Alleanza Health Schemes
Family Plans
Our family plans are affordable, comprehensive and meets your specific needs and that of your loved ones. You have access to our robust hospital network nationwide. The services available on our family plans include: Antenatal care, Maternity care, Child care, Immunizations, Surgeries, Hospitalization etc.
Plans Benefits Coverage
| Benefit | Silver | Gold Plus | Platinum |
|---|---|---|---|
| Consultations with General Practice / Medical Officers Doctors | Covered | Covered | Covered |
| Consultations with Specialist | 4 times per year | 6 times per year | 10 times per year |
| Telemedicine Consultation | Covered | Covered | Covered |
| Medical Counselling | Covered | Covered | Covered |
| Hospitalization (Accommodation & Feeding) | Standard Room. Cumulative 25days | Semi -Private Room. Cumulative 30days | Private Room. Cumulative 40days |
| Drug Prescription (Inclusive of outpatient & Inpatient ) | Covered to the limit of N100,000/Per Policy Year | Covered to the limit of N140,000/Per Policy Year | Covered to the limit of N180,000/Per Policy Year |
| Chronic Ailments Management & Medications ( Covered After 6 Months of commencement of the scheme) | Covered up to Drug Precription limit | Covered up to Drug Precription limit | Covered up to Drug Precription limit |
| Primary Immunizations : BCG, Measles, DPT, Oral polio, IPV, Vitamin A supplementation only. | Covered | Covered | Covered |
| Additional Immunizations (Covered after 3 Months of commencement of the scheme) | Tetanus Toxoid, Anti-Rabies, Anti- Snake, HIB only. | Tetanus Toxoid, Anti-Rabies, Anti- Snake, HIB, Hepatitis B, Chicken Pox, MMR, | Tetanus Toxoid, Anti-Rabies, Anti- Snake, HIB, Hepatitis B, Chicken Pox, MMR, |
| Laboratory Investigations - Routine Haematology , Microbiology , Serology , Endocrine , Histology and Clinical Chemistry . | Covered | Covered | Covered |
| Specialized Laboratory Investigations - Haematology , Microbiology , Serology , Endocrine , Histology and Clinical Chemistry . | Not Covered | Covered | Covered |
| Routine Radiology Investigations (Subject To Alleanza Health Approval ) | Covered. | Covered. | Covered. |
| Specialized Radiology Investigations. (ECG, EEG, CT-Scan, MRI, ECHO ) | ONLY ECG, CT-Scan covered for Life Threatening Emergency once a year | Covered (Maximum of once a year, for ONLY ONE of the listed investigations) | Covered (Maximum of once a year, for ANY of the listed investigations) |
| Physiotherapy inclusive of prescribed prosthetis limited to clutches, cervical collar. | Covered After 6 Months to the limit of N15,000/Per Policy Year. | Covered After 6 Months to the limit of N25,000/Per Policy Year | Covered After 6 Months to the limit of N40,000/Per Policy Year |
| Mental Health - Consultation and out-patients Services. In-patient care not covered | Limited to 4 Visits/Year. | Limited to 6 Visits/Year.. | Limited to 9 Visits/Year. |
| Dental Care Including Consultations, Investigations, Prescriptions And Procedures . (See excluded Surgeries/Procedures ). Scaling & Polishing excluded. | Covered to the limit of N10,000 per annum after 6 months. | Covered to the limit of N10,000 per annum after 6 months. | Covered to the limit of N40,000 per annum after 6 months. |
| Ophthalmology/Optical Care Including Consultations , Investigations , Prescriptions And Procedures . | Covered to the limit of N10,000 per annum after 6 months. | Covered to the limit of N15,000 per annum after 6 months. | Covered to the limit of N20,000 per annum after 6 months. |
| Lenses (Either Unifocal, Bifocal Or Varifocal Lenses With A Limit Of Once Every 2 Years) | Covered to the Limit of N5,000 | Covered to the Limit of N5,000 | Covered to the Limit of N5,000 |
| Family Planning / Contraceptives (Not Covered for Individual plans) | Oral Contraceptives and IUCD (Intrauterine Contraceptive Device) e.g. Copper T, Injectables | Oral Contraceptives and IUCD (Intrauterine Contraceptive Device) e.g. Copper T, Injectables | Oral Contraceptives and IUCD (Intrauterine Contraceptive Device) e.g. Copper T, Injectables |
| Management of HIV ( Diagnosis only ) (Referral to Government Approved Centers only) | Covered , After 12 months of commencement of the scheme | Covered , After 12 months of commencement of the scheme | Covered , After 12 months of commencement of the scheme |
| SURGICAL LIMIT | To The Limit of N200,000.00 | To The Limit of N350,000.00 | To The Limit of N750,000.00 |
| Neonatal Care (First 4 weeks of life) (Incubator care, Phototherapy, Management of neonatal sepsis) Circumcision, Ear piercing, Exchange Blood Transfusion (EBT). | First 24 hrs(Covered up to surgery limit) | First 72hrs (Covered up to surgery limit) | First 5 days(Covered up to surgery limit) |
| Accidents & Emergencies (Limited to resuscitation treatments / procedures) | Covered up to surgery limit | Covered up to surgery limit | Covered up to surgery limit |
| Emergency Ambulance Services ( Covered up to Surgery Limit) | Ambulance (Hospital-to-Hospital transfer )(For Immobile Enrollees Only) | Ambulance (Hospital-to-Hospital transfer )(For Immobile Enrollees Only) | Ambulance (Hospital-to-Hospital transfer )(For Immobile Enrollees Only) |
| Surgical Procedures Including Minor, Intermediate And Major Surgeries . ( See Excluded Surgeries) | Covered up to surgery limit. | Covered up to surgery limit. | Covered up to surgery limit. |
| Intensive Care (ICU) | 48hrs duration | 72hrs duration | 5days duration |
| ENT Care And Surgeries | Covered up to surgery limit. (See excluded Surgeries /Procedures ). | Covered up to surgery limit | Covered up to surgery limit |
| Orthopaedics Surgeries | Covered up to surgery limit. (See excluded Surgeries /Procedures ). | Covered up to surgery limit | Covered up to surgery limit |
| ANC & Delivery & 6weeks Postnatal care & 4weeks neonatal care | Covered up to surgery limit. After 12 months of commencement of the scheme | Covered up to surgery limit. After 12 months of commencement of the scheme | Covered up to surgery limit. After 12 months of commencement of the scheme |
| Gyneacological Procedures / Surgeries including Ceaserean Section | Covered up to surgery limit | Covered up to surgery limit | Covered up to surgery limit |
NOTE:
1 Maximum principal age limit is 60 years and Dependent age limit is 18 years.
2 Family means Principal, Spouse and 2 Dependents.
3 There will be a waiting period of 2 weeks after registration. Plan purchased becomes active 2 weeks after purchase date.
You can view the general exclusions for Alleanza Health Plans Here