The Zenith of healthcare coverage. Provided by Bastion HMO
Offered by Bastion HMO
Monthly premium
NGN120,000
per enrollee / month
| Provider | Bastion HMO |
|---|---|
| Plan type | Premium Plans |
| Monthly premium | NGN120,000 |
| Inpatient limit | NGN10,000,000 |
| Outpatient limit | NGN10,000,000 |
| Waiting period | 5 days |
230 of 230 rows
| Category | Benefit | Coverage |
|---|---|---|
| After Demise Care | Seeking second option-Mortuary Services Covered Up to NGN100,000 Limit | NGN100,000 |
| After Demise Care | 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. | Covered |
| After Demise Care | CoverPersonal health equipment - BP machine, Glucometer, Trackers | Covered |
| After Demise Care | CoverInvestigation and treatment at limits per plan NGN45,000 | NGN45,000 |
| After Demise Care | CoverFor comatose & unconscious enrolees, Pain management, | Covered |
| After Demise Care | -Mortuary Services Covered Up to NGN75,000 Limit | NGN750,000 |
| After Demise Care | -Death Cover Covered Up to NGN75,000 Limit | NGN750,000 |
| After Demise Care | -Mortuary Services Covered Up to NGN50,000 Limit | NGN50,000 |
| After Demise Care | -Death Cover Covered Up to NGN50,000 Limit | NGN50,000 |
| After Demise Care | -Mortuary Services Covered Up to NGN40,000 Limit | NGN40,000 |
| After Demise Care | MortuaryServices | NGN250,000 |
| After Demise Care | DeathCover | NGN250,000 |
| After Demise Care | TravelInsurance | Scope': 'Limit of NGN500,000', 'Duration': 'Limit of NGN500,000 |
| After Demise Care | LifeInsurance | DeathOnly': 'Limit of NGN500,000', 'CriticalIllnessAndDisability': 'Limit of NGN500,000 |
| Cancer Care | Cancer care-Consultation, Chemotherapy, Radiotherapy: Covered | Covered |
| Cancer Care | Cancer care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered | Covered |
| Cancer Care | -Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN750,000 | NGN750,000 |
| Cancer Care | -Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN300,000 | NGN300,000 |
| Cancer Care | Consultation | Covered |
| Cancer Care | Admission | Covered |
| Cancer Care | Counseling | Covered |
| Cancer Care | Hospice care | Covered |
| Cancer Care | Surgical treatment | Covered |
| Cancer Care | Chemotherapy | Covered |
| Cancer Care | Radiotherapy | Covered |
| Cancer Care | Limit | NGN300,000 |
| Chronic Conditions | Treatment | Covered |
| Chronic Conditions | Medication | Drug delivery and pickup at partner pharmacies |
| Dental Care | Ocular tests-Primary Dental Care Covered up to NGN80,000 | NGN800,000 |
| Dental Care | Ocular tests-Secondary Dental Care Covered up to NGN80,000 | NGN800,000 |
| Dental Care | Primary Dental Care Covered Up to Overall Dental Limit of NGN50,000 | NGN50,000 |
| Dental Care | -Secondary Dental Care Covered Up to Overall Dental Limit of NGN50,000 | NGN50,000 |
| Dental Care | -Primary Dental Care Covered Up to Overall Dental Limit of NGN20,000 | NGN20,000 |
| Dental Care | Primary Dental Care-Secondary Dental Care Covered Up to Overall Dental Limit of NGN5,000. | NGN5,000 |
| Dental Care | Primary Dental Care-Surgeries Covered up to surgery limit of NGN70,000 | NGN70,000 |
| Dental Care | Primary Dental Care-Obstetrics Care Covered up to Maternity Limit of NGN50,000 | NGN50,000 |
| Dental Care | Primary Dental Care-Neonatal Care Covered up to Maternity Limit of NGN50,000 | NGN50,000 |
| Dental Care | Primary Dental Care-Pharmacy Limit up to NGN150,000 | NGN150,000 |
| Dental Care | Hospital access tier D-Primary Dental Care Covered Up to Overall Dental Limit of NGN5,000. | NGN5,000 |
| Diagnostics | Serology-Blood grouping, cross matching, and transfusion | Covered |
| Diagnostics | Laboratory tests-Personal health equipment - BP machine, Glucometer, Trackers Covered only on medical diagnosis | Covered |
| Diagnostics | X-Rays and Ultrasounds Covered (Not limited to the list) | Covered |
| Diagnostics | Diagnostics and imaging-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography Covered (Not limited to the list) | Covered |
| Diagnostics | Admissions and Accomodation | Covered |
| Diagnostics | Serology-Supply of prescribed intravenous/intramuscular, oral and topical drugs | Covered |
| Diagnostics | Supply of all medical and surgical consumables | Covered |
| Diagnostics | -Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography | Covered |
| Diagnostics | -Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography CT scan only and emergency cases for MRI | Covered |
| Diagnostics | 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 |
| E N T Care | ENT Surgeries - (part of the surgical limit) | Covered |
| E N T Care | Treatment of acute and chronic ENT diseases | Covered |
| E N T Care | Pharmacological treatment of acute and chronic ENT infections | Covered |
| Emergency Services | 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. | Covered |
| Emergency Services | Movement of patients from Hospital to Hospital | Covered |
| Emergency Services | Movement of patients from Home/Accident Scene to Hospital | Covered |
| Emergency Services | 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 |
| Emergency Services | AccidentAndEmergency | Resuscitative care including basic radiological and laboratory investigations to stabilize patient before ICU transfer if needed |
| Emergency Services | Movement of patients from hospital to hospital | Covered |
| Emergency Services | Movement of patients from home or accident scene to hospital | Covered |
| Eye Care | Routine ocular examination | Covered |
| Eye Care | Ocular tests-Lenses Covered up to NGN30,000 | NGN30,000 |
| Eye Care | Ocular tests-Frames Covered up to NGN30,000 | NGN30,000 |
| Eye Care | Routine dental examination | Covered |
| Eye Care | Preventive dental care and counselling | Covered |
| Eye Care | Dental pain therapy at primary healthcare centres | Covered |
| Eye Care | Pharmacological treatment of acute and chronic dental infections | Covered |
| Eye Care | Access to prescribed drugs | Covered |
| Eye Care | Lenses Covered NGN20,000 | NGN20,000 |
| Eye Care | Frames Covered NGN20,000 | NGN20,000 |
| Eye Care | -Lenses Covered NGN15,000 | NGN15,000 |
| Eye Care | -Frames Covered NGN15,000 | NGN15,000 |
| Family Planning | Copper T intrauterine device | Covered |
| Family Planning | Lippes Loop intrauterine device | Covered |
| Family Planning | Norplant | Covered |
| Family Planning | Emergency or elective Caesarean section | Covered |
| Family Planning | Reimbursement of delivery abroad: Normal - $180, Caesarean - $300 | Covered |
| Fertility Services | Fertility services-Investigation and treatment at limits per plan NGN75,000 | NGN750,000 |
| Fertility Services | Copper T Intrauterine Device | Covered |
| Fertility Services | Lippes loop Intrauterine Device | Covered |
| Fertility Services | Norplant-Surgeries Covered Up to Surgery Limit of NGN1,500,000 | NGN1,500,000 |
| Fertility Services | Emergency or Elective Caesarean Section | Covered |
| Fertility Services | Manual Vacuum Aspiration-Reimbursement of Delivery Abroad Normal -$150, CS-$250 | Covered |
| Fertility Services | Family Planning Covered Up to NGN7,000 | NGN7,000 |
| Fertility Services | InvestigationAndTreatment | Covered at limits per plan |
| General | Everything in PrimeCare | Covered |
| General | Treatment of chronic conditions | Covered |
| General | Management of diabetes and diabetic emergencies | Covered |
| General | Accommodation for in-patient care | Covered |
| General | Pharmacological treatment of acute and chronic ocular infections | Covered |
| General | Diagnosis confirmation from secondary and tertiary care centres | Covered |
| General | Line of treatment confirmation from secondary and tertiary care centres | Covered |
| General | Stabilisation and maintenance treatment for chronic diseases | Covered |
| General | -Additional Immunization (6Yrs and above) Covered Up to NGN7,000 | NGN6,000 |
| General | -Surgeries Covered Up to Surgery Limit of NGN500,000 | NGN500,000 |
| General | -Investigation and treatment at limits per plan NGN15,000 | NGN15,000 |
| General | -Surgeries Covered Up to Surgery Limit of NGN200,000 | NGN200,000 |
| General | -Mental illnesses Covered for Outpatient cases Only (4 weeks) | Covered |
| General | -Annual Checkup - available after 7 months | Covered |
| General | -Surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| General | -Minor surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| General | -Intermediate surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| General | -Major surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| General | -Benefits Available after 11 MONTHS | Covered |
| General | -Renal Care Covered Up to NGN40,000 Limit | NGN40,000 |
| General | Benefits Available after 24 hours | Covered |
| General | Pharmacy Limit up to NGN50,000 | NGN50,000 |
| General | Treatment of basic medical outpatient and in-patient cases | Covered |
| General | Seeking second option Covered within HMO network | Covered |
| General | Benefits Available after 4 MONTHS | Covered |
| General | Mental illnesses-Eye Care Covered up to NGN5,000 | NGN5,000 |
| General | Hospital access tier D-Pharmacy Limit up to NGN100,000 | NGN100,000 |
| Hospital Ward Care | Skilled medical and paramedical services | Covered |
| Hospital Ward Care | PrivateWard | Services': ['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 7 days)'], 'InpatientHospitalizationBenefitAbroad': 'NGN450,000 |
| Hospital Ward Care | SemiPrivateWard | Services': ['Feeding for enrollees on admission', 'Skilled medical and paramedical services', 'Accommodation for parents of admitted infants (up to 2 days)']} |
| Hospital Ward Care | GeneralWard | 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']} |
| Immunizations | NPI Immunisation (0-5 Years) | Covered |
| Immunizations | Vitamin A Supplementation | Covered |
| Immunizations | Pneumococcal-Additional Immunization (6Yrs and above) Covered Up to NGN10,000 | NGN6,000 |
| Immunizations | VitaminA | Supplementation |
| Immunizations | Pneumococcal | Additional immunization (6 years and above) |
| Immunizations | NPI | Covered for ages 0-5 years |
| Inpatient Care / Admissions | Inpatient Hospitalization Benefit Abroad NGN250,000 | NGN250,000 |
| Inpatient Care / Admissions | Accommodation for parents of admitted infants | Covered |
| Inpatient Care / Admissions | Unlimited Inpatient Limit | Covered |
| Inpatient Care / Admissions | Feeding for enrolees on admission Private ward | Covered |
| Inpatient Care / Admissions | Hospital Ward Care Private ward | Covered |
| Inpatient Care / Admissions | Skilled medical and paramedical services Private ward | Covered |
| Inpatient Care / Admissions | Accommodation for parents whose infants are on admission 3 days | 3 days |
| Inpatient Care / Admissions | - Feeding for enrolees on admission Semi-Private Ward | Covered |
| Inpatient Care / Admissions | - Hospital Ward Care Semi-Private Ward | Covered |
| Inpatient Care / Admissions | - Skilled medical and paramedical services Semi-Private Ward | Covered |
| Inpatient Care / Admissions | - Accommodation for parents whose infants are on admission 2 Days | Covered |
| Inpatient Care / Admissions | -Feeding for enrolees on admission General Ward | Covered |
| Inpatient Care / Admissions | -Hospital Ward Care General Ward | Covered |
| Inpatient Care / Admissions | -Skilled medical and paramedical services General Ward | Covered |
| Inpatient Care / Admissions | -Accommodation for parents whose infants are on admission | Covered |
| Inpatient Care / Admissions | -Inpatient /Hospitalization Benefit Abroad | Covered |
| Inpatient Care / Admissions | Inpatient Limit up to NGN400,000 | NGN400,000 |
| Inpatient Care / Admissions | Feeding for enrolees on admission General Ward (Up to 10 Days/year) | Covered |
| Inpatient Care / Admissions | Primary Dental Care-Inpatient Limit up to NGN150,000 | NGN150,000 |
| Inpatient Care / Admissions | Feeding for enrolees on admission - General Ward (Up to 5 Days/year) | Covered |
| Inpatient Care / Admissions | Hospital access tier D-Inpatient Limit up to NGN100,000 | NGN100,000 |
| Inpatient Care / Admissions | Hospital access tier D-Inpatient Limit up to NGN50,000 | NGN50,000 |
| Intensive Care Unit | Ventilator care, Long term skilled and semi-skilled hospital care | Covered |
| Intensive Care Unit | Care for comatose and unconscious enrollees | Covered |
| Intensive Care Unit | Pain management | Covered |
| Intensive Care Unit | Stabilization and maintenance treatment for chronic diseases | Covered |
| Intensive Care Unit | Ventilator care | Covered |
| Intensive Care Unit | Management of diabetes and diabetic emergencies | Covered |
| Intensive Care Unit | Long-term skilled and semi-skilled hospital care (up to 10 days) | Covered |
| Laboratory And Diagnostics | PersonalHealthEquipment | Blood pressure machine, glucometer, trackers (covered only on medical diagnosis) |
| Laboratory And Diagnostics | BasicImaging | X-rays and ultrasounds (not limited to listed items) |
| Laboratory And Diagnostics | AdvancedImaging | CT scan, MRI scan, echocardiography, electrocardiography (limited coverage) |
| Lifestyle Management | Subsidized Fitness/ nutritional club membership (for non-network gym) 10% | Covered |
| Lifestyle Management | Network Gym Access Covered (2 sessions per week) | 2 sessions |
| Lifestyle Management | Lifestyle Management-On-site Health Checks, Health Talks/ Education forum or wellness fairs | Covered |
| Lifestyle Management | -Health Talks/ Education forum or wellness fairs 4 weeks | Covered |
| Lifestyle Management | -Subsidized Fitness/ nutritional club membership (for non-network gym) | Covered |
| Lifestyle Management | FitnessClub | Subsidized membership for non-network gyms (15%) |
| Lifestyle Management | NetworkGym | 2 sessions |
| Lifestyle Management | HealthChecks | On-site health checks, health talks, education forums, or wellness fairs |
| Limits | Inpatient | Unlimited |
| Limits | Outpatient | Unlimited |
| Maternity Care | -Obstetrics Care Covered up to Maternity Limit of NGN100,000 | NGN100,000 |
| Maternity Care | -Neonatal Care Covered up to Maternity Limit of NGN100,000 | NGN100,000 |
| Maternity Care | Hospital access tier D-Obstetrics Care Covered up to Maternity Limit of NGN30,000 | NGN30,000 |
| Mental Health | Employee Assistance Program / Stress Management 6 weeks | Covered |
| Mental Health | Employee Assistance Program / Stress Management 8 weeks | Covered |
| Mental Health | Covid Home Care Kit - up to limit on the plan | Covered |
| Mental Health | Health Talks/ Education forum or wellness fairs | Covered |
| Mental Health | Mental illnesses Covered for Outpatient cases Only (6 weeks) | Covered |
| Mental Health | HIV care and treatment Covered (at designated approved centres) | Covered |
| Mental Health | Specialist Consultation Covered (at designated approved centres) | Covered |
| Mental Health | Specialist Drug therapy Covered (at designated approved centres) | Covered |
| Mental Health | Psychotherapy Covered (at designated approved centres) | Covered |
| Mental Health | -Employee Assistance Program / Stress Management 4 weeks | Covered |
| Mental Health | -Covid Home Care Kit - up to limit on the plan 4 weeks | Covered |
| Mental Health | Outpatient | 12 weeks |
| Mental Health | EmployeeAssistanceProgram | Stress management |
| Mental Health | CovidHomeCareKit | 12 weeks |
| Mental Health | HealthEducation | 12 weeks |
| Mental Health | PsychiatryCare | 6 weeks |
| Neonatal Care | Ear Piercing-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 18 days (NGN500,000) | NGN180,000 |
| Neonatal Care | -Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 10 Days (NGN300,000) | NGN10,000 |
| Neonatal Care | -Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 2 Days (NGN100,000) | NGN200,000 |
| Outpatient Care | Unlimited Outpatient Limit | Covered |
| Outpatient Care | Specialist Consultations on Outpatient Cases Only; limited based on type of plans 16 weeks | Covered |
| Outpatient Care | 24 Hours free chat access to healthcare professionals | Covered |
| Outpatient Care | Free chats with Doctors and Nurses when in need of care during any medical emergency | Covered |
| Outpatient Care | Free chats with Doctors and Nurses when in need of any routine medical information | Covered |
| Outpatient Care | Chronic Disease Medication - drug delivery and pick up at partner pharmacies | Covered |
| Outpatient Care | Specialist Consultations on Outpatient Cases Only; limited based on type of plans 8 weeks | Covered |
| Outpatient Care | - Specialist Consultations on Outpatient Cases Only; limited based on type of plans 6 weeks | Covered |
| Outpatient Care | -Specialist Consultations on Outpatient Cases Only; limited based on type of plans 4 weeks | Covered |
| Outpatient Care | Outpatient Limit up to NGN250,000 | NGN250,000 |
| Outpatient Care | Specialist Consultations Once/ Month | Covered |
| Outpatient Care | Primary Dental Care-Outpatient Limit up to NGN150,000 | NGN150,000 |
| Outpatient Care | Hospital access tier D-Outpatient Limit up to NGN100,000 | NGN100,000 |
| Outpatient Care | Hospital access tier D-Outpatient Limit up to NGN50,000 | NGN50,000 |
| Physiotherapy | Physiotherapy Care Covered (17 sessions) | 17 sessions |
| Physiotherapy | Routine fitness examination | Covered |
| Physiotherapy | Preventive Counselling on referral | Covered |
| Physiotherapy | - Physiotherapy Care Covered (12 sessions) | 12 sessions |
| Physiotherapy | -Physiotherapy Care Covered (5 sessions) | 5 sessions |
| Physiotherapy | Coverage | 30 sessions |
| Preventive Screening | General Physical Examination | Covered |
| Preventive Screening | Blood Pressure Check (Hypertension Screening) | Covered |
| Preventive Screening | Blood Sugar Check (Diabetes Screening) | Covered |
| Preventive Screening | Annual Prostate Specific Antigen screening for men over 40 years | Covered |
| Preventive Screening | E/U/Cr-Mammogram, cervical smear for women over 35 years every 2 years (every other year) | Covered |
| Preventive Screening | BMI check (general physical examination) | Covered |
| Preventive Screening | Blood pressure check (hypertension screening) | Covered |
| Preventive Screening | Blood sugar check (diabetes screening) | Covered |
| Preventive Screening | Men | Annual prostate-specific antigen screening (over 40 years) |
| Preventive Screening | Women | Mammogram and cervical smear (over 35 years, every 2 years) |
| Renal Care | Dialysis upto 20 sessions | 20 sessions |
| Renal Care | Dialysis 12 sessions | 12 sessions |
| Renal Care | - Dialysis 6 Sessions | Covered |
| Renal Care | -Dialysis 3 Sessions | Covered |
| Special Baby Care Unit | Coverage | Intensive care including life support, phototherapy, and incubator care |
| Special Baby Care Unit | Limit | NGN250,000 |
| Specialist Consultations | General | 24-hour free chat access to healthcare professionals |
| Specialist Consultations | EmergencyCare | Free chats with doctors and nurses during medical emergencies |
| Specialist Consultations | RoutineCare | Free chats with doctors and nurses for routine medical information |
| Specialist Consultations | Treatment of acute and chronic ENT diseases | Covered |
| Specialist Consultations | ENT surgeries (part of surgical limit) | Covered |
| Specialist Consultations | Pharmacological treatment of acute and chronic ENT infections | Covered |
| Specialized Care | 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 | Covered |
| Specialized 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 2 Days | Covered |
| Surgery | Limit | NGN300,000 |
| # | Feature |
|---|---|
| 1 | Everything in PrimeCare |
| 2 | Unlimited Outpatient Limit |
| 3 | Unlimited Outpatient Limit |
| 4 | [Renal care (Dialysis)] Dialysis upto 20 sessions |
| 5 | Cancer care-Consultation, Chemotherapy, Radiotherapy: Covered |
| 6 | Treatment of chronic conditions |
| 7 | Inpatient Hospitalization Benefit Abroad NGN250,000 |
| 8 | Management of diabetes and diabetic emergencies |
| 9 | Employee Assistance Program / Stress Management 6 weeks |
| 10 | Accommodation for parents of admitted infants |
| 11 | Serology-Blood grouping, cross matching, and transfusion |
| 12 | Fertility services-Investigation and treatment at limits per plan NGN75,000 |
| 13 | [Specialist Consultation] ENT Surgeries - (part of the surgical limit) |
| 14 | [Specialist Consultation] Treatment of acute and chronic ENT diseases |
| 15 | [Mental Health] Specialist Consultations on Outpatient Cases Only; limited based on type of plans 16 weeks |
| 16 | [Incision and Drainage] Physiotherapy Care Covered (17 sessions) |
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PrimeCare Plus
NGN120,000 / month
