img Hopewell Benefit Plan

Signature Plan!

Service SIGNATURE Coverage
Hospital Network Access Band A+B+C+D
GP Consultation Covered
GP Review Covered
Specialist Consultation Covered
Specialist Review Covered
Supply of Prescribed Medicines Covered
Admissions Private Ward
Admissions per annum 30 days
Feeding Covered
Nursing Care Covered
Other Consumables Covered
Prescribed Medications Covered
In-patient limit Up to N850000
Laboratory Investigations Basic & Comprehensive - Covered
Radiological Investigations Basic & Comprehensive - Covered
Advanced and Complex Investigations Covered (e.g., Echocardiogram, CT scan, MRI)
Dental Services Up to N75000, Amalgam Filling, Simple/Surgical Extraction, Composite Filling, Scaling & Polishing (Once/year), Pain Therapy, Root Canal, Dentures, Crowns & Bridges
Optical Services Eye Testing & Examinations, Medications, Lenses & Frames (Up to N40000), Ophthalmic Surgeries (Up to N175000)
Neonatal Services Ear Piercing, Exchange Blood Transfusion, Circumcision, Phototherapy, Incubator (14 days), ICU & Life Support, Immunizations
Obstetrics & Gynecology Services Normal Delivery, Caesarean Section, Antenatal/Post-natal care (Up to N650000)
Family Planning Services IUCD, Pills, Injectable, Implants, Counselling
Emergency Medical Services Stabilization, ICU (Up to 10 days), Emergency drugs & investigations, Evacuation
Physiotherapy Services Up to 15 sessions
Surgical Services Up to N750000, Minor/Intermediate/Major Surgeries, Anesthesia
Chronic Condition Management Covered, Prescribed Chronic Medicines (Up to N120000)
HIV/AIDS Treatment Covered at free specialist centers
Renal Dialysis Up to 5 sessions
Outpatient Psychiatry Cover Covered (7 weeks)
Inpatient Psychiatric Care Up to N100000
Annual Medical Screening For Principal & Spouses, Physical Exam, Blood Sugar, Blood Pressure, BMI, Urinalysis, FBC, Lipid Profile, Chest X-ray, ECG, Pap Smear, PSA
Individual Premium/Annum ₦311,212
Family Premium/Annum ₦1,867,275 (For a family of 6)

CONDITIONS

1. The Premium computed is payable once annually based on the population.

2. Family premium quoted is for a family of 6 (Principal, Spouse, and 4 Children less than 20 years old).

3. The age limit on the Plans is 60 years.

4. Plans or Benefits are not transferable.


Excluded in all Cover Plans

  • Transplant surgery, Speech disorder, Thyroid disorders, neurological and neurosurgical disorders
  • Plastic/cosmetic surgeries
  • Advanced and complex investigations not stated in the schedule of covered services
  • Other investigations and treatment problems relating to infertility (e.g., hydrotubation, hysterosalpingogram, I.V.F, G.I.F.T, and artificial insemination)
  • Herbal drugs, non-prescription drugs, food supplements, and experimental drugs and treatment
  • Other laboratory investigations not listed in the schedule of covered services
  • Dental care not listed in the schedule of covered services
  • Home care and domiciliary services
  • Joint replacements and prosthetic limbs
  • Long-term psychiatric illness (Longer than 6 months)
  • Executive and VIP room NOT COVERED
  • Comprehensive health screening/well persons check outside the scope of the benefits covered by the health checks
  • Pre-School Health examinations
  • Treatment for newborns not registered on the plan after 6 weeks of birth
  • Neonatal care not listed under neonatal services
  • Self-inflicted injuries
  • Treatment of obesity
  • All Covid-19 and Hepatitis Treatment
  • Covid-19 testing except as stated in the schedule of covered services
  • Speech disorders
  • Room upgrades beyond that specified in the plan benefit
  • Management of severe burns (burns covering more than 10% body surface area)
  • Learning difficulties, behavioral, and developmental problems
  • Consultations with unrecognized consultants, hospitals, family doctors, therapists, dental practitioners, or complementary medicines practitioners
  • Any other treatment, service, procedure, or investigation not listed in the schedule of covered medical services