Equitel | Riziki Cover General FAQs

Find additional information about Riziki Cover

Who is eligible for the Riziki and Riziki+ Covers?

Any Equitel subscriber over the age of 18 can sign up. To purchase the Riziki+ Cover policy, you must have a bank account with Equity Bank.

If you choose Riziki+ Cover, you (and your spouse, if buying the Riziki + Family Cover) must be between 18-65 years old and your children 18 or younger. Once signed up, coverage can continue indefinitely as long as premiums continue to be paid and the subscriber is alive. Children's cover ends when they turn 19.

Are Riziki and Riziki+ Covers a replacement for NHIF?

No, Riziki and Riziki+ Covers are meant to work well with NHIF, not as a replacement. Our product as a “top-up” to add additional benefits on top of NHIF.

Can I have both Riziki Cover and Riziki+ Cover at the same time?

Yes, you can have both products at the same time.

Is there a maximum amount I can get paid?

You are only able to collect a maximum payout equal to 30 nights in the hospital in a 12-month period, for each policy. This applies separately for each covered person. ( i.e. each family member on a family plan can get paid for 30 nights in 12 months).

Which hospitals can I stay in?

You can stay in any hospital with inpatient facilities licensed by Ministry of Health, Government of Kenya, whether public or private. The stay must be overnight for three nights or more in a row.

What illnesses are covered?

There are no exclusions on types of illnesses or causes of hospitalization. As long as your illnessrequires you to stay 3 or more nights in a row in the hospital, you will be covered.

Do these insurance products pay directly to the hospital?

No. These insurance products do not cover the cost of medical care or reimburse you for any medical expenses. It pays a fixed amount per night for stays of 3 nights or more directly to the subscriber's Equity Bank account. You can do what you want with the cash benefit, but some suggestions are to help with lost wages, transportation costs, or private medicine.

Do I need to pay for my hospital stay?

Yes. You still need to pay any costs required by the hospital. The Equitel insurance products do not cover the cost of medical care and only pays cash to you once you are discharged from the hospital. If you have a really long stay (10 nights or more), you can start your claim while you're still in the hospital.

What happens if I get sick and need to be hospitalized?

If you get sick, visit your doctor or go to a clinic or hospital. Your doctor will determine if you need to be hospitalized. If you are hospitalized and have to stay 3 nights or more, call the insurance call center (0763 063 745) to begin your insurance claim once you are discharged. If you have a really long stay (10 nights or more), you can start your claim while you're still in the hospital

How do I make a claim?

Call the insurance call center via 0763 063 745 to submit you claim. You will be given details on next steps. For hospital claims, you will need to submit copies of your ID, hospital payment invoice/receipt as well as documents showing date of admission and discharge signed by a doctor or hospital. If you are claiming for a child on a family plan, you will also need to provide a birth certificate, showing they are your biological child. If you are claiming for a spouse on a family plan, you may also need to provide proof of relationship. Claims must be submitted within 90 days from the day of discharge from the hospital.

How long will my claim take to be paid and what is the mode of payment?

We aim to pay claims in 48 hours or less. If your claim is approved, your benefit will be paid into your Equity Bank account.

What happens in case of death in hospital?

If the policy holder dies during a hospital stay of 3 nights or longer, their next-of-kin can make a claim by following the claim procedures. Proof of relationship will be required.

Do I receive a premium refund if I don't claim?

Premiums are non-refundable. Once paid, premiums are used to fund claims for the unfortunate policyholders who have been hospitalized.

What happens if I pay some months?

We offer flexible payment options so you can pay for 1 month or 6 months at a time. Some may opt to pay for 6 months all at once, if they know that they might not have money later on. This prevents them from losing coverage on months when they might not be able to pay.

What if I want to change my plan or cancel my policy?

To change your plan or cancel your policy, dial *745# and follow the easy steps.

Can I add other family members besides my spouse and children?

At this point, you can only cover one spouse and children on the Riziki+ Family Cover. You can encourage other family members of age 18 and above to buy their own policies through their Equitel SIM cards. We cannot cover multiple spouses in the case of polygamous marriages.

Is Equitel an insurance company?

No, your Riziki Cover and Riziki+ Cover products that are accesses via Equitel are insured through Britam Insurance Company of Kenya.

Can Riziki and Riziki+ Covers apply outside Kenya?

These insurance products only apply within the Republic of Kenya.

Can I have more than one cover at the same time?

Yes, however, only a maximum of one Riziki Cover policy AND one Riziki+ Cover policy can be active per mobile number.

What is fraud and how will you manage fraudulent claims?

Fraud is when somebody tries to cheat an insurance company by making false claims. Fraud could mean making fake documents, lying about your hospital stay, staying longer in hospital than you need to, or doing anything dishonest in order to benefit from this insurance product. Equitel and Britam Insurance Company take fraud cases very seriously. Anyone submitting an insurance claim which is dishonest or fraudulent will not be paid. Likewise, they will lose any future insurance coverage and can be prosecuted under the law.

Where do I get more information?

For more information, dial *745# or call 0763 063 745 for more information. You can also get information at any Equity Bank branch.

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Riziki General FAQs