Welcome to Ultimate Health HMO
Tsukunda House, 4th Floor, CBD, Abuja.
U-HEALTH MEDIGUARD
| Benefit Packages | Category | U-HEALTH MEDIGUARD |
|---|---|---|
| General Consultations | Out Patient Services | Covered |
| Specialist Consultation: Pediatrician, Gynecologists & Obstetrician | Out Patient Services | Covered |
| Rare Specialist Consultation, Orthopedic Surgeon, General surgeon, ENT surgeon , Psychiatrist. | Out Patient Services | Covered (5 times/year) |
| General Consultations | In Patient Services | Covered |
| Specialist Consultation: Pediatrician, Gynecologists & Obstetrician | In Patient Services | Covered |
| Rare Specialist Consultation, Orthopedic Surgeon, General surgeon, ENT surgeon , Psychiatrist. | In Patient Services | Covered (5 times/year) |
| Admission | In Patient Services | Covered (General Ward 15 days ) |
| Feeding | In Patient Services | Covered |
| Nursing Care | In Patient Services | Covered |
| Oxygen Administration | In Patient Services | Covered (72 hours) |
| Blood Transfusion | In Patient Services | Covered (3 pints/year) |
| Prescribed medications and consumables | In Patient Services | Covered |
| Ambulance Services: Hospital to Hospital Roadside to Hospital | Emergency and evacuation services | Covered |
| Emergency Room Stabilization | Emergency and evacuation services | Covered |
| Intensive Care Unit (ICU) Services | Emergency and evacuation services | Not Covered |
| Haemoglobin | Haematology / Investigations | Covered |
| RBC, PCV, WBC | Haematology / Investigations | Covered |
| Platelets, Malaria, FBC | Haematology / Investigations | Covered |
| ESR, Reticulocyte, Bleeding time | Haematology / Investigations | Covered |
| Clotting time, Prothrombin time | Haematology / Investigations | Covered |
| Blood grouping(ABO, RH) | Haematology / Investigations | Covered |
| HB Genotype, Cross match | Haematology / Investigations | Covered |
a) Sodium c) Chloride |
Blood Chemistry / Investigations | Covered |
| Calcium , Phosphate | Blood Chemistry / Investigations | Covered |
| Urea , Creatinine | Blood Chemistry / Investigations | Covered |
| Random Blood Sugar, Fasting blood Sugar | Blood Chemistry / Investigations | Covered |
a) Total Bilirubin |
Blood Chemistry / Investigations | Covered |
c) Alkaline Phosphatase |
Blood Chemistry / Investigations | Not Covered |
| Cholesterol, Triglyceride ,Urinalysis | Blood Chemistry / Investigations | Covered |
| Lipid profile | Blood Chemistry / Investigations | Not Covered |
| Hr Post Prandial Blood Sugar | Blood Chemistry / Investigations | Covered |
| Oral Glucose Tolerence Test ( GTT) | Blood Chemistry / Investigations | Covered |
| Uric Acid | Blood Chemistry / Investigations | Covered |
| Glycocylated Heamoglobin | Blood Chemistry / Investigations | Not Covered |
| Calcium | Blood Chemistry / Investigations | Covered |
a) Follicle Stimulating Hormone ( FSH) c) Prolactin |
Blood Chemistry / Investigations | Covered |
| Creatinine_clearance | Blood Chemistry / Investigations | Covered |
| Creatinine_clearance | Blood Chemistry / Investigations | Covered |
| Molar Pregnancy (HCG-B ) | Blood Chemistry / Investigations | Covered |
a) Triiodothyronine (T3) c) Thyroid Stimulating Hormones(TSH) |
Blood Chemistry / Investigations | Not Covered |
a) Microscopy c) Culture & Sensitivity |
Blood Chemistry / Investigations | Covered |
a) Microscopy R/E c) Occult Blood-Fecal |
Blood Chemistry / Investigations | Covered |
a) Culture & Sensitivity |
Blood Chemistry / Investigations | Not Covered |
a) Analysis |
Blood Chemistry / Investigations | Covered (Once a year) |
a) Z.N stain for AFB |
Blood Chemistry / Investigations | Covered (Once a year) |
a) Microscopy & Count c) Culture & Sensitivity |
Blood Chemistry / Investigations | Covered |
PUS, Wound, Throat, Eye, Ear, Urethral, Aspirates, HVS, Endo-cervical e.t.c. a) Microscopy |
Blood Chemistry / Investigations | Covered |
a) Snip (microfilaria) c) Heaf’s/ Mantoux test |
Blood Chemistry / Investigations | Covered |
Scraping For Fungal Element (culture) |
Blood Chemistry / Investigations | Not Covered |
| OTHER SEROLOGICAL TESTS | ||
| Widal Test | Blood Chemistry / Investigations | Covered |
| VDRL | Blood Chemistry / Investigations | Covered |
| Rheumatiod Factor | Blood Chemistry / Investigations | Not Covered |
| Anti-Streptolysin O Titre (ASO Titre) | Blood Chemistry / Investigations | Not Covered |
| Hepatitis B Surface Antigen (HbsAg) | Blood Chemistry / Investigations | Covered |
| Hepatitis Confirmatory Test (Core Antigen) | Blood Chemistry / Investigations | Not Covered |
| HIV Screening | Blood Chemistry / Investigations | Covered |
| HIV Confirmatory Test | Blood Chemistry / Investigations | Covered |
| AIDS Screening: | Blood Chemistry / Investigations | Covered |
| a) CD4 Count |
Blood Chemistry / Investigations | Not Covered |
| Hepatitis C Antigen (HbcAg) | Blood Chemistry / Investigations | Covered |
| Serum Tuberculosis Antigen | Blood Chemistry / Investigations | Not Covered |
| Chlamydia Antigen | Blood Chemistry / Investigations | Covered |
| Herpes Simplex 1 & 11 Antigen | Blood Chemistry / Investigations | Not Covered |
| Toxoplasma Gondii | Blood Chemistry / Investigations | Not Covered |
| Rubella | Blood Chemistry / Investigations | Not Covered |
| Helicobacter Pylori | Blood Chemistry / Investigations | Covered |
| HISTOLOGY/CYTOLOGY | ||
| Tissue Biopsy | Blood Chemistry / Investigations | Covered |
| Lymph Nodes Biopsy | Blood Chemistry / Investigations | Covered |
| Pap Smear | Blood Chemistry / Investigations | Not Covered |
| Fine Needle Aspiration | Blood Chemistry / Investigations | Not Covered |
| XRAYS | ||
| Upper limb | Blood Chemistry / Investigations | Covered |
| Lower limb | Blood Chemistry / Investigations | Covered |
| Pelvic | Blood Chemistry / Investigations | Covered |
| Chest Xray | Blood Chemistry / Investigations | Covered |
| Cervical Spine | Blood Chemistry / Investigations | Covered |
| Thoracic Spine | Blood Chemistry / Investigations | Covered |
| Thoraco Lumber Spine | Blood Chemistry / Investigations | Covered |
| Lumbar Spine | Blood Chemistry / Investigations | Covered |
| Lumbo Sacral Spine | Blood Chemistry / Investigations | Covered |
| Abdomen | Blood Chemistry / Investigations | Covered |
| Skull | Blood Chemistry / Investigations | Not Covered |
| ULTRASOUND SCANS | ||
| Obstetric Scan | Blood Chemistry / Investigations | Covered |
| Abdominal Scan | Blood Chemistry / Investigations | Covered |
| Pelvic Scan | Blood Chemistry / Investigations | Covered |
| Breast Scan | Blood Chemistry / Investigations | Not Covered |
| Bladder Scan | Blood Chemistry / Investigations | Covered |
| AbdominoPelvic Scan | Blood Chemistry / Investigations | Covered |
| Prostate Scan | Blood Chemistry / Investigations | Covered |
| Neck/Thyroid Scan | Blood Chemistry / Investigations | Not Covered |
| Testes/Scrotal Scan | Blood Chemistry / Investigations | Not Covered |
| Ovulometry/TV Scan | Blood Chemistry / Investigations | Not Covered |
| ECG | Blood Chemistry / Investigations | Not Covered |
| EEG | Blood Chemistry / Investigations | Not Covered |
| CT Scan | Blood Chemistry / Investigations | Not Covered |
| MRI Scan | Blood Chemistry / Investigations | Not Covered |
| MATERNITY SERVICES | ||
| Antenatal Care (ANC) | Blood Chemistry / Investigations | Not Covered |
| Normal Delivery | Blood Chemistry / Investigations | Not Covered |
| Assisted (Forceps) Delivery | Blood Chemistry / Investigations | Not Covered |
| Assisted (Forceps) Delivery | Blood Chemistry / Investigations | Not Covered |
| Caesarean Section | Blood Chemistry / Investigations | Not Covered |
| Anti – D Rogan injection | Blood Chemistry / Investigations | Not Covered |
| Post Natal Care for New Born Babies | Blood Chemistry / Investigations | Not Covered |
| Gynaecology Care Investigations | ||
| Hormonal assay Prolactin, FSH, LH, T3, T4, Oestrogen, Progesterone | Blood Chemistry / Investigations | Not Covered |
| Investigation of infertility HSG & SFA | Blood Chemistry / Investigations | Not Covered |
| PAEDIATRICS | ||
| Incubator Care | Blood Chemistry / Investigations | Not Covered |
| Child Welfare | Blood Chemistry / Investigations | Not Covered |
| Exchange Blood Transfusion | Blood Chemistry / Investigations | Not Covered |
BCG Measles Yellow Fever Hepatitis Penta |
Blood Chemistry / Investigations | Not Covered |
Pneumovax Rotavirus MMR |
Blood Chemistry / Investigations | Not Covered |
| DENTAL CARE | Financial LIMIT : N20,000 | |
| Consultation | Covered | |
| Primary Dental Care | Covered | |
| Simple Extractions | Covered | |
| Surgical Extractions | Covered | |
| Scaling & Polishing | Covered | |
| Amalgam Filling | Covered | |
| Composite Filling | Covered | |
| Root Canal Treatment (RCT) | Covered | |
| Dental X-ray | Covered | |
| OPTICAL CARE | Financial LIMIT : N20,000 | |
| Consultation | Covered | |
| Examination | Covered | |
| Refraction | Covered | |
| Tonometry | Covered | |
| Provision of Eye Glasses | Covered | |
| OPHTHALMOLOGY CARE | ||
| Consultation | Covered | |
| Conservative Eye Treatment | Covered | |
| EYE SURGERIES & PROCEDURES | Financial LIMIT : N60,000 | |
| Pterigium excision | Covered | |
| Corneal laceration repair | Covered | |
| Squint surgery | Covered | |
| Glaucoma surgery | Covered | |
| Cataract surgery | Covered | |
| Trabeculectomy | Covered | |
| GENERAL SURGERIES | ||
| Minor Surgeries | Covered | |
| Intermediate Surgeries | MAXIMUM LIMIT N150,000 | |
| Major Surgeries | Not Covered | |
| PHYSIOTHERAPY SERVICES | 10 Sessions/year | |
| HEALTH EDUCATION COUNSELING INCLUDING ANNUAL MEDICAL CHECK UPS | ||
| Health Talks and Preventive Health Tips on Preferred Topics | Not Covered | |
| Family Planning | Oral Injectables | |
| HIV/AID Voluntary Counselling | Covered | |
| Annual Comprehensive Medical Check up
Female |
||
| Full physical examination
Full blood count Blood sugar analysis Urinalysis Urea Electrolytes Creatinine Chest x – ray Lipid profile Breast examination (mammogram if indicated) ECG check for women above 35 years Pap Smear for women above 35 years |
Not Covered | |
| Annual Comprehensive Medical Check up
Male |
||
|
Full physical examination to include
prostate examination Full blood count Blood sugar analysis Urinalysis Urea Electrolytes Creatinine Chest x – ray Prostate screening for males above 50 years ECG check for individuals above 35 years . Lipid profile |
Not Covered | |
| PSYCHIATRIC CARE | CONSULTATION ONLY |
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