Proton Medicare

PrimeCare Plus vs Flexi-Mini

Flexi-Mini costs ₦114,000 less per month.

Bastion HMO

PrimeCare Plus

₦120,000

per month

Bastion HMO

Flexi-Mini

₦6,000

per month

Lower price

Plan details

PrimeCare PlusFlexi-Mini

Plan type

Premium Plans
Classic Plans

Waiting period

5 days
5 days

Inpatient limit

₦10,000,000
₦550,000

Outpatient limit

₦10,000,000
₦350,000

About

The Zenith of healthcare coverage. Provided by Bastion HMO
Enhanced Medicare coverage with premium benefits

Benefits

Showing 271 of 271 benefits

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

NGN100,000
Not covered

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
Not covered

CoverPersonal health equipment - BP machine, Glucometer, Trackers

Covered
Not covered

CoverInvestigation and treatment at limits per plan NGN45,000

NGN45,000
Not covered

CoverFor comatose & unconscious enrolees, Pain management,

Covered
Not covered

-Mortuary Services Covered Up to NGN75,000 Limit

NGN750,000
Not covered

-Death Cover Covered Up to NGN75,000 Limit

NGN750,000
Not covered

-Mortuary Services Covered Up to NGN50,000 Limit

NGN50,000
Not covered

-Death Cover Covered Up to NGN50,000 Limit

NGN50,000
Not covered

-Mortuary Services Covered Up to NGN40,000 Limit

NGN40,000
Not covered

MortuaryServices

NGN250,000
Not covered

DeathCover

NGN250,000
Not covered

TravelInsurance

Scope': 'Limit of NGN500,000', 'Duration': 'Limit of NGN500,000
Not covered

LifeInsurance

DeathOnly': 'Limit of NGN500,000', 'CriticalIllnessAndDisability': 'Limit of NGN500,000
Not covered

Cancer care-Consultation, Chemotherapy, Radiotherapy: Covered

Covered
Not covered

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

Covered
Not covered

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

NGN750,000
Not covered

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

NGN300,000
Not covered

Consultation

Covered
Not covered

Admission

Covered
Not covered

Counseling

Covered
Not covered

Hospice care

Covered
Not covered

Surgical treatment

Covered
Not covered

Chemotherapy

Covered
Not covered

Radiotherapy

Covered
Not covered

Limit

NGN300,000
Not covered

Treatment

Covered
Not covered

Medication

Drug delivery and pickup at partner pharmacies
Not covered

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

NGN800,000
Not covered

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

NGN800,000
Not covered

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

NGN50,000
Not covered

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

NGN50,000
Not covered

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

NGN20,000
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
Not covered

Primary Dental Care-Pharmacy Limit up to NGN150,000

NGN150,000
Not covered

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

NGN5,000
NGN5,000

Serology-Blood grouping, cross matching, and transfusion

Covered
Not covered

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

Covered
Not covered

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

Covered
Not covered

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

Covered
Not covered

Admissions and Accomodation

Covered
Covered

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

Covered
Not covered

Supply of all medical and surgical consumables

Covered
Covered

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

Covered
Not covered

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

Covered
Not covered

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

ENT Surgeries - (part of the surgical limit)

Covered
Not covered

Treatment of acute and chronic ENT diseases

Covered
Not covered

Pharmacological treatment of acute and chronic ENT infections

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.

Covered
Not covered

Movement of patients from Hospital to Hospital

Covered
Not covered

Movement of patients from Home/Accident Scene to Hospital

Covered
Not covered

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

AccidentAndEmergency

Resuscitative care including basic radiological and laboratory investigations to stabilize patient before ICU transfer if needed
Not covered

Movement of patients from hospital to hospital

Covered
Not covered

Movement of patients from home or accident scene to hospital

Covered
Not covered

Routine ocular examination

Covered
Not covered

Ocular tests-Lenses Covered up to NGN30,000

NGN30,000
Not covered

Ocular tests-Frames Covered up to NGN30,000

NGN30,000
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
Not covered

Lenses Covered NGN20,000

NGN20,000
Not covered

Frames Covered NGN20,000

NGN20,000
Not covered

-Lenses Covered NGN15,000

NGN15,000
Not covered

-Frames Covered NGN15,000

NGN15,000
Not covered

Copper T intrauterine device

Covered
Not covered

Lippes Loop intrauterine device

Covered
Not covered

Norplant

Covered
Not covered

Emergency or elective Caesarean section

Covered
Not covered

Reimbursement of delivery abroad: Normal - $180, Caesarean - $300

Covered
Not covered

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

NGN750,000
Not covered

Copper T Intrauterine Device

Covered
Not covered

Lippes loop Intrauterine Device

Covered
Not covered

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

NGN1,500,000
Not covered

Emergency or Elective Caesarean Section

Covered
Not covered

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

Covered
Not covered

Family Planning Covered Up to NGN7,000

NGN7,000
Not covered

InvestigationAndTreatment

Covered at limits per plan
Not covered

Everything in PrimeCare

Covered
Not covered

Treatment of chronic conditions

Covered
Not covered

Management of diabetes and diabetic emergencies

Covered
Covered

Accommodation for in-patient care

Covered
Not covered

Pharmacological treatment of acute and chronic ocular infections

Covered
Not covered

Diagnosis confirmation from secondary and tertiary care centres

Covered
Not covered

Line of treatment confirmation from secondary and tertiary care centres

Covered
Not covered

Stabilisation and maintenance treatment for chronic diseases

Covered
Not covered

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

NGN6,000
Not covered

-Surgeries Covered Up to Surgery Limit of NGN500,000

NGN500,000
Not covered

-Investigation and treatment at limits per plan NGN15,000

NGN15,000
Not covered

-Surgeries Covered Up to Surgery Limit of NGN200,000

NGN200,000
Not covered

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

Covered
Not covered

-Annual Checkup - available after 7 months

Covered
Not covered

-Surgeries Covered up to surgery limit of NGN100,000

NGN100,000
Not covered

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

NGN100,000
Not covered

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

NGN100,000
Not covered

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

NGN100,000
Not covered

-Benefits Available after 11 MONTHS

Covered
Not covered

-Renal Care Covered Up to NGN40,000 Limit

NGN40,000
Not covered

Benefits Available after 24 hours

Covered
Not covered

Pharmacy Limit up to NGN50,000

NGN50,000
NGN50,000

Treatment of basic medical outpatient and in-patient cases

Covered
Covered

Seeking second option Covered within HMO network

Covered
Not covered

Benefits Available after 4 MONTHS

Covered
Not covered

Mental illnesses-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

Skilled medical and paramedical services

Covered
Not covered

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
Not covered

SemiPrivateWard

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

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']}
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']}

NPI Immunisation (0-5 Years)

Covered
Not covered

Vitamin A Supplementation

Covered
Not covered

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

NGN6,000
Not covered

VitaminA

Supplementation
Not covered

Pneumococcal

Additional immunization (6 years and above)
Not covered

NPI

Covered for ages 0-5 years
Not covered

Inpatient Hospitalization Benefit Abroad NGN250,000

NGN250,000
Not covered

Accommodation for parents of admitted infants

Covered
Not covered

Unlimited Inpatient Limit

Covered
Not covered

Feeding for enrolees on admission Private ward

Covered
Not covered

Hospital Ward Care Private ward

Covered
Not covered

Skilled medical and paramedical services Private ward

Covered
Not covered

Accommodation for parents whose infants are on admission 3 days

3 days
Not covered

- Feeding for enrolees on admission Semi-Private Ward

Covered
Not covered

- Hospital Ward Care Semi-Private Ward

Covered
Not covered

- Skilled medical and paramedical services Semi-Private Ward

Covered
Not covered

- Accommodation for parents whose infants are on admission 2 Days

Covered
Not covered

-Feeding for enrolees on admission General Ward

Covered
Not covered

-Hospital Ward Care General Ward

Covered
Not covered

-Skilled medical and paramedical services General Ward

Covered
Not covered

-Accommodation for parents whose infants are on admission

Covered
Not covered

-Inpatient /Hospitalization Benefit Abroad

Covered
Not covered

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
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

Ventilator care, Long term skilled and semi-skilled hospital care

Covered
Not covered

Care for comatose and unconscious enrollees

Covered
Covered

Pain management

Covered
Covered

Stabilization and maintenance treatment for chronic diseases

Covered
Covered

Ventilator care

Covered
Covered

Long-term skilled and semi-skilled hospital care (up to 10 days)

Covered
Not covered

PersonalHealthEquipment

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

BasicImaging

X-rays and ultrasounds (not limited to listed items)
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)

AdvancedImaging

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

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

Covered
Not covered

Network Gym Access Covered (2 sessions per week)

2 sessions
Not covered

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

Covered
Not covered

-Health Talks/ Education forum or wellness fairs 4 weeks

Covered
Not covered

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

Covered
Not covered

FitnessClub

Subsidized membership for non-network gyms (15%)
Not covered

NetworkGym

2 sessions
Not covered

HealthChecks

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

Inpatient

Unlimited
NGN400,000

Outpatient

Unlimited
NGN250,000

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

NGN100,000
Not covered

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

NGN100,000
Not covered

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

NGN30,000
NGN30,000

Employee Assistance Program / Stress Management 6 weeks

Covered
Not covered

Employee Assistance Program / Stress Management 8 weeks

Covered
Not covered

Covid Home Care Kit - up to limit on the plan

Covered
Not covered

Health Talks/ Education forum or wellness fairs

Covered
Not covered

Mental illnesses Covered for Outpatient cases Only (6 weeks)

Covered
Not covered

HIV care and treatment Covered (at designated approved centres)

Covered
Not covered

Specialist Consultation Covered (at designated approved centres)

Covered
Not covered

Specialist Drug therapy Covered (at designated approved centres)

Covered
Not covered

Psychotherapy Covered (at designated approved centres)

Covered
Not covered

-Employee Assistance Program / Stress Management 4 weeks

Covered
Not covered

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

Covered
Not covered

EmployeeAssistanceProgram

Stress management
Not covered

CovidHomeCareKit

12 weeks
Not covered

HealthEducation

12 weeks
Not covered

PsychiatryCare

6 weeks
Not covered

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

NGN180,000
Not covered

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

NGN10,000
Not covered

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

NGN200,000
Not covered

Unlimited Outpatient Limit

Covered
Not covered

Specialist Consultations on Outpatient Cases Only; limited based on type of plans 16 weeks

Covered
Not 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

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

Covered
Not covered

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

Covered
Not covered

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

Covered
Not covered

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

Covered
Not covered

Outpatient Limit up to NGN250,000

NGN250,000
NGN250,000

Specialist Consultations Once/ Month

Covered
Not covered

Primary Dental Care-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

Physiotherapy Care Covered (17 sessions)

17 sessions
Not covered

Routine fitness examination

Covered
Not covered

Preventive Counselling on referral

Covered
Not covered

- Physiotherapy Care Covered (12 sessions)

12 sessions
Not covered

-Physiotherapy Care Covered (5 sessions)

5 sessions
Not covered

Coverage

30 sessions
Not covered

General Physical Examination

Covered
Not covered

Blood Pressure Check (Hypertension Screening)

Covered
Not covered

Blood Sugar Check (Diabetes Screening)

Covered
Not covered

Annual Prostate Specific Antigen screening for men over 40 years

Covered
Not covered

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

Covered
Not covered

BMI check (general physical examination)

Covered
Not covered

Blood pressure check (hypertension screening)

Covered
Not covered

Blood sugar check (diabetes screening)

Covered
Not covered

Men

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

Women

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

Dialysis upto 20 sessions

20 sessions
Not covered

Dialysis 12 sessions

12 sessions
Not covered

- Dialysis 6 Sessions

Covered
Not covered

-Dialysis 3 Sessions

Covered
Not covered

General

24-hour free chat access to healthcare professionals
Not covered

EmergencyCare

Free chats with doctors and nurses during medical emergencies
Not covered

RoutineCare

Free chats with doctors and nurses for routine medical information
Not covered

ENT surgeries (part of surgical limit)

Covered
Not covered

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
Not 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

Covered
Not covered

Availability

Not covered
Benefits available after 24 hours

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

Not covered
Covered

Diagnostics services like X-Rays and Ultrasounds

Not 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

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 NGN50,000/ year

Not covered
NGN50,000

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

Not covered
Covered

Family planning covered up to NGN7,000

Not covered
Covered

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

Not covered
NGN7,000

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

Not covered
NGN50,000

Access to C-D tier hospitals

Not covered
Covered

Pharmacy coverage up to NGN100,000

Not covered
NGN100,000

Specialized care coverage

Not covered
Covered

24-hour free chat access to healthcare professionals

Not covered
Covered

Free chats with doctors and nurses during medical emergencies

Not covered
Covered

Free chats with doctors and nurses for routine medical information

Not covered
Covered

Benefits Available after 5 days

Not covered
Covered

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

Not covered
Covered

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

Not covered
Covered

-Seeking second option Covered within HMO network

Not covered
Covered

-Benefits Available after 4 MONTHS

Not covered
Covered

-Eye Care Covered up to NGN5,000

Not covered
NGN5,000

Benefits Available after 11 MONTHS

Not covered
Covered

Treatment of basic medical outpatient and inpatient cases

Not covered
Covered

Specialist consultations once per month

Not covered
Covered

Skilled medical and paramedical services

Not covered
Covered

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

Not covered
Covered

Primary dental care covered up to NGN5,000

Not covered
Covered

Preventive dental care and counseling

Not covered
Covered

Dental pain therapy at primary healthcare centers

Not covered
Covered

Obstetrics care covered up to maternity limit of NGN30,000

Not covered
Covered

Inpatient limit up to NGN100,000

Not covered
Covered

Outpatient limit up to NGN100,000

Not covered
Covered

Pharmacy limit up to NGN100,000

Not covered
Covered

Inpatient limit up to NGN50,000

Not covered
Covered

Outpatient limit up to NGN50,000

Not covered
Covered

General ward admission with feeding

Not covered
Covered

Ear Piercing-Inpatient Limit up to NGN150,000

Not covered
NGN150,000

Long-term skilled and semi-skilled hospital care

Not covered
Covered

Pharmacy

Not covered
NGN50,000

Ear Piercing-Pharmacy Limit up to NGN150,000

Not covered
NGN150,000

Specialist Consultations Once / Month

Not covered
Covered

Ear Piercing-Outpatient Limit up to NGN150,000

Not covered
NGN150,000

Seeking second opinion covered within HMO network

Not covered
Covered

Eye care covered up to NGN5,000

Not covered
Covered

Surgeries

Not covered
NGN70,000

Obstetrics

Not covered
NGN50,000

Neonatal

Not covered
NGN50,000

AdditionalLimits

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

Found the right plan?

Take the next step and enroll in your chosen health insurance plan.