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HyStarter Plan: Pricing and Benefits (Comparison)

Compare HyStarter Plans 

Plan  (Premium per Life per Annum)

(₦)

(Premium per Family per Annum)

(₦)

HyStarter Plan 20,000100,000
HyStarter Premium Plan*103,000515,000
HyStarter Premium* + Lagoon Plan**215,0001,075,000

*Access to Category B Hospitals

** General Consultations limited to 2 times a month, Specialist Consultations limited to once a month on the HyStarter Premium + Lagoon Plan Only.

Plan  (Premium per Life per Annum)

(₦)

(Premium per Family per Annum)

(₦)

HyStarter Plan 20,000100,000
HyStarter Premium Plan*103,000515,000
HyStarter Premium* + Lagoon Plan**215,0001,075,000

*Access to Category B Hospitals

** General Consultations limited to 2 times a month, Specialist Consultations limited to once a month on the HyStarter Premium + Lagoon Plan Only.

Benefit Schedule

indicates services which are covered: indicates services not covered under the specific plan

PlansHyStarter Plan
Region of CoverDomestic
Hospital Category C-D
Inpatient Limit (₦)450,000
Accidents & Emergencies: Resuscitative or lifesaving initial treatment√ (Up to Inpatient Limit)
Accommodation (including feeding)General Ward (30 Days/Annum)
Day case procedures & minor surgeries₦ 250 000 Limit
Intermediate surgeries
Major Surgeries
Outpatient Limit (₦)170,000
Basic Laboratory services based on the clinician’s judgment (WHO list of essential in-vitro diagnostics)√ (Up to Outpatient Limit)
Basic X-Rays and Diagnostic Tests√  (X-ray Services Only/Up to Outpatient Limit)
General  Consultations (Initial and Follow-up)√ (Up to Outpatient Limit)
Specialist Consultations (Initial and Follow-up)√ (Up to Outpatient Limit)
Ear, Nose and Throat care: Treatment of acute and chronic ENT diseases.√ (Treatment of Acute Diseases Only/₦15,000 Limit)
Primary Dental Care (relief of pain, Composite & Amalgam Fillings, Non-surgical extractions, Scaling and Polishing)₦10,000 per annum
Immunizations
NPI Immunizations for 0-5yearsNPI including pentavalent vaccine (diphtheria, tetanus, whooping cough)
Additional Immunizations for 0-5 yearsHepatitis B, HiB
Health Checks (at selected Hygeia Centers)5% Discount on HyCheck Plan
Optical Care: Lenses, Frames & Contact, Lenses (Once in two years)₦7,500
Optical care: Eye testing, Treatment of acute and chronic eye diseases.√ (Treatment of Acute Eye Diseases Only/₦15,000 Limit)
Physiotherapy6 Sessions
Psychiatric TreatmentOutpatient Only (3 months Limit)
Pharmacy Benefit Limit (₦)80,000
Chronic Disease Medication
Inpatient Non-Chronic Prescription Medicines√ (Up to Pharmacy Benefit Limit)
Outpatient Non-Chronic Prescription Medicines√ (Up to Pharmacy Benefit Limit)
Other Benefits (₦)(Up to Outpatient Limit)
Cancer Care: Oncology Tests, Drugs + Chemotherapy & RadiotherapyOncology Tests, Drugs Only (₦75,000 Limit)
Ambulance***Hospital to hospital (₦50,000 Limit)
Mortuary Services (Cleaning, Embalmment, Storage, Autopsy)₦50,000 limit
Critical Illness + Death Benefit√ (Sum Assured: ₦150,000)

 

Benefit Schedule

indicates services which are covered: indicates services not covered under the specific plan

Plan HyStarter Plan
Region of Cover Domestic
Hospital Category  C-D
Total Benefit Limit  1,000,000
Benefits  
Registration
Consultations with general practice doctors or medical officers in
the first instance and for maintenance/follow up care
Consultations with  specialists/follow up care
Supply of drugs & medication – drugs recommended in the course
of this treatment for covered services
Accidents & Emergencies: Resuscitative or lifesaving initial treatment (up to plan benefits limit)
Laboratory& Basic Diagnostic services based on the clinician’s judgment
Radiological Investigations (X-ray Services)
Accommodation (including feeding)Standard – 30 days/year
Physiotherapy6 Sessions
Routine Immunizations for 0 – 5 yearsNPI including pentavalent vaccine

(diphtheria, tetanus, whooping cough)

Additional Immunizations for 0-5 yearsHepatitis B, HiB
Optical: Eye testing, Lenses, Frames & Contact, Lenses (Once in 2
years)Up to 7,500
Primary Dental Care – relief of pain, fillings, nonsurgical, extractions, preventive care, scaling and polishing10,000 per annum
Surgeries including day case procedures (minor, intermediate and major surgeries) 250 000 limit
Cancer Care: Oncology Tests and Surgery OnlyUp to Surgical Limit
Kidney dialysisCovered – 1st session Only
AmbulanceHospital to hospital
Psychiatric treatmentOut-patient only
HIV/AIDS Care & Treatment
Mortuary services (Cleaning, Embalmment, Storage, Autopsy)50,000 limit

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