| Plans Benefit |
Senior Midi Plan |
| Region of Cover |
Domestic |
| Hospital Category |
B – D |
| Inpatient Limit (₦) |
1,600,000 |
| Accidents & Emergencies: Resuscitative or lifesaving initial treatment |
√ (Up to Inpatient Limit) |
| Accommodation (including feeding) |
Semi Private (30 Days/Annum) |
| Intensive Care Services |
– |
| Day case procedures & minor surgeries |
₦500,000 Limit |
| Intermediate surgeries |
₦500,000 Limit |
| Major Surgeries |
₦500,000 Limit |
| Outpatient Limit (₦) |
700,000 |
Advanced & Complex Investigations(limited To C.T Scan, M.R.I Scan and
Echocardiograph) |
C.T/M.R.I Scan Only (4 sessions)
|
| Ambulance* |
Home to Hospital, Roadside to Hospital & Hospital to Hospital |
Basic Laboratory services based on the clinician’s judgement
(WHO list of essential in-vitro diagnostics) |
√ (Up to Outpatient Limit) |
| Basic X-Rays and Ultrasounds |
√ (Up to Outpatient Limit) |
| Cancer Care: Oncology Tests, Drugs + Chemotherapy & Radiotherapy |
₦500,000 |
| 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 |
√ (₦50,000 Limit) |
Dental Care (relief of pain, Composite & Amalgam Fillings, Non-surgical extractions,Scaling and Polishing, Dental
Surgical Extraction & Root Canal Therapy, Dental Prosthetics) |
₦50,000 |
| Immunizations |
– |
| Adult Immunizations |
– |
| Health Checks (at selected Hygeia Centers) |
Limited to: Basic(Physical, BP,
Urinalysis ), Blood Sugar, Genotype,
Blood Group, PCV Serum, Cholesterol
And Pap’s Smear, Prostate Specific
Antigen, Mammography |
| Kidney Dialysis |
Covered – Emergency (1 Session) |
| Mortuary Services (Cleaning, Embalment, Storage, Autopsy) |
– |
| Optical Care: Lenses, Frames & Contact, Lenses (Once in two years) |
₦30,000 |
| Optical care: Eye testing, Treatment of acute and chronic eye diseases. |
√ (₦50,000 Limit) |
| Physiotherapy |
10 Sessions |
| Psychiatric Treatment |
– |
| Pharmacy Benefit Limit (₦) |
200,000 |
| Chronic Disease Medication |
√ (Up to Pharmacy Benefit Limit) |
Inpatient Non-Chronic
Prescription Medicines |
√ (Up to Pharmacy Benefit Limit) |
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