Proton Medicare

Flexi-Mini vs Bastion HMO FlexiCare

Flexi-Mini costs ₦1,500 less per month.

Bastion HMO

Flexi-Mini

₦6,000

per month

Lower price

Bastion HMO

Bastion HMO FlexiCare

₦7,500

per month

Plan details

Flexi-MiniBastion HMO FlexiCare

Plan type

Classic Plans
Classic Plans

Waiting period

5 days
5 days

Inpatient limit

₦550,000
₦1,000,000

Outpatient limit

₦350,000
₦100,000

About

Enhanced Medicare coverage with premium benefits
Enhanced Medicare coverage with premium benefits

Benefits

Showing 155 of 155 benefits

Availability

Benefits available after 24 hours
Benefits available after 11 months

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

NGN5,000
NGN5,000

Primary Dental Care-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

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

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
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
Covered

Admissions and Accomodation

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
NGN50,000

Resuscitative care including basic radiological and laboratory investigations to stabilize patient before ICU transfer if needed (up to NGN50,000/year)

Covered
Not covered

Family planning covered up to NGN7,000

Covered
Covered

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

NGN7,000
NGN7,000

Manual Vacuum Aspiration-Neonatal Care Covered up to Maternity Limit of NGN50,000

NGN50,000
Not covered

Access to C-D tier hospitals

Covered
Covered

Pharmacy coverage up to NGN100,000

NGN100,000
NGN100,000

Specialized care coverage

Covered
Covered

24-hour free chat access to healthcare professionals

Covered
Covered

Free chats with doctors and nurses during medical emergencies

Covered
Covered

Free chats with doctors and nurses for routine medical information

Covered
Covered

Benefits Available after 5 days

Covered
Not covered

Pharmacy Limit up to NGN50,000

NGN50,000
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
Covered

Supply of all medical and surgical consumables

Covered
Covered

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

Covered
Covered

-Seeking second option Covered within HMO network

Covered
Covered

-Benefits Available after 4 MONTHS

Covered
Covered

-Eye Care Covered up to NGN5,000

NGN5,000
NGN5,000

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

Benefits Available after 11 MONTHS

Covered
Covered

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

NGN100,000
NGN100,000

Treatment of basic medical outpatient and inpatient cases

Covered
Covered

Specialist consultations once per month

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
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

Inpatient limit up to NGN50,000

Covered
Not covered

Outpatient limit up to NGN50,000

Covered
Not covered

GeneralWard

Services': ['Admissions and accommodation', 'Feeding for enrollees on admission (up to 10 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': ['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']}

General ward admission with feeding

Covered
Covered

Inpatient Limit up to NGN400,000

NGN400,000
Not covered

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

Covered
Covered

Ear Piercing-Inpatient Limit up to NGN150,000

NGN150,000
Not covered

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

Care for comatose and unconscious enrollees

Covered
Not covered

Pain management

Covered
Not covered

Stabilization and maintenance treatment for chronic diseases

Covered
Not covered

Ventilator care

Covered
Not covered

Management of diabetes and diabetic emergencies

Covered
Not covered

Long-term skilled and semi-skilled hospital care

Covered
Not covered

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 (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)

Inpatient

NGN400,000
NGN550,000

Outpatient

NGN250,000
NGN350,000

Pharmacy

NGN50,000
NGN100,000

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

NGN30,000
NGN30,000

Ear Piercing-Pharmacy Limit up to NGN150,000

NGN150,000
Not covered

Outpatient Limit up to NGN250,000

NGN250,000
Not covered

Specialist Consultations Once / Month

Covered
Covered

Ear Piercing-Outpatient Limit up to NGN150,000

NGN150,000
Not covered

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

Seeking second opinion covered within HMO network

Covered
Covered

Eye care covered up to NGN5,000

Covered
Not covered

Surgeries

NGN70,000
Not covered

Obstetrics

NGN50,000
NGN100,000

Neonatal

NGN50,000
NGN100,000

AdditionalLimits

Inpatient': 'Up to NGN150,000', 'Outpatient': 'Up to NGN150,000', 'Pharmacy': 'Up to NGN150,000
Not covered

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

Not covered
NGN40,000

MortuaryServices

Not covered
NGN40,000

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

Not covered
NGN5,000

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

Not covered
NGN5,000

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

Not covered
NGN50,000

Primary Dental Care-Pharmacy Limit up to NGN150,000

Not covered
NGN150,000

-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

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. Up to NGN80,000/ year

Not covered
NGN800,000

Copper T Intrauterine Device

Not covered
Covered

Lippes loop Intrauterine Device

Not covered
Covered

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

Not covered
Covered

Copper T intrauterine device

Not covered
Covered

Lippes Loop intrauterine device

Not covered
Covered

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

Not covered
Covered

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

Not covered
Covered

Routine ocular examination

Not covered
Covered

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

Not covered
NGN5,000

Ambulance Services Up to 4 times/ year

Not covered
Covered

Movement of patients from Hospital to Hospital

Not covered
Covered

Movement of patients from Home/Accident Scene to Hospital

Not covered
Covered

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

Not covered
NGN100,000

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

Not covered
Covered

Benefits Available after 24 hours

Not covered
Covered

Pharmacy Limit up to NGN100,000

Not covered
NGN100,000

Access to prescribed drugs

Not covered
Covered

Annual Checkup - available after 7 months

Not covered
Covered

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

Not covered
NGN100,000

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

Not covered
NGN100,000

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

Not covered
NGN100,000

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

Not covered
NGN100,000

Specialist consultation covered up to specialist limit

Not covered
Covered

Specialist drug therapy covered up to pharmacy limit

Not covered
Covered

Psychotherapy covered under telemedicine

Not covered
Covered

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

Not covered
Covered

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

Not covered
Covered

DeathCover

Not covered
NGN40,000

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

Not covered
Covered

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

Not covered
Covered

NPI Immunisation (0-5 years)

Not covered
Covered

NPI

Not covered
Covered for ages 0-5 years

Inpatient limit up to NGN550,000

Not covered
NGN550,000

Inpatient Limit up to NGN550,000

Not covered
NGN550,000

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

Not covered
Covered

Dialysis-Inpatient Limit up to NGN400,000

Not covered
NGN400,000

Primary Dental Care-Inpatient Limit up to NGN150,000

Not covered
NGN150,000

AdvancedImaging

Not covered
CT scan, MRI scan, echocardiography, electrocardiography (limited coverage)

Psychiatry Care Outpatient Only (6 weeks)

Not covered
Covered

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

Not covered
NGN40,000

Outpatient limit up to NGN350,000

Not covered
NGN350,000

Outpatient Limit up to NGN350,000

Not covered
NGN350,000

Dialysis-Outpatient Limit up to NGN250,000

Not covered
NGN250,000

Primary Dental Care-Outpatient Limit up to NGN150,000

Not covered
NGN150,000

General Physical Examination

Not covered
Covered

Blood Pressure Check (Hypertension Screening)

Not covered
Covered

Blood Sugar Check (Diabetes Screening)

Not covered
Covered

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

Not covered
NGN40,000

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

Not covered
NGN100,000

BMI check (general physical examination)

Not covered
Covered

Blood pressure check (hypertension screening)

Not covered
Covered

Blood sugar check (diabetes screening)

Not covered
Covered

Dialysis-Pharmacy Limit up to NGN50,000

Not covered
NGN50,000

Specialist Consultation Covered Up to Specialist Limit

Not covered
Covered

Specialist Drug therapy Covered Up to pharmacy Limit

Not covered
Covered

Psychotherapy Covered under Telemedicine

Not covered
Covered

Seeking second option Covered within HMO network

Not covered
Covered

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

Not covered
Covered

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

Not covered
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.

Not covered
Covered

Benefits Available after 4 MONTHS

Not covered
Covered

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

Not covered
NGN5,000

Specialist Consultation Once / Month

Not covered
Covered

Pharmacological treatment of acute and chronic ocular infections

Not 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

Not covered
Covered

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