Individual Health Plans

GORAH INDIVIDUAL PLAN	BASIC	LIFE	PREMIUM	BEST
	BUY NOW	BUY NOW	BUY NOW	BUY NOW
Premium Individual per year	25,000	45,000	75,000	145,000

OUTPATIENT SERVICES
Out-Patient Limit	80,000	100,000	120,000	150,000
Out Patient Care, General Consultation	✔	✔	✔	✔
Specialist Consultation	2 sessions	3 sessons	4 sessions	5 sessions
Laboratory & Diagnostic Tests	✔	✔	✔	✔
X-Rays	✔	✔	✔	✔
Prescribed Medicines And Drugs	✔	✔	✔	✔
Management of Chronic Ailment	✗	Eligible After 6 month	Eligible After 6 month	Eligible After 6 month
Out-Patient Emergency	✔	✔	✔	✔
Advanced & Complex Investigations (incl. CT Scan, MRI Scan)	Emergency	Emergency	Emergency	Emergency

IN-PATIENT SERVICES
In-Patient Limit	100,000	120,000	150,000	200,000
X-Rays, Laboratory & Diagnostic Tests	✔	✔	✔	✔
Prescribed Medicines And Drugs	✔	✔	✔	✔
Intensive Care Services	✗	✗	48 Hours	72 Hours
In- Patient Admission days	15 days /annum	20 days /annum	30 days/annum	30 days/annum
In-Patient Admissions	General Ward	General Ward	Semi-Private ward	Private-Ward
In-Patient services (including feeding)	✔	✔	✔	✔
Physiotherapy Sessions	5 Sessions	5 Sessions	10 Sessions	10 Sessions
Physiotherapy Sessions (Up to approved limits)	✔	✔	✔	✔
In-Patient Emergency	✔	✔	✔	✔
Advanced & Complex Investigations (incl. CT Scan, MRI Scan)	Emergency	Emergency	Emergency	Emergency

SURGICAL SERVICES (APPLY AFTER 6 MONTHS)
Minor, Intermediate, Major Surgeries And Procedures	Limit up to 120,000	Limit up to 250,000	Limit up to 350,000	Limit up to 1,000,000

DENTAL CARE
Primary & Secondary Dental Care	Covered up to ₦5,000.00	Covered up to ₦10,000.00	Covered up to ₦15,000.00	Covered up to ₦20,000.00
Scaling and Polishing	✔	✔	✔	✔
Composite /Amalgam Filling	✗	✔	✔	✔
Non-surgical tooth Extraction	✔	✔	✔	✔
Pain Relief	✔	✔	✔	✔
Dental Emergency	✔	✔	✔	✔

OPTICAL CARE
Simple Optical Care	Limit up to 5,000	Limit up to 10,000	Limit up to 15,000	Limit up to 20,000
Eye testing& Eye Care (Biennial Optical Lenses)(After 6 month)	Up to ₦5000.00	Up to ₦7,000.00	Up to ₦10,000.00	Up to ₦15,000.00
Major Eye Surgeries (Subject to surgical limit)	✔	✔	✔	✔

EAR,NOSE AND THROAT SERVICES
ENT Limit	✗	7,000	10,000	15,000
Treatment of ENT diseases and removal of foreign bodies	✗	✔	✔	✔
ENT Surgeries ( Subject to surgical limit)	✔	✔	✔	✔

OTHER BENEFITS
Accidents & Emergencies	✔	✔	✔	✔
Evacuation (Home/Hospital to Hospital & Road Side to Hospital)	✔	✔	✔	✔
Annual Wellness Check at Designated Centres (After 9 months)	BASIC	BASIC	BASIC	BASIC
HIV/AIDS – to the Extent of Diagnosis + Treatment at Free Specialist Centres	✔	✔	✔	✔
Outpatient Psychiatry cover up to 4 weeks	✔	✔	✔	✔

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