| Outpatient Care |
Yes |
| General consultation & treatment to include prescribed drugs & infusions, case review, nursing care etc. |
Yes |
| Hospital Admissions |
Yes |
| Hospital Ward Accommodation |
Private ward
To a max of 18 days per case
|
| Routine Diagnostic Test to include routine laboratory tests, x-rays, pathology & diagnostic tests |
Yes |
| Preventive care & counseling |
Yes |
| HIV/AIDs counselling, testing & provision of ARVs at designated centers |
Yes
|
| Ambulance Rescue Facilitation |
Yes |
| Accidents & Emergency - Stabilization, Local Evacuation & Emergency drugs & investigation |
Yes |
| Specialist consultation & treatment to include prescribed medicines, drugs & dressings, case review.
(Subject to Chronic medical conditions covered) |
Yes |
| Sub-Specialist
to include prescribed medicines, drugs & dressings, case review
|
Yes |
| Specialist Investigations – E/U/Cr, Lipid Profile, Liver function Test, etc. |
Yes
|
| Advanced Investigations – ECG, EEG, IVU, Barium studies, CT Scan, MRI , Echo-cardiogram (at designated centers) |
Yes
ECG, EEG
CT
Echo
MRI
|
| Physiotherapy consultation & procedures (at designated centers) Annually |
10 Sessions
|
| Psychiatric treatment - Consultation and outpatient treatment for 30 days (only after 12month on scheme) |
Yes
|
| Intensive Care Services |
Covered up to 2 days
|
| Minor Surgeries
(See breakdown for surgeries )
|
Yes |
| Intermediate Surgeries
(See breakdown for surgeries )
|
Yes
|
|
Intermediate Surgeries (After 1 year on the scheme)
(See breakdown for surgeries
|
Yes
|
|
Major Surgeries
(After 1 year on the scheme)
Anesthesia, Surgical supplies, Consumables, administration of blood e.t.c (See breakdown for surgeries )
|
Yes
|
| Overall Surgery limit |
₦300,000
|
| Newly diagnosed - Initial maintenance, Routine check-ups, dressings, prescribed drugs & palliative care. (See breakdown for covered conditions )
|
Yes
|
| Routine Prescribed drugs
|
8 Times per annum |
| Antenatal care
|
Yes |
| Normal, Assisted & Multiple Delivery
|
Yes |
| Caesarean Section
|
Yes |
| Postnatal care
|
Yes |
| Newborn treatment post delivery
(Excluding SCBU, ICU)
Refer to ICU care above
|
18 Days |
| Overall Maternity Limit
|
₦300,000 |
| Routine Immunizations (NPI)
(0-2 years)
|
Yes |
| Additional Immunizations (Non NPI)
|
Yes
(0-2 years)
|
| Dental consultation, medical treatment, drugs & dressings
|
Yes |
| Simple Dental Procedures - simple extraction, amalgam filling
|
Yes |
| Complex Dental Procedures - Surgical extraction, composite filling, Amalgam filing , simple dental procedures
|
Yes |
| Dental Limit
(Annual limit)
|
₦25,000 |
| Optical/Ophthalmological consultation, medical treatment, drugs & dressings
|
Yes |
| Investigations - Refraction, CVF, IOP
|
Yes |
| Provision of lenses & frames subject to benefit limit (Biennial)
|
Yes |
| Overall Optical Limit
(Annual limit)
|
₦25,000 |
| Routine Medical Check-Up (Anchor HMO)
|
Yes |
| Routine Examination - Physical exam of breast, prostate & cervix
|
Yes |
| Counselling & Basic Investigations (SFA, Ultrasounds, Hormonal Profile)
|
Yes |
| Specialist Investigations
(HSG)
|
Yes |
| IUCDs
(Non-hormonal)
|
Yes |
| Injectable & Implants
|
Yes |
