|
STANDARD PLAN |
|
|
CONSULTATION |
|
| General Outpatient Consultation & Treatment | Covered |
| Specialist Consultation | Covered up to 2 Session per Annum Based on referral from primary provider |
| Hospital Ward care | Covered |
| 24 hours Toll freelines Chat Access to Healthcare professionals | Covered |
| Free Chats with Doctors and Nurses when in need of care during medical emergencies | Covered |
| Accident & Emergency (Local evacuation within scope of benefit and subject to overall Limit | Covered |
| Cumulative Inpatient/Hospitalization for 10 days only/Annum | Covered |
|
LABORATORY |
|
| Routine Hematology | Covered |
| Routine Clinical Chemistry | Covered |
|
DIAGNOSTICS |
|
| Ultrasound scan | Covered |
| X-Rays | Covered |
| Other Routine Radiological Investigations ( Subject to Healthpoint approval) | Covered |
| ECG Life Threatening Emergency | Covered |
| CT-Scan Life Threatening Emergency | Covered |
|
SURGERY (Minor procedures) |
|
| Surgical Incision & Drainage ( I & D ) | Covered |
| Wound Management | Covered |
| Suturing of Wound | Covered |
HEALTH MAINTAINANCE AND PREVENTIVE SERVICES.
- Annual medical checkup
- Vaccines such as BCG,Measles, DPT,Oral Polio, Vitamin A supplementation, HEPATITIS B,HiB, MMR, Pneumococcal vaccine
INPATIENT CARE
- Room and board (General ward)
- Prescribed diets.
- Services of a dietician
- Skilled nursing
- Isolation ward
- A bed in an emergency room and observation room/Area.
- Use of operating, delivery, cast, and treatment rooms and equipment.
- Prescribed drugs administered while on admission
- Medical and surgical dressings,supplies,casts,splints.etc
- Oxygen and administration of oxygen
- Diagnostic laboratory and medical imaging services.
BIRTH CONTROL, FAMILY PLANNING AND STERILIZATION
- Hormonal methods viz.oral and injectable contraceptive, implants.
- Non-hormonal methods viz.barrier methods((condoms,diaphragms,cervical caps), intra-uterine devices(IUDs), spermicides
BEHAVIORAL HEALTH SERVICES (48HRS)
- Outpatient psychiatric care services.
- Inpatient psychiatric care services excluding convulsive therapy treatment.
DENTAL CARE (MAX LIMIT OF N20, 000)
- Basic dentistry viz.extraction of teeth and roots, fillings (amalgam and composite), scaling and polishing (therapeutic and preventive), X-rays.
DIABETIC EQUIPMENT AND SUPPLIES
- Blood glucose monitors.
- Test strips for glucose monitors
- Insulin preparations, insulin pens and insulin cartridges.
RENAL DIALYSIS
- Acute renal disease involving diagnosis up to 3 sessions.
EMERGENCY MEDICAL SERVICES.
- In country emergency medical services
- Roadside to hospitals, hospital to hospital, hospital to home
- Emergency room stabilization
- Intensive care up to 48hrs.
HEALTH MAINTAINANCE AND PREVENTIVE SERVICES.
- Annual medical checkup
- Vaccines such as BCG,Measles, DPT,Oral Polio, Vitamin A supplementation, HEPATITIS B,HiB, MMR, Pneumococcal vaccine
HIV TREATMENT.
- Definitive treatment and monitoring.
- Treatment of opportunistic infections,
MARTERNITY CARE (OVERALL LIMIT OF N150, 000)
- Normal pregnancy
- Prenatal care
- Spontaneous vaginal delivery
- Assisted vagina delivery
- Caesarean section delivery
- Postnatal care
- Puerperal infection
- False labor
- Occasional spotting
- Physician prescribed inpatient bed rest during pregnancy
- Morning sickness
- Hyperemesis gravidarum
- Preeclampsia
- Termination of pregnancy for life-endangering conditions
- Room and board, prescribed diets, the services of a dietician and skilled nursing in connection with childbirth for the mother or newborn, child a vaginal delivery or cesarean delivery
NEONATAL SERVICES UP TO 48HRS
- Incubator care for term and preterm delivery
- Phototherapy
- Exchange blood transfusion
OPHTHALMIC SERVICES (MAX LIMIT OF N10, 000)
- Ophthalmology viz. primary care limited to pain relief and treatment of simple eye infection
- Optical supplies viz, unifocal, bifocal, varifocal, optical frames.
PATIENT EDUCATION
- Prenatal classes
- Diabetes classes
- Asthma classes
- Hypertension classes
PHYSICIAN SERVICE
- General outpatient/inpatient consultation
- Specialist outpatient/inpatient consultation
- Electrocardiography
- Diagnostic medical imaging
- Basic X-rays
- Contrast studies
- Diagnostic ultrasound
- CT Scan
- Diagnostic laboratory tests
- Hematology
- Serology
- Blood chemistry
- Urinalysis
- Urea clearance
- Creatinine clearance
- Stool occult blood
- Microbiology
PRESCRIPTION DRUGS
- Generic
- Branded
REHABILITATION SERVICES (OUTPATIENT SHORT TERM THERAPY)
- Physical, neurocognitive and speech therapy, supply of basic physiotherapeutic appliances i.e. cervical collar, lumbar corset, crutches.
SURGICAL SERVICES (MAX LIMIT OF N150, 000)
- Surgical supplies normally required for covered surgical procedures.
- Anesthesia normally required for covered surgical procedures.
- Administration of blood and blood products.
- Second and third surgical opinions.
- Minor surgeries.
- Intermediate surgeries (uncomplicated).
- Major surgeries.
TERMS
- Coverage of treatment and management of all pre-existing conditions (pregnancy also) have a waiting period of 1 year of membership.
- Hospital inpatient services for covered services (prescription limit of N100,000/policy year).
- 30 days on admission max.
- Standard
-
STANDARD PLAN
CONSULTATION
General Outpatient Consultation & Treatment Covered Specialist Consultation Covered up to 2 Session per Annum Based on referral from primary provider Hospital Ward care Covered 24 hours Toll freelines Chat Access to Healthcare professionals Covered Free Chats with Doctors and Nurses when in need of care during medical emergencies Covered Accident & Emergency (Local evacuation within scope of benefit and subject to overall Limit Covered Cumulative Inpatient/Hospitalization for 10 days only/Annum Covered LABORATORY
Routine Hematology Covered Routine Clinical Chemistry Covered DIAGNOSTICS
Ultrasound scan Covered X-Rays Covered Other Routine Radiological Investigations ( Subject to Healthpoint approval) Covered ECG Life Threatening Emergency Covered CT-Scan Life Threatening Emergency Covered SURGERY (Minor procedures)
Surgical Incision & Drainage ( I & D ) Covered Wound Management Covered Suturing of Wound Covered - Premium
-
HEALTH MAINTAINANCE AND PREVENTIVE SERVICES.
- Annual medical checkup
- Vaccines such as BCG,Measles, DPT,Oral Polio, Vitamin A supplementation, HEPATITIS B,HiB, MMR, Pneumococcal vaccine
INPATIENT CARE
- Room and board (General ward)
- Prescribed diets.
- Services of a dietician
- Skilled nursing
- Isolation ward
- A bed in an emergency room and observation room/Area.
- Use of operating, delivery, cast, and treatment rooms and equipment.
- Prescribed drugs administered while on admission
- Medical and surgical dressings,supplies,casts,splints.etc
- Oxygen and administration of oxygen
- Diagnostic laboratory and medical imaging services.
BIRTH CONTROL, FAMILY PLANNING AND STERILIZATION
- Hormonal methods viz.oral and injectable contraceptive, implants.
- Non-hormonal methods viz.barrier methods((condoms,diaphragms,cervical caps), intra-uterine devices(IUDs), spermicides
BEHAVIORAL HEALTH SERVICES (48HRS)
- Outpatient psychiatric care services.
- Inpatient psychiatric care services excluding convulsive therapy treatment.
DENTAL CARE (MAX LIMIT OF N20, 000)
- Basic dentistry viz.extraction of teeth and roots, fillings (amalgam and composite), scaling and polishing (therapeutic and preventive), X-rays.
DIABETIC EQUIPMENT AND SUPPLIES
- Blood glucose monitors.
- Test strips for glucose monitors
- Insulin preparations, insulin pens and insulin cartridges.
RENAL DIALYSIS
- Acute renal disease involving diagnosis up to 3 sessions.
EMERGENCY MEDICAL SERVICES.
- In country emergency medical services
- Roadside to hospitals, hospital to hospital, hospital to home
- Emergency room stabilization
- Intensive care up to 48hrs.
HEALTH MAINTAINANCE AND PREVENTIVE SERVICES.
- Annual medical checkup
- Vaccines such as BCG,Measles, DPT,Oral Polio, Vitamin A supplementation, HEPATITIS B,HiB, MMR, Pneumococcal vaccine
HIV TREATMENT.
- Definitive treatment and monitoring.
- Treatment of opportunistic infections,
MARTERNITY CARE (OVERALL LIMIT OF N150, 000)
- Normal pregnancy
- Prenatal care
- Spontaneous vaginal delivery
- Assisted vagina delivery
- Caesarean section delivery
- Postnatal care
- Puerperal infection
- False labor
- Occasional spotting
- Physician prescribed inpatient bed rest during pregnancy
- Morning sickness
- Hyperemesis gravidarum
- Preeclampsia
- Termination of pregnancy for life-endangering conditions
- Room and board, prescribed diets, the services of a dietician and skilled nursing in connection with childbirth for the mother or newborn, child a vaginal delivery or cesarean delivery
NEONATAL SERVICES UP TO 48HRS
- Incubator care for term and preterm delivery
- Phototherapy
- Exchange blood transfusion
OPHTHALMIC SERVICES (MAX LIMIT OF N10, 000)
- Ophthalmology viz. primary care limited to pain relief and treatment of simple eye infection
- Optical supplies viz, unifocal, bifocal, varifocal, optical frames.
PATIENT EDUCATION
- Prenatal classes
- Diabetes classes
- Asthma classes
- Hypertension classes
PHYSICIAN SERVICE
- General outpatient/inpatient consultation
- Specialist outpatient/inpatient consultation
- Electrocardiography
- Diagnostic medical imaging
- Basic X-rays
- Contrast studies
- Diagnostic ultrasound
- CT Scan
- Diagnostic laboratory tests
- Hematology
- Serology
- Blood chemistry
- Urinalysis
- Urea clearance
- Creatinine clearance
- Stool occult blood
- Microbiology
PRESCRIPTION DRUGS
- Generic
- Branded
REHABILITATION SERVICES (OUTPATIENT SHORT TERM THERAPY)
- Physical, neurocognitive and speech therapy, supply of basic physiotherapeutic appliances i.e. cervical collar, lumbar corset, crutches.
SURGICAL SERVICES (MAX LIMIT OF N150, 000)
- Surgical supplies normally required for covered surgical procedures.
- Anesthesia normally required for covered surgical procedures.
- Administration of blood and blood products.
- Second and third surgical opinions.
- Minor surgeries.
- Intermediate surgeries (uncomplicated).
- Major surgeries.
TERMS
- Coverage of treatment and management of all pre-existing conditions (pregnancy also) have a waiting period of 1 year of membership.
- Hospital inpatient services for covered services (prescription limit of N100,000/policy year).
- 30 days on admission max.