Bronze Retail Plan/Individual
₦39,134.00₦43,047.409% Off
SALEENDS
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Sold By: AXA MANSARD HEALTH LIMITED
Seller type: CORPORATE
This Category could have less than 20 subscribers. NOTICE: This health insurance product does not cover pre-existing medical conditions. A pre-existing medical condition is defined as an injury, illness, sickness, disease or other physical, medical, mental or nervous condition, disorder or ailment that with reasonable medical certainty existed at the time of purchase of the policy or prior to the purchase of the policy. Whether or not previously manifested, symptomatic, diagnosed, treated prior to the effective date, including any chronic or recurring complications or consequences related to or arising from such ailment. There would be an underwriting and enrollment period of two weeks (14 days), before inception of cover.

EMERGENCY CARE: Initial stabilization and care, it also covers intensive care if required.

INTENSIVE CARE (Emergency only): Admission and care in a specialized unit where access to a high level of medical care and monitoring would be provided for critical cases. 

EVACUATION: Ambulance services are covered under this plan; it includes evacuation from site of injury to hospital and from hospital to hospital.

OUTPATIENT COMPONENT:

  1. General consultations 
  2. Specialist consultations
  3. Provision of prescribed drugs and medications for covered condition

INPATIENT COMPONENT

  1. Comprising of admission for the treatment of covered conditions in a standard ward
  2. Feeding of enrolees for the duration of admission. 
  3. Provision of medical care, nursing care, and prescribed medication and consumables during the duration of admission

DIAGNOSTIC SERVICES

a. Radiological services

  1. Plain X-rays of the limbs, spine, abdomen, pelvis, chest, skull
  2. Contrast studies
  3. Ultrasound scan 

b. Laboratory services

  1. Histopathology
  2. Haematological investigations
  3. Microbiological investigations
  4. Serology
  5. Clinical chemistry

c. Electrocardiogram (ECG) Rest

d. Spirometer

e. EEG - Electroencephalogram

PHYSIOTHERAPY 

Physiotherapy services – 5 Sessions

Provision of prescribed physiotherapeutic appliances e.g. Soft and hard cervical collar

ANTE NATAL CARE AND DELIVERYcovered only after 24 months on the plan 

Antenatal care including prescribed drugs up to agreed hospital tariffs

  1. Antenatal procedures including Shirodkar's operation
  2. Management of pregnancy complications
  3. Normal delivery
  4. Assisted vacuum or forceps delivery
  5. Caesarean section
  6. Post natal care 

NEONATAL SERVICES AND PAEDIATRIC CARE

Neonatal care including sepsis, cord care, physiologic jaundice, ophthalmic neonatorum

  1. Circumcision
  2. Ear piercing
  3. Well baby clinic at 6 weeks
  4. Routine Immunizations BCG, Measles, DPT, Oral Polio, Vitamin A supplementation
  5. Treatment of common childhood diseases like malaria, and other uncomplicated febrile illnesses, diarrheal diseases, Upper respiratory tract infection

FAMILY PLANNING SERVICES - Pills, injectable and IUCD

MINOR, INTERMEDIATE AND MAJOR SURGICAL PROCEDURES (Up to a limit of N250, 000.00)

  1. Wound dressing
  2. Suturing of minor cuts and lacerations
  3. Incision and drainage of abscesses
  4. Minor ENT (Ear, Nose, Throat) procedures like ear syringing
  5. Minor wound debridement
  6. Lump excision
  7. Hernia repairs
  8. Appendectomy
  9. Closed reduction and manipulation of simple fractures and dislocations
  10. Surgery for haemorrhoids
  11. Endoscopy
  12. ENT procedures like Antral washouts, Tonsillectomy
  13. Surgery for ectopic pregnancy
  14. Myomectomy
  15. Elective Orthopaedic Surgery
  16. DENTAL CARE
  17. Primary dental care including 
  18. Examination
  19. Basic dental treatment
  20. Simple amalgam
  21. Scaling and polishing 
  22. Non-surgical extractions 
  23. Pain therapy drugs

EYE CARE

  1. Basic eye examination
  2. Refraction 
  3. Biennial optical lenses (up to N 7,500)

HIV/AIDS CARE AND TREATMENT (In designated centres)

  1. Voluntary counselling and testing
  2. Pre-treatment assessment
  3. Monitoring
  4. Drugs 

MENTAL HEALTH SERVICES

  1. Counselling
  2. Outpatient consultation and treatment (up to 8 weeks)

REGION OF COVER – Nigeria

PLAN SPECIFIC EXCLUSIONS:

AXA MANSARD PERSONAL BRONZE PLAN:

The exclusions on this plan include:

  1. Secondary dental care
  2. Advanced/complex investigations (CT scan and MRI scan).
  3. Additional immunization for 0-5 years (Pneumococcal and Rotavirus)
  4. Incubator Care

GENERAL EXCLUSIONS: The following exclusions are applicable on all the plans

  1. Cosmetic Surgery
  2. Teeth Whitening
  3. Dental Prosthesis
  4. Domiciliary/Hospice Care
  5. Alternative /Unorthodox medicine
  6. Neonatal care not listed under neonatal services
  7. Self-inflicted injuries
  8. Congenital abnormalities
  9. Conditions caused by an act of war, an epidemic or enrollee participating in a riot
  10. Services primarily for weight reduction or treatment of obesity
  11. Treatment of substance abuse
  12. Infertility- All investigations and treatment.
  13. Orthodontics. 
  14. Advanced radiological investigations (e.g. C.T. scan, Myelogram, EEG).
  15. Advanced and Complex investigations (e.g. Marrow biopsy, skeletal survey).
  16. Prosthetic devices such as cardiac pacemaker, orthopedic implants.
  17. Management of Chronic Renal Failure (Dialysis and Transplant Surgery).
  18. Induced Abortion.
  19. Laser Treatments.
  20. Transplants.
  21. Complex major Surgeries (e.g. Heart, Brain and Great blood vessels).
  22. Neurological surgeries.
  23. Professional Sports and wilful exposure to needless danger
  24. Infectious and contagious diseases in an epidemic
  25. All procedures, management and investigations  not covered by the plan
  26. The following pre-existing or chronic conditions will be excluded in the first 24 months of the inception of the policy, however this list is not exhaustive only includes common ones:
  27. Hypertension and Cardiac related diseases.
  28. Diabetes and its complications.
  29. Hepatitis B & C.
  30. Kidney related conditions.
  31. Peptic Ulcer Disease.
  32. Asthma.
  33. Epilepsy and Seizure disorders.
  34. Glaucoma and Cataract.
  35. Arthritis.
  36. Pregnancy – All treatment related to Antenatal, Natal or Postnatal period.
  37. Management of Malignancies (Cancers)
  38. E.t.c.


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