296 Herbert Macaulay Way, Sabo-Yaba, Lagos
Mon - Fri : 09:00 - 17:00
+234 1 448 9821; +234 703 000 9099

School Plan Staff – Individual

 

BENEFITS/SERVICES Titanium Basic
Titanium Compact
Titanium Klassic
REGION OF COVER Nigeria Nigeria Nigeria
PROVIDER TYPE Standard Network Standard Network Standard Network
OVERALL LIMIT?
OUT-PATIENT BENEFIT
GP Consultations at chosen accredited primary care provider ? Covered Covered Covered
Acute care benefits? Covered Covered Covered
Minor Surgeries Covered Covered Covered
Annual physical? Covered Covered Covered
SPECIALIST CONSULTATION
Consultation with common specialist? Not Covered Covered Covered
Consultation with Rare Specialist Not Covered Not Covered Covered
CHRONIC DISEASE MANAGEMENT
Prescribed Medications Not Covered Up to
₦60,000 per Year
Up to
₦80,000 per Year
PREVENTIVE & HEALTH PROMOTION BENEFIT
Routine medical Screening Not Covered Not Covered Not Covered
Comprehensive Annual Medical screening ? Not Covered Not Covered Not Covered
UNDER FIVE IMMUNIZATION BENEFIT
NPI-approved Immunization limited to? Not Covered Covered Covered
Non-NPI Immunization limited to ? Not Covered Not Covered Not Covered
MAJOR DISEASE CONDITION BENEFITS
Surgical Procedures ? Up to
₦100,000 Limit
Up to
₦100,000 Limit
Up to
₦150,000
Cancer care limited to ? Not Covered Not Covered Not Covered
Renal dialysis for first three sessions Not Covered Not Covered Not Covered
REPRODUCTIVE HEALTH BENEFIT
Family Planning including ? Family Planning Education Covered Up to
₦10,000 per Year
Up to
₦10,000 per Year
INFERTILITY ? Not Covered Not Covered Not Covered
MATERNAL BENEFITS: Not Covered Up to
₦100,000 Limit
Up to
₦150,000 Limit
Ante-natal care at registered network provider Not Covered Covered up to Maternal Limit Covered up to Maternal Limit
Normal Delivery including Post-Partum Care Not Covered Covered up to Maternal Limit Covered up to Maternal Limit
Operative Delivery including Post-partum care Not Covered Covered up to Maternal Limit Covered up to Maternal Limit
Medical Conditions during Pregnancy Not Covered Covered Covered
Complications from Pregnancy & Childbirth Not Covered Covered Covered
IN-PATIENT BENEFIT
Ward admission & Feeding Standard Ward up to 10 days per year Semi-Private Ward up to 15 days per year Private Ward up to 15 days per year
Laboratory investigations, Nursing care, dressing & prescribed medications Covered Covered Covered
Specialist Review Consultation only Covered Covered
PEADEATRIC CARE (FAMILY PLAN HOLDER ONLY)
Consultation with Neonatologist & Peadeatrician Not Covered Covered Covered
Neonatal care including Phototherapy & Incubator care Not Covered Up to 3 days per year Up to 7 days per year
ACCIDENT & EMERGENCY BENEFIT
Nationwide Emergency evacuation ? Up to
₦100,000 Limit
Up to
₦100,000 Limit
Up to
₦150,000
EYE CARE BENEFIT
Consultation with Optician ? Covered Eye Test only Up to
₦6,500 Limit
Up to
₦7,500
Eye Surgery ? Not
Covered
Not
Covered
Up to
₦75,000 Limit
DENTAL CARE BENEFIT
Consultation with Dentist ? Not Covered Up to
₦10,000 per Year
Up to
₦15,000 per Year
ADDITIONAL BENEFITS
PHYSIOTHERAPY Not Covered 6 sessions 12 sessions
PSYCHIATRY ? Covered Covered Covered
SPECIALIZED Laboratory Studies ? Not Covered Covered Covered
SPECIALIZED IMAGING STUDIES ? Not Covered Covered Covered
ADVANCED RADIOLOGICAL STUDIES ? Not Covered Not Covered Limited to CT-Scan
MORTUARY SERVICES Not Covered Up to ₦20,000 per annum Up to ₦20,000 per annum
Group Personal Accident (GPA) Cover Not Covered Up to ₦150,000 per annum Up to ₦150,000 per annum
Titanium Basic
Titanium Compact
Titanium Klassic
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