| Plan Benefit | HyBasic Plan |
|---|---|
| Region of Cover | Domestic |
| Hospital Category | C-D |
| Inpatient Limit (₦) | 350,000 |
| Accidents & Emergencies: Resuscitative or lifesaving initial treatment | √ (Up to Inpatient Limit) |
| Accommodation (including feeding) | General Ward (15 Days/Annum) |
| Day case procedures & minor surgeries | ₦150,000 Limit |
| Outpatient Limit (₦) | 100,000 |
| Ambulance* | Hospital to hospital |
| Basic Laboratory services based on the clinician’s judgement (WHO list of essential in-vitro diagnostics) | √ (Up to Outpatient Limit) |
| Basic X-Rays and Ultrasounds | √ (Up to Outpatient Limit) |
| Telemedicine Consultations | Unlimited |
| General Consultations (Initial and Follow-up) | √ (Up to Outpatient Limit) |
| Specialist Consultations (Initial and Follow-up) | √ (Up to Outpatient Limit) |
| Ear, Nose and Throat care | √ (Treatment of Acute Diseases Only/₦10,000 Limit) |
| Dental Care | Relief of pain, Composite & Amalgam Fillings, Nonsurgical extractions, Scaling and Polishing (₦10,000 per annum) |
| Immunizations | – |
| NPI Immunizations for 0-5 years | NPI including pentavalent vaccine (diphtheria, tetanus, whooping cough) |
| Additional Immunizations for 0-5 years | Hepatitis B, HIB, Yellow Fever |
| Mortuary Services (Cleaning, Embalment, Storage, Autopsy) | ₦50,000 limit |
| Optical care: Eye testing, Treatment of acute eye diseases. | √ (Treatment of Acute Eye Diseases Only/₦10,000 Limit) |
| Physiotherapy | ₦20,000 Limit |
| Psychiatric Treatment | Outpatient Only (3 months Limit) |
| Pharmacy Benefit Limit (₦) | 50,000 |
| Chronic Disease Medication | – |
| Inpatient Non-Chronic Prescription Medicines | √ (Up to Pharmacy Benefit Limit) |
| Outpatient Non-Chronic Prescription Medicines | √ (Up to Pharmacy Benefit Limit) |
| Other Benefits | – |
| Critical Illness + Death Cover** | ₦100,000 |
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