HyEssential

₦16,000.00 annual fee per person

The scope of services covered by HyEssential Plan includes:

-        Out-patient and specialist consultations

-        In-patient care (for covered medical & surgical conditions only)

-        Radiological, laboratory & diagnostic services

-        Physiotherapy and physical rehabilitation services

-        Minor surgeries & procedures

-        Intermediate surgeries & procedures

-        Antenatal care & delivery

-        Dental care

-        HIV and AIDS care and treatment

Exclusions

The following are excluded from the HyEssential Plan:

• Overseas treatment and transplant surgery
• Plastic/cosmetic surgeries
• Major and complex surgeries and procedures
• Intensive care services
• Cancer care
• Ambulance services
• Investigation and treatment for problems relating to fertility e.g: hormone profiles, laparoscopy, hydrotubation, hysterosalpingogram IVF, GIFT, artificial insemination and virility enhancing drugs
• Herbal drugs, non-prescription drugs/food supplements, experimental drugs and treatment
• Dental care not listed under services
• Home care, domiciliary care and ambulance services
• Embalmment and autopsies
• Joint replacements and prosthetic limbs
• Long term psychiatric illness (exceeding 6 months)
• Comprehensive health screening/well-person check
• Treatment for newborns not registered on the plan within 4 weeks of birth
• Self-inflicted injuries
• Congenital abnormalities
• Incubator care
• Special baby unit care
• Advanced and complex investigations (CT scan, MRI scan, echocardiography, electroencephalography, doppler scans)
• Eye glasses and contact lenses
• Neonatal care not listed under neonatal services
• Treatment of obesity
• Learning difficulties, behavioural and developmental problems
• Speech disorders
• Room upgrades beyond that specified in the plan benefits
• Consultations with unrecognised consultants, hospitals, family doctors, therapists, dental practitioners or complementary medicine practitioners