| Service Description |
Hallmark Beryl |
Hallmark Ruby |
Hallmark Topaz |
Hallmark Emerald |
Hallmark Diamond |
| Out-Patient Services |
| MANAGEMENT OF CHRONIC CONDITIONS
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Limited to Diabetes and Hypertension only.
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| OUT-PATIENT CARE, GENERAL AND SPECIALIST CONSULTATION
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| PRESCRIBED MEDICATIONS
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| In-Patient Services |
| ADMISSIONS (INCLUDING FEEDING)
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Standard Ward (15 days)
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Standard Ward (15 days)
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Semi-Private Ward (15 days)
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Private Ward (21 days)
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Private Ward (21 days)
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| NURSING CARE & CONSUMABLES
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| PRESCRIBED MEDICATIONS
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| Diagnostics Services |
| ADVANCED AND COMPLEX INVESTIGATIONS: ECHOCARDIOGRAM, CT SCAN, MRI ONLY
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Not Covered |
Not Covered |
CT ONLY |
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| BASIC RADIOLOGICAL STUDIES E.G. PLAIN X-RAY &ULTRASONOGRAPHY (ABDOMINAL AND PELVIC)
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| LABORATORY SERVICES- HISTOPATHOLOGY, HEMATOLOGICAL INVESTIGATIONS, MICROBIOLOGICAL INVESTIGATIONS, SEROLOGY& CLINICAL CHEMISTRY
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| SPIROMETRY, ELECTROCARDIOGRAM (ECG) - REST & EEG-ELECTROENCEPHALOGRAM
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Not Covered |
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| Obstetrics Services |
| ANTENATAL CARE |
All-inclusive Maternity care N100,000 |
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| ASSISTED DELIVERY |
Within the maternity care limit |
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| EMERGENCY OR MEDICALLY INDICATED ELECTIVE CAESAREAN SECTION |
Within Maternity limit stated |
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| FAMILY PLANNING SERVICES - PILLS, INJECTABLES, IUCD, TUBAL LIGATION AND VASECTOMY (WITHIN SURGICAL LIMITS) |
Pills and IUCD Only |
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Including Norplant or Implanon |
Including Norplant or Implanon |
| FERTILITY SERVICES (CONFIRMATORY INVESTIGATION ONLY) |
Counseling only |
Counseling, SFA, USS |
Counseling, SFA, USS, HSG |
Counseling, USS, SFA, HSG, Hormonal Assay |
Counseling, USS, SFA, HSG, Hormonal Assay, Hysteroscopy |
| INDUCTION OF LABOUR & NORMAL DELIVERY |
Within the maternity care limit |
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| POST-NATAL CARE |
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| Physiotherapy Services |
| ANTENATAL CARE
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All-inclusive Maternity care N100,000
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| ASSISTED DELIVERY
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Within the maternity care limit
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| EMERGENCY OR MEDICALLY INDICATED ELECTIVE CAESAREAN SECTION
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Within Maternity limit stated
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| FAMILY PLANNING SERVICES - PILLS, INJECTABLES, IUCD, TUBAL LIGATION AND VASECTOMY (WITHIN SURGICAL LIMITS)
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Pills and IUCD Only
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Including Norplant or Implanon
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Including Norplant or Implanon
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| FERTILITY SERVICES (CONFIRMATORY INVESTIGATION ONLY)
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Counseling only |
Counseling, SFA, USS
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Counseling, SFA, USS, HSG
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Counseling, USS, SFA, HSG, Hormonal Assay
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Counseling, USS, SFA, HSG, Hormonal Assay, Hysteroscopy
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| INDUCTION OF LABOUR & NORMAL DELIVERY
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Within the maternity care limit
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| PHYSIOTHERAPY SESSIONS (UP TO APPROVED LIMITS)
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3 Sessions
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5 Sessions
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10 Sessions
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15 Sessions
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Unlimited |
| POST-NATAL CARE
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| PRESCRIBED PHYSIOTHERAPEUTIC APPLIANCES: CERVICAL COLLAR, CRUTCHES ONLY
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Not Covered |
Covered
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Covered
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Covered
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Covered
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| Accidents and Emergencies Services |
| EVACUATION (HOSPITAL TO HOSPITAL & ROAD SIDE TO HOSPITAL)
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| INTENSIVE CARE UNIT (ICU) EXCLUDING LIFE SUPPORT
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Not Covered
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2 days
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3 days
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5 days
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7days
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| STABILIZATION, EMERGENCY DRUGS AND INVESTIGATIONS (INCLUDING CT SCAN AND MRI ONLY)
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Covered without CT and MRI
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Covered without MRI
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Covered without MRI
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| Neonatal Services |
| ADDITIONAL IMMUNIZATIONS (VARICELLA, ROTARIX, PNEUMOCOCCAL & MMR)
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Not Covered
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Not Covered
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Not Covered
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Covered
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Covered
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| NPI IMMUNIZATIONS - BCG, MEASLES, DPT, ORAL POLIO, VITAMIN A SUPPLEMENTATION, PENTAVALENT
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| PRIMARY CARE INCLUDING CIRCUMCISION, EAR PIERCING AND EXCHANGE BLOOD TRANSFUSION |
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| SPECIAL BABY CARE UNIT (INTENSIVE CARE UNIT-EXCLUDING LIFE SUPPORT, PHOTOTHERAPY & INCUBATOR CARE)
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24 Hours
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2 days
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3 days
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5 days
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7days
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| Dental Services |
| PRIMARY DENTAL CARE- EXAMINATION, BASIC DENTAL TREATMENT, SIMPLE AMALGAM OR COMPOSITE FILLING, SCALING AND POLISHING, NON-SURGICAL EXTRACTIONS AND PAIN THERAPY/ RELIEF
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Up to a limit of NGN 10,000
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Up to a limit of NGN 15,000
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Up to a limit of NGN 25,000
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Up to a limit of NGN 50,000
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Up to a limit of NGN 60,000
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| SECONDARY DENTAL CARE- SURGICAL TOOTH EXTRACTION, ROOT CANAL TREATMENT
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Up to a limit of NGN 10,000
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Up to a limit of NGN 15,000
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Up to a limit of NGN 25,000
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Up to a limit of NGN 50,000
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Up to a limit of NGN 60,000
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| Ophthalmological Services |
| EYE SURGERIES
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As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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| OPTICAL LENSES ANNUALLY
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N5,000
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N7,500
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N10,000
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N25,000
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N40,000
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| PRIMARY EYE CARE- CONSULTATION, EXAMINATION, SIMPLE OR PRIMARY INFECTION OR CONDITIONS AND MEDICATIONS
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N5,000
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N7,500
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N10,000
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N15,000
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N20,000
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| Surgical Services |
| ANESTHESIA, SURGICAL SUPPLIES/CONSUMABLES, ADMINISTRATION OF BLOOD OR BLOOD PRODUCTS, ETC.
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Up to a limit of NGN 150,000
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Up to a limit of NGN 250,000
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Up to a limit of NGN 300,000
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Up to a limit of NGN 500,000
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Up to a limit of NGN 750,000
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| MINOR, INTERMEDIATE, MAJOR SURGERIES AND PROCEDURES
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Up to a limit of NGN 150,000
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Up to a limit of NGN 250,000
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Up to a limit of NGN 300,000
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Up to a limit of NGN 500,000
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Up to a limit of NGN 750,000
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| Otolaryngologic (ENT) Services |
| ENT SURGERIES |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
| TREATMENT OF ENT DISEASES AND REMOVAL OF FOREIGN BODIES |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services |
| Other Services |
| ANNUAL HEALTH SCREENING AT DESIGNATED CENTERS (PRE-BOOKED) FOR PRINCIPALS ONLY
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Physical examination, Urinalysis, PCV, blood pressure and FBS
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Physical examination, Urinalysis, PCV, blood pressure and FBS
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Physical examination, Urinalysis, PCV, blood pressure and FBS
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Physical examination, Urinalysis, PCV, blood pressure, blood sugar, EUCR, Chest x-ray, serum cholesterol, cervical smears every 2 years for women 30 years and above, PSA for men above 40 years.
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Physical examination, Urinalysis, PCV, blood pressure, blood sugar, EUCR, Chest x-ray, ECG, serum cholesterol, annual mammogram, cervical smears every 2 years for women > 30 years and above, PSA for men above 40 years.
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| CANCER CARE: SURGICAL + RADIOTHERAPY & CHEMOTHERAPY
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As a part of Overall limit on Surgical services |
As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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As a part of Overall limit on Surgical services
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| HIV/AIDS- DIAGNOSIS + TREATMENT AT FREE SPECIALIST CENTERS
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| ON-SITE HEALTH CHECKS, HEALTH TALKS/ EDUCATION FORUM OR WELLNESS FAIRS
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| PSYCHIATRY COVER UP TO 6 WEEKS (OUT PATIENT CARE)
|
Covered Upto 3 weeks
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| RENAL DIALYSIS
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Not Covered
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1 session
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2 sessions
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3 sessions
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5 sessions
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| STRUCTURED LIFESTYLE MANAGEMENT PROGRAM (PHARMACY BENEFITS)
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2,500,000
500,000
3,000,000