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24/7 Support: 0700 HALLMARKHMO (0700 42556275466)

info@hallmark.com

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

* Limits are not transferable
PREMIUM HALLMARK BERYL HALLMARK RUBY HALLMARK TOPAZ HALLMARK EMERALD HALLMARK DIAMOND
PREMIUM/INDIVIDUAL/ ANNUM 20,000 27,500 38,820 75,750 144,736.84
PREMIUM/FAMILY/ ANNUM 100,000 137,500 194,100 378,750 651,315.78
ANNUAL FINANCIAL LIMIT 500,000 750,000 1,000,000 1,500,000 3,000,000
SPECIAL PREMIUM HOSPITALS FAMILY
2,500,000
SINGLE
500,000
LIMIT/HEAD
3,000,000