HCI Senior Citizens Plan - 5% Off.xlsx

	A	B	C	D
1	HCI HEALTHCARE LIMITED
2	TABLE OF BENEFITS FOR SENIOR CITIZEN PLANS
3		Citizen Agile	Citizen Fresh	Citizen Delight
4	REGION OF COVER	Nigeria	Nigeria	Nigeria
5	PROVIDER TYPE	Standard Hospital Network	Standard Hospital Network	Standard Hospital Network
6	PREMIUM PER PERSON PER YEAR (NGN)	₦111,150	₦155,610	₦219,954
7	PROVIDER TYPE	Enhanced Hospital Network	Enhanced Hospital Network	Enhanced Hospital Network
8	PREMIUM PER PERSON PER YEAR (NGN)	₦399,000	₦422,750	₦446,500
9	OVERALL LIMIT (all sub limits add to overall)
10	OUT-PATIENT BENEFIT
11	GP Consultations at chosen accredited primary care provider	Covered	Covered	Covered
12	Basic Imaging : X Ray & Ultrasound Scan	Covered once per annum	Covered once per annum	Covered twice per annum
13	Prescribed non chronic medications	Covered	Covered	Covered
14	Acute care benefits including out-of-network care	Covered	Covered	Covered
15	Minor Surgeries	Covered	Covered	Covered
16	Annual physical in your doctor room	Covered	Covered	Covered
17	SPECIALIST CONSULTATION
18	Consultation with specialist limited to Gynaecologist, General Surgeon, ENT Surgeon, Family Physician, Cardiologist & Orthopaedic.	Up to 3 consults per annum	Up to 5 consults per annum	Up to 6 consults per annum
19	Rare specialists limited to Endocrinologist, Nephrologist, Urologist, Cardiothorasic, Neurosurgeon, Spinal, Psychiatrist, Heamatologist, Plastic surgeon, Pneumonologist (one visit per annum)	Not Covered	Not Covered	covered
20	CHRONIC DISEASE MANAGEMENT
21	Prescribed Medications from accredited pharmacies only	Up to N25,000 per Annum	Up to N35,000 per Annum	Up to N50,000 per Annum
22	PREVENTIVE & HEALTH PROMOTION BENEFIT
23	Routine medical Screening	Not Covered	Not Covered	Height, Weight, Blood Pressure, Fasting Blood Sugar, Urinalysis, Complete Blood Count.
24	MAJOR DISEASE CONDITION BENEFITS
25	Surgical Procedures	Up to N70,000 Limit Per Annum	Up to N100,000 Limit Per Annum	Up to N120,000 Limit Per Annum
26	Blood Transfusion: Pints of Blood + Administration [not covered for Standard Network]	Up to N30,000 Limit Per Annum	Up to N40,000 Limit Per Annum	Up to N45,000 Limit Per Annum
27	IN-PATIENT BENEFIT
28	Ward admission & Feeding	Standard Ward up to 15 days per year	Semi-Private Ward up to 10 days per year	Private Ward up to 10 days per year
29	Laboratory investigations, Nursing care, dressing & prescribed medications	Covered	Covered	Covered
30	Specialist Review (as stated above)	Covered	Covered	Covered
31	ACCIDENT & EMERGENCY BENEFIT
32	Nationwide Emergency evacuation, Emergency room care including consultations, investigations, surgical intervention, Intensive care unit & prescribed medications to stabilize patient in Emergency room only	Up to N50,000 Limit Per Annum	Up to N75,000 Limit Per Annum	Up to N100,00 Limit Per Annum
33	EYE CARE BENEFIT
34	Consultation with Optician including test, Lens & Prescribed Medications	Up to N6,500 Limit Per Annum	Up to N7,500 Limit Per Annum	Up to N10,000 Limit Per Annum
35	Consultation with Opthalmologist including Pterygium excision & Cataract extraction as well as post-surgery prescribed medications	Up to N25,000 Limit Per Annum	Up to N35,000 Limit Per Annum	Up to N50,000 Limit Per Annum
36	DENTAL CARE BENEFIT
37	Consultation with Dentist including Dental investigations, pain therapy, simple & surgical extraction, Amalgam filling, Root canal treatment, Gingival treatment & crowning only	Up to N10,000 per Annum	Up to N15,000 per Annum	Up to N25,000 per Annum
38	ADDITIONAL BENEFITS
39	Physiotherapy treatment	Up to N25,000 Per Annum	Up to N40,000 Per Annum	Up to N60,000 Per Annum
40	Psychiatric assessment & treatment of acute phase not more than 2 weeks	Covered	Covered	Covered
41	Specialized Laboratory Studies like Hormonal Assays, D-dimers, Cardiac Enzymes etc	Not Covered	Covered once annually	Covered once annually
42	Specialized Imaging Studies echocardiogram, IVU, Contrast studies, Doppler Scan etc	Not Covered	Covered once annually	Covered once annually
43	Advanced Radiological Studies: CT scan, MRI	On emergency and limited to one CT scan	On emergency and limited to one CT scan	Limited to 2 CT scans & 2 MRI scans
44	Telemedicine: Voice call, Video call, Voice chat	Covered	Covered	Covered
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