Proton Medicare

ZenCare vs ZenCare Senior Citizens

ZenCare costs ₦30,000 less per month.

Bastion HMO

ZenCare

₦15,000

per month

Lower price

Bastion HMO

ZenCare Senior Citizens

₦45,000

per month

Plan details

ZenCareZenCare Senior Citizens

Plan type

Classic Plans
Advanced Plans

Waiting period

5 days
5 days

Inpatient limit

₦10,000,000
NGN10,000,000

Outpatient limit

₦1,000,000
NGN10,000,000

About

Classic Health plan with standard benefits. Provided by Bastion HMO.
Standard healthcare coverage for senior citizens. Provided by Bastion HMO

Benefits

Showing 306 of 306 benefits

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

NGN50,000
Not covered

Care-Death Cover Covered Up to NGN50,000 Limit

NGN50,000
Not covered

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

NGN40,000
Not covered

MortuaryServices

NGN50,000
NGN150,000

DeathCover

NGN50,000
NGN150,000

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

NGN300,000
Not covered

Consultation

Covered
Covered

Admission

Covered
Covered

Counseling

Covered
Covered

Hospice care

Covered
Covered

Surgical treatment

Covered
Covered

Chemotherapy

Covered
Covered

Radiotherapy

Covered
Covered

Limit

NGN300,000
NGN200,000

Primary dental care covered up to NGN20,000

NGN20,000
Not covered

Ocular tests-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
NGN50,000

Primary Dental Care-Pharmacy Limit up to NGN150,000

NGN150,000
NGN150,000

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

NGN5,000
NGN5,000

Laboratory tests-Personal health equipment - BP machine, Glucometer, Trackers

Covered
Covered

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

Covered
Covered

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

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

Serology-Blood grouping, cross matching, and transfusion

Covered
Covered

Accommodation for in-patient care

Covered
Covered

Treatment of acute and chronic ENT diseases

Covered
Covered

ENT Surgeries - (part of the surgical limit)

Covered
Covered

Pharmacological treatment of acute and chronic ENT infections

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.

Covered
Covered

Movement of patients from Hospital to Hospital

Covered
Covered

Movement of patients from Home/Accident Scene to Hospital

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

NGN50,000
NGN50,000

AccidentAndEmergency

NGN50,000
NGN50,000

Movement of patients from hospital to hospital

Covered
Covered

Movement of patients from home or accident scene to hospital

Covered
Covered

Lenses covered up to NGN15,000

NGN15,000
Not covered

Frames covered up to NGN15,000

NGN15,000
Not covered

Routine ocular examination

Covered
Covered

Ocular tests-Lenses Covered NGN15,000

NGN15,000
Not covered

Ocular tests-Frames Covered NGN15,000

NGN15,000
Not covered

Routine dental examination

Covered
Covered

Copper T intrauterine device

Covered
Covered

Lippes Loop intrauterine device

Covered
Covered

Norplant

NGN200,000
NGN200,000

ManualVacuumAspiration

Emergency or elective Caesarean section
Not covered

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

NGN15,000
Not covered

Copper T Intrauterine Device

Covered
Covered

Lippes loop Intrauterine Device

Covered
Covered

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

NGN200,000
Not covered

Emergency or Elective Caesarean Section

Covered
Covered

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

NGN7,000
NGN7,000

InvestigationAndTreatment

NGN15,000
Covered at limits per plan

All Basic features

Covered
Not covered

Telehealth services

Covered
Not covered

Dental, vision, and hearing coverage

Covered
Not covered

Prescription drug coverage (Part D)

Covered
Not covered

Treatment of chronic conditions

Covered
Covered

Pharmacological treatment of acute and chronic ocular infections

Covered
Covered

Access to prescribed drugs

Covered
Covered

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

NGN6,000
Not covered

Diagnosis confirmation from secondary and tertiary care centres

Covered
Covered

Line of treatment confirmation from secondary and tertiary care centres

Covered
Covered

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.

Covered
Not covered

Annual Checkup - available after 7 months

Covered
Covered

Hepatitis B-Surgeries Covered up to surgery limit of NGN100,000

NGN100,000
Not covered

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

NGN100,000
Not covered

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

NGN100,000
Not covered

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

NGN100,000
Not covered

Benefits Available after 11 MONTHS

Covered
Covered

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

NGN40,000
Not covered

Seeking second option Covered within HMO network

Covered
Covered

Benefits Available after 4 MONTHS

Covered
Covered

Mental illnesses-Eye Care Covered up to NGN5,000

NGN5,000
NGN5,000

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

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

NGN100,000
NGN100,000

Benefits available after 11 months

Covered
Not 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

Covered
Not covered

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

Covered
Not covered

Mortuary services covered up to NGN40,000

Covered
Not covered

Obstetrics care covered up to maternity limit of NGN100,000

Covered
Not covered

Neonatal care covered up to maternity limit of NGN100,000

Covered
Not covered

Renal care covered up to NGN40,000

Covered
Not covered

Skilled medical and paramedical services

Covered
Covered

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

Covered
Covered

Primary dental care covered up to NGN5,000

Covered
Covered

Preventive dental care and counseling

Covered
Not covered

Dental pain therapy at primary healthcare centers

Covered
Not covered

Obstetrics care covered up to maternity limit of NGN30,000

Covered
Covered

Inpatient limit up to NGN100,000

Covered
Covered

Outpatient limit up to NGN100,000

Covered
Covered

Pharmacy limit up to NGN100,000

Covered
Covered

GeneralWard

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']}
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']}

NPI Immunisation (0-5 Years)

Covered
Covered

NPI

Covered for ages 0-5 years
Covered for ages 0-5 years

Additional

NGN6,000
Not covered

Unlimited inpatient limit

Covered
Not covered

Unlimited Inpatient Limit

Covered
Covered

Feeding for enrolees on admission General Ward

Covered
Covered

Hospital Ward Care General Ward

Covered
Covered

Skilled medical and paramedical services General Ward

Covered
Covered

Accommodation for parents whose infants are on admission

Covered
Covered

Inpatient /Hospitalization Benefit Abroad

Covered
Covered

Dialysis-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
NGN150,000

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

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

Management of diabetes and diabetic emergencies

Covered
Covered

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

Covered
Not covered

PersonalHealthEquipment

Blood pressure machine, glucometer, trackers
Blood pressure machine, glucometer, trackers (covered only on medical diagnosis)

BasicImaging

X-rays and ultrasounds (not limited to list)
X-rays and ultrasounds (e.g., chest, abdominal, limb, neck, skull, lumbosacral, body joints; not limited to list)

AdvancedImaging

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

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

Covered
Not covered

Fitness and wellness programs

Covered
Not covered

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

Covered
Covered

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

Covered
Covered

FitnessClub

Subsidized membership for non-network gyms
Subsidized membership for non-network gyms (15%)

HealthChecks

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

Inpatient

Unlimited
Unlimited

Outpatient

Unlimited
Unlimited

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

NGN100,000
Not covered

Hepatitis B-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 4 weeks

Covered
Covered

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

Covered
Covered

Health Talks/ Education forum or wellness fairs 4 weeks

Covered
Covered

Mental illnesses Covered for Outpatient cases Only (4 weeks)

Covered
Covered

EmployeeAssistanceProgram

4 weeks
8 weeks

CovidHomeCareKit

4 weeks
Covered up to plan limit

HealthEducation

4 weeks
Health talks, education forums, or wellness fairs

PsychiatryCare

4 weeks
6 weeks

Ear Piercing-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 (limited based on plan type, up to 4 weeks)

Covered
Not covered

Unlimited Outpatient Limit

Covered
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
Covered

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

Covered
Covered

Dialysis-Outpatient Limit up to NGN250,000

NGN250,000
NGN250,000

Specialist Consultations Once / Month

Covered
Covered

Primary Dental Care-Outpatient Limit up to NGN150,000

NGN150,000
NGN150,000

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 (5 sessions)

5 sessions
5 sessions

Routine fitness examination

Covered
Covered

Preventive Counselling on referral

Covered
Covered

Coverage

5 sessions
25 sessions

RoutineFitnessExamination

Covered
Covered

PreventiveCounseling

On referral
On referral

General Physical Examination

Covered
Covered

Blood Pressure Check (Hypertension Screening)

Covered
Covered

Blood Sugar Check (Diabetes Screening)

Covered
Covered

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

Covered
Not covered

BMI check (general physical examination)

Covered
Covered

Blood pressure check (hypertension screening)

Covered
Covered

Blood sugar check (diabetes screening)

Covered
Covered

Women

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

Dialysis 3 Sessions

Covered
Covered

Benefits Available after 24 hours

Covered
Covered

Dialysis-Pharmacy Limit up to NGN50,000

NGN50,000
NGN50,000

Treatment of basic medical outpatient and in-patient cases

Covered
Covered

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
Covered

Diagnosis confirmation from secondary and tertiary care centers

Covered
Covered

Line of treatment confirmation from secondary and tertiary care centers

Covered
Covered

Covered within HMO network (mental illnesses)

Covered
Covered

Telemedicine

24-hour free chat access to healthcare professionals
24-hour free chat access to healthcare professionals

ENT surgeries (part of surgical limit)

Covered
Covered

General

Chronic disease medication with drug delivery and pickup at partner pharmacies
Chronic disease medication with drug delivery and pickup at partner pharmacies

Frequency

Once per month (for dialysis patients)
Once per month (for dialysis patients)

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 2 Days

Covered
Not 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

Covered
Not covered

Seeking second option-Mortuary Services Covered Up to NGN150,000 Limit

Not covered
NGN150,000

Care-Death Cover Covered Up to NGN150,000 Limit

Not covered
NGN150,000

Care-Mortuary Services Covered Up to NGN100,000 Limit

Not covered
NGN100,000

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.

Not covered
Covered

CoverInvestigation and treatment at limits per plan NGN45,000

Not covered
NGN45,000

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

Not covered
Covered

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

Not covered
NGN6,000

CoverSurgeries Covered Up to Surgery Limit of NGN500,000

Not covered
NGN500,000

CoverMortuary Services Covered Up to NGN75,000 Limit

Not covered
NGN750,000

CoverDeath Cover Covered Up to NGN75,000 Limit

Not covered
NGN750,000

CoverInvestigation and treatment at limits per plan NGN15,000

Not covered
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

Not covered
Covered

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

Not covered
Covered

CoverSurgeries Covered Up to Surgery Limit of NGN200,000

Not covered
NGN200,000

CoverMortuary Services Covered Up to NGN50,000 Limit

Not covered
NGN50,000

CoverDeath Cover Covered Up to NGN50,000 Limit

Not covered
NGN50,000

CoverSurgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

CoverMinor surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

CoverIntermediate surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

CoverMajor surgeries Covered up to surgery limit of NGN100,000

Not covered
NGN100,000

CoverMortuary Services Covered Up to NGN40,000 Limit

Not covered
NGN40,000

CoverObstetrics Care Covered up to Maternity Limit of NGN100,000

Not covered
NGN100,000

CoverNeonatal Care Covered up to Maternity Limit of NGN100,000

Not covered
NGN100,000

CoverRenal Care Covered Up to NGN40,000 Limit

Not covered
NGN40,000

Investigation and treatment at limits per plan (NGN75,000)

Not covered
Covered

Care for comatose and unconscious enrollees, pain management, stabilization, chronic disease treatment, ventilator care, diabetes management, long-term care (up to 5 days)

Not covered
Covered

X-rays and ultrasounds (not limited to list)

Not covered
Covered

Advanced investigations (CT scan, MRI scan, echocardiography, electrocardiography)

Not covered
Covered

Supply of prescribed intravenous, intramuscular, oral, and topical drugs

Not covered
Covered

Accommodation for parents of admitted infants (up to 3 days)

Not covered
Covered

Inpatient hospitalization benefit abroad (NGN250,000)

Not covered
Covered

Cancer care-Consultation, Admission, Counselling, Hospice Care , Surgical - Chemotherapy - Radiotherapy; Covered Up to NGN2,000,000

Not covered
NGN200,000

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

Not covered
Covered

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

Not covered
NGN750,000

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

Not covered
NGN300,000

Ocular tests-Primary Dental Care Covered Up to NGN150,000

Not covered
NGN150,000

Ocular tests-Secondary Dental Care Covered Up to NGN150,000

Not covered
NGN150,000

Care-Primary Dental Care Covered up to NGN80,000

Not covered
NGN800,000

Care-Secondary Dental Care Covered up to NGN80,000

Not covered
NGN800,000

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

Not covered
NGN50,000

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

Not covered
NGN50,000

CoverPrimary Dental Care Covered Up to Overall Dental Limit of NGN20,000

Not covered
NGN20,000

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

Not covered
Covered

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

Not covered
Covered

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

Not covered
Covered

Ocular tests-Lenses Covered NGN45,000

Not covered
NGN45,000

Ocular tests-Frames Covered NGN45,000

Not covered
NGN45,000

Care-Lenses Covered up to NGN30,000

Not covered
NGN30,000

Care-Frames Covered up to NGN30,000

Not covered
NGN30,000

CoverLenses Covered NGN20,000

Not covered
NGN20,000

CoverFrames Covered NGN20,000

Not covered
NGN20,000

CoverLenses Covered NGN15,000

Not covered
NGN15,000

CoverFrames Covered NGN15,000

Not covered
NGN15,000

Emergency or elective Caesarean section

Not covered
Covered

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

Not covered
Covered

Investigation and treatment at limits per plan

Not covered
Covered

Norplant-Surgeries Covered Up to Surgery Limit of NGN2,500,000

Not covered
NGN200,000

Manual Vacuum Aspiration-Reimbursement of Delivery Abroad Normal -$180, CS-$300

Not covered
Covered

Everything in Zencare

Not covered
Covered

Unlimited prescription coverage

Not covered
Covered

Private room coverage

Not covered
Covered

Specialized care coverage

Not covered
Covered

Free chats with doctors and nurses for routine medical information

Not covered
Covered

Care-Investigation and treatment at limits per plan NGN75,000

Not covered
NGN750,000

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

Not covered
Covered

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

Not covered
NGN6,000

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

Not covered
NGN1,500,000

Care-Reimbursement of Delivery Abroad Normal -$150, CS-$250

Not covered
Covered

Specialist Consultation Covered (at designated approved centres)

Not covered
Covered

Specialist Drug therapy Covered (at designated approved centres)

Not covered
Covered

Psychotherapy Covered (at designated approved centres)

Not covered
Covered

PrivateWard

Not covered
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

SemiPrivateWard

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

Vitamin A Supplementation

Not covered
Covered

Additional Immunization (6Yrs and above)

Not covered
Covered

VitaminA

Not covered
Supplementation

Pneumococcal

Not covered
Additional immunization (6 years and above)

Extended hospital stay for senior citizens

Not covered
Covered

Feeding for enrolees on admission Private Ward

Not covered
Covered

Hospital Ward Care Private Ward

Not covered
Covered

Skilled medical and paramedical services Private Ward

Not covered
Covered

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

Not covered
Covered

Accommodation for parents whose infants are on admission 5 days

Not covered
5 days

Serology-Inpatient /Hospitalization Benefit Abroad NGN350,000

Not covered
NGN350,000

Accommodation for parents whose infants are on admission 3 days

Not covered
3 days

Care-Inpatient /Hospitalization Benefit Abroad NGN250,000

Not covered
NGN250,000

Feeding for enrolees on admission Semi-Private Ward

Not covered
Covered

Hospital Ward Care Semi-Private Ward

Not covered
Covered

Skilled medical and paramedical services Semi-Private Ward

Not covered
Covered

Accommodation for parents whose infants are on admission 2 Days

Not covered
Covered

Long-term skilled and semi-skilled hospital care (up to 7 days)

Not covered
Covered

Subsidized Fitness/ nutritional club membership (for non-network gym) 15%

Not covered
Covered

Network Gym Access Covered (2 sessions per week)

Not covered
2 sessions

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

Not covered
Covered

NetworkGym

Not covered
2 sessions

Employee Assistance Program / Stress Management

Not covered
Covered

Covid Home Care Kit - up to limit on the plan

Not covered
Covered

Health Talks/ Education forum or wellness fairs

Not covered
Covered

Mental illnesses Covered for Outpatient cases Only (6 weeks)

Not covered
Covered

Employee Assistance Program / Stress Management 8 weeks

Not covered
Covered

Employee Assistance Program / Stress Management 6 weeks

Not covered
Covered

Ear Piercing-Special Baby Care Unit (Intensive Care Unit - including Life Support, Phototherapy & Incubator Care) 25 Days (NGN750,000)

Not covered
NGN250,000

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

Not covered
NGN180,000

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

Not covered
NGN10,000

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

Not covered
NGN200,000

Chronic disease medication with drug delivery and pickup at partner pharmacies

Not covered
Covered

Specialist Consultations on Outpatient Cases Only; limited based on type of plans 12 weeks

Not covered
Covered

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

Not covered
Covered

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

Not covered
Covered

Physiotherapy Care Covered (25 sessions)

Not covered
25 sessions

Physiotherapy Care Covered (17 sessions)

Not covered
17 sessions

Physiotherapy Care Covered (12 sessions)

Not covered
12 sessions

Annual Prostate Specific Antigen screening for men over 40 years

Not covered
Covered

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

Not covered
Covered

Men

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

Dialysis 20 Sessions

Not covered
Covered

Dialysis 12 sessions

Not covered
12 sessions

Dialysis 6 Sessions

Not covered
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 7 Days

Not covered
Covered

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

Not covered
Covered

HIV care and treatment Covered (at designated approved centres)

Not covered
Covered

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ZenCare vs ZenCare Senior Citizens - Plan Comparison | Proton Medicare