Individual Health Plans

GORAH INDIVIDUAL  PLAN BASIC LIFE PREMIUM BEST
 

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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