Region of Cover |
Domestic |
Hospital Category |
B-D |
Inpatient Limit (₦) |
500,000 |
Accidents & Emergencies: Resuscitative or lifesaving initial treatment |
√ (Up to Inpatient Limit) |
Accommodation (including feeding) |
Semi-Private Ward (20 Days/Annum) |
Day case procedures & minor surgeries |
₦ 250 000 Limit |
Intermediate surgeries |
₦ 250 000 Limit |
Major Surgeries |
– |
Outpatient Limit (₦) |
200,000 |
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, fillings, Nonsurgical extractions, preventive care, scaling and polishing, Dental
Surgical Extraction (₦30,000 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, Chicken Pox, MMR, Pneumococcal, Rotavirus, Yellow Fever, Hepatitis A, Typhoid Fever |
Mortuary Services (Cleaning, Embalment, Storage, Autopsy) |
₦50,000 limit |
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/₦30,000
Limit) |
Physiotherapy |
₦30,000 Limit |
Psychiatric Treatment |
Outpatient Only (3 months Limit) |
Pharmacy Benefit Limit (₦) |
100,000 |
Chronic Disease Medication |
√ (Up to Pharmacy Benefit Limit) |
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* |
₦250,000 |
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