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Health Plan tailored especially for individuals, couples, families, businesses, and groups with a maximum of 19 persons.
Self and Family Health Plan is a three-fold plan designed especially for individuals, couples, families, businesses, and groups with a maximum of 19 persons.
This plan is structured to take care of certain preventive and curative health services such as; antenatal care and delivery, neonatal care, postnatal care, family planning, physiotherapy, advanced and complex investigations, emergency services and many other benefits which can be seen below.
While the health care services offered in each of the plans may differ, they all hold the same weight in value, ease of access and quality.
| Benefits | Details | Note | Metro Mini ₦ 70,000 Get Plan | Metro Midi ₦ 100,000 Get Plan | Metro Maxi ₦ 190,000 Get Plan | Metro PPP ₦ 700,000 Get Plan |
|---|---|---|---|---|---|---|
| Hospital Category | C & D | C & D | B, C & D | A, B, C & D | ||
| Total Benefit Limit | Annual Limit | Per lives ₦750, 000 | Per lives ₦1,000,000 | Per lives ₦1, 750, 000 | Per lives ₦3,000,000 | |
| Telemedicine | ✓ | ✓ | ✓ | ✓ | ||
| Lifestyle Benefits | Access to Gym | ✕ | ✕ | 2 sessions per month | 4 sessions per month | |
| Travel Insurance Services | Worldwide Travel Insurance | ✕ | ✕ | 1 week | 2 weeks | |
| 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 Limits | 6 | 8 | 10 | 12 |
| Specialist Consultations – (Type 2) | – Maxillofacial surgery – Neurosurgery – ENT Surgery – Urologist – Gastroenterology – Endocrinology – Oncology | ✕ | ✕ | |||
| Drugs | Provision of prescribed drugs and medications for covered conditions | ✓ | ✓ | ✓ | ✓ | |
| In-Patient Care – Room Type | Admission for the treatment of covered conditions | Accommodation type | General ward | Semi-private ward | Private Ward | 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 days | Refers to the maximum admission days allowed per annum for each plan. | 21 Days | 24 Days | 28 Days | 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 annum | 3 | 5 | 8 | 15 |
| 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 | ✕ | 2 (MRI excluded) | 3 | 4 | |
| 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 services | Intrastate evacuation only. Health facility and Roadside/Health facility. | ✓ | ✓ | ✓ | ✓ | |
| Intensive Care Services | Admission and care in the intensive care unit. | ✕ | ✕ | 48 hours | 96 hours | |
| Minor Surgeries | – Wound dressings. – Suturing of minor cuts and lacerations. – Incision and drainage of Abscesses. | Annual Surgical Limit | ₦200, 000 | ₦450, 000 | ₦650, 000 | ₦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 | ||||
| Antenatal Care & Delivery | – Antenatal care including prescribed drugs – Management of pregnancy complications – Normal delivery – Assisted vacuum or forceps delivery – Post natal care – ( 6weeks post delivery) | ✓ ✓ | ✓ ✓ | ✓ ✓ | ✓ ✓ | |
| Chronic Diseases | Hypertension, Diabetes, Asthma, Tuberculosis, HIV, Glaucoma, Arthritis, treatment of Hepatitis, Sickle cell disease. | N50,000 limit | ✓ | ✓ | ✓ | |
| Neonatal Care | – Perinatal care including cord care, Physiologic jaundice, Ophthalmia neonatorum. – Immunization services within the first two (2) weeks including BCG and oral polio – Circumcision – Ear piercing – Incubator Care, NICU | No Limit | ✓ ✓ ✓ ✓ * | ✓ ✓ ✓ ✓ 48 hours | ✓ ✓ ✓ ✓ 72 hours | |
| Immunization (i) | – Routine Immunizations BCG, Measles, DPT, Oral Polio, Vitamin A supplementation, yellow fever, Hepatitis B, Pentavalent vaccine. | ✓ | ✓ | ✓ | ✓ | |
| Immunization (ii) | Additional immunization for 0 – 5 years, MMR, Pneumococcal vaccine, *Rotavirus | ✕ ✕ ✕ | ✓ ✓ ✕ | ✓ ✓ ✓ | ✓ ✓ ✓ | |
| Immunization (iii) | Additional Immunizations (6yrs and above) (Meningitis, Yellow Fever, Hepatitis B) | ✕ | ✕ | ✕ | ✓ | |
| Paediatric Care | Treatment of common childhood diseases like malaria, and other uncomplicated febrile illnesses, diarrheal diseases, Upper respiratory tract infection. | No Limit | ✓ | ✓ | ✓ | ✓ |
| Family Planning | – Counselling – Provision of Commodities e.g. IUCD (Copper T) – Injectable – Implant e.g. Implanon | As Clinically Required | ✓ ✓ ✓ ✕ | ✓ ✓ ✓ ✕ | ✓ ✓ ✓ ✓ | ✓ ✓ ✓ ✓ |
| Eye | – Basic eye examination – Refraction – Biennial Optical glasses – Tonometry – Central Visual Field | ✓ ✓ ₦10,000 ✓ 1 | ✓ ✓ ₦30,000 ✓ 2 | ✓ ✓ ₦75,000 ✓ 2 | ✓ V ₦100,000 ✓ 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 | ₦20,000 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✕ ✕ | ₦30,000 ✓ ✓ ✓ ✓ ✓ ✓ ✕ ✕ ✕ | ₦75,000 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✕ | ₦100,000 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ |
| Cancer Care | – Consultation with Oncologist – Chemotherapy – Radiotherapy – Cytotoxic Drugs – Pain Therapy | Refer to Annual Limit | ₦125, 000 | ₦250,000 | ₦500,000 | ₦1,000,000 |
| Selective Screening | Annual Limit ₦45,000 | ✕ | ✕ | ✕ | ✓ | |
| Annual Medical Check-ups (at designated centres only) | On-site: Blood sugar, BMI, Blood Pressure, Urinalysis | On-site: Blood sugar, BMI, Blood Pressure, Urinalysis | Physical examination, Blood Pressure, Blood sugar, BMI, Genotype, Blood Group, PCV, Urinalysis, PSA, and Breast Scan | Physical examination, Blood Pressure, Blood sugar, BMI, Genotype, Blood Group, PCV, Urinalysis, Liver Function Test, Kidney Function Test, PSA and Mammogram | ||
| Psychological Care/Counseling | Out-patient/ Telemedicine | ✓ | ✓ | ✓ | ✓ | |
| Psychiatric Care | In-Patient | ✕ | ✕ | 2 Days | 5 Days | |
| Health Promotion | – Health education and disease prevention on various illnesses including HIV, Hypertension, Diabetes mellitus, Tuberculosis. – Health promotion information and Materials. | ✓ | ✓ | ✓ | ✓ | |
| Mortuary Care | Cleaning, Embalming, etc. | ✕ | ✕ | ₦60, 000 | ₦100, 000 | |
| Kidney Dialysis | Must not be pre-existing condition**. | 3 sessions | 4 sessions | 6 sessions | 8 sessions | |
| Metro Mini ₦ 70,000 Get Plan | Metro Midi ₦ 100,000 Get Plan | Metro Maxi ₦ 190,000 Get Plan | Metro PPP ₦ 700,000 Get Plan |
Check for nearby professional health care providers within our network.
We have made it easier for you to access different quality health services by carefully packaging relevant preventive and curative health care services – the MetroHealth plans.
Carefully go through the plans and sub-plans.
Pick the plan that best suits your needs and budget.
Fill the form that comes with your selected health plan.
Make your annual payment.
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