Region of Cover |
Local |
Hospital Category |
C-D |
Inpatient Limit (₦) |
1,400,000.00 |
Accidents & Emergencies: Resuscitative or lifesaving initial treatment |
√ (Up to Inpatient Limit) |
Accommodation (including feeding) |
General Ward (30 Days/Annum) |
Accommodation for Mothers Whose Dependents are on admission (excluding feeding) (Limited to SCBU/NICU Cases only) |
General Ward 24 Hrs |
Intensive Care Services |
24 hrs |
Neonatal Care Services (Treatment of mild or moderate neonatal sepsis, Phototherapy, Incubator Care and Special Care Baby Unit)* |
₦150,000 |
Psychiatric Hospitalization |
– |
Surgeries including day case procedures , minor, intermediate and major surgeries ,Caesarean Section Including Endoscopic Procedures (Therapeutic and Diagnostic) |
₦300,000
(Endoscopies not Covered) |
Outpatient Limit(₦) |
500,000.00 |
Advanced & Complex Investigations(limited To CT, Scan, MRI Scan and echocardiograph) |
CT/M.R.I Scan Only (Emergency/once per annum) |
Ambulance |
Roadside/Hospital to
Hospital |
Antenatal Care + Normal Delivery+ Postnatal Care (6 Weeks) |
₦150,000 |
Cancer Care: Oncology Tests, Drugs + Chemotherapy & Radiotherapy |
₦150,000 |
Consultations |
– |
General Consultations (Initial and Follow-up) |
√ (Up to Outpatient Limit) |
Specialist Consultations (Initial and Follow-up) |
√ (Up to Outpatient Limit) |
Telemedicine |
Covered |
Dental Care (relief of pain, fillings, nonsurgical, extractions, preventive care, scaling and polishing, Dental Surgical Extraction & Root Canal Therapy, Dental Prosthetics) |
₦10,000 |
Family Planning Services |
IUCD (Intrauterine
Contraceptive Device) e.g.
Copper T, Injectibles |
Global Refundable Limit for Cancer Care** |
– |
Global Refundable Limit for Surgery** |
– |
Global Refundable Limit for Maternity** |
– |
Immunizations |
– |
NPI Immunizations for 0- 5 years |
BCG, Measles, DPT, Oral polio, Vitamin A supplementation, Pentavalent vaccine |
Additional Immunizations for 0-5 years |
Hepatitis B, HiB, Yellow Fever |
Additional Immunizations for 6yrs and above |
Hepatitis B, Yellow Fever |
Health Checks*** |
Limited; Basic (Physical, BP, Urinalysis), Genotype, Blood Sugar,
Blood Group, and PCV |
HIV/AIDS Care & Treatment |
₦150,000 |
Infertility Investigation |
– |
Inter-State Referral Services for services not available in State |
√ (Up to Outpatient Limit) |
Interstate travel by commercial airline, (economy category) |
– |
Medical enquiries |
√ |
Second opinion |
√ |
Hospital Accommodation(where medically necessary) |
√ |
Prescribed medicines and laboratory tests |
√ |
Kidney Dialysis |
– |
Laboratory tests (WHO list of essential in-vitro diagnostics) |
√ (Up to Outpatient Limit) |
Mortuary Services (Cleaning, Embalmment, Storage, Autopsy) |
₦50,000 |
Neonatal Care Services (Male circumcision, Ear piercing) |
√ (Up to Outpatient Limit) |
Optical Care: Lenses, Frames & Contact, Lenses(Once in two years) |
₦5,000 (Lenses Only) |
Optical care: Eye testing, Treatment of acute and chronic eye diseases. |
₦50,000 |
Physiotherapy |
₦30,000 |
Psychiatric Treatment |
– |
Wellness Benefit(Gym/Spa)**** |
– |
X-Rays and Basic Diagnostic Tests |
√ (Up to Outpatient Limit) |
Pharmacy Benefit Limit(₦) |
100,000.00 |
Chronic Disease Medication |
₦80,000 |
Inpatient Prescription Medicines |
₦80,000 |
Outpatient Prescription Medicines |
₦80,000 |
Other Benefits |
– |
Critical Illness + Death Cover***** |
₦100,000 |
Reviews
There are no reviews yet.