Healthcare costs in Kenya have been steadily rising, and while many people rely on medical insurance to offset hospital bills, there is another important cover that is often overlooked: Hospital Cash Insurance. Unlike standard medical insurance that pays the hospital directly for treatment, hospital cash insurance provides the insured with a fixed daily benefit for every day they are admitted to a hospital. This money goes directly to the policyholder and can be used at their discretion.
In this article, we will look at what hospital cash insurance is, how it works, why it is important, and why every Kenyan should consider including it in their insurance portfolio.

What is Hospital Cash Insurance?
Hospital cash, also known as Hospital Cash Plan (HCP) or Hospital Income Cover, is a form of health insurance where the insurer pays a fixed amount of money for each day a policyholder spends in the hospital. The amount is usually predetermined at the time of purchasing the policy and can range from KSh 1,000 to KSh 10,000 per day, depending on the insurance company and the cover level chosen.
For example, if a policyholder is hospitalized for five days with a plan that pays KSh 3,000 per day, they will receive KSh 15,000. This money is paid directly to the insured, not to the hospital. It does not matter what the hospital bill is—the benefit is based purely on the number of days spent admitted.
How Hospital Cash Works in Kenya
- Hospitalization – When the insured is admitted to a recognized hospital for treatment, they qualify for hospital cash.
- Waiting Period – Most policies have a waiting period (usually 30 days from policy commencement) before claims can be made, except for accidents, which are covered immediately.
- Daily Benefit – The policy pays a daily allowance, typically ranging from KSh 1,000 to KSh 10,000 per day.
- Duration Limit – Many policies limit the payout to a maximum of 60–180 days per policy year.
- Flexibility of Use – The cash can be used for any expense: hospital meals, family needs, transport, or even to compensate for lost income while the insured is hospitalized.
Why Hospital Cash is a Good Choice
1. Covers Non-Medical Costs
Medical insurance usually pays for treatment, surgery, drugs, and consultations. However, hospitalization often comes with hidden costs—transport to and from the hospital, meals for relatives, airtime for communication, or even childcare arrangements. Hospital cash provides money that helps offset these additional costs.
2. Supports Lost Income
Many Kenyans earn daily wages or run businesses where income stops if they cannot work. Being hospitalized means a direct loss of earnings. Hospital cash helps replace part of that lost income, giving families financial breathing room during difficult times.
3. Complements Medical Insurance
Hospital cash is not a substitute for medical insurance; rather, it complements it. Medical insurance takes care of the hospital bills, while hospital cash ensures the insured has cash on hand for daily survival and incidental expenses.
4. Affordable Premiums
Hospital cash plans are usually inexpensive compared to comprehensive medical coverage. With as little as KSh 2,000–KSh 10,000 annually, one can secure a hospital cash plan that pays substantial daily benefits. This makes it accessible even to low- and middle-income earners.
5. Simplicity in Claims
Unlike medical insurance, which often involves claim forms, approvals, and direct billing, hospital cash claims are simple. The insured usually just needs to provide admission and discharge records from a recognized hospital, after which payment is made.
6. Covers Both Inpatient and Accidents
Hospital cash plans typically cover admissions due to both illnesses and accidents. Accident-related admissions are usually covered immediately with no waiting period, making the policy especially useful for individuals in high-risk jobs.
Example Scenario
Let’s say Jane, a self-employed tailor in Nairobi, has a hospital cash cover of KSh 2,500 per day. She falls ill and is hospitalized for 7 days. Her medical insurance pays the hospital bill of KSh 90,000. Meanwhile, her hospital cash policy pays her KSh 17,500 (KSh 2,500 x 7 days).
With this money, she is able to pay her rent, buy food for her children, and cover transport costs to and from the hospital. Without hospital cash, she would have had to borrow money or use her savings.
Hospital Cash vs. Medical Insurance
| Feature | Medical Insurance | Hospital Cash Insurance |
|---|---|---|
| Payment Recipient | Hospital (direct billing or reimbursement) | Policyholder (cash directly) |
| Purpose | Pays medical bills | Provides cash for non-medical or personal needs |
| Cost | Relatively expensive | Affordable premiums |
| Claim Basis | Actual hospital bill | Number of days hospitalized |
| Coverage Type | Treatments, consultations, surgery, and medication | Daily cash allowance |
Both are important, and together they provide complete protection.
Hospital Cash in the Kenyan Insurance Market
In Kenya, several insurers offer hospital cash policies, either as standalone covers or as riders (add-ons) to existing medical insurance. These include:
- Jubilee Insurance – Offers hospital cash as an add-on to medical cover.
- AAR Insurance – Provides hospital cash benefits with flexible limits.
- Britam – Includes hospital cash in some of its health insurance products.
- Madison Insurance – Offers hospital cash policies at affordable premiums.
- UAP Old Mutual – Provides hospital daily cash benefits, especially for corporate clients.
The existence of multiple options gives customers the flexibility to choose plans that fit their income and lifestyle.
Why Every Kenyan Should Consider Hospital Cash
Hospital admissions can be financially draining, even with medical insurance. Families face additional expenses and income interruptions that aren’t covered by normal health plans. Hospital cash bridges this gap by providing daily income that cushions policyholders during hospitalization.
For Kenyans working in informal sectors, SMEs, or even salaried employees with dependents, hospital cash is not just a good-to-have but a necessity. It reduces the risk of financial strain during illness and ensures that recovery is not overshadowed by money problems.
Conclusion
Hospital cash in Kenyan insurance is one of the most practical and affordable solutions available today. It provides a safety net for families during hospitalization, covers expenses beyond hospital bills, and supports financial stability when income is disrupted.
Every Kenyan should consider pairing hospital cash with their medical insurance for holistic protection. With premiums as low as a few thousand shillings annually, hospital cash is a simple but powerful way to bring peace of mind during times of illness.
