Mellow 70 Health Plan

Benefits

BenefitsDetailsNote₦ 800,000
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Hospital CategoryA, B, C & D
Age band70 – 79 years
Total Benefit LimitAnnual LimitPer lives N2,500,000
Telemedicine
General Out- Patient Care– Registration
– General Consultations
Specialist Consultations – Type 1– Obstetrics & Gynaecology
– General/ Family Medicine
– Cardiology
– Paediatrics
– General Surgery
– Dermatology
– Ophthalmology
– Orthopaedics
– Haematology
Refer to stated Annual Limits10
Specialist Consultations – (Type 2)– Maxillofacial surgery
– Neurosurgery
– ENT Surgery
– Urologist
– Gastroenterology
– Endocrinology
– Oncology
DrugsProvision of prescribed drugs and medications for covered conditions
In-Patient Care – Room TypeAdmission for the treatment of covered conditionsAccommodation type(Private Ward)
-Feeding & In-patient treatment– Feeding of enrolees for the duration of admission for the treatment of covered conditions.

– Provision of medical care, nursing care, and prescribed medication and consumables during the period of admission for the treatment of covered conditions.
-Admission daysRefers to the maximum admission days allowed per annum for each plan.30 Days
Physiotherapy– Physiotherapeutic services.

– Provision of prescribed Physiotherapeutic appliances e.g. Soft and hard cervical collar, Crutches.
Refer to the Maximum number of Sessions per annum10
X-Rays & Other Diagnostic Tests– Radiological services/Plain X- rays of the Limbs, Spine, Abdomen, Pelvis, Chest, Skull

– Contrast studies

– Ultrasound scan of
Abdomen and pelvis

– Rest Electrocardiogram (ECG)
As clinically required
Laboratory Investigations– Histopathology

– Haematological Investigations

– Microbiological investigations

– Serology

– Clinical chemistry
As clinically required
Advanced & Complex Investigations– CT Scan

– MRI Scan

– EEG

– Echocardiography

Limits specified represent an aggregation of the above
Excluded in the first year of cover3
Accidents and Emergencies– Emergency room services.

– Limited to resuscitation or lifesaving interventions in cases where definitive management is an exclusion.
As clinically required
Ambulance and evacuation servicesIntrastate evacuation only.
Health facility and
Roadside/Health facility.
Intensive Care ServicesAdmission and care in the intensive care unit.48 hours
Minor Surgeries– Wound dressings.

– Suturing of minor cuts and lacerations.

– Incision and drainage of Abscesses.
Annual Surgical Limit₦1, 000,000
Intermediate Surgeries– Minor wound debridement

– Lump excision

– Hernia repairs

– Appendectomy

– Surgery for haemorrhoids

– Endoscopy

– Surgery for ectopic pregnancy

– Caesarean section
Annual Surgical Limit – Caesarean section for MetroMini plan is covered up to a limit of N100,000
Major Surgeries– General surgeries such as Laparotomy.

– Gynaecological surgeries like Hysterectomy.

– ENT surgeries like Adenotonsillectomies.
Annual Surgical Limit
Chronic DiseasesHypertension, Diabetes,
Asthma, Tuberculosis,
HIV, Glaucoma, Arthritis, treatment of Hepatitis, Sickle cell disease.
Eye– Basic eye examination

– Refraction

– Biennial Optical glasses

– Tonometry

– Central Visual Field


V

₦60,000



2
Dental– Registration

– Examination

– Amalgam/Composite Filling

– Scaling & Polishing

– Pain Therapy Drugs

– X-Rays

– Non-Surgical Extraction

– Surgical Extraction

– Root Canal Therapy

– Bridges & Crowns
Total annual limit for dental services₦75,000


















Selective ScreeningAnnual Limit ₦45,000
Annual Medical Check-ups (at designated centres only)Physical examination,
Blood Pressure,
Blood sugar,
BMI,
Genotype,
Blood Group,
PCV,
Urinalysis,
Liver Function Test,
Kidney Function Test,
PSA and Mammogram
Psychiatric CareOut-patient only2 months
In-Patient3 Days
Health Promotion– Health education and disease prevention on various illnesses including HIV, Hypertension, Diabetes mellitus, Tuberculosis.

– Health promotion information and Materials.
Mortuary CareCleaning, Embalming, etc.₦100, 000
Kidney DialysisMust not be pre-existing condition**.8 sessions
Metro PPP

₦ 800,000
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  1. Following payment of premium, access to care will commence on the first day of the subsequent month but not less than two (2) weeks from date of payment.
  2. The term of premium cover starts from the date of commencement of care.
  3. All screenings, diagnostic and laboratory investigations will be based on clinicians recommendation.
  1. Services primarily for weight reduction, treatment of obesity, speech disorders, learning difficulties, behavioural and developmental problems.
  2. Non-medical counselling, nutritional counselling, herbal drugs, food supplements, experimental drugs, virility enhancing drugs and assisted reproduction.
  3. Orthodontic services, dental implants.
  4. Treatment of mental, emotional or functional nervous disorders, psychological testing and treatment of substance abuse, self-inflicted injuries and suicide attempts.
  5. Artificial ventilation and use of ventilator.
  6. Transplant surgery, joint replacement and prosthetic limbs.
  7. Post-acute rehabilitation at home, domiciliary services and supply of durable medical equipment/appliances.
  8. Management and correction of congenital abnormalities.
  9. Consultations with unregistered and unrecognized clinicians.
  10. An eye surgery solely for the purpose of correcting refractive defects of the eye such as near sightedness (myopia), astigmatism and/or farsightedness (presbyopia).
  11. Any service, treatment, procedure or investigation not listed explicitly as being covered.
  12. Selective screening/Well person checks (except for the MetroPPP plan).
  13. Cancer care and management (except for the MetroPPP plan).

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What our customers say

Uju Nwokeji
Uju NwokejiInterconnect Clearing House
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"...They check up on their clients to make sure they are well taken care of by the hospitals..."
Shola Abiloye
Shola AbiloyeACAS-Law
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"...Excellent and exciting customer service, prompt response to issues and swift response to pre-authorization processes..."
Toyin Ayoade
Toyin AyoadeMD, MBC Securities Ltd.
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"...Confirmations are done very quickly with the hospital and service providers to ensure prompt medical care..."
Akinwole Ayodeji
Akinwole AyodejiEKEDC
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"...I was pleasantly surprised when they refunded all the expenses we incurred during this period..."
Jude Aura Chukwuma
Jude Aura ChukwumaMetroHealth HMO User
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"...What is also truly amazing is the follow up of their team members – calling to find out your experience during visits to the clinics..."
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