Geriatric Plan – Wellness Health Care Group | Wellness Health Insurance | Wellness Hub | Wellness Trading Company | Wellness Travels and Medical Tourism

 

BENEFIT GREEN SPRING ZEST
Outpatient consultation Covered Covered Covered
Accident an Emergency Covered Covered Covered
Intensive Care Unit Covered Covered Covered
Specialist Consultation Covered Covered Covered
In-patient Consultations Covered Covered Covered
Supply of drugs and Medications Covered Covered Covered
Basic X-rays and C. T. Scan Covered Covered Covered
Routine Laboratory Investigations Covered Covered Covered
Gynecology consultation Covered Covered Covered
Primary Eye Care Covered Covered Covered
Bi-ennial Eye lens ₦20,000 ₦25,000 ₦30,000
Dental Care Covered Covered Covered
General Surgery ₦100,000 ₦150,000 ₦200,000
Physiotherapy 7 sessions 7 sessions 7 sessions
Dietary Consultation Covered Covered Covered
Ward Admission Standard Ward Semi Standard Private Ward

 

 

GREEN

PLAN

SPRING

PLAN

ZEST

PLAN

1. Emergency Medical Services      
a.  Ambulance transport: Covered Covered Covered
i.  Roadside to hospital Covered Covered Covered
ii.  Hospital to hospital Covered Covered Covered
b. Emergency room stabilization Covered Covered Covered
2.       Intensive care Covered up to

the limit of

₦ 75,000

Covered up to

the limit of

₦ 100,000

Covered up to

the limit of

₦ 150,000

3.     Physician  Services      
a. General outpatient/inpatient

consultation

Covered Covered Covered
b. Specialist outpatient/inpatient

consultation

Covered Covered Covered
c.  Diagnostic X- rays      
i.   Upper Limb      
1. Hand/Wrist Covered Covered Covered
2. Forearm

(Radius/Ulna)

Covered Covered Covered
3. Elbow Covered Covered Covered
4. Humerus Covered Covered Covered

 

5. Shoulder Covered Covered Covered
6. Clavicle Covered Covered Covered
ii.      Lower Limb      
1. Foot/Toe Covered Covered Covered
2. Ankle Covered Covered Covered
3. Leg (Tibia/Fibula) Covered Covered Covered
4. Knee Covered Covered Covered
5. Femur or Thigh Covered Covered Covered
6. Hip (Single) Covered Covered Covered
7. Pelvis (AP) Covered Covered Covered
8. Pelvis & Hip Covered Covered Covered
iii.          Thorax      
1. Chest (PA/AP) Covered Covered Covered
2. Chest

(PA/Lateral)

Covered Covered Covered
3. Chest (Oblique) Covered Covered Covered
4. Apical/Lordotic Covered Covered Covered
5. Sternum Covered Covered Covered
6. Thoracic Inlet Covered Covered Covered
iv.  Vertebral Spine      
1. Cervical Spine Covered Covered Covered
2. Lateral Neck

(Soft Tissue)

Covered Covered Covered
3. Thoracic Spine Covered Covered Covered
4. Thoraco-lumbar

Spine

Covered Covered Covered
5. Lumboscaral

Spine

Covered Covered Covered

 

 

 

v.          Abdomen      
1. Abdomen (Plain) Covered Covered Covered
2. Abdomen

(Erect/Supine)

Covered Covered Covered
d. Diagnostic Laboratory Tests      
i.    Hematology      
1. ESR Covered Covered Covered
2. Full Blood Count

(FBC)

Covered Covered Covered
3. Hemoglobin Covered Covered Covered
4. Malaria Covered Covered Covered
5. PCV Covered Covered Covered
6. RBC Covered Covered Covered
7. Reticulocyte count Covered Covered Covered
8. WBC Covered Covered Covered
9. Platelets Covered Covered Covered
10. Prothrombin time Covered Covered Covered
11. Microfilaria Covered Covered Covered
12. Bleeding Time Covered Covered Covered
13. Clotting time Covered Covered Covered
ii.          Serology      
1. ASO Titer Covered Covered Covered
2. Coombs test Covered Covered Covered
3. Heaf test Covered Covered Covered
4. Other Hepatitis

Strains

Covered Covered Covered

 

 

5. Pregnancy (blood) Covered Covered Covered
6. Pregnancy (urine) Covered Covered Covered
7. Rheumatoid factor Covered Covered Covered
8. VDRL Covered Covered Covered
iii.  Blood Chemistry      
1. Glucose Covered Covered Covered
2. Calcium Covered Covered Covered
3. Phosphorus Covered Covered Covered
4. Urea Covered Covered Covered
5. Creatinine Covered Covered Covered
6. Uric acid Covered Covered Covered
7. Albumin Covered Covered Covered
8. Cholesterol Covered Covered Covered
9. Triglyceride Covered Covered Covered
10. HDL Covered Covered Covered
11. LDL Covered Covered Covered
12. SGOT Covered Covered Covered
13. SGPT Covered Covered Covered
14. Alkaline

Phosphate

Covered Covered Covered
15. Bilirubin Covered Covered Covered
16. Sodium Covered Covered Covered
17. Potassium Covered Covered Covered
18. Bicarbonate Covered Covered Covered
19. Chloride Covered Covered Covered

 

 

iv.  Urine Chemistry      
1. Creatinine   Clearance Covered Covered Covered
v.  Microbiology      
1. Stool Microscopy Covered Covered Covered
2. Stool Occult

Blood

Covered Covered Covered
3. Sputum ZN stain Covered Covered Covered
4. Urine Microscopy,

Culture &

Sensitivity

Covered Covered Covered
5. Stool Microscopy,

Culture & Sensitivity

Covered Covered Covered
6. Swab Microscopy,

Culture & Sensitivity

Covered Covered Covered
7. Sputum Microscopy, Culture & Sensitivity Covered Covered Covered
4.       SPECIALIST CONSULTATION: 5 Visits 5 Visits 5 Visits
(A)   Common Specialist      
1.Cardiologist/Physician Covered Covered Covered
2. O & G Covered Covered Covered
(B)   Rare Specialist      
1.Urology Covered Covered Covered
2.Dematology Covered Covered Covered

 

 

3.Endocrinology Covered Covered Covered
4.Neorology Covered Covered Covered
5.Neoro-Surgeon Covered Covered Covered
6.ENT Covered Covered Covered
7.Oncologist Covered Covered Covered
8.Cardiotorasic Covered Covered Covered
9.Orthopaedic Covered Covered Covered
5.  Rehabilitation Services    (Outpatient  Short Term Therapy)      
a.     Physical 7 sessions 7 sessions  7 sessions
6.  Ophthalmic  Services      
a.     Ophthalmology: 25,000 40,000 ₦60,000
i. Pterygium excision Covered Covered Covered
ii. Stye incision/drainage Covered Covered Covered
iii.  Chalazion    incision/drainage Covered Covered Covered
iv.  Pterygium excision Covered Covered Covered
v.  Trabeculectomy Covered Covered Covered
vi.  Cataract surgery Covered Covered Covered
vii.  Consultation Covered Covered Covered
viii.   Follow-up Covered Covered Covered

 

 

ix.  Foreign body removal Covered Covered Covered
x.   Refraction Covered Covered Covered
xi.   CVF/ Glaucoma

screening and treatment

Covered Covered Covered
xii.  Intra-Ocular Pressure Covered Covered Covered
xiii.  Dilated fundoscopy Covered Covered Covered
xiv.  Diabetic & hypertensive

retinopathy

Covered Covered Covered
   b.             Optical
i.          Primary care Covered Covered Covered
ii.  Provision of lenses viz.: unifocal, bifocal, varifocal, contact. Covered Covered Covered
iii. Provision of optical frames ₦ 20,000 ₦ 25,000 ₦ 30,000
Please note that unless otherwise mutually

agreed by parties, this benefits shall not be

transferred to spouse or dependants

7.        Dental Care      
Benefit Covered:
a.   Simple extraction Covered Covered Covered
b.   Surgical extraction Covered Covered Covered
c.   Amalgam filling Covered Covered Covered
d.   Composite filling Covered Covered Covered
e.   Scaling & polishing   (Therapeutic)

(Preventive:1 per 6 months)

Covered Covered Covered

 

 

f.      Pain therapy Covered Covered Covered
Dental financial limits ₦ 20,000 ₦ 30,000 ₦ 40,000
8.  Ear, Nose and Throat Care:      
Primary ENT      
i.          Consultation Covered Covered Covered
Secondary ENT      
i.    Foreign Body Removal Covered Covered Covered
ii.          Otitis Covered Covered Covered
iii.        Ear Syringing Covered Covered Covered
9.         SURGERY  (Limits) 100,000 150,000 200,000
Surgical drainage of breast abscesses Covered Covered Covered
Surgical drainage of galactocele Covered Covered Covered
Sub-periosteal drainage for acute

osteomyelitis

Covered Covered Covered
Drainage for septic arthritis Covered Covered Covered
Intercostal drainage insertion Covered Covered Covered
Aspiration of joints Covered Covered Covered
Debridement of wounds Covered Covered Covered
Surgical repair of simple wounds Covered Covered Covered
Biopsy of breast lump Covered Covered Covered
Tracheostomy Covered Covered Covered
Thoracotomy Covered Covered Covered
Drainage of paronychia Covered Covered Covered
Proctoscopy Covered Covered Covered

 

 

Evacuation of impacted feces  Covered  Covered  Covered
Closed reduction of fractures Covered Covered Covered
Closed reduction and immobilization of

joint dislocations

Covered Covered Covered
Exostectomy Covered Covered Covered
Chondromectomy Covered Covered Covered
Ganglionectomy Covered Covered Covered
Temporary diversion of urine Covered Covered Covered
Biopsy of thyroid gland Covered Covered Covered
Oophorectomy Covered Covered Covered
Surgical drainage of hematoma of rectus

abdominus

Covered Covered Covered
Surgical drainage of peritoneal abscess Covered Covered Covered
Laparotomy Covered Covered Covered
Laparotomy and biopsy of disease viscera

in abdominal cavity

Covered Covered Covered
Repair of colostomy Covered Covered Covered
Anal sphincteroplasty Covered Covered Covered
Excision-Ligation Hemorrhoidectomy Covered Covered Covered
Milligan’s procedure Covered Covered Covered
Surgical drainage of anal abscess Covered Covered Covered
Polypectomy Covered Covered Covered

 

 

Sequesrectomy Covered Covered Covered
Saucerization of chronically infected bone Covered Covered Covered
Surgical excision of soft tissue tumor Covered Covered Covered
Excision-biopsy of soft tissue tumors Covered Covered Covered
Surgical drainage of hand abscess Covered Covered Covered
Orchidopexy Covered Covered Covered
Hydroceleoctomy Covered Covered Covered
Excision of Intrascrotal mass Covered Covered Covered
Surgery for torsion of spermatic cord Covered Covered Covered
Varicocelectomy Covered Covered Covered
Sigmoidoscopy Covered Covered Covered
Theirsch’s procedure Covered Covered Covered
Lord’s procedure Covered Covered Covered
Epigasticherniorraphy Covered Covered Covered
Dissection of femoral triangle Covered Covered Covered
Dissection of inguinal nodes Covered Covered Covered
Venoplasty Covered Covered Covered

 

 

Division of perforating veins Covered Covered Covered
Prostatectomy Covered Covered Covered
Myomectomy Covered Covered Covered
Hysterectomy Covered Covered Covered
Thyroidectomy Covered Covered Covered
Surgical Services and related Diagnostic

Services for the treatment of

Temporomandibular Joint Dysfunction

(TMJ) or other deformities of the jaw,

including orthognathic surgery, osteotomy,

or any surgical repositioning of portions of

the upper or lower jaws or the bodily

repositioning of entire jaws

Covered Covered Covered
10.  Health Maintenance and preventive services      
a.         Annual Basic Medical Examination (All plans – accessible when plan has not been used in a year).

 

     
i. Physical Examination Covered Covered Covered
ii. Full blood count Covered Covered Covered
iii.   Urinalysis Covered Covered Covered
iv.  Blood sugar test Covered Covered Covered
v.   Chest X-ray Covered Covered Covered
11.  Hospital Inpatient Services For Covered Services      

 

 

Ward Eligibility: (20 days per year) Standard

ward

Standard

ward

Standard

ward

a.       Special diets Covered Covered Covered
b.     Services of a dietician Covered Covered Covered
c.     Skilled nursing Covered Covered Covered
d. Use of operating, delivery, cast, and treatment rooms and equipment Covered Covered Covered
e. Prescribed drugs administered while the Enrollee is an Inpatient. Covered Covered Covered
f. Medical and surgical dressings, supplies, casts, and splints that have been ordered by a Physician for

Covered Services

Covered Covered Covered
g. Oxygen and administration of oxygen Covered Covered Covered
12.        Patient Education      
a.       Patient education classes are covered for all conditions. Covered Covered Covered
Class of Hospital BAND C BAND B BAND A
Premium per Head ₦250,000

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₦400,000

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₦650,000

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