8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
Making Health Insurance Accessible From the Palm of Your Hand
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission. 2 |
Zuri Health is an outpatient microinsurance product in partnershipbetween the MOH, NHIF, & AMPATH
A model tomake health
insuranceaccessible forthe 30 millionpeople withoutcoverage in
Kenya.
Million a Month ccount
Technology-Drivento Lower
Cost-to-Serve
Incentives to BoostWillingness-to-Pay
And a HealthDelivery PartnershipThat DemonstratesValue
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission. 3 |
The Traditional ‘Western’ Insurance Model
Primary
Spouse
ChildChild
Child
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
The Traditional Kenyan Support Model
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8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
The Traditional Kenyan Support Model
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Anne
Uncle
DaughterGardener
Grandma
Gardener’skids
Uncle’skids
Grandma’ssister-in-law
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
Registration and Payment Entirely Over Your Mobile Phone
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Dial *384*222# to…
Join a Health Plan
Pay Your Premiums
Cover People WhoDepend on You
Win Prizes
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
Access The Care You Need With Only Your Fingerprint
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Biometric Authentication:
•No more cards
Outpatient Cover To Keep YouHealthy:
• Prevention & Screenings
• Chronic Disease Management
•
Maternal & Neonatal Child Health• Group Care Services – We Bring
Care to Your Doorstep
• Episodic Outpatient Care
Dispensary and Rural Health Centre
Services Covered:• Outpatient Consultations
• Diagnostic Investigations
• Pharmacy and Non-PharmSupplies
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
All Available MOH Services
Care At Your Doorstep, Or At The Facility Nearest You
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T i e r 1
T i e r 2
T i e r 2 ,
3
Preventive Care
Group Care
Options
Drugs, Supplies, &Consultations
Screenings / Diagnostics for:▪ Malaria▪ Blood pressure▪ Blood sugar▪ FP▪
Deworming (under 5)
Treatment for:▪ Diabetes▪ Hypertension▪ MNCH
Treatment for Top 10 Diseases, Including:
▪ General education and sensitizations▪ Immunization campaigns▪ Health action days▪ Community-based rehabilitation
▪ Immunizations▪ VCT▪ Preventive commodities
▪ Emergency obstetric care▪ Overnight stays▪ Day surgeries▪ Immunizations▪ HIV treatment▪ VCT & pMTCT▪ TB
Care
Benefits Already Covered ThroughMinistry of Health
New Zuri Health RevolvingFund Services SupportingMOH
▪ Basic obstetric
care▪ Referral
services tohigher tierswithin network
▪ Pneumonia
▪ Malaria▪ Respiratory tract
infec tions▪ Diarrheal▪ Venereal▪ TRAs/STIs▪ PUD▪ Skin infections
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
Access Care At The Facilities Nearest You
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Pilot Network A:• Teso North (Kocholya)
District Hospital• Malaba Dispensary
Pilot Network B:• Port Victoria District
Hospital• Mukhobola Health
Centre
Expanding Network to
Eight Counties in Western
Kenya
Partnering with BusiaCounty
Ministry of Health as pilotcatchment
Leadership with strong vision
A history of partnership andcollaboration
A
B
8/20/2019 Zuri Health Overview Deck
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For Internal Use Only.Please Do Not Distribute Without Permission.
Registration : Dial *384*222# to Register (click here for video demo)
Premium : 100 KSh per person per month
Waiting period : 60 days. No penalty if missed payments, but waiting periodrestarts.
Benefits : Outpatient Cover:
At the Home: Prevention and Screenings
Group Care Near Your Home
At the Facility: Acute CarePharmacy
X-Ray, Labs
Dispensary & Rural Health Centre
Inpatient Cover:
None
Options Available for NHIF Inpatient Cover as Add-On
Anyone can be covered : Does not have to be your family. Organizations cansponsor coverage as well.
Members can win prizes : Cash and in-kind incentives for paying membersthrough Zuri Points, 100 points for every 100 KSh paid.
Zuri Health Benefits Summary
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http://youtu.be/FgY3JxqXIawhttp://youtu.be/FgY3JxqXIaw
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