HyValue Individual Plan


Plan Benefits HyValue 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
Ambulance Roadside to
Hospital & Hospital to
Antenatal Care + Normal Delivery+ Postnatal Care (6 Weeks) ₦250,000
Cancer Care: Oncology Tests, Drugs + Chemotherapy & Radiotherapy ₦500,000
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
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
NPI Immunizations for 0- 5 years BCG, Measles,
DPT, Oral polio,
Vitamin A
Additional Immunizations for 0-5 years Hepatitis A, Hepatitis B, Hib, Chicken Pox,
MMR, Pneumococcal,
Rotavirus, Meningitis, Yellow Fever, Typhoid
Additional Immunizations for 6 yrs and above Hepatitis B,
Yellow Fever
Health Checks*** Limited; Basic (Physical, BP,
Genotype, Blood
Sugar, Blood
Group, PCV, Pap
Smear, Prostate
Specific Antigen and
HIV/AIDS Care & Treatment ₦350,000
Infertility Investigation Fertility
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
X-Rays and Basic Diagnostic Tests √ (Up to
Outpatient Limit)
Pharmacy Benefit Limit(₦) 200,000.00
Chronic Disease Medication ₦200,000
Inpatient Prescription Medicines ₦200,000
Outpatient Prescription Medicines ₦200,000
Other Benefits
Critical Illness + Death Cover***** ₦200,000



This Plan is provided by Hygeia HMO

The age limit on the Plans is 60 years. 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.

The Premium computed is payable once annually based on the population. Health checks can only be done in any of our designated hospitals/diagnostic centers. 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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