HyValue Family Plan

453,400.00

Plan Benefit HyValue Family Plan
Region of Cover Local
Hospital Category C-D
Inpatient Limit (₦) 2,800,000.00
Accidents & Emergencies: Resuscitative or lifesaving initial treatment √ (Up to Inpatient Limit)
Accommodation (including feeding) Private Ward (30 Days/Annum)
Accommodation for Mothers Whose Dependents are on admission (excluding feeding) (Limited to SCBU/NICU Cases only) General Ward 48 Hrs
Intensive Care Services 3 Days
Neonatal Care Services (Treatment of mild or moderate neonatal sepsis, Phototherapy, Incubator Care and Special Care Baby Unit)* ₦350,000
Psychiatric Hospitalization
Surgeries including day case procedures , minor, intermediate and major surgeries ,Caesarean Section Including Endoscopic Procedures (Therapeutic and Diagnostic) ₦500,000
Outpatient Limit(₦) 1,000,000.00
Advanced & Complex Investigations(limited To CT, Scan, MRI Scan and echocardiograph) CT/M.R.I Scan Only (4 times per
annum)
Ambulance Roadside to Hospital & Hospital to
Hospital
Antenatal Care + Normal Delivery+ Postnatal Care (6 Weeks) ₦250,000
Cancer Care: Oncology Tests, Drugs + Chemotherapy & Radiotherapy ₦500,000
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) ₦40,000
Family Planning Services IUCD (Intrauterine Contraceptive
Device e.g. Copper T, Injectibles, Pills
Global Refundable Limit for Cancer Care**
Global Refundable Limit for Surgery**
Global Refundable Limit for Maternity** ₦150,000
Immunizations
NPI Immunizations for 0- 5 years BCG, Measles, DPT, Oral polio, Vitamin A
supplementation, Pentavalent vaccine
Additional Immunizations for 0-5 years Hepatitis A, Hepatitis B, Hib, Chicken Pox, MMR,
Pneumococcal, Rotavirus,
Meningitis, Yellow fever, Typhoid Fever
Additional Immunizations for 6yrs and above Hepatitis B, Yellow Fever
Health Checks*** Limited; Basic (Physical, BP, Urinalysis), Genotype, Blood Sugar, Blood Group, PCV, Pap Smear, Prostate Specific Antigen and
Mammography
HIV/AIDS Care & Treatment ₦350,000
Infertility Investigation Fertility Consultations, Counselling, USS,
SFA (₦50,000)
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 ₦80,000
Laboratory tests (WHO list of essential in-vitro diagnostics) √ (Up to Outpatient Limit)
Mortuary Services (Cleaning, Embalmment, Storage, Autopsy) ₦100,000
Neonatal Care Services (Male circumcision, Ear piercing) √ (Up to Outpatient Limit)
Optical Care: Lenses, Frames & Contact, Lenses(Once in two years) ₦10,000
Optical care: Eye testing, Treatment of acute and chronic eye diseases. ₦70,000
Physiotherapy ₦80,000
Psychiatric Treatment Outpatient Only (6 Months)
Wellness Benefit(Gym/Spa)**** Up to Refundable Wellness Limit of ₦3,000/Month
X-Rays and Basic Diagnostic Tests √ (Up to Outpatient Limit)
Pharmacy Benefit Limit(₦) 200,000.00
Chronic Disease Medication 200,000.00
Inpatient Prescription Medicines 200,000.00
Outpatient Prescription Medicines 200,000.00
Other Benefits
Critical Illness + Death Cover***** ₦200,000

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Category:

Description

This plan is provided by Hygeia HMO

The age limit on the Plans is 60 years. The Premium computed is payable once annually based on the population. This quote is valid for 90 days from the date of submission. Benefit can only be drawn from the limit of a nursing mother for a live birth. Health checks can only be done in any of our designated hospitals/diagnostic centers. Family premium quoted is for a family of 6 (Principal, Spouse and 4 Children less than 25 years old).

Enrollee is covered for a payment up to the stated limit in the event of critical illness (as a result of cancer,
kidney failure, heart attack or stroke) or Death (Natural or Accidental). The actual amount paid is based on the
event while eligibility is subject to compliance with the rules of the plan.

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