Get in Touch

+254 (0) 703 711711

Email us

info@megalifehospital.co.ke

Operating Hours

24 Hours

Our Services

At MegaLife Hospital, we offer a comprehensive range of medical services designed to meet the diverse healthcare needs of our patients. Whether you require urgent care, specialized treatment, or routine medical services, our hospital operates 24/7 to ensure that you have access to the care you need, when you need it. Our state-of-the-art facilities and experienced healthcare professionals ensure that you receive the highest quality care and treatment across the following specialties:

At MegaLife Hospital, we provide comprehensive out-patient and in-patient services to address a wide range of medical needs. Our state-of-the-art facilities and experienced healthcare professionals ensure that you receive personalized care and treatment, whether you require short- term outpatient services or extended in-patient care. Our services include:

  • Specialized Medical Consultations: Expert consultations with our team of specialists across various medical disciplines to address your specific health concerns.

  • Diagnostic Testing: Access to a wide range of diagnostic tests and imaging services to facilitate accurate diagnosis and treatment planning.

  • Medical Procedures: In-office procedures and treatments for various medical conditions, performed by our skilled medical staff in a safe and comfortable environment.

  • Medication Management: Comprehensive medication management services, including prescription refills, dosage adjustments, and medication counseling.

  • Preventive Care: Routine health screenings, vaccinations, and wellness exams to help prevent illness and promote overall health and well-being.

  • Chronic Disease Management: Personalized care plans for managing chronic conditions such as diabetes, hypertension, and asthma to optimize health outcomes and quality of life.

  • Acute Illness Management: Prompt evaluation and treatment of acute medical conditions, including infections, injuries, and sudden onset illnesses.

  • In-Patient Care: Admission to our hospital for comprehensive medical care and monitoring, with access to specialized services and round-the-clock nursing care as needed.

  • Rehabilitation Services: Physical therapy, occupational therapy, and speech therapy services to aid in recovery and improve functional abilities following illness, injury, or surgery.

  • Palliative Care: Supportive care services for patients with serious illness, focusing on pain management, symptom control, and emotional support for patients and their families.

Our dedicated team of healthcare professionals is committed to providing high-quality, patient- centered care to meet your individual needs and preferences. Whether you require outpatient services for routine medical care or in-patient care for more complex medical conditions, you can trust MegaLife Hospital to deliver exceptional healthcare solutions with compassion and expertise.

Experience safe and supportive childbirth with our comprehensive maternity services at MegaLife Hospital. Our dedicated team of obstetricians, midwives, nurses, and support staff is committed to providing personalized care and support to expectant mothers throughout their pregnancy, labor, delivery, and postpartum journey. Our maternity services include:

  • Antenatal Care: Comprehensive prenatal care to monitor the health and well-being of both mother and baby throughout pregnancy. This includes regular check-ups, prenatal screenings, and ultrasound examinations to ensure the healthy development of the fetus.

  • Obstetrician Consultations: Expert consultations with experienced obstetricians to address any pregnancy-related concerns and provide personalized care and guidance.

  • Labour and Delivery: Safe and comfortable birthing options, including natural childbirth, epidural anesthesia, and cesarean section delivery when necessary. Our experienced labor and delivery team is dedicated to providing support and assistance to ensure a positive birthing experience for every mother.

  • Newborn Care: Specialized care for newborns immediately after birth, including assessment, monitoring, and assistance with breastfeeding. Our neonatal care unit is equipped to provide specialized care for premature infants or babies with special medical needs.

  • Postnatal Care: Comprehensive care and support for mothers and newborns following childbirth, including breastfeeding support, newborn care education, and postpartum check-ups to monitor recovery and ensure optimal health for both mother and baby.

  • High-Risk Pregnancy Management: Specialized care for women with high-risk pregnancies, including maternal medical conditions, fetal complications, or previous pregnancy complications. Our multidisciplinary team works collaboratively to manage high-risk pregnancies and optimize outcomes for both mother and baby.

  • Childbirth Education Classes: Informative and interactive childbirth education classes covering topics such as labor and delivery, pain management techniques, newborn care, and breastfeeding. Our classes are designed to empower expectant parents with the knowledge and skills they need to navigate the childbirth experience confidently.

  • Maternal Wellness Services: Holistic support services to promote maternal health and well-being during pregnancy and beyond, including nutrition counseling, exercise programs, and emotional support services.

  • Birthing Suites: Comfortable and private birthing suites equipped with state-of-the-art amenities to enhance the birthing experience for mothers and their families. Our birthing suites are designed to provide a serene and welcoming environment for labor, delivery, and recovery.

At MegaLife Hospital, we understand that every pregnancy and childbirth experience is unique, and we are committed to providing personalized care and support to meet the individual needs and preferences of each expectant mother. With our comprehensive maternity services and experienced healthcare team, you can trust us to deliver exceptional care for you and your baby every step of the way.

At MegaLife Hospital, we are dedicated to ensuring the health and well-being of both mothers and their children through our comprehensive Mother & Child Health (ANC & MCH) services. Our specialized programs focus on providing personalized care and support to expectant mothers during pregnancy, as well as comprehensive healthcare services for mothers and children after childbirth. Our ANC & MCH services include:

  • Prenatal Check-ups: Regular prenatal visits with our obstetricians and midwives to monitor the progress of pregnancy, assess fetal development, and address any concerns or complications.

  • Prenatal Screenings: Routine prenatal screenings and diagnostic tests to detect and manage any potential pregnancy-related complications or conditions, ensuring the best possible outcomes for both mother and baby.

  • Ultrasound Imaging: Advanced ultrasound imaging technology to monitor fetal growth and development, assess fetal well-being, and detect any abnormalities or concerns.

  • Nutritional Counseling: Personalized nutrition counseling and guidance to support maternal health and ensure optimal fetal development.

  • Health Education: Informative sessions and educational resources to empower expectant mothers with knowledge and skills to promote a healthy pregnancy and prepare for childbirth and parenthood.

  • Postnatal Care: Supportive care and monitoring for mothers and newborns in the immediate postpartum period, including breastfeeding support, newborn care education, and postpartum check-ups to assess maternal recovery and ensure the well-being of both mother and baby.

  • Pediatric Care: Preventive care, wellness exams, and medical treatments for infants, children, and adolescents to promote healthy growth and development and prevent and manage childhood illnesses and conditions.

  • Immunizations: Vaccinations and immunization services to protect children from vaccine-preventable diseases and ensure they stay healthy and resilient.

  • Well-Baby Clinics: Regular check-ups and developmental screenings for infants and young children to monitor growth, development, and overall health and address any concerns or issues early on.

  • Childhood Nutrition: Guidance and support for healthy eating habits and nutritional requirements for infants, children, and adolescents to support optimal growth, development, and overall health.

  • Parenting Support: Educational resources, counseling services, and support groups to assist parents in navigating the challenges of parenthood, promoting positive parent-child relationships, and fostering a supportive and nurturing home environment.

At MegaLife Hospital, we understand the importance of comprehensive and integrated healthcare services for mothers and children, from pregnancy through childhood and beyond. With our ANC & MCH services and experienced healthcare team, we are committed to providing personalized care and support to promote the health and well-being of mothers and their children at every stage of life.

At MegaLife Hospital, our theatre services are designed to provide advanced surgical care in a safe and state-of-the-art environment. Our dedicated team of surgeons, anesthesiologists, nurses, and support staff is committed to delivering exceptional surgical outcomes and ensuring the comfort and well-being of our patients throughout their surgical journey. Our theatre services include:

  • Advanced Surgical Procedures: Access to a wide range of advanced surgical procedures across various medical specialties, including cardiothoracic surgery, orthopedic surgery, general surgery, neurosurgery, gynecologic surgery, and more.

  • State-of-the-Art Operating Theatres: Modern and well-equipped operating theatres outfitted with advanced surgical technology and instrumentation to support complex surgical procedures and ensure optimal patient safety and outcomes.

  • Skilled Surgical Team: Our team of experienced surgeons and surgical specialists are leaders in their respective fields, with expertise in performing intricate surgical procedures with precision and care.

  • Comprehensive Preoperative Assessment: Thorough preoperative evaluations and assessments to ensure patients are medically optimized and prepared for surgery, including preoperative consultations, diagnostic testing, and coordination of care.

  • Anesthesia Services: Administration of anesthesia by board-certified anesthesiologists to ensure patient comfort and safety throughout the surgical procedure. Our anesthesia team monitors patients closely during surgery to manage pain and vital signs effectively.

  • Postoperative Care: Dedicated postoperative care and monitoring in our recovery units to facilitate patient recovery and ensure optimal postoperative outcomes. Our nursing staff provides attentive care and support to patients as they recover from surgery.

  • Minimally Invasive Surgery: Expertise in minimally invasive surgical techniques, including laparoscopic surgery, robotic surgery, and endoscopic procedures, to minimize surgical trauma, reduce recovery time, and enhance patient outcomes.

  • Emergency Surgical Services: Rapid access to emergency surgical care for patients with acute surgical conditions or traumatic injuries, with 24/7 availability of surgical teams and operating theatres to address urgent medical needs.

  • Patient-Centered Care: Patient-centered approach to surgical care, with a focus on individualized treatment plans, clear communication, and shared decision-making to ensure patients are well-informed and actively involved in their care.

At MegaLife Hospital, we understand that undergoing surgery can be a stressful experience, and we are committed to providing compassionate, high-quality surgical care to our patients. With our theatre services and experienced surgical team, you can trust us to deliver safe, effective, and patient-centered surgical care tailored to your unique needs and preferences.

At MegaLife Hospital, our dialysis services are dedicated to providing high-quality renal care for patients with kidney disease. Our comprehensive dialysis program offers state-of-the-art treatments and compassionate support to help patients manage their condition and improve their quality of life. Our dialysis services include:

  • Hemodialysis: Advanced hemodialysis treatments for patients with end-stage renal disease (ESRD) or acute kidney injury (AKI). Our hemodialysis unit is equipped with modern dialysis machines and staffed by skilled nephrology nurses and technicians to ensure safe and effective treatment delivery.

  • Peritoneal Dialysis: Comprehensive peritoneal dialysis (PD) services for patients who prefer or require home-based dialysis therapy. Our team provides personalized training and ongoing support to patients and their caregivers to facilitate successful PD therapy at home.

  • Continuous Renal Replacement Therapy (CRRT): Specialized CRRT services for critically ill patients with acute kidney injury (AKI) or hemodynamic instability. Our CRRT program offers continuous renal support to stabilize patients’ condition and facilitate recovery.

  • Vascular Access Management: Expert management of vascular access for dialysis, including arteriovenous fistulas (AVFs), arteriovenous grafts (AVGs), and central venous catheters (CVCs). Our vascular access team ensures optimal access function and minimizes complications to enhance dialysis effectiveness and patient safety.

  • Comprehensive Care Coordination: Multidisciplinary care coordination and management for patients on dialysis, including collaboration with nephrologists, dietitians, social workers, and other healthcare professionals to address the diverse needs of patients with kidney disease.

  • Education and Support Services: Patient and caregiver education programs covering various aspects of kidney disease, dialysis therapy, dietary management, medication adherence, and lifestyle modifications. Our goal is to empower patients to actively participate in their care and make informed decisions about their health.

  • Nutritional Counseling: Individualized nutritional counseling and support from registered dietitians to help patients with kidney disease manage their dietary intake and optimize their nutritional status. Our dietitians work closely with patients to develop customized meal plans that meet their unique dietary needs and preferences.

  • Psychosocial Support: Emotional and psychosocial support services for patients and families coping with the challenges of kidney disease and dialysis therapy. Our social workers and counselors provide counseling, support groups, and resource referrals to help patients navigate the emotional and social aspects of their diagnosis and treatment.

At MegaLife Hospital, we are committed to providing compassionate, patient-centered care to individuals living with kidney disease. With our comprehensive dialysis services and experienced renal care team, we strive to improve the quality of life for our patients and support them in achieving better health outcomes.

Our Intensive Care Unit (ICU) at MegaLife Hospital is dedicated to providing advanced critical care services for patients with life-threatening conditions. Equipped with state-of-the-art technology and staffed by skilled healthcare professionals, our ICU ensures the highest level of medical care and support for patients in their time of need. Our ICU services include:

  • Mechanical Ventilation: Our ICU offers mechanical ventilation support for patients with respiratory failure or compromised lung function. Our ventilator management protocols are tailored to meet the specific needs of each patient, ensuring optimal oxygenation and ventilation to support respiratory function.

  • Percutaneous Tracheostomy: We perform percutaneous tracheostomy procedures under sterile conditions to establish a secure airway for patients requiring long-term ventilator support. Our experienced team ensures the safety and comfort of patients throughout the procedure, minimizing the risk of complications.

  • Total Parenteral Nutrition: For patients who are unable to tolerate oral or enteral feeding, we administer specialized nutrition solutions intravenously to meet their nutritional needs. Our total parenteral nutrition (TPN) services are customized to each patient’s specific requirements, providing essential nutrients to support recovery and healing.

  • Ventilation for Adults and Pediatrics: Our ICU provides ventilatory support tailored to the specific needs of adult and pediatric patients. Whether it’s invasive mechanical ventilation or non-invasive ventilation modalities such as bilevel positive airway pressure (BiPAP) or continuous positive airway pressure (CPAP), we ensure optimal respiratory support to promote patient comfort and stability.

  • Non-Invasive Ventilation: We offer non-invasive ventilation modalities to support breathing without the need for intubation. Non-invasive ventilation techniques such as BiPAP and CPAP are used to manage conditions such as acute respiratory failure, obstructive sleep apnea, and respiratory distress syndromes, improving patient outcomes and reducing the need for invasive interventions.

  • Intra-arterial Blood Pressure Monitoring: Continuous monitoring of arterial blood pressure is essential for guiding hemodynamic management and optimizing cardiovascular support in critically ill patients. Our ICU utilizes advanced intra-arterial blood pressure monitoring techniques to ensure accurate and real-time assessment of hemodynamic status, allowing for prompt intervention and optimization of patient care.

At MegaLife Hospital, we understand the importance of providing timely and comprehensive critical care services to patients with life-threatening conditions. With our advanced ICU/HDU services and experienced healthcare team, we are committed to delivering exceptional care and support to our patients and their families during their time of need.

Our laboratory department offers a comprehensive range of diagnostic tests and services to support timely and accurate medical decision-making. From routine blood tests to specialized molecular and genetic assays, our state-of-the-art facilities and experienced technicians ensure reliable results for:

  • Renal function

  • Liver function

  • Thyroid function

  • Calcium levels

  • Magnesium levels

  • Phosphorus levels

  • Uric acid

  • Direct Coombs

  • Indirect Coombs

  • Viral load

  • Culture and Sensitivity

  • Du test

  • Blood Crossmatch

  • Procalcitonin

  • CEA (Carcinoembryonic Antigen)

  • Histology

  • Sputum AFB (Acid-Fast Bacilli)

  • Cyclosporine levels

  • Tacrolimus levels

  • HIV ELISA

  • CD4 count

  • P24 antigen

  • Reticulocyte count

  • Serum ferritin

  • Prolactin levels

  • Cortisol levels

  • SPEP (Serum Protein Electrophoresis)

  • Anti CCP (Anti-Cyclic Citrullinated Peptide)

  • Testosterone levels

  • CA 125 (Cancer Antigen 125)

  • CA 15-3 (Cancer Antigen 15-3)

  • CKMB (Creatine Kinase-MB)

  • PSA (Prostate-Specific Antigen)

  • Hb electrophoresis (Hemoglobin Electrophoresis)

  • Urine VMA (V anillylmandelic Acid)

  • HEP B core Abs (Hepatitis B core Antibody)

  • Beta HCG (Human Chorionic Gonadotropin)

  • Alpha-Fetoprotein

  • Protein levels

  • Lipid profile

  • Coagulation profile

  • Culture for various infections

At MegaLife Hospital, our pharmacy services are an integral part of our commitment to providing comprehensive and high-quality healthcare to our patients. Our pharmacy team plays a vital role in ensuring safe and effective medication management, promoting optimal patient outcomes, and enhancing the overall quality of care. Our pharmacy services include:

  • Medication Dispensing: Our pharmacy dispenses a wide range of medications prescribed by our healthcare providers, ensuring patients have access to the medications they need for their treatment and recovery. Our pharmacists review each prescription carefully to ensure accuracy and appropriateness before dispensing medications to patients.

  • Medication Counseling: Our pharmacists provide medication counseling to patients, offering valuable information about their medications, including proper usage, potential side effects, and precautions to take. We empower patients to make informed decisions about their medications and address any concerns they may have.

  • Medication Management: Our pharmacy team works closely with healthcare providers to manage patients’ medication therapy effectively. We monitor medication regimens, assess for drug interactions, and make recommendations to optimize therapy and minimize risks. Our goal is to ensure patients receive safe, appropriate, and evidence- based medication therapy.

  • Medication Compounding: In addition to standard medication dispensing, our pharmacy offers medication compounding services for patients with unique medication needs. Our compounding pharmacists prepare customized medications tailored to individual patient requirements, such as dosage forms, strengths, and flavor preferences.

  • Medication Adherence Support: We provide medication adherence support to help patients take their medications as prescribed and achieve better health outcomes. Our pharmacy team educates patients about the importance of medication adherence, identifies barriers to adherence, and collaborates with patients to develop strategies for improving adherence.

  • Specialty Pharmacy Services: For patients with complex medical conditions requiring specialty medications, our specialty pharmacy services offer specialized support and expertise. We provide personalized care and coordination of specialty medications, including prior authorization assistance, medication coordination, and ongoing monitoring and support.

  • Medication Safety Initiatives: Our pharmacy is committed to promoting medication safety throughout the hospital. We participate in medication safety initiatives, conduct medication error reporting and analysis, and implement strategies to prevent medication errors and adverse drug events.

  • 24/7 Availability: Our pharmacy services are available 24 hours a day, 7 days a week to ensure patients have access to medications whenever they are needed. Our dedicated pharmacy team is always ready to respond to medication-related needs and emergencies, providing prompt and reliable service to our patients.

At MegaLife Hospital, we recognize the critical role of pharmacy services in supporting patient care and promoting positive health outcomes. With our comprehensive pharmacy services and experienced pharmacy team, we are committed to delivering safe, effective, and patient-centered medication management to enhance the well-being of our patients.

At MegaLife Hospital, we understand that emergencies can happen at any time, which is why we are committed to providing rapid and reliable emergency medical services to our community. Our emergency department and ambulance services are equipped to handle a wide range of medical emergencies, ensuring timely access to life-saving care when every second counts. Our emergency/ambulance services include:

  • 24/7 Emergency Care: Our emergency department is open 24 hours a day, 7 days a week, to provide immediate medical attention to patients with acute illnesses, injuries, or medical emergencies. Our experienced emergency physicians, nurses, and support staff are available around the clock to deliver prompt and compassionate care to patients of all ages.

  • Rapid Triage and Assessment: Upon arrival, patients are triaged by trained medical professionals to determine the severity of their condition and prioritize care accordingly. We follow evidence-based triage protocols to ensure that patients with life-threatening conditions receive timely interventions and critical care.

  • Advanced Diagnostic Imaging: Our emergency department is equipped with advanced diagnostic imaging technology, including X-ray, CT scan, and ultrasound, to facilitate rapid and accurate diagnosis of medical conditions and injuries. Timely access to diagnostic testing helps expedite treatment and improve patient outcomes.

  • Emergency Resuscitation: We have dedicated resuscitation rooms equipped with life- saving equipment and medications to manage cardiac arrests, trauma cases, and other critical emergencies. Our team is trained in advanced cardiac life support (ACLS), pediatric advanced life support (PALS), and advanced trauma life support (ATLS) to provide expert resuscitative care.

  • Specialized Emergency Care: Our emergency physicians and specialists are trained to manage a wide range of medical emergencies, including heart attacks, strokes, severe infections, respiratory distress, allergic reactions, and more. We work collaboratively to provide comprehensive and integrated emergency care tailored to each patient’s needs.

  • Observation Unit: For patients who require additional monitoring or treatment before they can be discharged or admitted to the hospital, we have an observation unit where they can receive ongoing care and evaluation by our medical team. Our goal is to ensure that patients receive the appropriate level of care and support during their emergency visit.

  • Coordination of Care: We collaborate closely with other departments within the hospital, as well as external healthcare facilities, to coordinate follow-up care and ensure seamless transitions for patients who require further treatment or admission. Our goal is to provide continuity of care and support patients throughout their healthcare journey.

  • Emergency Medical Response: Our ambulance services provide rapid response to medical emergencies in the community, including accidents, injuries, sudden illnesses, and other critical incidents. Our fleet of fully equipped ambulances is staffed by trained paramedics and emergency medical technicians (EMTs) who deliver advanced pre- hospital care and transport patients to the hospital safely and efficiently.

  • Advanced Life Support (ALS): Our ambulances are equipped with advanced life support equipment and medications to manage medical emergencies, stabilize patients’ conditions, and initiate treatment en route to the hospital. Our paramedics and EMTs are trained to provide advanced interventions, including cardiac monitoring, airway management, intravenous therapy, and medication administration.

  • Critical Care Transport: For patients requiring specialized medical care during transport, we offer critical care transport services with specially equipped ambulances staffed by critical care paramedics and nurses. These units are capable of providing advanced medical interventions, including mechanical ventilation, hemodynamic monitoring, and medication infusion, to ensure the highest level of care during transport.

  • Interfacility Transfers: We facilitate interfacility transfers for patients requiring transfer from one healthcare facility to another for specialized care or higher level of treatment. Our ambulance crews work closely with sending and receiving facilities to ensure safe and efficient transfer of patients, maintaining continuity of care throughout the transfer process.

At MegaLife Hospital, we prioritize patient safety, quality of care, and responsiveness in our emergency/ambulance services. With our dedicated team of healthcare professionals and advanced medical resources, we strive to deliver timely and effective emergency care to our community when they need it most.

At MegaLife Hospital, our imaging department offers a comprehensive range of diagnostic imaging services using state-of-the-art technology and advanced techniques. Our experienced radiologists and technologists are committed to providing accurate and timely diagnostic assessments to support patient care and treatment decisions.

We are committed to providing comprehensive and advanced imaging services to support accurate diagnosis, effective treatment, and optimal patient care. With our state-of-the-art technology and experienced imaging team, we strive to deliver the highest quality imaging services to our patients.

We provide the following services:

  • Computed Tomography (CT)
  • Ultrasound
  • Digital X-ray

At MegaLife Hospital, we understand the importance of oral health in maintaining overall well- being, which is why we offer a comprehensive range of dental services to meet the diverse needs of our patients. Our experienced team of dentists and specialists is dedicated to providing personalized care and high-quality treatments to promote healthy smiles for patients of all ages. Our dental services include:

  • Dental Consultations: Receive personalized advice and treatment plans for optimal oral health.

  • Dental Extractions: Address dental issues such as impacted teeth or severe decay with safe and effective extractions.

  • Full Mouth Scaling: Maintain healthy gums and prevent periodontal disease with professional scaling and cleaning.

  • Root Canal Treatment: Save infected or damaged teeth with root canal therapy, preserving your natural smile.

  • Filling: Restore teeth damaged by decay or trauma with durable and aesthetically pleasing fillings.

  • Restorative Dental Services: Repair and strengthen damaged teeth with crowns, bridges, and other restorative treatments.

  • Preventive Dental Services: Protect your oral health and prevent future problems with routine cleanings, fluoride treatments, and sealants.

At MegaLife Hospital, we are committed to providing exceptional dental care and personalized treatment options to help our patients achieve and maintain healthy smiles for life. With our experienced team of dental professionals and state-of-the-art facilities, we strive to deliver the highest quality dental services in a comfortable and welcoming environment.

At MegaLife Hospital, we offer physiotherapy services to enhance your physical well-being and aid recovery from injury or illness. Our experienced physiotherapists utilize advanced techniques and equipment to address a variety of musculoskeletal conditions and movement disorders. Our Physiotherapy services include:

  • Arthritis: Manage pain and improve mobility with specialized treatment plans tailored to your condition.

  • Stroke Rehabilitation: Regain independence and improve function through our targeted rehabilitation programs.

  • Brain Injury Rehabilitation: Restore cognitive and motor skills with personalized therapy and support.

  • Lower Back Pain: Find relief from chronic back pain with our evidence-based treatment approaches.

  • Post-operative Rehabilitation: Enhance recovery and regain strength following surgical procedures.

  • Sports Injuries: From sprains and strains to muscle spasms and joint instabilities, our physiotherapy services address a wide range of sports-related injuries.

  • Electrotherapy: Benefit from advanced techniques such as electro-muscular stimulation, transcutaneous electrical nerve stimulation (TENS), and ultrasound therapy for pain relief and muscle rehabilitation.

  • Heat Therapy: Alleviate pain and improve circulation with therapeutic heat modalities.

  • Traction/Board Service: Relieve pressure on the spine and promote healing with traction therapy.

Insurance Covered