Zenor HealthCare - Marble-Plan Health Benefits

Marble Plan Benefits

✅ Prescribed Medications

✅ Specialist Consultations (Obstetrics & Gynea, Paedeatrician, Physician, Gen Surgion, Orthopaedics & Psychiatrics --- Covered (If required)

✅ Management of Chronic Conditions (Hypertension & Diabetics & Arthritis Only) --- Covered Up to N120,000 per annum Only

✅ Admissions (including feeding) --- Private Ward

✅ Nursing care & Consumables

✅ Prescribed Medications (Excluding Multi-vitamins & supplements)

✅ Basic Radiological studies e.g. Plain x-ray &Ultrasonography (abdominal and Pelvic)

✅ Laboratory Services- Hematological investigations, Microbiological investigations, Serology& Clinical chemistry

✅ Spirometry, Electrocardiogram (ECG) - Rest & EEG-Electroencephalogram --- Covered (But EEG not covered)

✅ Advanced and Complex Investigations e.g. Echocardiogram, CT scan, MRI, etc.. Once a year

✅ Physiotherapy Sessions (Up to approved limits) --- NGN30,000

✅ Prescribed Physiotherapeutic appliances e.g. Cervical collar, Crutches

✅ Antenatal care (Staff placed on family plan) --- Covered

✅ Induction of labour & Normal delivery

✅ Assisted delivery

✅ Emergency or Medically indicated Elective Caesarean Section --- Global Surgical limit

✅ Post-natal care

✅ Family Planning Services - Pills, Injectables, IUCD, tubal ligation and Vasectomy (Within Surgical Limits) --- Covered Including Norplant or Implanon

✅ Fertility services --- Counseling, USS, SFA, HSG, Hormonal profile

✅ Primary Care including Circumcision, Ear piercing and Exchange Blood transfusion

✅ Special Baby Care Unit (Intensive care Unit (Excluding life support) Phototherapy & Incubator care --- 6 days

✅ Additional Immunizations (Varicella, Rotarix, Pneumococcal & MMR)

✅ NPI Immunizations - BCG, Measles, DPT, Oral Polio, Vitamin A supplementation, Pentavalent

✅ Local Evacuation within the Area (Hospital to Hospital & Road Side to Hospital)

✅ Stabilization, Emergency drugs and Investigations (Including CT scan only)

✅ Intensive Care Unit (ICU) excluding life support --- 5Days

✅ Primary Dental Care- Examination, Basic dental treatment, Simple amalgam or composite filling, Scaling and polishing, Non-surgical extractions and Pain therapy/ relief, etc --- NGN 40,000.00 Limit

✅ Secondary Dental Care- Surgical tooth extraction, Root canal treatment, etc --- NGN 40,000.00 Limit

✅ Primary Eye Care- Consultation, Examination, Simple or primary infection or conditions and Medications & Optical Lenses --- Covered

✅ Eye Surgeries --- As a part of Overall limit on Surgical services

✅ Specialist Consultation, Treatment of ENT diseases and removal of foreign bodies --- Covered

✅ ENT Surgeries --- As a part of Overall limit on Surgical services

✅ Minor, Intermediate, Major Surgeries and Procedures --- Overall NGN 400,000.00

✅ Anesthesia, Surgical supplies/Consumables, administration of blood or blood products, etc. --- Overall NGN 500,000.00

✅ Renal Dialysis --- 4 sessions covered Only

✅ Annual Health Screening at Designated centers (Pre-booked) --- Physical examination, Urinalysis, PCV, blood pressure, blood sugar, Lung/Pulmonary function test, Chest x-ray, ECG, serum cholesterol, annual mammogram, cervical smears every 2 years for women > 30 years and above, PSA for men above 40 years.

✅ Structured Lifestyle management program (GYM) --- Covered (Principal Only)

✅ Pharmacy benefits (Covered services Only)

✅ On-site Health Checks, Health Talks/ Education forum or wellness fairs

✅ HIV/AIDS- Diagnosis + Treatment at free Government centers

✅ Cancer Care: Surgical + Radiotherapy & Chemotherapy, Auto immune diseases (All covered under same Limit) --- NGN 150,000

✅ Psychiatry cover up to 8 weeks (Out Patient care)

✅ Covered; Only for Children Born on the scheme --- 100000

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