HEALTH PLAN BENEFIT.
DETAILS OF MARINA (HMO) LTD GENERIC HEALTHCARE PLANS
BASIC HEALTH PLAN
SERVICES |
REMARK |
General consultation |
Covered |
Specialist Consultation |
Covered to a limit of N30K |
Prescribed Drugs |
Primary care drugs Covered |
Routine Laboratory Investigations |
Covered |
Admission |
General ward |
X-ray |
Chest, limbs & joints |
Ultrasound Scans |
Pelvic only |
Routine immunizations (OPV, DPT, BCG, Vitamin A, Measles, HBV) |
Covered |
Ante Natal Delivery Service |
Covered to the limit of N15K |
Normal Delivery Services |
Covered to the limit of N20K |
Caesarian Section |
Covered to the limit of N50K |
Post-Natal Care excluding Congenital Abnormalities |
Covered |
Care for New Born Baby |
Covered up to 4 weeks |
IUCD Insertions, Injectibles, oral contraception |
Covered |
Minor surgeries |
Covered to the Limit of N50K |
Primary Eye care Service, treatment of Conjunctivitis |
Covered |
Optical Services, Lenses only |
Covered to the limit of N3K |
Dental Care Services |
Covered to the limit of N5K |
Emergency care |
Covered |
Ambulance service (Hospital-Hospital) |
At a fee |
HIV/AIDS Education and Counselling |
Covered |
HIV/AIDS Investigation |
Covered |
Health Education and Counselling |
Covered |
Physical Examination |
Covered |
ADVANCED BASIC HEALTH PLAN
HEALTHCARE SERVICES |
REMARK |
General consultation |
Covered |
Specialist Consultation |
Covered |
Prescribed Drugs |
Covered |
Routine Laboratory Investigations |
Covered |
Admission |
General Ward |
X rays |
Chest, Limbs & joints |
Ultrasound Scans |
Pelvic only |
Basic Gynecological Consultation |
Covered |
Antenatal Care |
Covered |
Normal Delivery |
Covered N50,000 Limit |
Caesarian Section |
Covered N75,000 Limit |
Post-Natal Care excluding Congenital Abnormalities |
Covered |
Care for New Born Baby |
Covered up to 4 weeks |
Paediatric Consultation |
Covered |
Routine immunizations (OPV, DPT, BCG, Vitamin A, Measles, HBV) |
Covered |
IUCD Insertions, Injectibles, Oral contraception |
Covered |
Minor surgeries |
Covered to the limit of N50k |
Intermediate surgeries |
Covered to the limit of N150k |
Emergency care |
Covered |
Ambulance service (Hospital-Hospital) |
At a fee |
Optical Care |
Optometrist & Refraction Consultation N4,000 Limit |
Dental Care - Simple Extractions, Scaling and Polishing |
Covered (N10,000 Limit) |
HIV/AIDS Education and Counselling |
Covered |
HIV/AIDS Investigation |
Covered |
Health Education and Counselling |
Covered |
Physical Examination |
Covered |
BASIC PLUS HEALTH PLAN
SERVICES |
REMARK |
General consultation |
Covered |
Specialist Consultation |
Covered |
Prescribed Drugs |
Covered |
Routine Laboratory Investigations |
Covered |
Admission |
Semi Private ward |
Feeding on Admission (Regular Meals) |
Covered |
X rays |
Basic+ Pelvimetry, skull, Abdomen & Sinuses |
Ultrasound Scan (Abdominal & Pelvic) |
Covered |
ECG, EEG |
ECG Only |
Basic Gynecological Consultation |
Covered |
Antenatal Care |
Covered |
Normal Delivery |
Covered |
Caesarean Section |
Covered (N150,000 Limit) |
Post-Natal Care excluding Congenital Abnormalities |
Covered |
Care for New Born Baby |
Covered up to 4 weeks |
Infertility Services |
Consultation only |
Paediatric Consultation |
Covered |
Routine immunizations (OPV, DPT, BCG, Vitamin A, Measles, HBV) |
Covered |
IUCD Insertions, Injectibles, oral contraception |
Covered |
Minor surgeries |
Covered to the limit of N50k |
Intermediate surgeries |
Covered to the limit of N200k |
Emergency care |
Covered |
Ambulance service (Hospital-Hospital) |
At a fee |
Optical Care |
Covered |
Frame and Lenses |
Covered N7,500 Limit |
Dental Care |
N15,000 Limit |
Simple Extractions |
Covered |
Scaling & Polishing |
Covered |
HIV/AIDS Education and Counselling |
Covered |
HIV/AIDS Investigation |
Covered |
Physiotherapy |
5 sessions |
Health Education and Counselling |
Covered |
Physical Examination |
Covered |
ADVANCED BASIC PLUS HEALTH PLAN
SERVICES |
REMARK |
General consultation |
Covered |
Specialist Consultation |
Covered |
Prescribed Drugs |
Covered |
Routine Laboratory Investigations |
Covered |
Admission |
Semi Private Ward |
Feeding on Admission (Regular Meals) |
Covered |
Advanced Laboratory Investigations |
Covered |
X rays |
Basic+ Pelvimetry, skull ,Abdomen & Sinuses |
Ultrasound Scans (Abdominal & Pelvic) |
Covered |
ECG, EEG |
ECG only |
Gynecological Consultation |
Covered |
Antenatal Care |
Covered |
Normal Delivery |
Covered |
Caesarean Section |
Covered |
Post-Natal Care excluding Congenital Abnormalities |
Covered |
Care for New Born Baby |
Covered up to 4 weeks |
Infertility Consultation |
Consultation only |
Paediatric Consultation |
Covered |
Routine immunizations (OPV, DPT, BCG, Vitamin A, Measles, HBV) |
Covered |
Specialised Immunization (Rotarix, Hiberix, MMR, Yellow fever, Chicken pox) |
Covered |
IUCD Insertions, Injectibles, oral contraception |
Covered |
Minor surgeries |
Covered to the limit of N50k |
Intermediate surgeries |
Covered to the limit of N200k |
Emergency care |
Covered |
Ambulance service (Hospital-Hospital) |
At a fee |
Optical Care |
Covered |
Frame and Lenses |
Covered N10,000 Limit |
Ophthalmologic Care |
N30,000 Limit |
Consultation |
Covered |
Treatment and Eye Surgeries |
Covered |
Dental Care |
N20,000 Limit |
Simple Extractions |
Covered |
Scaling & Polishing |
Covered |
HIV/AIDS Education and Counselling |
Covered |
HIV/AIDS Investigation |
Covered |
Specific HIV/AIDS Treatment |
Covered |
Physiotherapy |
7 sessions |
Health Education and Counselling |
Covered |
Physical Examination |
Covered |
PREMIUM HEALTH PLAN
SERVICES |
REMARK |
General consultation |
Covered |
Specialist Consultation |
Covered |
Prescribed Drugs |
Covered |
Routine Laboratory Investigations |
Covered |
Admission |
Private ward (Based on Availability) |
Feeding on Admission (Regular Meals) |
Covered |
Routine Laboratory Investigations |
Covered |
Advanced Laboratory Investigations |
Covered |
X rays |
Plain & Contrast |
Ultrasound Scans (Abdominal & Pelvic) |
Covered |
Specialised Scans |
Covered |
ECG, EEG |
Covered |
MRI & CT Scan |
CT Scan only |
Gynecological Consultation |
Covered |
Antenatal Care |
Covered |
Normal Delivery |
Covered |
Caesarean Section |
Covered |
Post-Natal Care excluding Congenital Abnormalities |
Covered |
Care for New Born Baby |
Covered up to |
Intensive care (Neonate & Adult) |
Covered |
Infertility Consultation, Investigation & Drugs |
Covered up to approved limit N70,000 |
Paediatric Consultation |
Covered |
Routine immunizations (OPV, DPT, BCG, Vitamin A, Measles, HBV) |
Covered |
Specialised Immunization (Rotarix, Hiberix, MMR, Yellow fever, Chicken pox) |
Covered |
IUCD Insertions, Injectibles, oral contraception |
Covered |
Norplant |
Covered |
Minor surgeries |
Covered to the limit of N100k |
Intermediate surgeries |
Covered to the limit of N350k |
Major Surgeries |
Covered to a limit of N500k |
Emergency care |
Covered |
Ambulance service (Hospital-Hospital) |
Covered |
Optical Care |
Covered |
Frame and Lenses |
Covered N20,000 Limit |
Ophthalmologic Care |
150,000 Limit |
Consultation |
Covered |
Treatment and Eye Surgeries |
Covered |
Dental Care |
N50,000 Limit |
Simple Extractions |
Covered |
Scaling & Polishing |
Covered |
Amalgam Filling |
Covered |
Composite Filling |
Not Covered |
Root Canal Therapy |
1 Tooth |
Dental surgical extraction |
Covered |
HIV/AIDS Education and Counselling |
Covered |
HIV/AIDS Investigation |
Covered |
Specific HIV/AIDS Treatment |
Covered |
Physiotherapy |
10 sessions |
Renal Dialysis |
One session |
Health Education and Counselling |
Covered |
Physical Examination |
Covered |
Annual Medical - Basic Examination |
Covered |
Annual Medical - Comprehensive Examination |
Not Covered |
ULTIMATE HEALTH PLAN
SERVICES |
REMARK |
General consultation |
Covered |
Specialist Consultation |
Covered |
Prescribed Drugs |
Covered |
Routine Laboratory Investigations |
Covered |
Admission |
Private ward (Based on Availability) |
Feeding on Admission (Regular Meals) |
Covered |
Routine Laboratory Investigations |
Covered |
Advanced Laboratory Investigations |
Covered |
X rays |
Plain & Contrast |
Ultrasound Scans (Abdominal & Pelvic) |
Covered |
Specialised Scans |
Covered |
ECG, EEG, ECHO |
Covered |
MRI & CT Scan |
Covered |
Gynecological Consultation |
Covered |
Antenatal Care |
Covered |
Normal Delivery |
Covered |
Caesarean Section |
Covered |
Post-Natal Care excluding Congenital Abnormalities |
Covered |
Care for New Born Baby |
Covered up to |
Intensive care (Neonate & Adult) |
Covered |
Infertility Consultation, Investigation & Drugs |
Covered up to approved limit of N100,000 |
Paediatric Consultation |
Covered |
Routine immunizations (OPV, DPT, BCG, Vitamin A, Measles, HBV) |
Covered |
Specialised Immunization (Rotarix, Hiberix, MMR, Yellow fever, Chicken pox) |
Covered |
IUCD Insertions, Injectibles, oral contraception |
Covered |
Norplant |
Covered |
Minor surgeries |
Covered to the limit of N100k |
Intermediate surgeries |
Covered to the limit of N350K |
Major Surgeries |
Covered to the limit of N500K |
Emergency care |
Covered |
Ambulance service (Hospital-Hospital) |
Covered |
Optical Care |
Covered |
Frame and Lenses |
Covered N50,000 Limit |
Ophthalmologic Care |
N200,000 Limit |
Consultation |
Covered |
Treatment and Eye Surgeries |
Covered |
Dental Care |
100,000 Limit |
Simple Extractions |
Covered |
Scaling & Polishing |
Covered |
Amalgam Filling |
Covered |
Composite Filling |
Covered |
Root Canal Therapy |
2 Teeth |
Dental surgical extraction |
Covered |
HIV/AIDS Education and Counselling |
Covered |
HIV/AIDS Investigation |
Covered |
Specific HIV/AIDS Treatment |
Covered |
Physiotherapy |
20 sessions |
Renal Dialysis |
Two sessions |
Health Education and Counselling |
Covered |
Physical Examination |
Covered |
Annual Medical - Basic Examination |
Covered |
Annual Medical - Comprehensive Examination |
Covered |
Cancer Care |
Covered to a limit of N300, 000 |
NOTE:
Premiums are negotiable.
A family is made up of the father, mother and 4 biological children below the age of 21 years
*Ante-natal care / delivery are not covered for individual and company of less than 50 enrollees until after 9 months of subscription.
*Ante-natal care/delivery is not covered after the fourth child.