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Plan
SILVER
Actual Policy Value
₦62,687.20
Initial Payment
0
Number of Enrollees
1
Total Actual Premium
₦62,687.20
Monthly Repayment
0 Per Month
PLAN DETAILS
SILVER
RETAIL HEALTH PLAN
First Quarter (Q1)
REGION OF COVER
| Hospital Category Accessible | Nigeria & India |
OUT-PATIENT SERVICES
| Out-Patient Limit | N250,000 |
| Out-Patient Care, General and Specialist Consultation |
 |
| X-Rays, Laboratory & Diagnostic Tests |
|
| ENT services |
|
SURGICAL SERVICES
| Minor Surgeries and Procedures • Wound dressing • Suturing of minor cuts and lacerations • Incision and drainage of abscesses • Minor ENT (Ear, Nose, Throat) procedures like ear syringing | Up to a limit of N300,000.00 |
DENTAL CARE
| Secondary Dental Care | Covered up to N30,000.00 |
OPTICAL CARE
| Treatment of ENT diseases and removal of foreign bodies | Covered |
OTHER BENEFITS
| Accidents & Emergencies |
|
| Routine Immunization (NPI) for 0 - 5yrs - DPT, Hepatitis B, HiB (Pentavalent), BCG, Measles, Oral Polio, Vitamin A supplementation& yellow fever |
|
| Family Planning Services (Subject to Outpatient limit) | Pills, Injectables & Copper IUCDs |
| HIV/AIDS – to the Extent of Diagnosis + Treatment at Free Specialist Centres |
|
Second Quarter (Q2)
IN-PATIENT SERVICES
| In-Patient Limit | 500,000 |
| In-Patient services(Including feeding) |
|
| X-Rays, Laboratory & Diagnostic Tests |
|
| Prescribed Medicines And Drugs | Subject to In-patient limit |
| Intensive Care Services | Subject to in-patient |
| Physiotherapy Sessions (Up to approved limits) | 5 Sessions |
| Advanced & Complex Investigations (incl. CT Scan, MRI Scan) | Emergency |
OUT-PATIENT SERVICES
| Primary Eye Care- Consultation, Examination , Simple or primary infection or conditions and Medications |
|
| Prescribed Medicines And Drugs |
|
OTHER BENEFITS
| Accidents & Emergencies |
|
| Routine Immunization (NPI) for 0 - 5yrs - DPT, Hepatitis B, HiB (Pentavalent), BCG, Measles, Oral Polio, Vitamin A supplementation& yellow fever |
|
| Evacuation (Home/Hospital to Hospital & Road Side to Hospital) |
|
| Family Planning Services (Subject to Outpatient limit) | Pills, Injectables & Copper IUCDs |
| HIV/AIDS – to the Extent of Diagnosis + Treatment at Free Specialist Centres |
|
Third Quarter (Q3)
SURGICAL SERVICES
| Intermediate, Major Surgeries And Procedures | Up to a limit of N300,000.00 |
DENTAL CARE
| Primary Dental Care | Covered up to N20,000.00 |
OPTICAL CARE
| ENT Surgeries | As part of surgical limit |
OTHER BENEFITS
| Accidents & Emergencies |
|
| Routine Immunization (NPI) for 0 - 5yrs - DPT, Hepatitis B, HiB (Pentavalent), BCG, Measles, Oral Polio, Vitamin A supplementation& yellow fever |
|
| Family Planning Services (Subject to Outpatient limit) | Pills, Injectables & Copper IUCDs |
| HIV/AIDS – to the Extent of Diagnosis + Treatment at Free Specialist Centres |
|
Fourth Quarter (Q4)
OPTICAL CARE
| Eye testing& Eye Care (Biennial Optical Lenses) | Up to N10,000 |
OTHER BENEFITS
| Health Screening at Designated centres- Subject to Outpatient limit | Physical examination, BMI, Urinalysis, PCV, blood pressure& Genotype |
Maternity benefits accessible only from second year of policy under bi -annual or annual payment
MATERNITY SERVICES
| Antenatal Care, Delivery & Postnatal care (12 months Moratorium applies) | Up to ₦250,000.00 |
MANAGEMENT OF CHRONIC CONDITION
| Out Patient Care, In-Patient care, General and Specialist Consultation | Covered |
| Prescribed treatment | Covered |
| Emergency Evacuation Cover Including air Ambulance | Covered |
