Proton Medicare

Bastion HMO FlexiCare vs PrimeCare

Bastion HMO FlexiCare costs ₦50,000 less per month.

Bastion HMO

Bastion HMO FlexiCare

₦7,500

per month

Lower price

Bastion HMO

PrimeCare

₦57,500

per month

Plan details

Bastion HMO FlexiCarePrimeCare

Plan type

Classic Plans
Premium Plans

Waiting period

5 days
5 days

Inpatient limit

₦1,000,000
₦12,000,000

Outpatient limit

₦100,000
₦10,000,000

About

Enhanced Medicare coverage with premium benefits
Comprehensive health coverege for Individuals. Provided by Bastion HMO.

Benefits

Showing 337 of 337 benefits

HIV care and treatment-Death Cover Covered Up to NGN40,000 Limit

NGN40,000
Not covered

MortuaryServices

NGN40,000
NGN100,000

Availability

Benefits available after 11 months
Not covered

Ocular tests-Primary Dental Care Covered Up to Overall Dental Limit of NGN5,000.

NGN5,000
Not covered

Specialist Consultation-Secondary Dental Care Covered Up to Overall Dental Limit of NGN5,000.

NGN5,000
Not covered

Primary Dental Care-Secondary Dental Care Covered Up to Overall Dental Limit of NGN5,000.

NGN5,000
NGN5,000

Primary Dental Care-Surgeries Covered up to surgery limit of NGN70,000

NGN70,000
NGN70,000

Primary Dental Care-Obstetrics Care Covered up to Maternity Limit of NGN50,000

NGN50,000
NGN50,000

Primary Dental Care-Neonatal Care Covered up to Maternity Limit of NGN50,000

NGN50,000
NGN50,000

Primary Dental Care-Pharmacy Limit up to NGN150,000

NGN150,000
NGN150,000

Hospital access tier D-Primary Dental Care Covered Up to Overall Dental Limit of NGN5,000.

NGN5,000
NGN5,000

Diagnostics services like X-Rays and Ultrasounds

Covered
Not covered

-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography:Limited to Chest X-Rays, Plain Abdominal X-Rays, Limb X-rays, Neck X-rays,Skull X-rays, Lumbosacral X-Rays, X-rays of Body Joints, Ultrasound Scan

Covered
Not covered

Admissions and Accomodation

Covered
Covered

Diagnostics and imaging-X-Rays and Ultrasounds: Limited to Chest X-Rays ,Plain Abdominal X-Rays,,Limb X-rays,Neck X-rays,Skull X-rays,Lumbosacral X-Rays,X-rays of Body Joints,Ultrasound Scan

Covered
Not covered

Accident and emergency-Resuscitative care for accident and emergency cases, including basic radiological and laboratory investigations needed to stabilize patient before being moved to the ICU if need be. Up to NGN80,000/ year

NGN800,000
Not covered

Copper T Intrauterine Device

Covered
Covered

Lippes loop Intrauterine Device

Covered
Covered

Accident and emergency-Resuscitative care for accident and emergency cases, including basic radiological and laboratory investigations needed to stabilize patient before being moved to the ICU if need be. Up to NGN50,000/ year

NGN50,000
Not covered

Resuscitative care including basic radiological and laboratory investigations to stabilize patient before ICU transfer if needed (up to NGN80,000/year)

Covered
Not covered

Family planning covered up to NGN7,000

Covered
Not covered

Copper T intrauterine device

Covered
Covered

Lippes Loop intrauterine device

Covered
Covered

Movement of patients from hospital to hospital (up to 4 times/year)

Covered
Not covered

Movement of patients from home or accident scene to hospital (up to 4 times/year)

Covered
Not covered

Routine ocular examination

Covered
Covered

Ocular tests-Lenses Covered up to NGN5,000 (Once in 2 years)

NGN5,000
Not covered

Accident and emergency-Family Planning Covered Up to NGN7,000

NGN7,000
Not covered

Ambulance Services Up to 4 times/ year

Covered
Not covered

Movement of patients from Hospital to Hospital

Covered
Covered

Movement of patients from Home/Accident Scene to Hospital

Covered
Covered

Manual Vacuum Aspiration-Neonatal Care Covered up to Maternity Limit of NGN100,000

NGN100,000
Not covered

Access to C-D tier hospitals

Covered
Not covered

Pharmacy coverage up to NGN100,000

NGN100,000
Not covered

Specialized care coverage

Covered
Not covered

Treatment of basic medical outpatient and inpatient cases

Covered
Not covered

24-hour free chat access to healthcare professionals

Covered
Not covered

Free chats with doctors and nurses during medical emergencies

Covered
Not covered

Free chats with doctors and nurses for routine medical information

Covered
Covered

CT scan, MRI scan, echocardiography, electrocardiography (limited coverage)

Covered
Not covered

Benefits Available after 24 hours

Covered
Covered

Pharmacy Limit up to NGN100,000

NGN100,000
Not covered

Treatment of basic medical outpatient and in-patient cases

Covered
Covered

24 Hours free chat access to healthcare professionals

Covered
Covered

Free chats with Doctors and Nurses when in need of care during any medical emergency

Covered
Covered

Free chats with Doctors and Nurses when in need of any routine medical information

Covered
Covered

Hospital Ward Care-Supply of prescribed intravenous/intramuscular, oral and topical drugs

Covered
Not covered

Supply of all medical and surgical consumables

Covered
Covered

Hospital Ward Care-Blood grouping, cross matching, and transfusion

Covered
Not covered

Routine dental examination

Covered
Covered

Preventive dental care and counselling

Covered
Covered

Dental pain therapy at primary healthcare centres

Covered
Covered

Pharmacological treatment of acute and chronic dental infections

Covered
Covered

Access to prescribed drugs

Covered
Covered

Annual Checkup - available after 7 months

Covered
Covered

Hepatitis B-Surgeries Covered up to surgery limit of NGN100,000

NGN100,000
Not covered

Hepatitis B-Minor surgeries Covered up to surgery limit of NGN100,000

NGN100,000
Not covered

Hepatitis B-Intermediate surgeries Covered up to surgery limit of NGN100,000

NGN100,000
Not covered

Hepatitis B-Major surgeries Covered up to surgery limit of NGN100,000

NGN100,000
Not covered

-Seeking second option Covered within HMO network

Covered
Not covered

-Benefits Available after 4 MONTHS

Covered
Not covered

-Eye Care Covered up to NGN5,000

NGN5,000
Not covered

Hospital access tier D-Pharmacy Limit up to NGN100,000

NGN100,000
NGN100,000

Specialist consultations once per month

Covered
Not covered

Specialist consultation covered up to specialist limit

Covered
Not covered

Specialist drug therapy covered up to pharmacy limit

Covered
Not covered

Psychotherapy covered under telemedicine

Covered
Not covered

Seeking second opinion covered within HMO network

Covered
Not covered

Diagnosis confirmation from secondary and tertiary care centers covered within HMO network

Covered
Not covered

Line of treatment confirmation from secondary and tertiary care centers covered within HMO network

Covered
Not covered

DeathCover

NGN40,000
NGN750,000

Care for comatose and unconscious enrollees, pain management, stabilization, chronic disease treatment, ventilator care, diabetes management, long-term skilled and semi-skilled hospital care

Covered
Covered

Surgeries (minor, intermediate, major) covered up to NGN100,000

Covered
Covered

Skilled medical and paramedical services

Covered
Covered

Feeding for enrollees on admission - General Ward (up to 5 days/year)

Covered
Covered

Primary dental care covered up to NGN5,000

Covered
Covered

Preventive dental care and counseling

Covered
Not covered

Dental pain therapy at primary healthcare centers

Covered
Covered

Obstetrics care covered up to maternity limit of NGN30,000

Covered
Covered

Inpatient limit up to NGN100,000

Covered
Covered

Outpatient limit up to NGN100,000

Covered
Covered

Pharmacy limit up to NGN100,000

Covered
Covered

GeneralWard

Services': ['Admissions and accommodation', 'Feeding for enrollees on admission (up to 20 days/year)', 'Skilled medical and paramedical services', 'Supply of prescribed intravenous, intramuscular, oral, and topical drugs', 'Supply of all medical and surgical consumables', 'Blood grouping, cross-matching, and transfusion']}
Services': ['Feeding for enrollees on admission (up to 10 days/year for dialysis, 5 days/year for tier D)', 'Skilled medical and paramedical services', 'Accommodation for parents of admitted infants', 'Inpatient hospitalization benefit abroad']}

NPI Immunisation (0-5 years)

Covered
Not covered

NPI

Covered for ages 0-5 years
Covered for ages 0-5 years

Inpatient limit up to NGN550,000

NGN550,000
Not covered

General ward admission with feeding

Covered
Not covered

Inpatient Limit up to NGN550,000

NGN550,000
Not covered

Feeding for enrolees on admission - General Ward (Up to 20 Days/year)

Covered
Not covered

Dialysis-Inpatient Limit up to NGN400,000

NGN400,000
NGN400,000

Feeding for enrolees on admission General Ward (Up to 10 Days/year)

Covered
Covered

Primary Dental Care-Inpatient Limit up to NGN150,000

NGN150,000
NGN150,000

Feeding for enrolees on admission - General Ward (Up to 5 Days/year)

Covered
Covered

Hospital access tier D-Inpatient Limit up to NGN100,000

NGN100,000
NGN100,000

Hospital access tier D-Inpatient Limit up to NGN50,000

NGN50,000
NGN50,000

BasicImaging

X-rays and ultrasounds (limited to chest X-rays, plain abdominal X-rays, limb X-rays, neck X-rays, skull X-rays, lumbosacral X-rays, X-rays of body joints, ultrasound scan)
X-rays and ultrasounds (not limited to list)

AdvancedImaging

CT scan, MRI scan, echocardiography, electrocardiography (limited coverage)
CT scan, MRI scan, echocardiography, electrocardiography (not limited to list; CT scan always covered, MRI for emergencies)

Inpatient

NGN550,000
Unlimited

Outpatient

NGN350,000
Unlimited

Pharmacy

NGN100,000
Not covered

Hospital access tier D-Obstetrics Care Covered up to Maternity Limit of NGN30,000

NGN30,000
NGN30,000

Obstetrics

NGN100,000
Not covered

Neonatal

NGN100,000
Not covered

Psychiatry Care Outpatient Only (6 weeks)

Covered
Not covered

Ear Piercing-Renal Care Covered Up to NGN40,000 Limit

NGN40,000
Not covered

Outpatient limit up to NGN350,000

NGN350,000
Not covered

Outpatient Limit up to NGN350,000

NGN350,000
Not covered

Specialist Consultations Once / Month

Covered
Covered

Dialysis-Outpatient Limit up to NGN250,000

NGN250,000
NGN250,000

Primary Dental Care-Outpatient Limit up to NGN150,000

NGN150,000
NGN150,000

Hospital access tier D-Outpatient Limit up to NGN100,000

NGN100,000
NGN100,000

Hospital access tier D-Outpatient Limit up to NGN50,000

NGN50,000
NGN50,000

General Physical Examination

Covered
Covered

Blood Pressure Check (Hypertension Screening)

Covered
Covered

Blood Sugar Check (Diabetes Screening)

Covered
Covered

BMI Check-Mortuary Services Covered Up to NGN40,000 Limit

NGN40,000
Not covered

Benefits Available after 11 MONTHS

Covered
Not covered

BMI Check-Obstetrics Care Covered up to Maternity Limit of NGN100,000

NGN100,000
Not covered

BMI check (general physical examination)

Covered
Covered

Blood pressure check (hypertension screening)

Covered
Covered

Blood sugar check (diabetes screening)

Covered
Covered

Dialysis-Pharmacy Limit up to NGN50,000

NGN50,000
NGN50,000

Specialist Consultation Covered Up to Specialist Limit

Covered
Not covered

Specialist Drug therapy Covered Up to pharmacy Limit

Covered
Not covered

Psychotherapy Covered under Telemedicine

Covered
Not covered

Seeking second option Covered within HMO network

Covered
Covered

Diagnosis confirmation from secondary and tertiary care centres Covered within HMO network

Covered
Not covered

Line of treatment confirmation from secondary and tertiary care centres Covered within HMO network

Covered
Not covered

HIV care and treatment-Enrollee is covered for a payment up to the stated limit in the event of Death (Natural, Accidental). The actual amount paid is based on the event while eligibility is subject to compliance with the rules of the plan.

Covered
Not covered

Benefits Available after 4 MONTHS

Covered
Covered

HIV care and treatment-Eye Care Covered up to NGN5,000

NGN5,000
Not covered

Specialist Consultation Once / Month

Covered
Not covered

Pharmacological treatment of acute and chronic ocular infections

Covered
Covered

Hepatitis B-For comatose & unconscious enrolees, Pain management, Stabilisation and maintenance treatment for chronic diseases, Ventilator care, Management of diabetes and diabetic emergencies, Long term skilled and semi-skilled hospital care

Covered
Not covered

Seeking second option-Mortuary Services Covered Up to NGN100,000 Limit

Not covered
NGN100,000

CoverEnrollee is covered for a payment up to the stated limit in the event of Death (Natural, Accidental). The actual amount paid is based on the event while eligibility is subject to compliance with the rules of the plan.

Not covered
Covered

CoverPersonal health equipment - BP machine, Glucometer, Trackers

Not covered
Covered

CoverInvestigation and treatment at limits per plan NGN45,000

Not covered
NGN45,000

CoverFor comatose & unconscious enrolees, Pain management, Stabilisation and maintenance treatment for chronic diseases, Ventilator care, Management of diabetes and diabetic emergencies, Long term skilled and semi-skilled hospital care

Not covered
Covered

-Mortuary Services Covered Up to NGN75,000 Limit

Not covered
NGN750,000

-Death Cover Covered Up to NGN75,000 Limit

Not covered
NGN750,000

-Mortuary Services Covered Up to NGN50,000 Limit

Not covered
NGN50,000

-Death Cover Covered Up to NGN50,000 Limit

Not covered
NGN50,000

-Mortuary Services Covered Up to NGN40,000 Limit

Not covered
NGN40,000

Cancer care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered

Not covered
Covered

-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN750,000

Not covered
NGN750,000

-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN300,000

Not covered
NGN300,000

Consultation

Not covered
Covered

Admission

Not covered
Covered

Counseling

Not covered
Covered

Hospice care

Not covered
Covered

Surgical treatment

Not covered
Covered

Chemotherapy

Not covered
Covered

Radiotherapy

Not covered
Covered

Limit

Not covered
Covered (no specific limit mentioned)

General

Not covered
Covered (natural or accidental, subject to plan rules)

Personal health equipment (BP machine, glucometer, trackers)

Not covered
Covered

Investigation and treatment at limits per plan (NGN45,000)

Not covered
Covered

Ocular tests-Primary Dental Care Covered up to NGN80,000

Not covered
NGN800,000

Ocular tests-Secondary Dental Care Covered up to NGN80,000

Not covered
NGN800,000

-Primary Dental Care Covered Up to Overall Dental Limit of NGN50,000

Not covered
NGN50,000

-Secondary Dental Care Covered Up to Overall Dental Limit of NGN50,000

Not covered
NGN50,000

-Primary Dental Care Covered Up to Overall Dental Limit of NGN20,000

Not covered
NGN20,000

Laboratory tests-Personal health equipment - BP machine, Glucometer, Trackers Covered only on medical diagnosis

Not covered
Covered

X-Rays and Ultrasounds Covered (Not limited to the list)

Not covered
Covered

Diagnostics and imaging-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography Covered (Not limited to the list)

Not covered
Covered

Serology-Supply of prescribed intravenous/intramuscular, oral and topical drugs

Not covered
Covered

Serology-Blood grouping, cross matching, and transfusion

Not covered
Covered

Accommodation for in-patient care

Not covered
Covered

-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography

Not covered
Covered

-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography CT scan only and emergency cases for MRI

Not covered
Covered

Treatment of acute and chronic ENT diseases

Not covered
Covered

ENT Surgeries - (part of the surgical limit)

Not covered
Covered

Pharmacological treatment of acute and chronic ENT infections

Not covered
Covered

Accident and emergency-Resuscitative care for accident and emergency cases, including basic radiological and laboratory investigations needed to stabilize patient before being moved to the ICU if need be.

Not covered
Covered

Hospital Ward Care-Resuscitative care for accident and emergency cases, including basic radiological and laboratory investigations needed to stabilize patient before being moved to the ICU if need be. Up to NGN50,000/ year

Not covered
NGN50,000

AccidentAndEmergency

Not covered
NGN50,000

Movement of patients from hospital to hospital

Not covered
Covered

Movement of patients from home or accident scene to hospital

Not covered
Covered

Ocular tests-Lenses Covered up to NGN30,000

Not covered
NGN30,000

Ocular tests-Frames Covered up to NGN30,000

Not covered
NGN30,000

-Lenses Covered NGN20,000

Not covered
NGN20,000

-Frames Covered NGN20,000

Not covered
NGN20,000

-Lenses Covered NGN15,000

Not covered
NGN15,000

-Frames Covered NGN15,000

Not covered
NGN15,000

Norplant

Not covered
NGN1,500,000

Emergency or elective Caesarean section

Not covered
Covered

Reimbursement of delivery abroad: Normal - $150, Caesarean - $250

Not covered
Covered

Fertility services-Investigation and treatment at limits per plan NGN75,000

Not covered
NGN750,000

Norplant-Surgeries Covered Up to Surgery Limit of NGN1,500,000

Not covered
NGN1,500,000

Emergency or Elective Caesarean Section

Not covered
Covered

Manual Vacuum Aspiration-Reimbursement of Delivery Abroad Normal -$150, CS-$250

Not covered
Covered

Hospital Ward Care-Family Planning Covered Up to NGN7,000

Not covered
NGN7,000

InvestigationAndTreatment

Not covered
NGN750,000

Everything in ZenCare Plus

Not covered
Covered

Maternity care upto prescribed maternity limits

Not covered
Covered

CT scan

Not covered
Covered

MRI scan

Not covered
Covered

Echocardiography

Not covered
Covered

Electrocardiography

Not covered
Covered

Blood grouping, cross-matching, and transfusion

Not covered
Covered

Accommodation for inpatient care / admissions

Not covered
Covered

Treatment of chronic conditions

Not covered
Covered

Diagnosis confirmation from secondary and tertiary care centres

Not covered
Covered

Line of treatment confirmation from secondary and tertiary care centres

Not covered
Covered

-Additional Immunization (6Yrs and above) Covered Up to NGN7,000

Not covered
NGN6,000

-Surgeries Covered Up to Surgery Limit of NGN500,000

Not covered
NGN500,000

-Investigation and treatment at limits per plan NGN15,000

Not covered
NGN15,000

-Surgeries Covered Up to Surgery Limit of NGN200,000

Not covered
NGN200,000

-Mental illnesses Covered for Outpatient cases Only (4 weeks)

Not covered
Covered

-Annual Checkup - available after 7 months

Not covered
Covered

-Surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

-Minor surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

-Intermediate surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

-Major surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

-Benefits Available after 11 MONTHS

Not covered
Covered

-Renal Care Covered Up to NGN40,000 Limit

Not covered
NGN40,000

Mental illnesses-Eye Care Covered up to NGN5,000

Not covered
NGN5,000

PrivateWard

Not covered
Services': ['Admissions and accommodation', 'Feeding for enrollees on admission', 'Skilled medical and paramedical services', 'Supply of prescribed intravenous, intramuscular, oral, and topical drugs', 'Supply of all medical and surgical consumables', 'Blood grouping, cross-matching, and transfusion', 'Accommodation for inpatient care / admissions', 'Accommodation for parents of admitted infants (up to 3 days)', 'Inpatient hospitalization benefit abroad (NGN250,000)']}

SemiPrivateWard

Not covered
Services': ['Feeding for enrollees on admission', 'Hospital ward care', 'Skilled medical and paramedical services', 'Accommodation for parents of admitted infants (up to 2 days)']}

NPI Immunisation (0-5 Years)

Not covered
Covered

Vitamin A Supplementation

Not covered
Covered

Pneumococcal-Additional Immunization (6Yrs and above) Covered Up to NGN10,000

Not covered
NGN6,000

VitaminA

Not covered
Supplementation

Pneumococcal

Not covered
NGN6,000

Unlimited Inpatient Limit

Not covered
Covered

Accommodation for parents of admitted infants (up to 5 days)

Not covered
5 days

Inpatient hospitalization benefit abroad

Not covered
Covered

Unlimited Inpatient Limit

Not covered
Covered

Feeding for enrolees on admission Private ward

Not covered
Covered

Hospital Ward Care Private ward

Not covered
Covered

Skilled medical and paramedical services Private ward

Not covered
Covered

Accommodation for parents whose infants are on admission 3 days

Not covered
3 days

Serology-Inpatient /Hospitalization Benefit Abroad NGN250,000

Not covered
NGN250,000

- Feeding for enrolees on admission Semi-Private Ward

Not covered
Covered

- Hospital Ward Care Semi-Private Ward

Not covered
Covered

- Skilled medical and paramedical services Semi-Private Ward

Not covered
Covered

- Accommodation for parents whose infants are on admission 2 Days

Not covered
Covered

-Feeding for enrolees on admission General Ward

Not covered
Covered

-Hospital Ward Care General Ward

Not covered
Covered

-Skilled medical and paramedical services General Ward

Not covered
Covered

-Accommodation for parents whose infants are on admission

Not covered
Covered

-Inpatient /Hospitalization Benefit Abroad

Not covered
Covered

Care for comatose and unconscious enrollees

Not covered
Covered

Pain management

Not covered
Covered

Stabilization and maintenance treatment for chronic diseases

Not covered
Covered

Ventilator care

Not covered
Covered

Management of diabetes and diabetic emergencies

Not covered
Covered

Long-term skilled and semi-skilled hospital care (up to 5 days)

Not covered
Covered

PersonalHealthEquipment

Not covered
Blood pressure machine, glucometer, trackers (covered only on medical diagnosis)

Subsidized Fitness/ nutritional club membership (for non-network gym) 10%

Not covered
Covered

Network Gym Access Covered (2 sessions per week)

Not covered
2 sessions

Lifestyle Management-On-site Health Checks, Health Talks/ Education forum or wellness fairs

Not covered
Covered

-Health Talks/ Education forum or wellness fairs 4 weeks

Not covered
Covered

-Subsidized Fitness/ nutritional club membership (for non-network gym)

Not covered
Covered

FitnessClub

Not covered
Subsidized membership for non-network gyms (10%)

NetworkGym

Not covered
2 sessions

HealthChecks

Not covered
On-site health checks, health talks, education forums, or wellness fairs

-Obstetrics Care Covered up to Maternity Limit of NGN100,000

Not covered
NGN100,000

-Neonatal Care Covered up to Maternity Limit of NGN100,000

Not covered
NGN100,000

Employee Assistance Program / Stress Management 8 weeks

Not covered
Covered

Covid Home Care Kit - up to limit on the plan

Not covered
Covered

Health Talks/ Education forum or wellness fairs

Not covered
Covered

Mental illnesses Covered for Outpatient cases Only (6 weeks)

Not covered
Covered

HIV care and treatment Covered (at designated approved centres)

Not covered
Covered

Specialist Consultation Covered (at designated approved centres)

Not covered
Covered

Specialist Drug therapy Covered (at designated approved centres)

Not covered
Covered

Psychotherapy Covered (at designated approved centres)

Not covered
Covered

- Employee Assistance Program / Stress Management 6 weeks

Not covered
Covered

-Employee Assistance Program / Stress Management 4 weeks

Not covered
Covered

-Covid Home Care Kit - up to limit on the plan 4 weeks

Not covered
Covered

EmployeeAssistanceProgram

Not covered
8 weeks

CovidHomeCareKit

Not covered
Covered up to plan limit

HealthEducation

Not covered
Health talks, education forums, or wellness fairs

Mental illnesses covered for outpatient cases only (up to 6 weeks)

Not covered
Covered

HIV care and treatment (at designated approved centers)

Not covered
Covered

Specialist consultation (at designated approved centers)

Not covered
Covered

Specialist drug therapy (at designated approved centers)

Not covered
Covered

Psychotherapy (at designated approved centers)

Not covered
Covered

Ear Piercing-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 18 days (NGN500,000)

Not covered
NGN180,000

-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 10 Days (NGN300,000)

Not covered
NGN10,000

-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 2 Days (NGN100,000)

Not covered
NGN200,000

Unlimited Outpatient Limit

Not covered
Covered

Specialist consultations (limited based on plan type, up to 12 weeks)

Not covered
Covered

Chronic Disease Medication - drug delivery and pick up at partner pharmacies

Not covered
Covered

Specialist Consultations on Outpatient Cases Only; limited based on type of plans 8 weeks

Not covered
Covered

- Specialist Consultations on Outpatient Cases Only; limited based on type of plans 6 weeks

Not covered
Covered

-Specialist Consultations on Outpatient Cases Only; limited based on type of plans 4 weeks

Not covered
Covered

Physiotherapy Care Covered upto 10 sessions

Not covered
10 sessions

Physiotherapy Care Covered (17 sessions)

Not covered
17 sessions

Routine fitness examination

Not covered
Covered

Preventive Counselling on referral

Not covered
Covered

- Physiotherapy Care Covered (12 sessions)

Not covered
12 sessions

-Physiotherapy Care Covered (5 sessions)

Not covered
5 sessions

Coverage

Not covered
17 sessions

RoutineFitnessExamination

Not covered
Covered

PreventiveCounseling

Not covered
On referral

Annual Prostate Specific Antigen screening for men over 40 years

Not covered
Covered

E/U/Cr-Mammogram, cervical smear for women over 35 years every 2 years (every other year)

Not covered
Covered

Men

Not covered
Annual prostate-specific antigen screening (over 40 years)

Women

Not covered
Mammogram and cervical smear (over 35 years, every 2 years)

Investigation and treatment at limits per plan (NGN15,000)

Not covered
Covered

Care for comatose and unconscious enrollees, pain management, stabilization, chronic disease treatment, ventilator care, diabetes management, long-term skilled and semi-skilled hospital care (up to 2 days)

Not covered
Covered

Advanced investigations (CT scan, MRI scan, echocardiography, electrocardiography; CT scan always covered, MRI for emergencies)

Not covered
Covered

Specialist consultations on outpatient cases only (limited based on plan type, up to 4 weeks)

Not covered
Covered

Employee Assistance Program / Stress Management (4 weeks)

Not covered
Covered

Covid Home Care Kit (up to plan limit, 4 weeks)

Not covered
Covered

Health talks, education forums, or wellness fairs (4 weeks)

Not covered
Covered

Lenses covered up to NGN15,000

Not covered
Covered

Frames covered up to NGN15,000

Not covered
Covered

Primary dental care covered up to NGN20,000

Not covered
Covered

Physiotherapy care covered (5 sessions)

Not covered
Covered

Subsidized fitness/nutritional club membership (for non-network gym)

Not covered
Covered

Surgeries covered up to NGN200,000

Not covered
Covered

Special Baby Care Unit (2 days, NGN100,000)

Not covered
Covered

Dialysis (3 sessions)

Not covered
Covered

Cancer care (consultation, admission, counseling, hospice care, surgical, chemotherapy, radiotherapy; up to NGN300,000)

Not covered
Covered

Mental illnesses covered for outpatient cases only (4 weeks)

Not covered
Covered

Mortuary services covered up to NGN50,000

Not covered
Covered

Death cover covered up to NGN50,000

Not covered
Covered

Mortuary services covered up to NGN40,000

Not covered
Covered

Benefits available after 11 months

Not covered
Covered

Obstetrics care covered up to maternity limit of NGN100,000

Not covered
Covered

Neonatal care covered up to maternity limit of NGN100,000

Not covered
Covered

Renal care covered up to NGN40,000

Not covered
Covered

Dialysis 12 sessions

Not covered
12 sessions

- Dialysis 6 Sessions

Not covered
Covered

-Dialysis 3 Sessions

Not covered
Covered

Dialysis-X-Rays and Ultrasounds: Limited to Chest X-Rays ,Plain Abdominal X-Rays,,Limb X-rays,Neck X-rays,Skull X-rays,Lumbosacral X-Rays,X-rays of Body Joints,Ultrasound Scan

Not covered
Covered

Diagnosis confirmation from secondary and tertiary care centers

Not covered
Covered

Line of treatment confirmation from secondary and tertiary care centers

Not covered
Covered

Covered within HMO network (mental illnesses)

Not covered
Covered

Telemedicine

Not covered
General': '24-hour free chat access to healthcare professionals

ENT surgeries (part of surgical limit)

Not covered
Covered

Frequency

Not covered
Once per month (for dialysis patients)

Intensive care unit-For comatose & unconscious enrolees, Pain management, Stabilisation and maintenance treatment for chronic diseases, Ventilator care, Management of diabetes and diabetic emergencies, Long term skilled and semi-skilled hospital care 5 Days

Not covered
Covered

-For comatose & unconscious enrolees, Pain management, Stabilisation and maintenance treatment for chronic diseases, Ventilator care, Management of diabetes and diabetic emergencies, Long term skilled and semi-skilled hospital care 2 Days

Not covered
Covered

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Bastion HMO FlexiCare vs PrimeCare - Plan Comparison | Proton Medicare