| INDIVIDUAL PREMIUM | FAMILY PREMIUM |
|---|---|
₦ 42,241.00 |
₦ 147,845.00 |
| Purchase Package | |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| General Outpatient Consultations | Yes |
| Specialist Consultations | Covered up to 12 visit per annum |
| Prescribed Medicines + Drugs + Chronic Disease Medication | Covered up to pharmacy limit of N100,000 |
| Outpatient Limit | ₦030,000.00 |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Admission and Accommodation | General ward - 15 days/annum |
| Feeding on Admission | Yes |
| Accommodation for mothers whose dependants are on admission (SCBU/ NICU cases only, excluding feeding) | No |
| Prescribed Drugs and Infusions | Yes |
| Intensive Care Unit | No |
| Inpatient Limit | ₦500,000.00 |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Antenatal care + Normal Delivery/Assisted Delivery + Post Natal Care - 6 weekstd | Covered (N100,000/annum) |
| Medically indicated caesarean section | Covered under Surgery limit |
| Infertility Investigation | No |
| Family Planning Services (Counselling, IUCDs, Injectables, Oral Contraception) | Contraceptive pills only |
| SERVICES | GOLD 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) | Chicken pox, MMR, meningitis |
| Additional Immunizations – 6 years and above | Hepatitis B |
| Neonatal ICU, SBCU | No |
| Neonatal Care (Including Ear piercing, Circumcision) | Covered under maternity limit |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Basic Laboratory investigations | Yes |
| Advanced laboratory investigations | No |
| 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 (Emergency/once per annum) |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Surgeries | Covered (N150,000/annum) |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Emergency Care (Accidents & Emergencies, Resuscitative Life-Saving Treatment & Stabilization) | Covered (N200,000/annum) |
| Ambulance services Hospital to Hospital | Yes |
| AAmbulance Service/Evacuation (Home to Hospital & roadside to hospital) | Yes |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Physiotherapy Sessions | Covered (N20,000/annum) |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| Primary Optical care - Consultation, eye examination, treatment | Covered (N10,000/annum) |
| Lenses and frames(including contact lenses) | Covered (N5,000/annum) |
| SERVICES | GOLD 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 (N10,000/annum) |
| SERVICES | GOLD PACKAGE AND BENEFITS |
|---|---|
| HIV/Aids Treatment (Tests, Drugs, Treatment) | Covered (N100,000/annum) |
| Telemedicine | Yes |
| Outpatient Psychiatry cover | No |
| Renal Dialysis | No |
| Cancer Care | No |
| Cancer screening | No |
| Health Checks | Limited; Basic (Physical, BP, Urinalysis), Genotype, Blood Sugar, Blood Group, PCV |
| Mortuary Services | No |
| Gym + Spa | No |
* Services not listed above are not covered in the plan