---
title: "Omba Maelezo - Bima ya Kulazwa | BIMA Milvik"
description: "Jaza fomu hii na timu yetu itawasiliana nawe kusaidia kuchagua mpango bora wa bima ya kulazwa kwa familia yako."
url: "https://www.milvik.co.tz/bima-ya-kulazwa-ombi"
language: "en"
---

[ Rudi kwa Orodha ya Bei Back to Pricing ](/bima-ya-kulazwa)

#  Omba Bima ya Kulazwa Request Hospitalization Insurance

Jaza fomu hapa chini na tutawasiliana nawe ndani ya masaa machache Fill the form below and we'll contact you within a few hours

Samahani, ombi halikufanikiwa kutumwa. Tafadhali jaribu tena au piga simu 0659071001. Sorry, there was a problem submitting your request. Please try again or call 0659071001.

Jina Lako Kamili Your Full Name \*

Nambari ya Simu Phone Number \*

Tutatumia nambari hii kukupigia simu We'll use this number to call you

Mpango Unaokuvutia Interested Plan \* \-- Chagua Mpango / Select a Plan -- Binafsi - Standard 30K/usiku \(TZS 6,500/mwezi\) Binafsi - Medium 80K/usiku \(TZS 10,000/mwezi\) Binafsi - Premium 130K/usiku \(TZS 14,000/mwezi\) Familia \(Mtu 1+2\) - Standard 30K/usiku \(TZS 12,000/mwezi\) Familia \(Mtu 1+2\) - Medium 80K/usiku \(TZS 20,000/mwezi\) Familia \(Mtu 1+2\) - Premium 130K/usiku \(TZS 28,000/mwezi\) Familia+ \(Mtu 1+5\) - Standard 30K/usiku \(TZS 20,000/mwezi\) Familia+ \(Mtu 1+5\) - Medium 80K/usiku \(TZS 30,000/mwezi\) Familia+ \(Mtu 1+5\) - Premium 130K/usiku \(TZS 40,000/mwezi\) Sina Uhakika Bado / Not sure yet

Idadi ya Wanafamilia Family Size \(Ikiwa unahitaji mpango wa familia\) \(If requesting family plan\)

💡 Mfano: Mke na Watoto 2 💡 Example: Wife and 2 Children

Maswali Yoyote ya Kiafya au Maoni? Any Health Queries or Comments? \(Si Lazima\) \(Optional\)

Tuma Ombi Langu Submit My Request

Maelezo yako ni salama na yatatumika tu kwa mawasiliano na BIMA Your information is secure and will only be used by BIMA to contact you

##  Ahsante Sana\! Thank You\!

Ombi lako limepokewa. Timu ya huduma kwa wateja ya BIMA itawasiliana nawe ndani ya masaa 48 kuelezea zaidi na kusaidia kumaliza usajili. Your request has been received. The BIMA customer support team will reach out to you within 48 hours to explain more and help complete registration.

**Je, una swali la haraka?** **Have an urgent question?**

[ 0659 071 001 ](tel:0659071001) [ WhatsApp ](https://wa.me/255658104193)

[ Rudi kwa Orodha ya Bei Back to Pricing ](/bima-ya-kulazwa)

Au wasiliana nasi moja kwa moja: Or contact us directly:

[ 0659 071 001 ](tel:0659071001) | [ 0658 104 193 ](https://wa.me/255658104193) | \*150\*01\#