Stung by rising medical claims, AAR Insurance has introduced a
new health cover with an objective of encouraging people to spend less
in hospital in exchange for 50 per cent refund of total premium after
three years if not utilised.
The product called Proactive, launched yesterday, is the first in East Africa and second after a similar policy in South Africa.
It
recognises that most of the medical claims arise from lifestyle
diseases that can be controlled through a regime of good diet, regular
exercise and avoiding abuse of alcohol and other substances.
REWARD CUSTOMERS
“We
want to reward customers who practise good lifestyles. AAR Proactive
seeks to encourage customers to better manage their outpatient spends
with the cash back reward in the event they do not utilise their
outpatient limit after a period of three years,” AAR Insurance Managing
Director Caroline Munene said yesterday.
It is
estimated that 100,000 people die every year of lifestyle diseases,
which could be reduced through better lifestyle choices.
“This
is the revolution that we are bringing to the health insurance which we
hope will change the way the insurance cover is structured in Kenya.
The solution is out of experience, and it is time customers benefit from
premium paid whether they are sick or healthy,” she said.
COMMUNICABLE DISEASES
Ms
Munene said the rise in non-communicable diseases such as diabetes,
high blood pressure and cancer has led to an increase in medical claims
draining huge amounts of money in payment of hospital bills.
She said lifestyle diseases were expected to keep increasing if various stakeholders do not take control of the situation.
“About
70 per cent of the Sh25 billion premium goes to hospitals and other
health institutions in treatment and we would want this amount
distributed to include the customers,” she said.
According
to statistics from Association of Kenya Insurers, the industry paid
Sh20 billion to settle medical claims last year, with AAR paying Sh2
billion.
AAR Insurance Holdings chief executive
Geoffrey Nzau said lifestyle conditions reduce productivity, curtail
faster economic growth, hence aggravating poverty.
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