Benefit | Salus Gold Plan |
---|---|
GLOBAL LIMIT (INDIVIDUAL) | Covered Up to N1,500,000 |
OUT-PATIENT SERVICES | |
OUT-PATIENT LIMIT (INDIVIDUAL) | Covered UP TO N600,000 |
OUT-PATIENT SERVICES | |
Cardiologist,Dermatologist,Endocrinologist ,ENT Surgeon (Otorhinolaryngologist) ,Gastroenterologist ,Nephrologist ,Oral and Maxillofacial Surgeon ,e.t.c. | Covered |
PRESCRIBED MEDICATIONS & CONSUMABLES | |
Prescribed Drugs | Covered |
Consumables | Covered |
Consumables | Covered |
NON-INVASIVE CARE | |
Injections. | Covered |
Manipulations / Orthopedic Applications | Covered |
Nursing Care | Covered |
EAR, NOSE AND THROAT SERVICES | |
Basic ENT Services | Covered |
DERMATOLOGY SERVICES | |
Non-Invasive care, simple skin infections | Covered |
LABORATORY INVESTIGATIONS (HEAMATOLOGY, CHEMISTRY, MICROBIOLOGY, SEROLOGY) HEMATOLOGICAL TESTS |
|
Blood Film, Blood Pregnancy (Beta HCG) Test, Erythrocyte Sedimentation Rate (ESR),Full Blood Count and differentials (FBC), Grouping and Cross Matching/Genotype,Hemoglobin (HB), HCT, RBC, e.t.c. |
Covered |
CHEMISTRY INVESTIGATIONS | |
Electrolytes, Urea and Creatinine | Covered |
Fasting Blood Sugar / Random Blood Sugar,Glucose Challenge Test,Lipid Profile (Fasting) (Cholesterol, HDL, LDL, Triglyceride Profile),Prothrombin Time (PT/INR), e.t.c. | Covered |
MICROBIOLOGY AND PARASITOLOGY | Blood Culture, Cholera Ag Ear Swab M/C/S, H.Pylori, e.t.c | Covered |
ADVANCED LABORATORY INVESTIGATIONS/PATHOLOGY | Covered |
Immunofluorescence assay | Covered |
Serum immunoglobulins/Antibodies | Covered |
RADIOLOGY INVESTIGATIONS (X-RAY AND ULTRASOUND) BASIC DIAGNOSTIC IMAGING |
|
Abdominal X-Rays
, Cervical Spine X-rays
,Chest X-Rays
, X-rays of All Body Joints ,Mandibles/Temporomandibular Joint X-Rays , Lumbosacral X-Rays , e.t.c. |
Covered |
ADVANCED DIAGNOSTIC IMAGING | |
Doppler Ultrasound Scan, ECG (PRE AND POST EXERCISE) | Covered |
CT Scan, MRI | Once Per Policy Year |
Arthroscopy
,Bronchoscopy
,Colonoscopy
,Cystoscopy
,Echocardiography
, Endoscopic retrograde cholangiopancreatography (ERCP) ,Endoscopic Ultrasound ,MRI ,Upper GI Endoscopy |
Covered |
FAMILY PLANNING | |
IUCD (lippes loop) FAMILY PLANNING NATURAL | Covered |
NAPROTECH | Covered |
NEONATAL CARE | FIRST 4 WEEKS AFTER BIRTH |
IMMUNIZATIONS – Included in Out-Patient Limit | |
BCG,
,Oral Polio,
,Vitamin A, Measles,
,Pentavalent (DPT, HIB, Hep B) ,Yellow Fever s |
Covered |
,MMR, Rotaviru, Chicken Pox,Pneumococcal Conjugate | Covered |
Special Baby Care Unit (NICU, Phototherapy, Incubator Care) | 24 HOURS |
PSYCHIATRIC TREATMENT | UP TO 7 DAYS (OUT- PATIENT) |
IN-PATIENT LIMIT | UP TO N900,000 |
ADMISSION | (MAX: 30 DAYS) PRIVATE WARD |
"INTENSIVE CARE UNIT (ICU): In- Patient Limit" | (24 HOURS) |
PHYSIOTHERAPY SERVICES | 8 SESSIONS |
ACCIDENTS AND EMERGENCIES | Covered |
ANTENATAL + DELIVERY + POST DELIVERY CARE (BLOCK LIMIT) Included in In-Patient Limit |
N400,000 |
INVESTIGATION FOR INFERTILITY (CONSULTATION, COUNSELLING, USS, SFA, HORMONE PROFILE, | UP TO N50,000 |
SURGERIES (MINOR - MAJOR SURGERIES) | UP TO ANNUAL SURGERY LIMIT OF N400,00 |
EYE CARE | 50,000 |
FRAMES/LENSES ONCE IN TWO YEARS – Included in Out-Patient Limit | N20,000 |
DENTAL SERVICES DENTAL CARE (BLOCK LIMIT) Included in Out-Patient Limit | N40,000 |
ENT CARE (EAR, NOSE AND THROAT) - Included in Out- Patient Limit | N50,000 |
WEEKLY GYM SERVICES & ROAMING SERVICES | (2 SESSIONS MONTHLY) |
ANNUAL PREMIUM | N131,000 |
ANNUAL PREMIUM FAMILY UP TO 6 PERSONS | N655,000 |
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