APA Afya Nafuu Health Insurance Guide (Prices and Benefits)
Let’s face it—hospital bills in Kenya aren’t getting any cheaper. A sudden illness, an accident, or even a simple hospital admission can leave families scrambling to pull funds together. For many, healthcare costs come unannounced and hit hard. That’s why having a reliable and affordable medical insurance plan isn’t just smart—it’s essential. If you’re looking for a health cover that takes care of your family’s medical needs without draining your wallet, APA Afya Nafuu is worth a serious look. Designed with the average Kenyan in mind, this plan offers real value, flexible options, and solid protection when it matters most. In this article, we’ll break down what APA Afya Nafuu offers, how much it costs, and why it’s one of the top picks for families in Kenya today.
Key Takeaways
Table of Contents
- What is APA Afya Nafuu?
- Key Benefits of APA Afya Nafuu
- Plan Options and Coverage Tiers
- Premium Rates by Age & Plan
- Waiting Periods You Should Know
- Who Is Eligible?
- What’s Not Covered? (Exclusions)
- How to Enroll in APA Afya Nafuu
- Why Choose APA Afya Nafuu?
- Partner With Step by Step Insurance
- Final Thoughts
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Join WhatsApp GroupWhat is APA Afya Nafuu?
Afya Nafuu is a medical insurance product from APA Insurance, one of Kenya’s most trusted insurers. It aims to provide flexible, reliable, and affordable healthcare coverage—especially tailored for the average Kenyan household.
This plan is ideal for:
- Families with children
- Senior citizens up to 75 years
- First-time insurance buyers
- Anyone seeking affordable inpatient cover with optional outpatient and maternity benefits
Key Benefits of APA Afya Nafuu
APA Afya Nafuu stands out in the market due to its flexibility and affordability, offering a range of tiered plans designed to accommodate various financial capabilities and health needs.
Inpatient Coverage (Core Benefit)
All plans come with inpatient benefits, including:
- Hospitalization costs: General ward, ICU, HDU
- Surgical fees: Surgeons, anesthetists, specialists
- Diagnostic tests: Lab, X-ray, MRI, CT scans
- Prescription medication and dressings
- Physiotherapy and post-hospitalization
- Accident-related dental and optical treatments
- Reconstructive surgery post-accidents
- Funeral expenses cover
- Ambulance services within Kenya
Outpatient (Optional Add-On)
For an additional premium, you get:
- Consultation with general practitioners and specialists
- Diagnostic tests and prescriptions
- Physiotherapy sessions
Maternity Cover (Optional Add-On)
Available for female principal members or spouses:
- KES 100,000 annual limit
- Covers normal delivery, C-section (elective/emergency), ectopic pregnancy, and complications
- 10-month waiting period applies
Chronic & Pre-existing Conditions
Covered after 12 months of continuous membership:
- Includes HIV/AIDS, diabetes, hypertension, and more
Plan Options and Coverage Tiers
APA Afya Nafuu offers five plan options, each catering to a different budget and level of coverage.
Inpatient Annual Cover Limits
| Plan Name | Inpatient Limit (KES) |
|---|---|
| Mwananchi | 100,000 |
| Select | 300,000 |
| Standard | 500,000 |
| Executive | 750,000 |
| Affluent | 1,000,000 |
Premium Rates by Age & Plan (Annual)
Here’s a breakdown of how much you’ll pay per year, depending on your age and plan:
| Age Group | Mwananchi | Select | Standard | Executive | Affluent |
|---|---|---|---|---|---|
| 1 mo – 20 yrs | 5,500 | 6,115 | 6,727 | 7,788 | 9,417 |
| 21 – 40 yrs | 8,900 | 10,584 | 11,643 | 13,480 | 16,300 |
| 41 – 54 yrs | 11,120 | 15,084 | 17,043 | 19,779 | 23,499 |
| 55 – 65 yrs | 16,543 | 20,128 | 23,066 | 26,804 | 31,552 |
| 66 – 75 yrs | 19,890 | 25,918 | 30,492 | 38,115 | 42,350 |
Note: Outpatient and maternity cover premiums are separate and depend on the plan and family size.
Waiting Periods You Should Know
| Service Type | Waiting Period |
|---|---|
| General illness | 30 days |
| Surgical procedures | 90 days |
| Pre-existing conditions | 12 months |
| Maternity | 10 months |
| Accident cover | Immediate |
Who Is Eligible?
- Age range: 1 month to 75 years
- Medical report required for members aged 55+
- Families, individuals, and senior citizens are welcome
What’s Not Covered? (Exclusions)
As with all insurance plans, APA Afya Nafuu has some limitations. Here’s what is not covered:
- General check-ups and wellness exams
- Pre-existing conditions (within first 12 months)
- Cosmetic surgery (unless accident-related)
- Family planning and infertility treatment
- Glasses, hearing aids (except for accident-related inpatient)
- Alternative or unregistered treatments
- Treatment outside Kenya (unless pre-approved emergencies)
How to Enroll in APA Afya Nafuu
Enrolling is easy and guided by insurance professionals like us at Step by Step Insurance.
Required Documents:
- Filled application form
- ID copies and KRA PIN for each member
- Passport-size photos
- Medical report (for applicants over 55)
Process:
- Submit documents and payment via agent or APA office.
- Policy is reviewed and approved.
- Get your medical card and documents within days.
Why Choose APA Afya Nafuu?
Here’s what makes APA Afya Nafuu one of the top choices for affordable family cover:
- âś… Affordable premiums starting from just KES 5,500/year
- âś… Customizable coverage with optional maternity & outpatient
- âś… Reliable emergency services including ambulance support
- âś… Wide network of approved hospitals and clinics
- ✅ Backed by APA Insurance—a leading, reputable insurer in Kenya
Partner With Step by Step Insurance for Best Results
At Step by Step Insurance, we’re more than just agents—we’re your healthcare coverage advisors.
We partner directly with APA Insurance to:
- Help you compare Afya Nafuu plans side-by-side
- Recommend the best plan based on your age, family size, and health needs
- Explain every detail so you’re never surprised by exclusions or waiting periods
- Support your claims, renewals, and updates all year long
Get Personalized Assistance
Contact us today for expert guidance on choosing the right medical insurance plan for your needs.
Call us:
+254 (0) 729 712 200 |
+254 (0) 716 534 192
WhatsApp:
0722 888 350
Final Thoughts
APA Afya Nafuu offers a compelling balance of affordability, reliability, and flexibility—perfect for families who want peace of mind without breaking the bank. Whether you’re insuring your first child, protecting an aging parent, or covering your household, this plan delivers real value. And with Step by Step Insurance by your side, navigating the enrollment and claims process is easier than ever.
