HyStarter Plan

25,260.00

Plan Benefits HyStarter Plan
Region of Cover Domestic
Hospital Category C-D
Inpatient Limit (₦) 450,000
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 Limit
Intermediate surgeries ₦ 200 000 Limit
Major Surgeries
Outpatient Limit (₦) 170,000
Ambulance* Hospital to Hospital Only
Basic Laboratory services based on the clinician’s judgement (WHO list of essential invitro 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/₦15,000 Limit)
Dental Care Relief of pain, Composite &
Amalgam Fillings, Nonsurgical
extractions, Scaling
and Polishing (₦15,000 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: Lenses, Frames & Contact Lenses (Once in two years) ₦10,000
Optical care: Eye testing, Treatment of acute and chronic eye diseases. √ (Treatment of Acute Eye
Diseases Only/₦15,000
Limit)
Physiotherapy ₦20,000 Limit
Psychiatric Treatment Outpatient Only (3 months
Limit)
Pharmacy Benefit Limit (₦) 80,000
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 (₦) (Up to Outpatient Limit)
Critical Illness + Death Cover* ₦100,000

Category:

Description

This plan is provided by Hygeia HMO

The HyStarter plan is eligible to only persons between the ages of 0-60 years. There is a waiting period of 2 weeks after registration. Plans purchased becomes active 2 weeks after purchase date.  All benefits are subject to their respective sectional limits which is described as: Inpatient Limit, Outpatient Limit and Pharmacy Benefit Limit. However, within the respective sectional limit, there are specific benefit limits as well. Consequently, in the event that any specific benefit limit under the sectional limit is exhausted, the remaining limit in that section will only cover other benefits within the section apart from the one that the specific benefit limit has been exhausted.

The following benefits will not be covered or provided in the first year of the commencement of the scheme: Surgeries, Cancer Care, Critical Illness + Death Cover and Psychiatric Care. This period otherwise known as waiting period shall commence on the date of entry to the date of renewal. On renewal, this benefit will be accessible provided the client has been enrolled for one year with the HMO.

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