muyeknite:
HEALTH PLANS AND BENEFITS
BENEFITS PLATINUM ELITE PLATINUM GOLD SILVER BRONZE
Out-patient Consultations:
General Consultations Covered Covered Covered Covered Covered
Specialist Consultations Covered Covered Covered Covered Covered
Routine Laboratory Investigations &
Specialist/ Advanced Investigations Covered Covered Covered Covered Covered
X-rays Covered Covered Covered Covered Covered
Drugs (Branded & Generics) Covered Covered Covered Covered Covered
Chronic Ailment Management:
ASTHMA, DIABETES, EPILEPSY, SICKLE CELL ANAEMIA, HYPERTHYROIDISM, RHEUMATOID ARTHRITIS, HYPERLIPIDAEMIA, CARDIAC FAILURE, CARDIOMYOPATHY, CORONARY ARTERY DISEASE, HYPERTENSION, TUBERCULOSIS, ALLERGIC REACTION,
PEPTIC ULCER DISEASE.
Covered
Covered
Covered
Covered
Covered
Physiotherapy Covered
10 Sessions Covered
10 Sessions Covered
5 Sessions Covered
3 Sessions Covered
2 Sessions
In-patient Consultations:
General Consultations Covered Covered Covered Covered Covered
Specialist Consultations Covered Covered Covered Covered Covered
Routine Laboratory Investigations &
Specialist/ Advanced Investigations Covered Covered Covered Covered Covered
X-rays Covered Covered Covered Covered Covered
Drugs (Branded & Generics) Covered Covered Covered Covered Covered
Private Ward Covered Covered Not Covered Not Covered Not Covered
Semi Private Ward Covered Covered Covered Not Covered Not Covered
General Ward Covered Covered Covered Covered Covered (10 days)
Nursing Care Covered Covered Covered Covered Covered
Feeding on Admission Covered Covered Covered Covered Covered
Medical Check-up:
Annual Comprehensive Medical Screening Covered Not Covered Not Covered Not Covered Not Covered
Routine Physical check-up (No investigations) Covered Covered Covered Covered Covered
HIV/AIDS Management (at designated centres in Nigeria):
Voluntary Counselling & testing Covered Covered Covered Covered Covered
Treatment facilitation at REHL chosen centre Covered Covered Covered Covered Covered
Treatment of associated infections Covered Covered Covered Covered Covered
Maternity Services
(For large pool & within limits)
Prenatal/ Antenatal visits Covered Covered Covered Covered Not Covered
Delivery (normal, induction & assisted) Covered Covered Covered Covered Not Covered
Delivery (Elective & Emergency Caesarean) Covered Covered Covered Covered Not Covered
Post natal (up to 3 weeks) Covered Covered Covered Covered Not Covered
At birth immunization: Expanded - NPI (BCG, Oral Polio, Measles, Vit A, Yellow Fever, HiB, HBV and DPT.) Covered Covered Covered Covered Not Covered
Incubator Care Covered (72hrs) Covered (72hrs) Covered (48hrs) Covered (24hrs) Not Covered
Phototherapy Covered Covered Covered Covered Not Covered
Family Planning (Counselling only) Covered Covered Covered Covered Covered
Child Health Services
Routine Immunization: Expanded - NPI (BCG, Oral Polio, Measles, Vitamin A, Yellow Fever, HIB, HBV and DPT.) Covered Covered Covered Covered Not Covered
Additional Childhood (< 5 years) Immunization (Rotavirus & MMS,MMR, Chicken pox) Covered Not Covered Not Covered Not Covered Not Covered
Well baby Clinic Covered Covered Covered Covered Not Covered
Surgical Procedures
Minor Procedures Covered Covered Covered Covered Covered
Intermediate Procedures Covered Covered Covered Covered
Not Covered
Major Procedures Covered Covered Covered Not Covered Not Covered
Optical Care
Primary Care (GP Consultations) Covered Covered Covered Covered Covered
Routine Examination Covered Covered Covered Covered Covered
Medications Covered Covered Covered Covered Covered
Specialist Consultations Covered Covered Covered Covered Not Covered
Lenses (once in 2 years) Covered (N20,000) Covered
(N20,000) Covered
(N12,000) Covered
(N10,000) Not Covered
Eye Surgeries (within financial limit) Covered Covered Covered Covered Not Covered
Dental Care
Primary Care (GP Consultations) Covered Covered Covered Covered Covered
Routine Examination Covered Covered Covered Covered Covered
Specialist Consultations Covered Covered Covered Covered Not Covered
Preventive – scaling and polishing
Covered Covered Covered Covered Not Covered
Dental filling (Amalgam/ Composite)
Covered Covered Covered Covered Not Covered
Simple extractions Covered Covered Covered Covered Not Covered
Surgical Extraction Covered Covered Covered Covered Not Covered
Root Canal Treatment Covered Covered Not Covered Not Covered Not Covered
Radiography
Covered Covered Covered Covered Not Covered
Pain Therapy Covered Covered Covered Covered Not Covered
Radiological Investigations
X-rays Covered Covered Covered Covered Covered
Ultrasound Scans Covered Covered Covered Covered Covered
CT Scan Covered Covered Covered Not Covered Not Covered
MRI Covered Covered Not Covered Not Covered Not Covered
Renal Dialysis (1st acute session) Covered Covered Covered Covered Not Covered
Mental Health Services
Counselling Covered Covered Covered Covered Covered
Out-patient Consultation (at Psychiatric Hospital) Covered (8weeks) Covered (8weeks) Covered (4weeks) Covered (2weeks) Covered (1week)
FERTILITY SERVICES
(After 11 months membership)
Non Hormonal Drug Treatment Covered Covered Not Covered Not Covered Not Covered
Routine Investigation (e.g. HSG) Covered Covered Not Covered Not Covered Not Covered
Cancer Care
Cancer Screening (only physical examination of prostrate, Breast & Cervix) Covered Covered Covered Covered Covered
PSA Test Covered Covered Not Covered Not Covered Not Covered
Mammogram Covered Covered Not Covered Not Covered Not Covered
24/7 Emergency Service
Ambulance Service Facilitation Covered Covered Covered Covered Covered
Stabilization Covered Covered Covered Covered Covered
Health Counseling /Education
Covered
Covered
Covered
Covered
Covered
ICU Services (1st 24 Hours) Covered Not Covered Not Covered Not Covered Not Covered
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