110,000.00

Individual Retail Plan

Retail Health Plan pays the medical bills for emergencies, out-patient hospital visits, drugs, laboratory tests, surgeries, and hospital stays that you may need. This means that you need not worry about money in your pocket or in the bank whenever you need medical care. We also have our 24/7 Call center with a range of hospitals nationwide.

  • Out-patient Consultations
  • Specialist consultation (3 times/year)
  • Hospitalization (Accommodation & Feeding) Higher hospital
  • Optical Cover
  • Dental Cover
  • Immunizations Vaccines (including vaccines on Nigeria s National Programme on Immunization, NPI )
  • Laboratory test covered to a limit including ECG. Echocardiogram (Echo), Electro-encephalogram (EEG)
  • Intermediate & Minor Procedures and Surgeries  to a limit
  • Drugs
  • Hypertension and Diabetesmellitus covered after 4month on the scheme
  • Maternity, Self-delivery, Assisted Delivery and CS cover to a limit

Description

GENERAL EXCLUSIONS ON THE RETAIL PLAN.
• Cosmetic Surgery
• Teeth Whitening
• Dental Prosthetics
• Domiciliary/Hospice Care
• Alternative/Unorthodox medicine
• Neonatal care not listed under Neonatal Services on the benefit schedule
• Self-inflicted/domestic assault injuries
• Congenital abnormalities
• Conditions caused by an act of war, an epidemic or enrollee participating in a riot
• Services primarily for weight reduction or treatment of obesity
• Treatment of substance abuse
• Infertility –All investigations and treatment not listed above
• Orthodontics
• Advanced radiological investigations e.g. CT Scan, Myelogram, EEG not stated on the table etc.
• Advanced and complex investigations e.g. Marrow biopsy, skeletal survey etc.
• Prosthetic device such as cardiac pacemaker, orthopedic implants.
• Management of Chronic Renal Failure (Transplant surgery)
• Induced abortion
• Laser Treatment
• Transplant
• Complex major surgeries e.g. Heart, Brain and Great Blood Vessels
• Neurological surgeries
• Management of Cancer
• Professional sports and willful exposure to danger
• Infectious and contagious diseases in an epidemic
• All procedures, management and investigation not covered by the plans

ELIGIBILITY
• Individuals between age bracket as stated on premium benefit table