Health insurance gives you access to quality medical care when you need it most — without the stress of unexpected hospital bills.

In Kenya, private health insurance covers inpatient and outpatient treatment, maternity, dental, optical, and chronic conditions. With Precise Insurance Agency, you get access to all leading insurers: Jubilee Health, AAR Insurance, Britam, Madison, Resolution Health, and more.

Whether you're looking for individual cover, family medical insurance, or a corporate plan for your employees, we compare options to find the best fit for your budget and needs.

Did you know? Mombasa leads Kenya in health insurance registration under Taifa Care at 71%, with 25 million Kenyans now enrolled in public medical cover . Private insurance remains essential for quality healthcare.

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Health Insurance Kenya — Medical Cover
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Health Insurance in the Coastal Region

Mombasa, Diani, Kwale, Kilifi — your healthcare needs are unique. Here's what you should know.

Hospitals in Diani & Mombasa

SHA-approved facilities include Diani Beach Hospital (Level 5), Bliss Healthcare Diani, Ukunda Clinic, Ginger Hospital, and Nice View Medical Center [citation:7]. In Mombasa, Aga Khan Hospital, Pandya Memorial, and Tudor Healthcare are top choices [citation:2][citation:10].

Quality of Care

Nairobi has East Africa's best healthcare, but Mombasa offers good private options [citation:2]. For complex cases, evacuation to Nairobi or international facilities may be needed. Choose a plan with medical evacuation cover.

Family & Maternity Cover

Coastal residents need family plans with solid maternity benefits and paediatric cover [citation:5]. Maternity cover typically has a 9-12 month waiting period . Plan ahead.

Precise Insurance can help: We compare plans from leading insurers to find the best medical cover for your family or business in Diani, Ukunda, and across the Coast.

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What's Covered

Inpatient Cover

  • Hospital accommodation (private room up to KES 10,000–25,000/night)
  • Surgical procedures and theatre fees
  • Specialist consultations and ICU care
  • Diagnostic tests and scans
  • Annual limits from KES 1M to KES 5M+
  • Emergency evacuation within East Africa

Outpatient Cover

  • General practitioner consultations
  • Prescription medicines
  • Diagnostic tests and lab work
  • Family-wide outpatient pools up to KES 250K [citation:15]

Additional Benefits

  • Maternity cover — including C-section (waiting period 9-12 months)
  • Chronic conditions — after 6-12 month waiting period
  • Dental and optical — available in premium tiers
  • Telemedicine — virtual consultations via insurer apps
  • Last expense — up to KES 150,000
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Top Health Insurance Providers in Kenya 2026

Jubilee Health Insurance

Largest market share, widest hospital network, strong family and executive plans . Established in Mombasa in 1937 [citation:1].

AAR Insurance

Comprehensive medical cover with Mombasa branch on Dedan Kimathi Avenue . Offers ShwAARi Medical Cover and SENIORS CAARE for older individuals.

Britam AfyaCare

400+ cashless hospital network across East Africa, regional portability (KE/UG/TZ), digital app for claims [citation:15]. Inpatient cover up to KES 5M per year.

Madison Insurance

Competitive family plans, growing medical portfolio . Advises using tier 2 and 3 hospitals to save on cover [citation:10].

Resolution Health

Strong medical insurance portfolio with flexible plans for individuals, families, and corporates.

We compare all these providers — you get the best plan at the best price, with no extra cost to you.

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SHA vs Private Health Insurance

SHA (Social Health Authority)

  • Public health insurance scheme for Kenyan citizens and legal residents
  • Monthly contributions KES 500-1,700 depending on income
  • Access to public hospitals — limited coverage at private facilities
  • Over 25 million Kenyans registered [citation:9]
  • Mombasa leads with 71% coverage

Note: SHA faces challenges with portal stability, reimbursement delays, and restricted hospital networks .

Private Health Insurance

  • Comprehensive cover with higher limits (KES 1M – 5M+)
  • Access to top private hospitals: Aga Khan, Nairobi Hospital, Diani Beach Hospital
  • Shorter waiting times and better facilities
  • Additional benefits: dental, optical, chronic, maternity, evacuation
  • Premiums from $50-120/month for local plans

Many Kenyans use both: SHA as a safety net and private insurance for comprehensive cover.

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Waiting Periods Explained

Most health insurance plans have waiting periods before certain benefits become available:

  • Accidents — No waiting period, covered immediately
  • Acute illnesses — 28 days waiting period
  • Surgical claims — 60 days waiting period
  • Maternity cover — 9-12 months waiting period
  • Chronic conditions — 6-12 months waiting period
  • Dental and optical — 6 months waiting period

Tip: If you're transferring from another insurer, waiting periods may be waived with proof of continuous cover.

Get a Health Insurance Quote

Compare plans from Jubilee Health, AAR, Britam, Madison & more. We'll find the best cover for you.

We'll compare plans from Jubilee Health, AAR, Britam, Madison, Resolution Health and more.

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Your health insurance quote request has been received. We'll get back to you within 24 hours with options from top insurers.

For immediate assistance, call +254 726 439 278

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Frequently Asked Questions

The best depends on your needs. Top providers include Jubilee Health (largest network), AAR Insurance (comprehensive plans), Britam AfyaCare (digital and regional), Madison (competitive family plans), and Resolution Health. We compare all of them for you.
A family of four on a mid-range plan typically costs between KES 120,000 and KES 300,000 per year, depending on adults' ages, inpatient limits, and maternity inclusion .
SHA-approved facilities include Diani Beach Hospital (Level 5), Bliss Healthcare Diani, Ukunda Clinic, and Ginger Hospital [citation:7]. In Mombasa: Aga Khan Hospital, Pandya Memorial, Tudor Healthcare, and AAR Healthcare clinics.
Yes, most plans include maternity cover, but there is typically a 9-12 month waiting period. Plan ahead before starting a family.
SHA is Kenya's public scheme with limited hospital networks and basic cover. Private insurance offers comprehensive cover, access to private hospitals, shorter waiting times, and additional benefits like dental, optical, and international cover.
Common waiting periods: 9-12 months for maternity, 6-12 months for chronic conditions, 28 days for acute illnesses, 60 days for surgical claims. Accidents are covered immediately.
Yes, medical evacuation cover is essential for coastal residents [citation:2]. While Mombasa has good options, complex cases may need transfer to Nairobi. Plans like AMREF Flying Doctors provide evacuation across East Africa.
Yes, but there is typically a 6-12 month waiting period before chronic conditions are covered [citation:15]. Some insurers may exclude pre-existing conditions or charge higher premiums.