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    Venus Medicare Health Plans

    Uploaded by

    Patrick Oghate
    Hom

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Venus Medicare Health Plans

    Uploaded by

    Patrick Oghate
    18 views9 pages
    Hom

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Hom

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    18 views9 pages

    Venus Medicare Health Plans

    Uploaded by

    Patrick Oghate
    Hom

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 9

    Venus Medicare HEALTH PLANS & ANNUAL PREMIUMS

    Venus Medicare HEALTH PLANS & ANNUAL PREMIUMS

    Covered Services Smart Health Classic Health Super Health

    EMERGENCY SERVICES

    Local Evacuation To Hospital

    Stabilization

    Emergency Drug And Investigations

    OUTPATIENT SERVICES

    General consultation

    Special consultation

    Routine Laboratory tests

    Prescribed Drugs

    Physiotherapy Max of 4 / Yr &Max of 6 / Yr Max of 10 / Yr

    Management of Chronic diseases


    except excluded conditions

    INPATIENT SERVICES

    General ward

    Semi private ward

    Private ward

    General / specialist doctor review

    Nursing care

    Drugs and infusions

    Routine Laboratory investigations

    Hospital feeding (where available)


    Management of End Stage Kidney Max of 2 Dialysis Max of 2 Dialysis
    Disease sessions sessions

    Max admission days per case 21 days 21 days 21 days

    Intensive care unit (ICU) 5 days 7 days 10 days

    Overall Financial Limit Nil Nil Nil

    MATERNITY SERVICES
    (Not covered for children)

    Antenatal care

    Normal deliveryl

    Induction of labour and assisted


    delivery

    C/S (emergency & medically indicated


    electives)

    Family Planning Services


    (Limited to counseling, OCPs and
    copperT IUCDs)

    CHILD HEALTH SERVICES

    Routine NPI Immunization:


    Tuberculosis, Poliomyelitis, Measles,
    Yellow Fever, Diphtheria, Pertussis,
    Tetanus, Hepatitis B, Pentavalent
    vaccine

    Well Baby Clinic

    Additional Childhood Immunization -


    under 5 years
    (Rotavirus, Pneumococcal vaccine)

    Phototherapy and Neonatal care

    Incubator care and ICU 15 days 20 days 28 days


    SURGICAL SERVICES

    Minor procedures

    Intermediate

    Major procedures

    RADIOLOGICAL SERVICES

    X-Rays & Ultrasound Scans

    Electocardiogram and
    Electroencephalogram

    CT Scan & MRI (Max of 2 / Yr)

    Echocardiogram and Doppler Scan

    Radio-opaque Studies
    (Barium Meal / enema, HSG, IVU)

    CT Scan / MRI CT-Scan only (Max Either of CT / MRI


    of 1 / Yr) (Max of 2 / Yr)

    EYE CARE

    Routine examination

    Treatment of infection

    Annual Optical glasses limit N5,000 N10,000 N15,000

    Simple Eye Surgeries


    eg Pterygium, Stye, Chalazion

    DENTAL CARE

    Routine examination

    Treatment of infection

    Simple extraction
    Amalgam dental fillings Max of 2 / yr Max of 3 / yr Max of 5 / yr

    Composite dental fillings Max of 2 / yr Max of 4 / yr

    Scaling & polishing Max of 1 / yr Max of 1 /yr

    Surgical extraction

    Root canal treatment

    MEDICAL CHECK-UP
    (At designated centers only)

    Routine physicals (no investigations)

    Annual medical examinations (with


    investigations)
    FOR PRINCIPALS ONLY

    MENTAL HEALTH SERVICES

    Counseling

    Outpatient consultation & Treatment Up to 8 weeks Up to 8 weeks Up to 8 weeks

    FERTILITY SERVICES
    (after one year membership)

    Basic investigations (e.g. Semen


    analysis, HSG)

    Simple surgical intervention

    Non-hormonal drug treatment

    CANCER CARE

    Cancer screening
    (limited to examination of Breasts,
    Cervix & Prostate cancer)

    Mammogram
    PSA test

    Surgical treatment

    Covered Services Smart Health Classic Health Super Health

    HIV/AIDS MANAGEMENT

    Voluntary counseling & testing

    Treatment of opportunistic infections

    Anti-retroviral treatment facilitation at


    designated centers in Nigeria

    PREMIUM PER ANNUM (N)

    Individual (<60yrs)

    Family (insured + spouse + 4 children


    under 21yrs)

    Covered Services Smart Health Classic Health Super Health

    EMERGENCY SERVICES

    Local Evacuation To Hospital

    Stabilization

    Emergency Drug And Investigations

    OUTPATIENT SERVICES

    General consultation

    Special consultation

    Routine Laboratory tests

    Prescribed Drugs
    Physiotherapy Max of 4 / Yr &Max of 6 / Yr Max of 10 / Yr

    Management of Chronic diseases


    except excluded conditions

    INPATIENT SERVICES

    General ward

    Semi private ward

    Private ward

    General / specialist doctor review

    Nursing care

    Drugs and infusions

    Routine Laboratory investigations

    Hospital feeding (where available)

    Management of End Stage Kidney Max of 2 Dialysis Max of 2 Dialysis


    Disease sessions sessions

    Max admission days per case 21 days 21 days 21 days

    Intensive care unit (ICU) 5 days 7 days 10 days

    Overall Financial Limit Nil Nil Nil

    MATERNITY SERVICES
    (Not covered for children)

    Antenatal care

    Normal deliveryl

    Induction of labour and assisted


    delivery

    C/S (emergency & medically indicated


    electives)

    Family Planning Services


    (Limited to counseling, OCPs and
    copperT IUCDs)

    CHILD HEALTH SERVICES

    Routine NPI Immunization:


    Tuberculosis, Poliomyelitis, Measles,
    Yellow Fever, Diphtheria, Pertussis,
    Tetanus, Hepatitis B, Pentavalent
    vaccine

    Well Baby Clinic

    Additional Childhood Immunization -


    under 5 years
    (Rotavirus, Pneumococcal vaccine)

    Phototherapy and Neonatal care

    Incubator care and ICU 15 days 20 days 28 days

    SURGICAL SERVICES

    Minor procedures

    Intermediate

    Major procedures

    RADIOLOGICAL SERVICES

    X-Rays & Ultrasound Scans

    Electocardiogram and
    Electroencephalogram

    CT Scan & MRI (Max of 2 / Yr)

    Echocardiogram and Doppler Scan

    Radio-opaque Studies
    (Barium Meal / enema, HSG, IVU)

    CT Scan / MRI CT-Scan only (Max Either of CT / MRI


    of 1 / Yr) (Max of 2 / Yr)

    EYE CARE

    Routine examination

    Treatment of infection

    Annual Optical glasses limit N5,000 N10,000 N15,000

    Simple Eye Surgeries


    eg Pterygium, Stye, Chalazion

    DENTAL CARE

    Routine examination

    Treatment of infection

    Simple extraction

    Amalgam dental fillings Max of 2 / yr Max of 3 / yr Max of 5 / yr

    Composite dental fillings Max of 2 / yr Max of 4 / yr

    Scaling & polishing Max of 1 / yr Max of 1 /yr

    Surgical extraction

    Root canal treatment

    MEDICAL CHECK-UP
    (At designated centers only)

    Routine physicals (no investigations)

    Annual medical examinations (with


    investigations)
    FOR PRINCIPALS ONLY

    MENTAL HEALTH SERVICES


    Counseling

    Outpatient consultation & Treatment Up to 8 weeks Up to 8 weeks Up to 8 weeks

    FERTILITY SERVICES
    (after one year membership)

    Basic investigations (e.g. Semen


    analysis, HSG)

    Simple surgical intervention

    Non-hormonal drug treatment

    CANCER CARE

    Cancer screening
    (limited to examination of Breasts,
    Cervix & Prostate cancer)

    Mammogram

    PSA test

    Surgical treatment

    Covered Services Smart Health Classic Health Super Health

    HIV/AIDS MANAGEMENT

    Voluntary counseling & testing

    Treatment of opportunistic infections

    Anti-retroviral treatment facilitation at


    designated centers in Nigeria

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