PrimeCare Plus vs ZenCare

ZenCare costs ₦105,000 less per month.

Bastion HMO

PrimeCare Plus

₦120,000

per month

Bastion HMO

ZenCare

₦15,000

per month

Lower price

Plan details

PrimeCare PlusZenCare

Plan type

Premium Plans

Classic Plans

Waiting period

5 days

Inpatient limit

₦10,000,000

Outpatient limit

₦10,000,000

₦1,000,000

About

The Zenith of healthcare coverage. Provided by Bastion HMO

Classic Health plan with standard benefits. Provided by Bastion HMO.

Benefits

Show differences only

Showing 307 of 307 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

NGN50,000

DeathCover

NGN250,000

NGN50,000

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

Admission

Covered

Counseling

Covered

Hospice care

Covered

Surgical treatment

Covered

Chemotherapy

Covered

Radiotherapy

Covered

Limit

NGN300,000

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

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

NGN70,000

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

NGN50,000

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

NGN50,000

Primary Dental Care-Pharmacy Limit up to NGN150,000

NGN150,000

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

NGN5,000

Serology-Blood grouping, cross matching, and transfusion

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

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

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

Covered

Supply of all medical and surgical consumables

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

Treatment of acute and chronic ENT diseases

Covered

Pharmacological treatment of acute and chronic ENT infections

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

Movement of patients from Hospital to Hospital

Covered

Movement of patients from Home/Accident Scene to Hospital

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

NGN50,000

Movement of patients from hospital to hospital

Covered

Movement of patients from home or accident scene to hospital

Covered

Routine ocular examination

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

Preventive dental care and counselling

Covered

Dental pain therapy at primary healthcare centres

Covered

Pharmacological treatment of acute and chronic dental infections

Covered

Access to prescribed drugs

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

Lippes Loop intrauterine device

Covered

Norplant

Covered

NGN200,000

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

Lippes loop Intrauterine Device

Covered

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

NGN1,500,000

Not covered

Emergency or Elective Caesarean Section

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

NGN15,000

Everything in PrimeCare

Covered

Not covered

Treatment of chronic conditions

Covered

Management of diabetes and diabetic emergencies

Covered

Accommodation for in-patient care

Covered

Pharmacological treatment of acute and chronic ocular infections

Covered

Diagnosis confirmation from secondary and tertiary care centres

Covered

Line of treatment confirmation from secondary and tertiary care centres

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

Pharmacy Limit up to NGN50,000

NGN50,000

Not covered

Treatment of basic medical outpatient and in-patient cases

Covered

Seeking second option Covered within HMO network

Covered

Benefits Available after 4 MONTHS

Covered

Mental illnesses-Eye Care Covered up to NGN5,000

NGN5,000

Hospital access tier D-Pharmacy Limit up to 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 for dialysis, 5 days/year for tier D)', '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', 'Inpatient hospitalization benefit abroad']}

NPI Immunisation (0-5 Years)

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

Inpatient Hospitalization Benefit Abroad NGN250,000

NGN250,000

Not covered

Accommodation for parents of admitted infants

Covered

Not covered

Unlimited Inpatient Limit

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

Not covered

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

Covered

Primary Dental Care-Inpatient Limit up to NGN150,000

NGN150,000

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

Covered

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

NGN100,000

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

NGN50,000

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

Covered

Not covered

Care for comatose and unconscious enrollees

Covered

Pain management

Covered

Stabilization and maintenance treatment for chronic diseases

Covered

Ventilator care

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)

Blood pressure machine, glucometer, trackers

BasicImaging

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

X-rays and ultrasounds (not limited to list)

AdvancedImaging

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

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

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

-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%)

Subsidized membership for non-network gyms

NetworkGym

2 sessions

Not covered

HealthChecks

On-site health checks, health talks, education forums, or wellness fairs

Inpatient

Unlimited

Outpatient

Unlimited

-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

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

4 weeks

CovidHomeCareKit

12 weeks

4 weeks

HealthEducation

12 weeks

4 weeks

PsychiatryCare

6 weeks

4 weeks

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

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

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

Covered

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

Covered

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

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

Not covered

Specialist Consultations Once/ Month

Covered

Not covered

Primary Dental Care-Outpatient Limit up to NGN150,000

NGN150,000

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

NGN100,000

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

NGN50,000

Physiotherapy Care Covered (17 sessions)

17 sessions

Not covered

Routine fitness examination

Covered

Preventive Counselling on referral

Covered

- Physiotherapy Care Covered (12 sessions)

12 sessions

Not covered

-Physiotherapy Care Covered (5 sessions)

5 sessions

Not covered

Coverage

30 sessions

5 sessions

General Physical Examination

Covered

Blood Pressure Check (Hypertension Screening)

Covered

Blood Sugar Check (Diabetes Screening)

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

Blood pressure check (hypertension screening)

Covered

Blood sugar check (diabetes screening)

Covered

Men

Annual prostate-specific antigen screening (over 40 years)

Not covered

Women

Mammogram and cervical smear (over 35 years, every 2 years)

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

Chronic disease medication with drug delivery and pickup at partner pharmacies

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

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

Seeking second option-Mortuary Services Covered Up to NGN50,000 Limit

Not covered

NGN50,000

Care-Death Cover Covered Up to NGN50,000 Limit

Not covered

NGN50,000

Hepatitis B-Mortuary Services Covered Up to NGN40,000 Limit

Not covered

NGN40,000

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

Not covered

NGN300,000

Primary dental care covered up to NGN20,000

Not covered

NGN20,000

Ocular tests-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

Not covered

Covered

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

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

Lenses covered up to NGN15,000

Not covered

NGN15,000

Frames covered up to NGN15,000

Not covered

NGN15,000

Ocular tests-Lenses Covered NGN15,000

Not covered

NGN15,000

Ocular tests-Frames Covered NGN15,000

Not covered

NGN15,000

ManualVacuumAspiration

Not covered

Emergency or elective Caesarean section

Fertility services-Investigation and treatment at limits per plan NGN15,000

Not covered

NGN15,000

Norplant-Surgeries Covered Up to Surgery Limit of NGN200,000

Not covered

NGN200,000

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

Not covered

NGN7,000

All Basic features

Not covered

Covered

Telehealth services

Not covered

Covered

Dental, vision, and hearing coverage

Not covered

Covered

Prescription drug coverage (Part D)

Not covered

Covered

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

Not covered

NGN6,000

Care-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

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

Benefits Available after 11 MONTHS

Not covered

Covered

Hepatitis B-Renal Care Covered Up to NGN40,000 Limit

Not covered

NGN40,000

Benefits available after 11 months

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

Not covered

Covered

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

Not covered

Covered

Mortuary services covered up to NGN40,000

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

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

Additional

Not covered

NGN6,000

Unlimited inpatient limit

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

Dialysis-Inpatient Limit up to NGN400,000

Not covered

NGN400,000

Long-term skilled and semi-skilled hospital care (up to 2 days)

Not covered

Covered

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

Not covered

Covered

Fitness and wellness programs

Not covered

Covered

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

Not covered

Covered

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

Not covered

NGN100,000

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

Not covered

NGN100,000

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

Health Talks/ Education forum or wellness fairs 4 weeks

Not covered

Covered

Mental illnesses Covered for Outpatient cases Only (4 weeks)

Not covered

Covered

Ear Piercing-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 4 weeks)

Not covered

Covered

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

Not covered

Covered

Dialysis-Outpatient Limit up to NGN250,000

Not covered

NGN250,000

Specialist Consultations Once / Month

Not covered

Covered

Physiotherapy Care Covered (5 sessions)

Not covered

5 sessions

RoutineFitnessExamination

Not covered

Covered

PreventiveCounseling

Not covered

On referral

Urinalysis-Mammogram, cervical smear for women over 35 years every 2 years (every other year)

Not covered

Covered

Dialysis 3 Sessions

Not covered

Covered

Dialysis-Pharmacy Limit up to NGN50,000

Not covered

NGN50,000

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

24-hour free chat access to healthcare professionals

Frequency

Not covered

Once per month (for dialysis patients)

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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PrimeCare Plus vs ZenCare

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