Health Insurance Cover

Senior Citizen
Plan

From

250,000

Yearly

Outpatient consultation​

Accident an Emergency​

Intensive Care Unit​

Specialist Consultation​

In-patient Consultations​

Supply of drugs and Medications​

Basic X-rays and C. T. Scan​

Routine Laboratory Investigations​

Gynecology consultation​

Primary Eye Care​

Bi-ennial Eye lens​

Dental Care​

Dietary Consultation​

Ward Admission​

...More​

Transaction Charge: , Total:
* are compulsory
cardlogos

Benefit Breakdown

BENEFITGREENSPRINGZEST
Outpatient consultationCoveredCoveredCovered
1. Emergency Medical Services
a. Ambulance transport:CoveredCoveredCovered
i. Roadside to hospitalCoveredCoveredCovered
ii. Hospital to hospitalCoveredCoveredCovered
b. Emergency room stabilizationCoveredCoveredCovered
2. Intensive careCovered up to the limit of ₦75,000Covered up to the limit of ₦100,000Covered up to the limit of ₦150,000
3. Physician Services
a. General outpatient/inpatient consultationCoveredCoveredCovered
b. Specialist outpatient/inpatient consultationCoveredCoveredCovered
c. Diagnostic X- rays
i. Upper Limb
1. Hand/WristCoveredCoveredCovered
2. Forearm (Radius/Ulna)CoveredCoveredCovered
3. ElbowCoveredCoveredCovered
4. HumerusCoveredCoveredCovered
5. ShoulderCoveredCoveredCovered
6. ClavicleCoveredCoveredCovered
ii. Lower Limb
1. Foot/ToeCoveredCoveredCovered
2. AnkleCoveredCoveredCovered
3. Leg (Tibia/Fibula)CoveredCoveredCovered
4. KneeCoveredCoveredCovered
5. Femur or ThighCoveredCoveredCovered
6. Hip (Single)CoveredCoveredCovered
7. Pelvis (AP)CoveredCoveredCovered
8. Pelvis & HipCoveredCoveredCovered
iii. Thorax
1. Chest (PA/AP)CoveredCoveredCovered
2. Chest (PA/Lateral)CoveredCoveredCovered
3. Chest (Oblique)CoveredCoveredCovered
4. Apical/LordoticCoveredCoveredCovered
5. SternumCoveredCoveredCovered
6. Thoracic InletCoveredCoveredCovered
iv. Vertebral Spine
1. Cervical SpineCoveredCoveredCovered
2. Lateral Neck (Soft Tissue)CoveredCoveredCovered
3. Thoracic SpineCoveredCoveredCovered
4. Thoraco-lumbar SpineCoveredCoveredCovered
5. Lumboscaral SpineCoveredCoveredCovered
v. Abdomen
1. Abdomen (Plain)CoveredCoveredCovered
2. Abdomen (Erect/Supine)CoveredCoveredCovered
d. Diagnostic Laboratory Tests
i. Hematology
1. ESRCoveredCoveredCovered
2. Full Blood Count (FBC)CoveredCoveredCovered
3. HemoglobinCoveredCoveredCovered
4. MalariaCoveredCoveredCovered
5. PCVCoveredCoveredCovered
6. RBCCoveredCoveredCovered
7. Reticulocyte countCoveredCoveredCovered
8. WBCCoveredCoveredCovered
9. PlateletsCoveredCoveredCovered
10. Prothrombin timeCoveredCoveredCovered
11. MicrofilariaCoveredCoveredCovered
12. Bleeding TimeCoveredCoveredCovered
13. Clotting timeCoveredCoveredCovered
ii. Serology
1. ASO TiterCoveredCoveredCovered
2. Coombs testCoveredCoveredCovered
3. Heaf testCoveredCoveredCovered
4. Other Hepatitis StrainsCoveredCoveredCovered
5. Pregnancy (blood)CoveredCoveredCovered
6. Pregnancy (urine)CoveredCoveredCovered
7. Rheumatoid factorCoveredCoveredCovered
8. VDRLCoveredCoveredCovered
iii. Blood Chemistry
1. GlucoseCoveredCoveredCovered
2. CalciumCoveredCoveredCovered
3. PhosphorusCoveredCoveredCovered
4. UreaCoveredCoveredCovered
5. CreatinineCoveredCoveredCovered
6. Uric acidCoveredCoveredCovered
7. AlbuminCoveredCoveredCovered
8. CholesterolCoveredCoveredCovered
9. TriglycerideCoveredCoveredCovered
10. HDLCoveredCoveredCovered
11. LDLCoveredCoveredCovered
12. SGOTCoveredCoveredCovered
13. SGPTCoveredCoveredCovered
14. Alkaline PhosphateCoveredCoveredCovered
15. BilirubinCoveredCoveredCovered
16. SodiumCoveredCoveredCovered
17. PotassiumCoveredCoveredCovered
18. BicarbonateCoveredCoveredCovered
19. ChlorideCoveredCoveredCovered
iv. Urine Chemistry
1. Creatinine ClearanceCoveredCoveredCovered
v. Microbiology
1. Stool MicroscopyCoveredCoveredCovered
2. Stool Occult BloodCoveredCoveredCovered
3. Sputum ZN stainCoveredCoveredCovered
4. Urine Microscopy, Culture & SensitivityCoveredCoveredCovered
5. Stool Microscopy, Culture & SensitivityCoveredCoveredCovered
6. Swab Microscopy, Culture & SensitivityCoveredCoveredCovered
7. Sputum Microscopy, Culture & SensitivityCoveredCoveredCovered
4. SPECIALIST CONSULTATION:5 Visits5 Visits5 Visits
(A) Common Specialist
1.Cardiologist/PhysicianCoveredCoveredCovered
2. O & GCoveredCoveredCovered
(B) Rare Specialist
1.UrologyCoveredCoveredCovered
2.DematologyCoveredCoveredCovered
3.EndocrinologyCoveredCoveredCovered
4.NeorologyCoveredCoveredCovered
5.Neoro-SurgeonCoveredCoveredCovered
6.ENTCoveredCoveredCovered
7.OncologistCoveredCoveredCovered
8.CardiotorasicCoveredCoveredCovered
9.OrthopaedicCoveredCoveredCovered
5. Rehabilitation Services (Outpatient Short Term Therapy)
a. Physical7 sessions7 sessions7 sessions
6. Ophthalmic Services
a. Ophthalmology:₦25,000₦40,000₦60,000
i. Pterygium excisionCoveredCoveredCovered
ii. Stye incision/drainageCoveredCoveredCovered
iii. Chalazion incision/drainageCoveredCoveredCovered
iv. Pterygium excisionCoveredCoveredCovered
v. TrabeculectomyCoveredCoveredCovered
vi. Cataract surgeryCoveredCoveredCovered
vii. ConsultationCoveredCoveredCovered
viii. Follow-upCoveredCoveredCovered
ix. Foreign body removalCoveredCoveredCovered
x. RefractionCoveredCoveredCovered
xi. CVF/ Glaucoma screening and treatmentCoveredCoveredCovered
xii. Intra-Ocular PressureCoveredCoveredCovered
xiii. Dilated fundoscopyCoveredCoveredCovered
xiv. Diabetic & hypertensive retinopathyCoveredCoveredCovered
b. Optical
i. Primary careCoveredCoveredCovered
ii. Provision of lenses viz.: unifocal, bifocal, varifocal, contact.CoveredCoveredCovered
iii. Provision of optical frames₦ 20,000₦ 25,000₦ 30,000
Please note that unless otherwise mutually agreed by parties, this benefits shall not be transferred to spouse or dependants
7. Dental Care
Benefit Covered:
a. Simple extractionCoveredCoveredCovered
b. Surgical extractionCoveredCoveredCovered
c. Amalgam fillingCoveredCoveredCovered
d. Composite fillingCoveredCoveredCovered
e. Scaling & polishing (Therapeutic) (Preventive:1 per 6 months)CoveredCoveredCovered
f. Pain therapyCoveredCoveredCovered
Dental financial limits₦ 20,000₦ 30,000₦ 40,000
8. Ear, Nose and Throat Care:
Primary ENT
i. ConsultationCoveredCoveredCovered
Secondary ENT
i. Foreign Body RemovalCoveredCoveredCovered
ii. OtitisCoveredCoveredCovered
iii. Ear SyringingCoveredCoveredCovered
9. SURGERY (Limits)₦ 100,000₦ 150,000₦ 200,000
Surgical drainage of breast abscessesCoveredCoveredCovered
Surgical drainage of galactoceleCoveredCoveredCovered
Sub-periosteal drainage for acute osteomyelitisCoveredCoveredCovered
Drainage for septic arthritisCoveredCoveredCovered
Intercostal drainage insertionCoveredCoveredCovered
Aspiration of jointsCoveredCoveredCovered
Debridement of woundsCoveredCoveredCovered
Surgical repair of simple woundsCoveredCoveredCovered
Biopsy of breast lumpCoveredCoveredCovered
TracheostomyCoveredCoveredCovered
ThoracotomyCoveredCoveredCovered
Drainage of paronychiaCoveredCoveredCovered
ProctoscopyCoveredCoveredCovered
Evacuation of impacted fecesCoveredCoveredCovered
Closed reduction of fracturesCoveredCoveredCovered
Closed reduction and immobilization of joint dislocationsCoveredCoveredCovered
ExostectomyCoveredCoveredCovered
ChondromectomyCoveredCoveredCovered
GanglionectomyCoveredCoveredCovered
Temporary diversion of urineCoveredCoveredCovered
Biopsy of thyroid glandCoveredCoveredCovered
OophorectomyCoveredCoveredCovered
Surgical drainage of hematoma of rectus abdominusCoveredCoveredCovered
Surgical drainage of peritoneal abscessCoveredCoveredCovered
LaparotomyCoveredCoveredCovered
Laparotomy and biopsy of disease viscera in abdominal cavityCoveredCoveredCovered
Repair of colostomyCoveredCoveredCovered
Anal sphincteroplastyCoveredCoveredCovered
Excision-Ligation HemorrhoidectomyCoveredCoveredCovered
Milligan’s procedureCoveredCoveredCovered
Surgical drainage of anal abscessCoveredCoveredCovered
PolypectomyCoveredCoveredCovered
SequesrectomyCoveredCoveredCovered
Saucerization of chronically infected boneCoveredCoveredCovered
Surgical excision of soft tissue tumorCoveredCoveredCovered
Excision-biopsy of soft tissue tumorsCoveredCoveredCovered
Surgical drainage of hand abscessCoveredCoveredCovered
OrchidopexyCoveredCoveredCovered
HydroceleoctomyCoveredCoveredCovered
Excision of Intrascrotal massCoveredCoveredCovered
Surgery for torsion of spermatic cordCoveredCoveredCovered
VaricocelectomyCoveredCoveredCovered
SigmoidoscopyCoveredCoveredCovered
Theirsch’s procedureCoveredCoveredCovered
Lord’s procedureCoveredCoveredCovered
EpigasticherniorraphyCoveredCoveredCovered
Dissection of femoral triangleCoveredCoveredCovered
Dissection of inguinal nodesCoveredCoveredCovered
VenoplastyCoveredCoveredCovered
Division of perforating veinsCoveredCoveredCovered
ProstatectomyCoveredCoveredCovered
MyomectomyCoveredCoveredCovered
HysterectomyCoveredCoveredCovered
ThyroidectomyCoveredCoveredCovered
Surgical Services and related Diagnostic Services for the treatment of Temporomandibular Joint Dysfunction (TMJ) or other deformities of the jaw, including orthognathic surgery, osteotomy, or any surgical repositioning of portions of the upper or lower jaws or the bodily repositioning of entire jawsCoveredCoveredCovered
10. Health Maintenance and preventive services
a. Annual Basic Medical Examination (All plans – accessible when plan has not been used in a year).
i. Physical ExaminationCoveredCoveredCovered
ii. Full blood countCoveredCoveredCovered
iii. UrinalysisCoveredCoveredCovered
iv. Blood sugar testCoveredCoveredCovered
v. Chest X-rayCoveredCoveredCovered
11. Hospital Inpatient Services For Covered Services
Ward Eligibility: (20 days per year)Standard wardStandard wardStandard ward
a. Special dietsCoveredCoveredCovered
b. Services of a dieticianCoveredCoveredCovered
c. Skilled nursingCoveredCoveredCovered
d. Use of operating, delivery, cast, and treatment rooms and equipmentCoveredCoveredCovered
e. Prescribed drugs administered while the Enrollee is an Inpatient.CoveredCoveredCovered
f. Medical and surgical dressings, supplies, casts, and splints that have been ordered by a Physician for Covered ServicesCoveredCoveredCovered
g. Oxygen and administration of oxygenCoveredCoveredCovered
12. Patient Education
a. Patient education classes are covered for all conditions.CoveredCoveredCovered
Class of HospitalBAND CBAND BBAND A
Premium per Head₦250,000₦400,000₦650,000

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