| INDIVIDUAL PREMIUM | FAMILY PREMIUM |
|---|---|
₦ 76,429.00 |
₦ 258,583.00 |
| Purchase Package | |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| General Outpatient Consultations | Yes |
| Specialist Consultations | Up to 12 visits per annum |
| Prescribed Medicines + Drugs + Chronic Disease Medication | Up to Pharmacy limit of 200,000 |
| Outpatient Limit | 600,000 |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Admission and Accommodation | Semi-private ward - 30 days/annum |
| Feeding on Admission | Yes |
| Accommodation for mothers whose dependants are on admission (SCBU/ NICU cases only, excluding feeding) | Covered (48 hours) |
| Prescribed Drugs and Infusions | Yes |
| Intensive Care Unit | Covered (48 hours) |
| Inpatient Limit | 1,400,000 |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Antenatal care + Normal Delivery/Assisted Delivery + Post Natal Care - 6 weekstd | Covered to a limit of 150,000/annum |
| Medically indicated caesarean section | Covered under Surgery limit |
| Infertility Investigation | Fertility Consultations, Counselling, USS, SFA (N50,000) |
| Family Planning Services (Counselling, IUCDs, Injectables, Oral Contraception) | IUCD (Intrauterine Contraceptive Device) e.g. Copper T, Injectibles |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Routine (NPI) Immunizations 0 – 5 years (BCG, Measles, OPV, DPT, IPV Vitamin A, pentavalent) | BCG, Measles, DPT, Oral polio, IPV, Vitamin A, hepatitis B, Yellow fever, Pentavalent |
| Additional Immunizations – 0 - 5 years (Heberix, MMR, pneumococcal, Menavax, Rotarix, Chicken pox, Typhoid) | Hepatitis A&B, HIB, Yellow fever, MMR, Rota virus, Pneumococcal, Typhoid fever, Chicken pox, Meningitis |
| Additional Immunizations – 6 years and above | Hepatitis B, Yellow Fever |
| Neonatal ICU, SBCU | Up to 150,000 |
| Neonatal Care (Including Ear piercing, Circumcision) | Up to 150,000 |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Basic Laboratory investigations | Yes |
| Advanced laboratory investigations | MRI or CT scan (once per annum) |
| Basic Radiological services - Plain & Contrast X-Rays | Yes |
| Advanced Radiological services (Doppler Ultrasound Scan, ECG, CT Scan, MRI, Echocardiography, Proctoscopy, Sigmoidoscopy, Upper GI Endoscopy, Endoscopic Ultrasound,ERCP, Enteroscopy, Gastroscopy, Colonoscopy, Laryngoscopy (Direct and Indirect), Bronchoscopy, Thoracoscopy, Hysteroscopy, Cystoscopy, Laparoscopy, Arthroscopy) | CT/M.R.I Scan Only (4 times per annum) |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Surgeries | Covered to a limit of N250,000/annum |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Emergency Care (Accidents & Emergencies, Resuscitative Life-Saving Treatment & Stabilization) | Up to 300,000 |
| Ambulance services Hospital to Hospital | Yes |
| AAmbulance Service/Evacuation (Home to Hospital & roadside to hospital) | Yes |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Physiotherapy Sessions | Covered (30,000 limit/annum) |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Primary Optical care - Consultation, eye examination, treatment | Covered (30,000 limit/annum) |
| Lenses and frames(including contact lenses) | Covered (N15,000 limit/ annum) |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| Dental Care (Consultations, relief of pain, fillings, nonsurgical extractions, preventive care, scaling and polishing, Dental Surgical Extraction & Root Canal Therapy, Dental Prosthetics, Incision and Drainage) | Covered limit of N20,000/annum) |
| SERVICES | EMERALD PACKAGE AND BENEFITS |
|---|---|
| HIV/Aids Treatment (Tests, Drugs, Treatment) | Covered (250,000 limit/annum |
| Telemedicine | Yes |
| Outpatient Psychiatry cover | No |
| Renal Dialysis | No |
| Cancer Care | No |
| Cancer screening | Pap Smear ,Prostate Specific Antigen and Mammography |
| Health Checks | Limited; Basic (Physical, BP, Urinalysis), Genotype, Blood Sugar, Blood Group, PCV, Thyroid Function Test |
| Mortuary Services | Covered up to N50,000 |
| Gym + Spa | Up to refundable wellness limit of 3,000 per month |
* Services not listed above are not covered in the plan