BAPTIST PASTORS SOCIAL HEALTH INSURANCE PLAN (BP-SHIP)

SERVICES

COVERAGE

OUT-PATIENT LIMIT

N100,000

General Consultation

Yes

Specialist Consultation

·       ENT CONSULT

·       CARDIOLOGIST CONSULTATION

·       NEUROSURGEON

·       NEPHROLOGIST CONSULTATION

·       GYNAECOLOGIST (not associated with ANC)

·       PEADIATRICIAN CONSULTATION

·       ORTHOPEADIC SURGEON ETC

Covered with

2 Sessions/annum

 Lab Investigations

·       Packed Cell Volume

·       Full Blood Count

·       ESR Western green

·       Reticulocytes

·       Platelets

·       Genotype

·       Malaria Parasite

·       Bleeding Time

·       Clotting Time

·       Grouping &Cross Matching

·       Fasting Blood Sugar

·       Random Blood Sugar

·       2hr Post Prandial

·       Glucose Tolerance Test

·       Total Bilirubin

·       Direct Bilirubin

·       Albumin

·       Urea

·       Creatinine

·       Sodium

·       Potassium

·       Chloride

·       Bicarbonate

·       Electrolyte And Urea

·       Uric Acid

·       Calcium

·       Phosphorus

·       Urine M/C/S

·       Mantoux / Heaf Test

·       Urine Microscopy

·       Urinalysis

·       Microfilaria

·       HVS M/C/S

·       Urethral Swab M/C/S

·       Wound Swab  M/C/S

·       Stool M/C/S

·       Blood Culture

·       Urine Pregnancy Test

·       Widal

·       VDRL

·       Pregnancy Test HCG (Blood)

·       Blood Group

Covered (Designated Laboratories)

Prescribed Drugs (Routine)

Covered

Physiotherapy

3 Sessions

Management of Chronic Conditions: Drugs, Consultation & Lab Test

Yes

(Limit 40,000 per annum)

Chronic Conditions includes (FOR GORAH )

·       HYPERTENSION

·       DIABETES

·       ATHRITIS

·       ASTHMA

·       OSTEOPOROSIS

·       COPD

·       HEART DISEASES

COVERED

Antenatal Care & Delivery (including C-section subject to surgical limit) (ONLY FOR FAMILY PLAN)

Yes (SVD N50,000)

Post Natal Care- 6 weeks

Yes

Neonatal Care which includes

·       Phototherapy

·       NICU( 24HOURS)

·       TREATMENT OF JAUNDICE

·       TREATMENT OF BIRTH ASPHYXIA

Yes

(EBT NOT COVERED)

IN-PATIENT CARE LIMIT

N100,000

Admissions in Hospital

General ward

Admission per annum

15 days

Feeding on admission

Covered

Drugs & infusion (In-Line with the In-Patient Limit)

Yes

Family Planning

·       Counselling

·       IUCDs

·       Injectable

·        Oral Contraception

Yes

(Inserting and removal of IMPLANT not COVERED)

Plain X-Rays

Yes

Ultra Sound Scans, they includes

·       Abdominal scan

·       Pelvic Scan

·       Obstetric scan

Covered

Well baby Check

Covered

Routine (NPI) Immunization for 0-5 years ( OPV, Measles, Pentavalent, BCG, Vitamin A, Pneumococal, Yellow Fever

Covered (Designated BMC’s or PHC’s)

Travel Immunization

·       Hepatitis B

·       Yellow Fever Vaccine Only

Covered (Designated CDC Center Only)

Emergency Care

·       Ends when patient Is moved out of emergency to the ward

Covered

Surgeries ( Minor & Intermediate).Surgeries Includes

·       Appendicitis

·       Herniorraphy

·       Myomectomy

·       Cystectomy

·       Exploratory Laparotomy

·       Removal of Breast Lump

·       Removal of Abscess

·       Caesarean Section

·       Closed reduction of Fracture

·       Closed reduction and immobilization of joint dislocation

·       Wound Debridement

·       Excision of lump

·       Evacuation of impacted faeces

·       Drainage of abscess

·       Surgical repair of simple wound

N100,000

( All surgeries are subjected to surgical fee of 100,000 naira )

Simple Optical Care 

·       Consultation

·       Refraction

·       Tonometry

·       Slit Lamp Exam

·       Dilatation

Covered

Eye Test, Glasses & Contact Lenses(once in 2 years)

N5000, limit per person

Primary Dental Care

·       Consultation

·       Scaling & Polishing

·        Simple non-surgical extraction

·       pain relief)

Limit N7,500

HIV/AIDS Treatment

·       Counselling

·       Testing /Confirmation ONLY

Covered

Mental Health Services (Emergency only)

Yes

Advanced Investigations

·       ECG (Only)

Covered (1 session per Annum)

Wellness Counselling

Covered

Price Per Individual & Family per annum

N90,000