Bronze Corporate Plan (Individual)
₦38,827.90₦42,710.709% Off
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Sold By: AXA MANSARD HEALTH LIMITED
Seller type: CORPORATE
This Category must have at least 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.

All our plans have the following key components:

  • 1. An Emergency Services Component: This comprises of initial stabilization and care.
  • 2. An Evacuation Component
  • 3. An Outpatient Component
  • 4. An Inpatient Component

There are additional benefits with various sub limits these include:

  1. 1. Pregnancy and Childbirth Benefit
  2. 2. Intensive Care Benefit
  3. 3. Child Health Services
  4. 4. Specialized Surgical procedures
  5. 5. Dental Benefit
  6. 6. Optical Benefit
  7. 7. Psychiatry Benefit
  8. 8. Fertility Services
  9. 9. Cancer Benefit

INTERMEDIATE SURGERY AND MAJOR SURGICAL PROCEDURES

  1. •Minor wound debridement
  2. •Lump excision
  3. •Hernia repairs
  4. •Appendectomy
  5. •Closed reduction and manipulation of simple fractures and dislocations
  6. •Surgery for hemorrhoids
  7. •Endoscopy
  8. •ENT procedures like Antral washouts
  9. •Surgery for ectopic pregnancy
  10. •Myomectomy
  11. •Elective Orthopedic Surgery
  12. General surgeries like Laparotomy
  13. •Gynecological surgeries like Hysterectomy
  14. •ENT surgeries like Adenotonsillectomy

Other complex surgeries such as Thyroidectomy, Open reduction and internal fixation of

fractures, Brain surgeries, Vascular and nerve surgeries and Transplant surgeries

RENAL DIALYSIS – 1 session

PHYSIOTHERAPY – Up to approved limit

  1. •Physiotherapy services – 5 Sessions
  2. •Provision of prescribed physiotherapeutic appliances e.g. Soft and hard cervical collar, Crutches

DENTAL CARE- Covered up to N10,000.00

Primary dental care including:

  1. •Examination
  2. •Basic dental treatment
  3. •Simple amalgam or composite filling
  4. •Scaling and polishing
  5. •Non-surgical extractions
  6. •Pain therapy drugs
  7. •Dental Surgical Extraction
  8. •Root canal surgeries.
  9. •Orthodontics
EYE CARE:

  1. •Primary Care- Consultation, Examination , Simple or primary infection or conditions and Medications
  2. •Eye Surgeries (as a part of Overall limit on Surgical services)
  3. •Biennial optical lenses up to N 7,500

ENT (OTOLARYGOLOGICAL) SERVICES:

  1. •Treatment of ENT diseases and removal of foreign bodies
  2. •ENT Surgeries (as a part of Overall limit on Surgical services)

MENTAL HEALTH SERVICES

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

HIV/AIDS CARE AND TREATMENT (In designated centers)

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

SELECT HEALTH SCREENING

  1. •Physical examination
  2. •Urinalysis
  3. •Packed cell Volume
  4. •Blood pressure

CANCER CARE (Surgical, Radiotherapy and Chemotherapy)

  1. Covered up to a limit of N250,000.00

PHARMACY BENEFIT MANAGEMENT- Doorstep supply of drugs to enrolees on

structured chronic disease management programme, thereby enhancing compliance

amongst other things.

ON-SITE HEALTH CHECKS, HEALTH TALKS/ EDUCATION FORUM OR WELLNESS

FAIRS- COVERED

LIFE AND PERMAMENT DISABILITY BENEFIT FOR DEPENDENTS ONLY- N25,000

SECOND OPINION SERVICE BY EXPERTS LOCAL AND ABROAD- COVERED

OTHER SERVICES: Mortuary Services up to a limit of N250, 000.00 per family

REGION OF COVER (ELECTIVE AND NON-ELECTIVE) - Nigeria & India

EXCLUSIONS:

PLAN SPECIFIC EXCLUSIONS:

AXA MANSARD BRONZE PLAN

The exclusions on this plan include:

  1. Advanced/complex investigations.
  2. Additional immunization for 0-5 years (Hepatitis, HiB, Pneumococcal)
  3. An eye surgery solely for the purpose of correcting refractive defects of the eye, such as near-sightedness (myopia), astigmatism and/or farsightedness (presbyopia)
  4. Travel insurance for principals
  5. Personal equipment for Chronic conditions
  6. Inpatient cover in the UK

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

  1. Cosmetic Surgery
  2. Dental Prosthesis
  3. Domiciliary/Hospice Care
  4. Alternative /Unorthodox medicine
  5. Neonatal care not listed under neonatal services
  6. Self-inflicted injuries

  1. Congenital abnormalities
  2. Conditions caused by an act of war, an epidemic or enrollee participating in a
  3. riot
  4. Services primarily for weight reduction or treatment of obesity
  5. Treatment of substance abuse
  6. Professional Sports and wilful exposure to needless danger
  7. Stem cell transplant or bone marrow transplant
  8. All procedures, management and investigations not covered by the plan


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