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Family Plan

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SUMMARY OF BENEFITS FOR HCP-HMO FAMILY PLANS

BENEFITS ELITE PREMIUM STANDARD
General Consultation Yes Yes Yes
Specialist Consultation Yes Yes 3 x a year
Drugs and Medications Yes Yes Yes
Routine Laboratory Investigations Yes Yes Yes
Simple Ultrasound Scan Yes Yes Yes
Simple X-rays Yes Yes Yes
Specialist Investigations I: CT Scan, EEG, ECG Yes Yes No
Specialist Investigations II: Echo Three times a year Once in a year No
Specialist Investigations III: MRI Two times a year No No
Accident & Emergency Care Services (within scope of benefits & overall limit) Yes Yes Yes
Hospitalization Private Ward Semi Private Ward Standard Ward
Health Promotions and Counselling Yes Yes Yes
Annual Medical Examination Yes Yes No
Diagnostic procedure & investigation Yes Yes No
Minor surgery Yes Yes Yes
Intermediate surgery Covered up to ₦150,000 Covered up to ₦100,000 Covered up to ₦75,000
Major Surgery Covered Up to ₦150,000 Covered up to ₦100,000 No
Optical/Ophthalmology consultations Yes Yes Yes
Provision of lenses/frames Covered up to ₦15,000 every 2 years Covered up to ₦10,000 every 2 years Covered up to ₦7,500 every 2 years
Ophthalmology Services II (Glaucoma Surgery/Cataract Extraction) Covered up to ₦40,000.00 No No
Dental care Consultations Three times a year Twice a year Once a year
Dental care: Simple Amalgam filling, Simple Extraction, Scaling & Polishing Covered up to ₦40,000.00 Covered up to ₦30,000.00 Covered up to ₦20,000.00
Physiotherapy Services 8 sessions 6 sessions 2 sessions
Meals Yes Yes Yes

ELITE: ₦570,000.00

PREMIUM: ₦450,000.00

STANDARD: ₦390.000.00

 

As Occupational Based HMO, all our plans reflect preventive, promotive and curative components of healthcare delivery services.

Our Family Plans are carefully designed to minimized exclusions and avoid co-payments.

A Family is couple plus 4 Children, an additional enrolee will be admitted as Individual.

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