Service Description |
Hallmark Zircon |
Hallmark Sapphire |
Hallmark Opal |
Out-Patient Services |
MANAGEMENT OF CHRONIC CONDITIONS
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Not Covered |
Not Covered |
Hypetension & Diabetes only
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OUT PATIENT CONSULTATION & CARE |
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PRESCRIBED MEDICATIONS
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SPECIALIST CONSULTATION & CARE
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Not Covered |
General Surgeon only
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Physician and General Surgeon only
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In-Patient Services |
ADMISSIONS (INCLUDING FEEDING)
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Standard Ward (maximum of 10 days per annum)
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Standard Ward (maximum of 12 days per annum)
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Standard Ward (maximum of 12`days per annum)
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NURSING CARE & CONSUMABLES
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PRESCRIBED MEDICATIONS
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Diagnostics Services |
BASIC RADIOLOGICAL STUDIES E.G. BASIC PLAIN X-RAY &ULTRASONOGRAPHY
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Not Covered |
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LABORATORY SERVICES IN LINE WITH COVERED SERVICES
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Basic Screenings
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Basic Screenings
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Basic Screenings
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Obstetrics Services |
ANTENATAL CARE
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Not Covered
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Not Covered
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Maternity Services (1 yr waiting peroid ) (N50,000.00 limit)
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ASSISTED DELIVERY
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Not Covered
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Not Covered
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Covered
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FAMILY PLANNING SERVICES
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Covered (Education only)
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Covered (Education only)
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Covered (Education only)
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INDUCTION OF LABOUR & NORMAL DELIVERY
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Not Covered
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Not Covered
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POST-NATAL CARE
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Not Covered |
Not Covered |
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Physiotherapy Services |
Accidents and Emergencies Services |
EVACUATION (HOSPITAL TO HOSPITAL & ROAD SIDE TO HOSPITAL)
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Up to a limit of NGN 20,000
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Up to a limit of NGN 30,000
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Up to a limit of NGN 30,000
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STABILIZATION, EMERGENCY DRUGS AND INVESTIGATIONS
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Up to a limit of NGN 20,000
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Up to a limit of NGN 30,000
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Up to a limit of NGN 30,000
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Dental Services |
PRIMARY DENTAL CARE- EXAMINATION, BASIC DENTAL PAIN THERAPY/ RELIEF
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Covered (GP Consultaion Only)
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Covered (GP Consultaion Only)
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Covered (GP Consultaion Only)
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Ophthalmological Services |
PRIMARY EYE CARE- CONSULTATION, EXAMINATION, SIMPLE OR PRIMARY INFECTIONS AND MEDICATIONS
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Covered (GP Consultaion Only)
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Covered (GP Consultaion Only)
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Covered (GP Consultaion Only)
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Surgical Services |
ANESTHESIA, SURGICAL SUPPLIES/CONSUMABLES, ADMINISTRATION OF BLOOD OR BLOOD PRODUCTS, ETC.
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Covered (Minor Surgeries only)
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Minor to Intermediate (1 yr waiting period) (Up to a limit of NGN 40,000)
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Minor to Intermediate (I yr waiting period (Up to a limit of NGN 50,000)
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MINOR TO INTERMEDIATE (MINOR LUMP EXCISION, MINOR SUTURING, ETC, HERNIORRAPHY & APPENDECTOMY)
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Covered (Minor Surgeries only)
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Minor to Intermediate (1 yr waiting period) (Up to a limit of NGN 40,000)
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Minor to Intermediate (I yr waiting period (Up to a limit of NGN 50,000)
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Other Services |
ANNUAL HEALTH SCREENING AT DESIGNATED CENTERS (PRE-BOOKED)
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Annual physical examination
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Annual physical examination
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Annual Physical examination, Urinalysis, PCV, blood pressure
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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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STRUCTURED LIFESTYLE MANAGEMENT PROGRAM (PHARMACY BENEFITS)
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