover with lending products or member welfare benefits.

Corporate

Company

Register your staff as a group and give your team dependable medical cover, structured the same way as a SACCO or cooperative.

Education

Schools

Register your teaching and support staff as a group and extend dependable medical cover as part of their employment benefits.

Minimum of 4 principal members per registered group. Children are covered from birth (37 weeks) to 18 years, and up to 25 years with proof of full-time study. Principal member and spouse are eligible up to age 70.

Embedded Distribution Model

Bundle cover directly into your loan facility

Medical cover doesn't have to sit as a separate deduction your members manage on their own. Embed it into the loan products your SACCO, MFI, Chama or Welfare Association already runs — and turn a member benefit into a revenue line.

1

Your institution finances the premium

Your SACCO, MFI, Chama or Welfare Association pays the premium upfront on behalf of enrolled members.

2

Cost is recovered with repayments

The premium is added to the member's loan balance and recovered gradually through their existing repayment schedule.

3

Your institution earns interest income

Financed like any other loan component, the premium generates interest income for your institution.

4

Members get cover without a separate bill

No extra standalone payment to track — medical cover rides alongside a facility they already use.

For SACCO & MFI Managers

Talk to us about embedding cover

Tell us about your institution and loan book. AfyaSure will prepare a proposal for your board within 48 hours.

Send to AfyaSure on WhatsApp
Get a Quote

Build your cover

Quoting for a registered group, or just for yourself and your own family? Pick a tab below.

Different members can sit on different options. Add a line for each combination your group needs — mix Option I, II or III, Full or Inpatient Only cover, and any family size — and get one combined quote.

Cover OptionCover TypeFamily SizePopulationPer MemberSubtotal

"Inpatient Only" still includes Maternity and Last Expense benefits.

Your Group
No members entered yet.
Total Annual Group Premium
KES 0
≈ KES 0 gross, after Training Levy, PHCF & Stamp Duty
Total principal members entered — 0

Rates are per the official CIC CoopCare rate card and include Training Levy, PHCF and Stamp Duty. Families beyond M+6 add a flat additional-dependant premium per person — WhatsApp us for groups needing this. This builds a PDF from only the line(s) you've filled in above, downloads it to your device, then opens WhatsApp with a message ready — attach the downloaded file to send it, since browsers can't attach files to WhatsApp automatically.

Get an indicative quote for your own family's premium contribution within the group of at least 4 members. Pick a cover option, cover type and family size below.

Cover Option
Option I · 100K
Option II · 200K
Option III · 300K
Cover Type
Full Cover
Inpatient Only
Family Size

"Inpatient Only" still includes Maternity and Last Expense benefits. Family sizes beyond M+6 add a flat additional-dependant premium per person — WhatsApp us if your family is larger.

Your Selection
—
Annual Premium
KES 0
≈ KES 0 gross, after Training Levy, PHCF & Stamp Duty

Rates are per the official CIC CoopCare rate card and include Training Levy, PHCF and Stamp Duty. CIC CoopCare is a group product underwritten for registered groups of 4+ principal members, with premiums remitted by the group directly to CIC — this figure is your own family's share of the group premium, not a standalone individual policy.

Ready to Join

Complete your CoopCare proposal form

Once you're happy with your quote, fill in the official CIC CoopCare proposal form below — personal particulars, dependants, health questions and signature — then download it as a PDF to send to us on WhatsApp or by email. It autosaves as you go, so a dropped connection won't lose your progress.

📎 Please complete in block letters. Attach one recent colour passport photograph for each proposed insured.
👥 This proposal form is intended for organisations with fewer than 50 members. If your group is larger, please contact AfyaSure before proceeding.
1

Personal Particulars of the Applicant

Please complete in block letters

2

Particulars of Dependants to be Included on Cover

Add a row for each spouse / child proposed for cover

No. Full Name (Surname first) Type Gender Date of Birth Blood Group ID No. PIN No.
Kindly indicate the National ID number for your spouse and each child above 18 years of age (please attach copies).
3

Health Questions

You must complete all questions, for the applicant and every dependant listed above

If you answered Yes to any of questions 1–17, give details below (add a row per condition). Attach a separate sheet if space is not enough.

Name of Applicant Ailment / Disorder Date Diagnosed Doctor & Contact Address Current Status
4

Other Questions

Questions 18–20

18a. For female applicants / spouses only — have you / your spouse ever delivered a child by Caesarean operation?
18b. Is any member currently pregnant?
19. Is any of you allergic to drugs?
20. Have you been on medical insurance before?
5

Declaration & Signature

Please read carefully before signing

I hereby apply to join the above medical scheme. I understand to the best of my knowledge and belief that all the answers given above are true, that I have not concealed or withheld any material information which the underwriter ought to know in order to assess me or my family members for medical insurance. I hereby authorize the hospitals, medical or dental practitioners who have treated me or any of my dependants to disclose to CIC General Insurance Ltd. the records relating to such current or previous hospitalizations, medical treatment and to allow CIC to receive extracts from such records, and I undertake to assist in obtaining such information.

By signing this proposal form I hereby grant CIC General Insurance Limited (the Insurer) and all its contracted third-party processors authority to process my personal information/data, for the purpose of performing the insurance contract as per my proposal herein. I am aware that I may withdraw my consent at any time by writing directly to the Insurer and that such a withdrawal may affect the ability of the insurer to provide the Insurance cover.

Draw your signature above with mouse or touch
Fill in the sections above, then download a PDF copy to attach by email or WhatsApp.
CIC Plaza, Mara Road, Upperhill · P.O. Box 59485-00200 Nairobi, Kenya · +254 020 282 3000 / 0703 099 120 · callc@cic.co.ke · www.cic.co.ke
Countrywide Provider Panel

Find a hospital, dental or optical provider near you

Search the full CIC CoopCare panel by name, town or county — hundreds of hospitals, clinics, dental and optical providers across every county.

Need help finding a provider?

Message us on WhatsApp and we'll help you locate the nearest CoopCare provider or confirm your cover.

WhatsApp / Call: 0722 460 390

Provider panel current as of the CoopCare rate card. Subject to change without notice — always confirm your provider is still on the active CIC panel before visiting.
CIC Outpatient approvals: outpatientapprovals@cic.co.ke  |  CIC Emergency Lines: 0703 099 999, 0732 179 999, 020 2823999

Waiting Periods & Special Terms

Clear rules, set out upfront

No wait

Accident-related admissions are covered from day one.

No wait

Acute illnesses and outpatient treatment are also covered from day one.

10 months

Waiting period for maternity-related treatment.

1 year

Waiting period for pre-existing and chronic conditions (newly diagnosed conditions are covered up to the full limit).

37wks–18yrs

Children eligible from birth (37 weeks) to 18 years; up to 25 with proof of full-time study.

Up to 70

Maximum eligible age for the principal member and spouse.

Kenya only

Access strictly within the designated provider panel, via Photo Card (replacement KES 300).

Under 12

Lodging facilities are provided for a parent accompanying a child under 12 who is admitted.

For members without SHA, CIC pays admission bills less KES 500 per day. Pre-existing and chronic conditions are covered up to 50% of the Inpatient limit once the waiting period has passed. COVID-19 is covered within Inpatient (up to full limit on Option I; capped at KES 150,000 on Option II and KES 200,000 on Option III) and within Outpatient, with tests capped at KES 6,000 per test.

Key Exclusions

What isn't covered

Non-medical & cosmetic treatments — cosmetic surgery, beauty treatments, weight-loss programmes, spa or nature therapies
Non-standard or unapproved care — experimental treatments, alternative therapies, unregistered practitioners, self-prescribed or self-referred care
Lifestyle & personal risk activities — hazardous sports, riots, war, military service, and nuclear or radioactive exposure
Infertility & dependant pregnancy — infertility treatment for main members and dependants, and pregnancy-related costs for dependants
Devices, dental & optical exclusions — external surgical appliances, diagnostic tools (glucometers, BP machines, hearing aids); Plano and ±0.25 lenses, photochromatic lenses, anti-glare coatings, laser eyesight correction; dental scaling, crowns, bridges, orthodontics and dentures
Other insurance & non-panel providers — costs recoverable under other insurance (SHA, GPA, WIBA), and treatment from non-designated hospitals or doctors
Air evacuation, overseas referral, outpatient ambulance services and routine health check-ups
Member Education

Know your cover before you need it

A clear two-page guide for your members — what is covered, what it costs, when cover starts, how to use it and what isn't covered. Read it below in English or Kiswahili, then download, print or share it with your group.

CIC CoopCare Member Brochure

Everything a member should know about their CoopCare cover, in plain everyday language, with the current price list. Available in English and Kiswahili — it reads well on a phone and prints on two A4 pages.

  • 01How it works
  • 02What CIC pays for in a year
  • 03What it costs per year
  • 04When cover starts
  • 05Who can be covered
  • 06Six simple rules
  • 07What's included and not covered
  • →Quote calculator and contacts
Language · Lugha

Questions about the brochure? WhatsApp or call +254 722 460 390.

CIC CoopCare Member Brochure
ASAfyaSure

Affordable medical cover for your group and family

CIC CoopCare pays hospital, clinic, maternity, dental and eye bills, plus funeral cash. Joining as a group keeps the price low for everyone.

Underwritten byCIC Microinsurance LtdWe keep our word
01

How it works

1

Join as a group

SACCO, chama, cooperative, welfare group, school or company — 4+ main members.

2

Pick your cover

Option I, II or III. A higher option pays more each year.

3

Pay once a year

One premium covers you, your spouse and children — or add it to a loan.

4

Get treated

Show your card at an approved hospital or clinic. CIC pays the bill.

02

What CIC pays for in a year

Amounts in KES, shared by the whole family
What you needOption IOption IIOption III
Admitted to hospitalward bed, doctors, theatre, ICU, tests, medicine100,000200,000300,000
Clinic visits — not admitteddoctor visits, lab tests, X-rays, scans, medicine30,00040,00050,000
Having a babynormal or caesarean · part of hospital amount15,00020,00025,000
First emergency caesareaninstead of the delivery amount, not on top30,00030,00030,000
Dentalpart of clinic amount5,0005,0007,500
Eyes and glassespart of clinic amount · glasses once every 2 years5,0005,0007,500
Funeral cashon the first death in the immediate family50,00050,00050,000
Illness you had before joininge.g. diabetes · hospital stays, after 1 year50,000100,000150,000

Hospital amounts apply after SHA pays its share. An illness first found after you join is covered up to the full hospital amount.

03

What it costs per year

Amounts in KES
Full CoverHospital, clinic, baby, dental, eyes and funeral cash
Who is coveredOption IOption IIOption III
Member only7,7898,7899,789
Member + 110,65112,55314,260
Member + 217,03120,10422,863
Member + 321,18725,02328,467
Member + 423,78728,09931,972
Member + 525,06829,61533,699
Member + 626,98931,88936,289
Each extra person(over 6)3,8894,3894,889
Hospital-Only CoverHospital, baby and funeral cash — no clinic visits
Who is coveredOption IOption IIOption III
Member only2,5973,2973,897
Member + 12,9304,2885,026
Member + 24,6756,8698,061
Member + 35,8118,55010,037
Member + 46,5229,60211,274
Member + 56,87210,12011,883
Member + 67,39710,89712,797
Each extra person(over 6)1,1971,4971,797
How to read this: count yourself plus your spouse and children. A member with a spouse and 2 children is Member + 3 — on Full Cover, Option II, that is KES 25,023 a year. Small government charges are added (0.2% training levy, 0.25% PHCF and KES 40 stamp duty). Clinic cover must be the same option as hospital cover. Work out your family's exact amount with the Calculate Family Contribution calculator at afyasure.org.
AfyaSure · CIC CoopCare Member Brochure+254 722 460 390 · afyasureinfo@gmail.com · afyasure.orgPage 1 of 2
04

When can I start using it?

Day 1Accidents and sudden illness, plus clinic visits — covered from the day you join.
10 monthsWait before pregnancy and delivery costs are covered.
12 monthsWait before illnesses you already had, or long-term conditions, are covered.
No waitIf you move from another insurer within 30 days of leaving (bring proof).
05

Who can be covered

You and your spouse

Join up to age 70. Once you are in, cover can continue up to age 75.

Your children

From birth (full-term baby, out of hospital) up to 18 — or 25 if still in full-time school or college.

Children with a disability

Covered at any age, as long as the parent stays on the cover.

06

Using your cover — six simple rules

1

Carry your CoopCare photo card. Show it every time. A lost card costs KES 300 to replace.

2

Go to an approved hospital or clinic. Find one near you at afyasure.org/#providers.

3

Keep your SHA active. Without it, you pay KES 500 for each day you are admitted.

4

Planned admission, or medicine over KES 2,000? Get approval from CIC first.

5

Emergency admission? Tell CIC within 24 hours of going in.

6

Treated at another hospital in an emergency? Claim within 30 days — CIC refunds 80% of its standard rates.

07

Good to know

Also included

  • Antenatal check-ups (one scan, with approval) and care up to 6 weeks after birth.
  • Routine KEPI child vaccinations.
  • Ongoing care for chronic illness and HIV at the clinic, up to the clinic amount.
  • Care up to KES 20,000 in the 4 weeks after leaving hospital (you claim it back).
  • Wheelchairs, braces and walking frames up to KES 30,000.
  • A parent can stay with an admitted child under 12. Newborn and premature-baby conditions up to KES 50,000.
  • Mental-health admission up to 20% of the hospital amount. COVID-19 and injuries from riots or terrorism are covered.

Not covered

  • Cosmetic or beauty treatment, weight-loss programmes, spa, herbal or alternative therapies.
  • Routine check-ups when you are not sick, and vaccines outside KEPI.
  • Fertility treatment and organ donation.
  • Crowns, bridges, dentures, braces and scaling; special lenses and laser eye surgery.
  • CT and MRI scans unless CIC approves them first; ambulance and air evacuation.
  • Injuries from extreme sport or self-harm, treatment for alcohol or drug abuse, military service.
  • Treatment outside Kenya, or costs another cover already pays (SHA, WIBA, GPA).
QR code to the AfyaSure family contribution calculator

Ready to get your group covered?

  1. Tap the button (or scan the code) to see what your family pays.
  2. Fill in the CoopCare proposal form on the same website.
  3. Send it to us on WhatsApp — we handle the rest with CIC.
Questions? Talk to AfyaSure
CIC CoopCare help
Emergencies: 0703 099 999 · 0732 179 999 · 020 2823999
Clinic approvals: outpatientapprovals@cic.co.ke
CIC Plaza, Mara Road, Upperhill, Nairobi
AfyaSure · CIC CoopCare Member Brochure+254 722 460 390 · afyasureinfo@gmail.com · afyasure.orgPage 2 of 2
Why Go Through AfyaSure

A local partner for the whole journey

01

Specialist focus

Micro and group medical insurance is our only focus — not a generic add-on line.

02

Side-by-side comparisons

Clear quote comparisons so group leaders can decide with confidence.

03

Hands-on support

From first quote to onboarding, and ongoing claims guidance after-sales.

04

Locally registered

A duly registered Kenyan business, products designed around cooperative structures.

05

Where your members already are

Mobile-first, WhatsApp- and Meta-ready enrolment support for group administrators.

Our Promise

We help your group get covered — and we stay with you after.

AfyaSure works alongside SACCOs, chamas and cooperatives from the first quote through onboarding and claims support, closing the health-cover gap for everyday savers and informal-sector workers — the people who form the backbone of Kenya's cooperative economy.

The cover behind this promise is CIC CoopCare, fully underwritten and regulated by CIC Microinsurance Ltd, licensed by the Insurance Regulatory Authority of Kenya. AfyaSure acts as your distribution and enrolment partner — the group you deal with, board-to-board, for the life of the policy.

Talk to AfyaSure Today

Ready to protect your group's members?

Reach out to start a conversation — we'll walk your board or committee through options and a group-specific quotation.