PrimeCare Plus vs ZenCare Prime
ZenCare Prime costs ₦75,000 less per month.
Bastion HMO
PrimeCare Plus
₦120,000
per month
Bastion HMO
ZenCare Prime
₦45,000
per month
Plan details
Plan type
Waiting period
Inpatient limit
Outpatient limit
About
Benefits
Showing 350 of 350 benefits
Seeking second option-Mortuary Services Covered Up to NGN100,000 Limit
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.
CoverPersonal health equipment - BP machine, Glucometer, Trackers
CoverInvestigation and treatment at limits per plan NGN45,000
CoverFor comatose & unconscious enrolees, Pain management,
-Mortuary Services Covered Up to NGN75,000 Limit
-Death Cover Covered Up to NGN75,000 Limit
-Mortuary Services Covered Up to NGN50,000 Limit
-Death Cover Covered Up to NGN50,000 Limit
-Mortuary Services Covered Up to NGN40,000 Limit
MortuaryServices
DeathCover
TravelInsurance
LifeInsurance
Cancer care-Consultation, Chemotherapy, Radiotherapy: Covered
Cancer care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered
-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN750,000
-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN300,000
Consultation
Admission
Counseling
Hospice care
Surgical treatment
Chemotherapy
Radiotherapy
Limit
Treatment
Medication
Ocular tests-Primary Dental Care Covered up to NGN80,000
Ocular tests-Secondary Dental Care Covered up to NGN80,000
Primary Dental Care Covered Up to Overall Dental Limit of NGN50,000
-Secondary Dental Care Covered Up to Overall Dental Limit of NGN50,000
-Primary Dental Care Covered Up to Overall Dental Limit of NGN20,000
Primary Dental Care-Secondary Dental Care Covered Up to Overall Dental Limit of NGN5,000.
Primary Dental Care-Surgeries Covered up to surgery limit of NGN70,000
Primary Dental Care-Obstetrics Care Covered up to Maternity Limit of NGN50,000
Primary Dental Care-Neonatal Care Covered up to Maternity Limit of NGN50,000
Primary Dental Care-Pharmacy Limit up to NGN150,000
Hospital access tier D-Primary Dental Care Covered Up to Overall Dental Limit of NGN5,000.
Serology-Blood grouping, cross matching, and transfusion
Laboratory tests-Personal health equipment - BP machine, Glucometer, Trackers Covered only on medical diagnosis
X-Rays and Ultrasounds Covered (Not limited to the list)
Diagnostics and imaging-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography Covered (Not limited to the list)
Admissions and Accomodation
Serology-Supply of prescribed intravenous/intramuscular, oral and topical drugs
Supply of all medical and surgical consumables
-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography
-Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography CT scan only and emergency cases for MRI
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
ENT Surgeries - (part of the surgical limit)
Treatment of acute and chronic ENT diseases
Pharmacological treatment of acute and chronic ENT infections
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.
Movement of patients from Hospital to Hospital
Movement of patients from Home/Accident Scene to Hospital
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
AccidentAndEmergency
Movement of patients from hospital to hospital
Movement of patients from home or accident scene to hospital
Routine ocular examination
Ocular tests-Lenses Covered up to NGN30,000
Ocular tests-Frames Covered up to NGN30,000
Routine dental examination
Preventive dental care and counselling
Dental pain therapy at primary healthcare centres
Pharmacological treatment of acute and chronic dental infections
Access to prescribed drugs
Lenses Covered NGN20,000
Frames Covered NGN20,000
-Lenses Covered NGN15,000
-Frames Covered NGN15,000
Copper T intrauterine device
Lippes Loop intrauterine device
Norplant
Emergency or elective Caesarean section
Reimbursement of delivery abroad: Normal - $180, Caesarean - $300
Fertility services-Investigation and treatment at limits per plan NGN75,000
Copper T Intrauterine Device
Lippes loop Intrauterine Device
Norplant-Surgeries Covered Up to Surgery Limit of NGN1,500,000
Emergency or Elective Caesarean Section
Manual Vacuum Aspiration-Reimbursement of Delivery Abroad Normal -$150, CS-$250
Family Planning Covered Up to NGN7,000
InvestigationAndTreatment
Everything in PrimeCare
Treatment of chronic conditions
Management of diabetes and diabetic emergencies
Accommodation for in-patient care
Pharmacological treatment of acute and chronic ocular infections
Diagnosis confirmation from secondary and tertiary care centres
Line of treatment confirmation from secondary and tertiary care centres
Stabilisation and maintenance treatment for chronic diseases
-Additional Immunization (6Yrs and above) Covered Up to NGN7,000
-Surgeries Covered Up to Surgery Limit of NGN500,000
-Investigation and treatment at limits per plan NGN15,000
-Surgeries Covered Up to Surgery Limit of NGN200,000
-Mental illnesses Covered for Outpatient cases Only (4 weeks)
-Annual Checkup - available after 7 months
-Surgeries Covered up to surgery limit of NGN100,000
-Minor surgeries Covered up to surgery limit of NGN100,000
-Intermediate surgeries Covered up to surgery limit of NGN100,000
-Major surgeries Covered up to surgery limit of NGN100,000
-Benefits Available after 11 MONTHS
-Renal Care Covered Up to NGN40,000 Limit
Benefits Available after 24 hours
Pharmacy Limit up to NGN50,000
Treatment of basic medical outpatient and in-patient cases
Seeking second option Covered within HMO network
Benefits Available after 4 MONTHS
Mental illnesses-Eye Care Covered up to NGN5,000
Hospital access tier D-Pharmacy Limit up to NGN100,000
Skilled medical and paramedical services
PrivateWard
SemiPrivateWard
GeneralWard
NPI Immunisation (0-5 Years)
Vitamin A Supplementation
Pneumococcal-Additional Immunization (6Yrs and above) Covered Up to NGN10,000
VitaminA
Pneumococcal
NPI
Inpatient Hospitalization Benefit Abroad NGN250,000
Accommodation for parents of admitted infants
Unlimited Inpatient Limit
Feeding for enrolees on admission Private ward
Hospital Ward Care Private ward
Skilled medical and paramedical services Private ward
Accommodation for parents whose infants are on admission 3 days
- Feeding for enrolees on admission Semi-Private Ward
- Hospital Ward Care Semi-Private Ward
- Skilled medical and paramedical services Semi-Private Ward
- Accommodation for parents whose infants are on admission 2 Days
-Feeding for enrolees on admission General Ward
-Hospital Ward Care General Ward
-Skilled medical and paramedical services General Ward
-Accommodation for parents whose infants are on admission
-Inpatient /Hospitalization Benefit Abroad
Inpatient Limit up to NGN400,000
Feeding for enrolees on admission General Ward (Up to 10 Days/year)
Primary Dental Care-Inpatient Limit up to NGN150,000
Feeding for enrolees on admission - General Ward (Up to 5 Days/year)
Hospital access tier D-Inpatient Limit up to NGN100,000
Hospital access tier D-Inpatient Limit up to NGN50,000
Ventilator care, Long term skilled and semi-skilled hospital care
Care for comatose and unconscious enrollees
Pain management
Stabilization and maintenance treatment for chronic diseases
Ventilator care
Long-term skilled and semi-skilled hospital care (up to 10 days)
PersonalHealthEquipment
BasicImaging
AdvancedImaging
Subsidized Fitness/ nutritional club membership (for non-network gym) 10%
Network Gym Access Covered (2 sessions per week)
Lifestyle Management-On-site Health Checks, Health Talks/ Education forum or wellness fairs
-Health Talks/ Education forum or wellness fairs 4 weeks
-Subsidized Fitness/ nutritional club membership (for non-network gym)
FitnessClub
NetworkGym
HealthChecks
Inpatient
Outpatient
-Obstetrics Care Covered up to Maternity Limit of NGN100,000
-Neonatal Care Covered up to Maternity Limit of NGN100,000
Hospital access tier D-Obstetrics Care Covered up to Maternity Limit of NGN30,000
Employee Assistance Program / Stress Management 6 weeks
Employee Assistance Program / Stress Management 8 weeks
Covid Home Care Kit - up to limit on the plan
Health Talks/ Education forum or wellness fairs
Mental illnesses Covered for Outpatient cases Only (6 weeks)
HIV care and treatment Covered (at designated approved centres)
Specialist Consultation Covered (at designated approved centres)
Specialist Drug therapy Covered (at designated approved centres)
Psychotherapy Covered (at designated approved centres)
-Employee Assistance Program / Stress Management 4 weeks
-Covid Home Care Kit - up to limit on the plan 4 weeks
EmployeeAssistanceProgram
CovidHomeCareKit
HealthEducation
PsychiatryCare
Ear Piercing-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 18 days (NGN500,000)
-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 10 Days (NGN300,000)
-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 2 Days (NGN100,000)
Unlimited Outpatient Limit
Specialist Consultations on Outpatient Cases Only; limited based on type of plans 16 weeks
24 Hours free chat access to healthcare professionals
Free chats with Doctors and Nurses when in need of care during any medical emergency
Free chats with Doctors and Nurses when in need of any routine medical information
Chronic Disease Medication - drug delivery and pick up at partner pharmacies
Specialist Consultations on Outpatient Cases Only; limited based on type of plans 8 weeks
- Specialist Consultations on Outpatient Cases Only; limited based on type of plans 6 weeks
-Specialist Consultations on Outpatient Cases Only; limited based on type of plans 4 weeks
Outpatient Limit up to NGN250,000
Specialist Consultations Once/ Month
Primary Dental Care-Outpatient Limit up to NGN150,000
Hospital access tier D-Outpatient Limit up to NGN100,000
Hospital access tier D-Outpatient Limit up to NGN50,000
Physiotherapy Care Covered (17 sessions)
Routine fitness examination
Preventive Counselling on referral
- Physiotherapy Care Covered (12 sessions)
-Physiotherapy Care Covered (5 sessions)
Coverage
General Physical Examination
Blood Pressure Check (Hypertension Screening)
Blood Sugar Check (Diabetes Screening)
Annual Prostate Specific Antigen screening for men over 40 years
E/U/Cr-Mammogram, cervical smear for women over 35 years every 2 years (every other year)
BMI check (general physical examination)
Blood pressure check (hypertension screening)
Blood sugar check (diabetes screening)
Men
Women
Dialysis upto 20 sessions
Dialysis 12 sessions
- Dialysis 6 Sessions
-Dialysis 3 Sessions
General
EmergencyCare
RoutineCare
ENT surgeries (part of surgical limit)
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
-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
Seeking second option-Mortuary Services Covered Up to NGN150,000 Limit
Care-Death Cover Covered Up to NGN150,000 Limit
Care-Mortuary Services Covered Up to NGN100,000 Limit
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
CoverAdditional Immunization (6Yrs and above) Covered Up to NGN7,000
CoverSurgeries Covered Up to Surgery Limit of NGN500,000
CoverMortuary Services Covered Up to NGN75,000 Limit
CoverDeath Cover Covered Up to NGN75,000 Limit
CoverInvestigation and treatment at limits per plan NGN15,000
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
CoverAdvanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography CT scan only and emergency cases for MRI
CoverSurgeries Covered Up to Surgery Limit of NGN200,000
Mental illnesses Covered for Outpatient cases Only (4 weeks)
CoverMortuary Services Covered Up to NGN50,000 Limit
CoverDeath Cover Covered Up to NGN50,000 Limit
Annual Checkup - available after 7 months
CoverSurgeries Covered up to surgery limit of NGN100,000
CoverMinor surgeries Covered up to surgery limit of NGN100,000
CoverIntermediate surgeries Covered up to surgery limit of NGN100,000
CoverMajor surgeries Covered up to surgery limit of NGN100,000
CoverMortuary Services Covered Up to NGN40,000 Limit
Benefits Available after 11 MONTHS
CoverObstetrics Care Covered up to Maternity Limit of NGN100,000
CoverNeonatal Care Covered up to Maternity Limit of NGN100,000
CoverRenal Care Covered Up to NGN40,000 Limit
Investigation and treatment at limits per plan (NGN75,000)
Care for comatose and unconscious enrollees, pain management, stabilization, chronic disease treatment, ventilator care, diabetes management, long-term care (up to 5 days)
X-rays and ultrasounds (not limited to list)
Advanced investigations (CT scan, MRI scan, echocardiography, electrocardiography)
Supply of prescribed intravenous, intramuscular, oral, and topical drugs
Accommodation for parents of admitted infants (up to 3 days)
Inpatient hospitalization benefit abroad (NGN250,000)
Cancer care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN2,000,000
Care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered
CoverConsultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN750,000
CoverConsultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN300,000
Ocular tests-Primary Dental Care Covered Up to NGN150,000
Ocular tests-Secondary Dental Care Covered Up to NGN150,000
Care-Primary Dental Care Covered up to NGN80,000
Care-Secondary Dental Care Covered up to NGN80,000
CoverPrimary Dental Care Covered Up to Overall Dental Limit of NGN50,000
CoverSecondary Dental Care Covered Up to Overall Dental Limit of NGN50,000
CoverPrimary Dental Care Covered Up to Overall Dental Limit of NGN20,000
Diagnostics services like X-Rays and Ultrasounds
Laboratory tests-Personal health equipment - BP machine, Glucometer, Trackers
Care-Personal health equipment - BP machine, Glucometer, Trackers Covered only on medical diagnosis
Care Advanced Investigations, limited to CT Scan, MRI Scan, Echocardiography, Electrocardiography Covered (Not limited to the list)
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
Ocular tests-Lenses Covered NGN45,000
Ocular tests-Frames Covered NGN45,000
Lenses Covered up to NGN30,000
Frames Covered up to NGN30,000
Lenses Covered NGN15,000
Frames Covered NGN15,000
Investigation and treatment at limits per plan
Norplant-Surgeries Covered Up to Surgery Limit of NGN2,500,000
Manual Vacuum Aspiration-Reimbursement of Delivery Abroad Normal -$180, CS-$300
Hospital Ward Care-Family Planning Covered Up to NGN7,000
Everything in Zencare prime
Unlimited outpatient coverage
Unlimited pharmacy coverage
Chronic condition treatment and management
Specialized care coverage
Long-term skilled and semi-skilled hospital care (up to 7 days)
Care-Investigation and treatment at limits per plan NGN75,000
Care-Supply of prescribed intravenous/intramuscular, oral and topical drugs
Care Additional Immunization (6Yrs and above) Covered Up to NGN10,000
Care-Surgeries Covered Up to Surgery Limit of NGN1,500,000
Care-Reimbursement of Delivery Abroad Normal -$150, CS-$250
Skilled medical and paramedical services
Feeding for enrollees on admission - General Ward (up to 5 days/year)
Primary dental care covered up to NGN5,000
Obstetrics care covered up to maternity limit of NGN30,000
Inpatient limit up to NGN100,000
Outpatient limit up to NGN100,000
Pharmacy limit up to NGN100,000
Additional Immunization (6Yrs and above)
Feeding for enrolees on admission Private Ward
Hospital Ward Care Private Ward
Skilled medical and paramedical services Private Ward
Serology-Supply of prescribed intravenous/intramuscular, oral and topical drugs Private Ward
Accommodation for parents whose infants are on admission 5 days
Serology-Inpatient /Hospitalization Benefit Abroad NGN350,000
Care-Inpatient /Hospitalization Benefit Abroad NGN250,000
Feeding for enrolees on admission Semi-Private Ward
Hospital Ward Care Semi-Private Ward
Skilled medical and paramedical services Semi-Private Ward
Accommodation for parents whose infants are on admission 2 Days
Feeding for enrolees on admission General Ward
Hospital Ward Care General Ward
Skilled medical and paramedical services General Ward
Accommodation for parents whose infants are on admission
Inpatient /Hospitalization Benefit Abroad
Dialysis-Inpatient Limit up to NGN400,000
Subsidized Fitness/ nutritional club membership (for non-network gym) 15%
Health Talks/ Education forum or wellness fairs 4 weeks
Subsidized Fitness/ nutritional club membership (for non-network gym)
Employee Assistance Program / Stress Management
Employee Assistance Program / Stress Management 4 weeks
Covid Home Care Kit - up to limit on the plan 4 weeks
Ear Piercing-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 25 Days (NGN750,000)
Care-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 18 days (NGN500,000)
CoverSpecial Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 10 Days (NGN300,000)
CoverSpecial Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 2 Days (NGN100,000)
Chronic disease medication with drug delivery and pickup at partner pharmacies
Specialist Consultations on Outpatient Cases Only; limited based on type of plans 12 weeks
Specialist Consultations on Outpatient Cases Only; limited based on type of plans 6 weeks
Specialist Consultations on Outpatient Cases Only; limited based on type of plans 4 weeks
Dialysis-Outpatient Limit up to NGN250,000
Specialist Consultations Once / Month
Physiotherapy Care Covered (25 sessions)
Physiotherapy Care Covered (12 sessions)
Physiotherapy Care Covered (5 sessions)
RoutineFitnessExamination
PreventiveCounseling
Dialysis 20 Sessions
Dialysis 6 Sessions
Dialysis 3 Sessions
Dialysis-Pharmacy Limit up to 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
Diagnosis confirmation from secondary and tertiary care centers
Line of treatment confirmation from secondary and tertiary care centers
Covered within HMO network (mental illnesses)
Telemedicine
Frequency
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
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
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