| INDIVIDUAL PREMIUM | FAMILY PREMIUM |
|---|---|
₦ 31,479.00 |
₦ 110,176.00 |
| Purchase Package | |
| SERVICES | SILVER 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 a pharmacy limit of N70,000 |
| Outpatient Limit | ₦250,000.00 |
| SERVICES | SILVER PACKAGE AND BENEFITS |
|---|---|
| Admission and Accommodation | General Ward - 10 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 | ₦450,000.00 |
| SERVICES | SILVER 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) | IUCD (Intrauterine Contraceptive Device) e.g. Copper T, Injectibles |
| SERVICES | SILVER 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) | No |
| Additional Immunizations – 6 years and above | No |
| Neonatal ICU, SBCU | No |
| Neonatal Care (Including Ear piercing, Circumcision) | Covered under maternity limit |
| SERVICES | SILVER 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 | SILVER PACKAGE AND BENEFITS |
|---|---|
| Surgeries | Covered (N100,000/annum) |
| SERVICES | SILVER PACKAGE AND BENEFITS |
|---|---|
| Emergency Care (Accidents & Emergencies, Resuscitative Life-Saving Treatment & Stabilization) | Covered (N100,000/annum) |
| Ambulance services Hospital to Hospital | Yes |
| AAmbulance Service/Evacuation (Home to Hospital & roadside to hospital) | Yes |
| SERVICES | SILVER PACKAGE AND BENEFITS |
|---|---|
| Physiotherapy Sessions | Covered (N10,000/annum) |
| SERVICES | SILVER PACKAGE AND BENEFITS |
|---|---|
| Primary Optical care - Consultation, eye examination, treatment | Covered (N10,000/annum) |
| Lenses and frames(including contact lenses) | No |
| SERVICES | SILVER 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 | SILVER PACKAGE AND BENEFITS |
|---|---|
| HIV/Aids Treatment (Tests, Drugs, Treatment) | Covered (N100,000/annum) |
| Telemedicine | Yes |
| Outpatient Psychiatry cover | 4 sessions |
| Renal Dialysis | No |
| Cancer Care | No |
| Cancer screening | No |
| Health Checks | Limited; Basic (Physical, BP, Urinalysis), Genotype, Blood Sugar, Blood Group, and PCV |
| Mortuary Services | No |
| Gym + Spa | No |
* Services not listed above are not covered in the plan