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
    (Obstetric, Total Abdominal, Transvaginal etc)

    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
    4 weeks

    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
    (Obstetric, Total Abdominal, Transvaginal etc)

    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
    4 weeks

    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.