Advanced healthcare coverage. Provided by Bastion HMO
Offered by Bastion HMO
Monthly premium
NGN45,000
per enrollee / month
| Provider | Bastion HMO |
|---|---|
| Plan type | Advanced Plans |
| Monthly premium | NGN45,000 |
| Inpatient limit | NGN10,000,000 |
| Outpatient limit | NGN10,000,000 |
| Waiting period | 5 days |
271 of 271 rows
| Category | Benefit | Coverage |
|---|---|---|
| After Demise Care | Seeking second option-Mortuary Services Covered Up to NGN150,000 Limit | NGN150,000 |
| After Demise Care | Care-Death Cover Covered Up to NGN150,000 Limit | NGN150,000 |
| After Demise Care | Care-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 | CoverInvestigation and treatment at limits per plan NGN45,000 | NGN45,000 |
| After Demise Care | 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 | Covered |
| After Demise Care | CoverAdditional Immunization (6Yrs and above) Covered Up to NGN7,000 | NGN6,000 |
| After Demise Care | CoverSurgeries Covered Up to Surgery Limit of NGN500,000 | NGN500,000 |
| After Demise Care | CoverMortuary Services Covered Up to NGN75,000 Limit | NGN750,000 |
| After Demise Care | CoverDeath Cover Covered Up to NGN75,000 Limit | NGN750,000 |
| After Demise Care | CoverInvestigation and treatment at limits per plan NGN15,000 | NGN15,000 |
| After Demise Care | 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 2 Days | Covered |
| After Demise Care | CoverAdvanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography CT scan only and emergency cases for MRI | Covered |
| After Demise Care | CoverSurgeries Covered Up to Surgery Limit of NGN200,000 | NGN200,000 |
| After Demise Care | Mental illnesses Covered for Outpatient cases Only (4 weeks) | Covered |
| After Demise Care | CoverMortuary Services Covered Up to NGN50,000 Limit | NGN50,000 |
| After Demise Care | CoverDeath Cover Covered Up to NGN50,000 Limit | NGN50,000 |
| After Demise Care | Annual Checkup - available after 7 months | Covered |
| After Demise Care | CoverSurgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| After Demise Care | CoverMinor surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| After Demise Care | CoverIntermediate surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| After Demise Care | CoverMajor surgeries Covered up to surgery limit of NGN100,000 | NGN100,000 |
| After Demise Care | CoverMortuary Services Covered Up to NGN40,000 Limit | NGN40,000 |
| After Demise Care | Benefits Available after 11 MONTHS | Covered |
| After Demise Care | CoverObstetrics Care Covered up to Maternity Limit of NGN100,000 | NGN100,000 |
| After Demise Care | CoverNeonatal Care Covered up to Maternity Limit of NGN100,000 | NGN100,000 |
| After Demise Care | CoverRenal Care Covered Up to NGN40,000 Limit | NGN40,000 |
| After Demise Care | MortuaryServices | NGN150,000 |
| After Demise Care | DeathCover | NGN150,000 |
| After Demise Care | Investigation and treatment at limits per plan (NGN75,000) | Covered |
| After Demise Care | Care for comatose and unconscious enrollees, pain management, stabilization, chronic disease treatment, ventilator care, diabetes management, long-term care (up to 5 days) | Covered |
| After Demise Care | X-rays and ultrasounds (not limited to list) | Covered |
| After Demise Care | Advanced investigations (CT scan, MRI scan, echocardiography, electrocardiography) | Covered |
| After Demise Care | Supply of prescribed intravenous, intramuscular, oral, and topical drugs | Covered |
| After Demise Care | Accommodation for parents of admitted infants (up to 3 days) | Covered |
| After Demise Care | Inpatient hospitalization benefit abroad (NGN250,000) | Covered |
| Cancer Care | Cancer care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN2,000,000 | NGN200,000 |
| Cancer Care | Care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered | Covered |
| Cancer Care | CoverConsultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN750,000 | NGN750,000 |
| Cancer Care | CoverConsultation, 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 | NGN200,000 |
| Dental Care | Ocular tests-Primary Dental Care Covered Up to NGN150,000 | NGN150,000 |
| Dental Care | Ocular tests-Secondary Dental Care Covered Up to NGN150,000 | NGN150,000 |
| Dental Care | Care-Primary Dental Care Covered up to NGN80,000 | NGN800,000 |
| Dental Care | Care-Secondary Dental Care Covered up to NGN80,000 | NGN800,000 |
| Dental Care | CoverPrimary Dental Care Covered Up to Overall Dental Limit of NGN50,000 | NGN50,000 |
| Dental Care | CoverSecondary Dental Care Covered Up to Overall Dental Limit of NGN50,000 | NGN50,000 |
| Dental Care | CoverPrimary 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 | Diagnostics services like X-Rays and Ultrasounds | Covered |
| Diagnostics | Laboratory tests-Personal health equipment - BP machine, Glucometer, Trackers | Covered |
| Diagnostics | -Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography | Covered |
| Diagnostics | Admissions and Accomodation | Covered |
| Diagnostics | Supply of all medical and surgical consumables | Covered |
| Diagnostics | Serology-Blood grouping, cross matching, and transfusion | Covered |
| Diagnostics | Accommodation for in-patient care | Covered |
| Diagnostics | Care-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 | Care Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography Covered (Not limited to the list) | Covered |
| E N T Care | Treatment of acute and chronic ENT diseases | Covered |
| E N T Care | ENT surgeries (part of surgical limit) | Covered |
| E N T Care | Pharmacological treatment of acute and chronic ENT infections | Covered |
| E N T Care | ENT Surgeries - (part of the surgical limit) | 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 | 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 | NGN50,000 |
| Emergency Services | AccidentAndEmergency | NGN50,000 |
| 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 NGN45,000 | NGN45,000 |
| Eye Care | Ocular tests-Frames Covered NGN45,000 | NGN45,000 |
| 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 up to NGN30,000 | NGN30,000 |
| Eye Care | Frames Covered up to NGN30,000 | NGN30,000 |
| 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 | NGN200,000 |
| Family Planning | Emergency or elective Caesarean section | Covered |
| Family Planning | Reimbursement of delivery abroad: Normal - $180, Caesarean - $300 | Covered |
| Family Planning | Limit | NGN7,000 |
| Fertility Services | Investigation and treatment at limits per plan | Covered |
| Fertility Services | Copper T Intrauterine Device | Covered |
| Fertility Services | Lippes loop Intrauterine Device | Covered |
| Fertility Services | Norplant-Surgeries Covered Up to Surgery Limit of NGN2,500,000 | NGN200,000 |
| Fertility Services | Emergency or Elective Caesarean Section | Covered |
| Fertility Services | Manual Vacuum Aspiration-Reimbursement of Delivery Abroad Normal -$180, CS-$300 | Covered |
| Fertility Services | Hospital Ward Care-Family Planning Covered Up to NGN7,000 | NGN7,000 |
| Fertility Services | InvestigationAndTreatment | Covered at limits per plan |
| General | Everything in Zencare prime | Covered |
| General | Unlimited outpatient coverage | Covered |
| General | Unlimited pharmacy coverage | Covered |
| General | Chronic condition treatment and management | Covered |
| General | Specialized care coverage | Covered |
| General | Care for comatose and unconscious enrollees | Covered |
| General | Stabilization and maintenance treatment for chronic diseases | Covered |
| General | Management of diabetes and diabetic emergencies | Covered |
| General | Long-term skilled and semi-skilled hospital care (up to 7 days) | 7 days |
| General | Treatment of chronic conditions | 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 | Care-Investigation and treatment at limits per plan NGN75,000 | NGN750,000 |
| General | Care-Supply of prescribed intravenous/intramuscular, oral and topical drugs | Covered |
| General | Care Additional Immunization (6Yrs and above) Covered Up to NGN10,000 | NGN6,000 |
| General | Care-Surgeries Covered Up to Surgery Limit of NGN1,500,000 | NGN1,500,000 |
| General | Care-Reimbursement of Delivery Abroad Normal -$150, CS-$250 | Covered |
| General | Specialist Consultation Covered (at designated approved centres) | Covered |
| General | Specialist Drug therapy Covered (at designated approved centres) | Covered |
| General | Psychotherapy Covered (at designated approved centres) | 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 Access Tier D | Feeding for enrollees on admission - General Ward (up to 5 days/year) | Covered |
| Hospital Access Tier D | Primary dental care covered up to NGN5,000 | Covered |
| Hospital Access Tier D | Obstetrics care covered up to maternity limit of NGN30,000 | Covered |
| Hospital Access Tier D | Inpatient limit up to NGN100,000 | Covered |
| Hospital Access Tier D | Outpatient limit up to NGN100,000 | Covered |
| Hospital Access Tier D | Pharmacy limit up to NGN100,000 | Covered |
| Hospital Ward Care | PrivateWard | 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 5 days)'], 'InpatientHospitalizationBenefitAbroad': 'NGN350,000 |
| 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 | Vitamin A Supplementation | Covered |
| Immunizations | Additional Immunization (6Yrs and above) | Covered |
| Immunizations | NPI Immunisation (0-5 Years) | Covered |
| Immunizations | VitaminA | Supplementation |
| Immunizations | Pneumococcal | Additional immunization (6 years and above) |
| Immunizations | NPI | Covered for ages 0-5 years |
| 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 | Serology-Supply of prescribed intravenous/intramuscular, oral and topical drugs Private Ward | Covered |
| Inpatient Care / Admissions | Accommodation for parents whose infants are on admission 5 days | 5 days |
| Inpatient Care / Admissions | Serology-Inpatient /Hospitalization Benefit Abroad NGN350,000 | NGN350,000 |
| Inpatient Care / Admissions | Accommodation for parents whose infants are on admission 3 days | 3 days |
| Inpatient Care / Admissions | Care-Inpatient /Hospitalization Benefit Abroad NGN250,000 | NGN250,000 |
| 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 | Dialysis-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 | 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 7 days) | Covered |
| Laboratory And Diagnostics | PersonalHealthEquipment | Blood pressure machine, glucometer, trackers (covered only on medical diagnosis) |
| Laboratory And Diagnostics | BasicImaging | X-rays and ultrasounds (e.g., chest, abdominal, limb, neck, skull, lumbosacral, body joints; not limited to list) |
| Laboratory And Diagnostics | AdvancedImaging | CT scan, MRI scan, echocardiography, electrocardiography (limited coverage, CT scan always covered, MRI for emergencies) |
| Lifestyle Management | Subsidized Fitness/ nutritional club membership (for non-network gym) 15% | 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 | Subsidized Fitness/ nutritional club membership (for non-network gym) 10% | 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 | Hospital access tier D-Obstetrics Care Covered up to Maternity Limit of NGN30,000 | NGN30,000 |
| Mental Health | Employee Assistance Program / Stress Management | 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 | Employee Assistance Program / Stress Management 8 weeks | Covered |
| Mental Health | Employee Assistance Program / Stress Management 6 weeks | 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 | 8 weeks |
| Mental Health | CovidHomeCareKit | Covered up to plan limit |
| Mental Health | HealthEducation | Health talks, education forums, or wellness fairs |
| Mental Health | PsychiatryCare | 6 weeks |
| Neonatal Care | Ear Piercing-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 25 Days (NGN750,000) | NGN250,000 |
| Neonatal Care | Care-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 18 days (NGN500,000) | NGN180,000 |
| Neonatal Care | CoverSpecial Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 10 Days (NGN300,000) | NGN10,000 |
| Neonatal Care | CoverSpecial Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 2 Days (NGN100,000) | NGN200,000 |
| Outpatient Care | Chronic disease medication with drug delivery and pickup at partner pharmacies | Covered |
| Outpatient Care | Unlimited Outpatient Limit | 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 12 weeks | 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 | Dialysis-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 (25 sessions) | 25 sessions |
| Physiotherapy | Routine fitness examination | Covered |
| Physiotherapy | Preventive Counselling on referral | Covered |
| Physiotherapy | Physiotherapy Care Covered (17 sessions) | 17 sessions |
| Physiotherapy | Physiotherapy Care Covered (12 sessions) | 12 sessions |
| Physiotherapy | Physiotherapy Care Covered (5 sessions) | 5 sessions |
| Physiotherapy | Coverage | 25 sessions |
| Physiotherapy | RoutineFitnessExamination | Covered |
| Physiotherapy | PreventiveCounseling | On referral |
| 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 20 Sessions | Covered |
| Renal Care | Dialysis 12 sessions | 12 sessions |
| Renal Care | Dialysis 6 Sessions | Covered |
| Renal Care | Dialysis 3 Sessions | Covered |
| Renal Care | Benefits Available after 24 hours | Covered |
| Renal Care | Dialysis-Pharmacy Limit up to NGN50,000 | NGN50,000 |
| Renal Care | Treatment of basic medical outpatient and in-patient cases | Covered |
| Renal Care | 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 | Covered |
| Seeking Second Option | Diagnosis confirmation from secondary and tertiary care centers | Covered |
| Seeking Second Option | Line of treatment confirmation from secondary and tertiary care centers | Covered |
| Seeking Second Option | Covered within HMO network (mental illnesses) | Covered |
| Special Baby Care Unit | Coverage | Intensive care including life support, phototherapy, and incubator care |
| Special Baby Care Unit | Limit | NGN250,000 |
| Specialist Consultations | Telemedicine | 24-hour free chat access to healthcare professionals |
| 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 |
| Specialist Consultations | General | Chronic disease medication with drug delivery and pickup at partner pharmacies |
| Specialist Consultations | Frequency | Once per month (for dialysis patients) |
| Specialized Care | Pain management | 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 7 Days | Covered |
| Specialized Care | 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 5 Days | Covered |
| Specialized Care | HIV care and treatment Covered (at designated approved centres) | Covered |
| # | Feature |
|---|---|
| 1 | Everything in Zencare prime |
| 2 | Unlimited outpatient coverage |
| 3 | Unlimited pharmacy coverage |
| 4 | Chronic condition treatment and management |
| 5 | Chronic disease medication with drug delivery and pickup at partner pharmacies |
| 6 | Specialized care coverage |
| 7 | Diagnostics services like X-Rays and Ultrasounds |
| 8 | Treatment of acute and chronic ENT diseases |
| 9 | ENT surgeries (part of surgical limit) |
| 10 | Pharmacological treatment of acute and chronic ENT infections |
| 11 | Care for comatose and unconscious enrollees |
| 12 | Pain management |
| 13 | Stabilization and maintenance treatment for chronic diseases |
| 14 | Ventilator care |
| 15 | Management of diabetes and diabetic emergencies |
| 16 | Long-term skilled and semi-skilled hospital care (up to 7 days) |
Enroll in ZenCare Prime today and get instant access to quality healthcare.
ZenCare Prime
NGN45,000 / month
