| Plan Benefit | HyPrime Plan |
|---|---|
| Region of Cover | Domestic |
| Hospital Category | C-D |
| Inpatient Limit (₦) | 500,000 |
| Accidents & Emergencies: Resuscitative or lifesaving initial treatment | √ (Up to Inpatient Limit) |
| Accommodation (including feeding) | General Ward (15 Days/Annum) |
| Day case procedures & minor surgeries | ₦200,000 |
| Intermediate surgeries | ₦200,000 |
| Major Surgeries (including Caesarean Delivery) | ₦200,000 |
| Outpatient Limit (₦) | 200,000 |
| Advanced & Complex Investigations(limited To C.T Scan, M.R.I Scan) | 1 session Only |
| Antenatal Care + Normal Delivery+ Postnatal Care (6 Weeks) | ₦100,000 |
| Ambulance* | Hospital to hospital Only |
| Basic Laboratory services based on tde clinician’s judgment (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 Tdroat care | √ (Treatment of Acute Diseases Only/₦15,000 Limit) |
| Dental Care | Relief of pain, Composite & Amalgam Fillings, Nonsurgical extractions, Scaling and Polishing (₦20,000 per annum) |
| Family Planning Services | IUCDs,Pills & Injectibles |
| Immunizations | – |
| NPI Immunizations for 0-5years | NPI including pentavalent vaccines (diphtderia, tetanus, whooping cough) |
| Additional Immunizations for 0-5 years | Hepatitis B, Hib, Chicken Pox, MMR, Pneumococcal, Rotavirus, Yellow Fever, Hepatitis A, Typhoid Fever |
| Mortuary Services (Cleaning, Embalmment, Storage, Autopsy) | ₦50,000 limit |
| Neonatal Care Services (Male circumcision, Ear piercing) | Limited to Male circumcision and Ear piercing |
| Optical Care: Lenses, Frames & Contact, Lenses (Once in two years) | ₦15,000 |
| Optical care: Eye testing, Treatment of acute and chronic eye diseases. | √ (Treatment of Acute Eye Diseases Only/₦20,000 Limit) |
| Physiotderapy | ₦20,000 Limit |
| Psychiatric Treatment | Outpatient Only (3 montds Limit) |
| Pharmacy Benefit Limit (₦) | 85,000 |
| Chronic Disease Medication | – |
| Inpatient Non-Chronic Prescription Medicines | √ (Up to Pharmacy Benefit Limit) |
| Outpatient Non-Chronic Prescription Medicines | √ (Up to Pharmacy Benefit Limit) |
| Otder Benefits (₦) | √ (Up to Pharmacy Benefit Limit) |
| Critical Illness + Deatd Cover** | ₦100,000 |
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