F.A.Qs

About
Health Plans

What type of health plans do you offer?

Hygeia HMO offers affordable health plans for individuals, families, senior citizens, SMEs and corporate organizations

Please click on https://hygeiahmo.com/our-health-plans/ to view the benefits and costs of our plans.

 Please click on https://hygeiahmo.com/our-health-plans/  to view our plans. Select the ‘Get Started’ option to provide your details and proceed with payment. You will receive an automated response when registration is complete and a member of our team will reach out to you via email/registered phone number with further details.

Through our broad network of providers, we provide an extensive range of primary and secondary healthcare services. We offer outpatient and inpatient hospital services, optical and dental services, chronic disease management, telemedicine, physiotherapy, ENT services, Wellness and preventive care, Maternal and child care etc.

This is the amount you pay in exchange for access to an agreed set of benefits for a fixed period of time. Premiums can differ because of the number of people to cover, the amount of coverage to be enjoyed or specific choice of hospitals.

About
Hospital Networks

How do I choose my healthcare provider?

We have an extensive network of providers and we advise that you choose a healthcare provider near where you live or work. Please click the link to view our provider directory. https://hygeiahmo.com/provider-directory/

We understand that you value flexibility, which is why we offer a roaming hospital service across all our plans. This means that you are not limited to a single hospital but have the freedom to visit any partner hospital within your plan coverage. This ensures your care is always convenient and accessible.

Hygeia HMO enrollees do not pay for services covered on their health plan. In the unlikely event that you are being requested to make payment, please reach out to us via the number 0700 494342 466, via WhatsApp on the number 0916 9973 542 or via the email hycare@hygeiahmo.com for clarification.

We strongly advise that you choose from our wide network of providers. However, where the need to visit an out-of-network provider arises, please ensure to obtain approval before the visit by reaching out to us on the number 0700  494342 466, reaching out via WhatsApp at 0916 9973 542 or this link https://wa.link/vup8f9   or by sending an email to hycare@hygeiahmo.com. For emergency cases, please visit any hospital and notify us within 24 hours of accessing care to enable us optimize your care. Adhering to these guidelines will facilitate the processing of your reimbursement (T&C applies).

You can access care using your issued Hygeia enrolment number or the E-card on the mobile application.

General Questions

How long does it take to access care after enrollment?

Our retail plans require a 7-day waiting period before accessing care, while our corporate clients can begin accessing care as soon as the policy commences.

Yes, we do! The Hygeia mobile app is available for download on both the Android and iOS App Stores. To log in, use your Hygeia enrollment number as your username and your year of birth as your password.

You can explore the services covered on your plan, track your benefit usage, review your pre-authorization history, access our provider directory, confirm access to any provider, access to telemedicine, and enjoy a range of other features.

If you are enrolled in a retail plan, please email us at hycare@hygeiahmo.com to add dependants. For corporate plans, you may apply through your company’s HR department to include dependants, such as your partner or children (including newborns), in your membership.

For emergencies, you can access care at any hospital. Please ensure you notify us of the situation within 24 hours or as soon as consciousness is regained.

To process reimbursement for services provided outside the Hygeia HMO network, there must be prior approval except in cases of an emergency. The following documents should be provided within 30 days from the date of payment.

  • A comprehensive medical report from the attending doctor showing breakdown of services rendered (drugs/injections administered, laboratory tests, etc.)
  • Payment evidence/receipts/bill breakdown
  • A filled Hygeia HMO refund form.

You can reach us via the following channels:

  • Our customer support team is available 24/7 on the number 0700- 494342- 466
  • You can reach us via WhatsApp by chatting on the number 0916 9973 542 or by clicking the link https://wa.link/vup8f9
  • Additionally, you can send an e-mail to hycare@hygeiahmo.com
  • Also, you can reach out to your relationship manager.