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BENEFITS THE YOUNG FOCUS PATHFINDER EXPLORER SENATOR
General Consultation Yes Yes Yes Yes Yes
Specialist Consultation Yes Yes Yes Yes Yes
Drugs and Medications Yes Yes Yes Yes Yes
Routine laboratory investigations Yes Yes Yes Yes Yes
Simple Ultrasound Scan Yes Yes Yes Yes Yes
Simple X-rays Yes Yes Yes Yes Yes
Special Investigations I: ECG Once a year Once a year Twice a year Twice a year Four times a year
Special Investigations II: CT Scan, MRI, Echo, EEG No No No ₦70,000 ₦80,000
Accident & Emergency Care Services (within scope of benefits & overall limit) Yes Yes Yes Yes Yes
Immunizations NPI NPI NPI Extended Extended
Intermediate Surgery Covered up to ₦80,000 Covered up to ₦80,000 Covered up to ₦100,000 Covered up to ₦150,000 Covered up to ₦200,000
Major Surgery I Not Covered Not Covered Not Covered Limit of ₦100,000 Limit of ₦150,000
Major Surgery II Not Covered Not Covered Not Covered Not Covered Limit of ₦250,000
Major Surgery III Not Covered Not Covered Not Covered Not Covered Limit of ₦500,000
Optical Services Consultation/tests/lenses/frames Covered (₦7,500 lenses/frame) every 2 years; Covered (₦10,000 for frame/lenses) every 2 years Covered (for lenses/frame ₦12,000) every 2 years Covered (lenses/frame ₦15,000) every 2 years Covered (₦30,000 every 2 years
Ophthalmology Services II (Glaucoma Surgery/Cataract Extraction) Not Covered Not Covered Limit of ₦30,000 Limit of ₦40,000 Limit of ₦100,000
Dental care I Consultation/Drugs/ Xray/simple Amalgam filling/simple Extraction ₦20,000 ₦30,000 ₦35,000 Limit of ₦40,000 Limit of ₦50,000
Dental Care II-Scaling & Polishing and Surgical Extraction Covered (scaling & polishing)* Covered (scaling & polishing)* Yes Yes Yes
Dental Care III Root Canal treatment, Composite filling, Crowns Not Covered Not Covered Not Covered Limit of ₦30,000 Limit of ₦40,000
Physiotherapy Services 3 sessions 5 sessions 6 sessions 8 sessions 10 sessions
Meals Regular Regular Regular Regular Regular/Special
Maximum Benefit Limit Per Beneficiary ₦300,000 per annum ₦350,000 per annum ₦400,000 per annum ₦500,000 per annum ₦1,000,000 per annum
GPA – Permanent Disability ₦200,000 ₦350,000 ₦500,000 ₦750,000 ₦1,000,000
GPA – Death Benefit ₦200,000 ₦350,000 ₦500,000 ₦750,000 ₦1,000,000
Number of Persons THE YOUNG FOCUS PATHFINDER EXPLORER SENATOR
0-1 ₦80,000.00 ₦100,000.00 ₦180,000.00 ₦350,000.00 ₦500,000.00
1-6 ₦75,000.00 ₦90,000.00 ₦165,000.00 ₦330,000.00 ₦470,000.00

We are Occupational Based HMO, all our Plans reflect preventive, promotive and curative components of healthcare delivery services and our Individual Plans are carefully designed to minimized exclusions and avoid co-payments.

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