Benefit Sub-Categories

Standard

Essential

Bloom

Classic

Prime

Vintage

LABORATORY

Hematology

Haemoglobin

Packed Cell Volume

White cell differential count

Full Blood Count and differentials

White Blood Cell count

Red Blood Cell count

Grouping and Cross Matching

Erythrocyte Sedimentation Rate (ESR)

MCHC

MCH

MCV

Blood Film

Blood Pregnancy (Beta HCG) Test

Clotting Time

Bleeding Time

ADVANCED & COMPLEX INVESTIGATIONS

Limit to 1 session Annually

Limit to 1 session Annually

Limit to 2 sessions Annually

Limit to 3 sessions Annually

Limit to 4 sessions Annually

Limit to 5 sessions Annually

CT Scan, MRI Scan and echocardiograph

CT Scan is covered. MRI is permitted for emergency cases only

CT Scan is covered. MRI is permitted for emergency cases only

CT Scan is covered. MRI is permitted for emergency cases only

.

Chemistry

Fasting Blood Sugar

Random Blood Sugar

Electrolyte, Urea and Creatinine

Prostate Specific Antigen

Serum albumin

Serum ALT/SGPT

Serum AST/SGOT

Serum Bilirubin (Direct and Indirect)

2 Hours Post-prandial Blood Sugar

Oral Glucose Tolerance Test (OGTT)

Glucose Challenge Test

Lipid Profile (Fasting) (Cholesterol, HDL, LDL, Triglyceride Profile)

Serum Sodium

Serum Calcium

Serum Magnesium

Serum Potasium

Serum Lithium

Serum Chloride

Serum Bicarbonate

Serum Alkaline Phosphate

Serum Acid Phosphate

Serum Inorganic Phosphate

Serum Lactate Dehydrogenase

Serum Gamma Glutamyl Transferase

Prothrombin time (PT/INR)

Urine Pregnancy Test

Blood urea Nitrogen

HBA1C

G-6PD Screening

Thyroid Function Tests

Serum Uric Acid

Creatinine phosphokinase

Pap Smear and Cytology

Prostate Specific Antigen

Protein Electrophoresis

Serum Creatinine Phosphokinase

Serum Iron

24 Hour Creatinine Clearance

Coomb’s Test (Indirect)

Coomb’s Test (Direct)

Osmotic Fragility Test

D-Dimer

Benefit Sub-Categories

Standard

Essential

Bloom

Classic

Prime

Vintage

Accomodation Type

General ward

General ward

Semi-Private

Private

Private

Private

Accommodation including nursing care and consumables

Feeding on admission (covered only for the admitted enrollee)

Accommodation for parents whose infants are on admission

2 days

2 days

3 days

5 days

7 days

Inpatient /Hospitalization Benefit Abroad

N250,000

N350,000

N450,000

Unlimited

INTENSIVE CARE UNIT

No of days applicable on the plan

2 days

2 days

3 days

5 days

7 days

10 days

Benefit Sub-Categories

Standard

Essential

Bloom

Classic

Prime

Vintage

NEONATE CARE

Special Baby Care Unit (Intensive care Unit-including life support, Phototherapy & Incubator care). limit per plan

N200,000

N300,000

N500,000

N1,500,000

N2,500,000

N3,500,000

Post Natal care- 6 weeks

Congenital anomaly treatment (for children born on the plan). Limits per plan

N100,000

N200,000

N300,000

N500,000

N750,000

N1,000,000

Unlimited

IMMUNIZATIONS (0-5 YEARS)

Bacille Calmette-Guerin (BCG for Tuberculosis)

Oral Poliovirus Vaccines (OPV)

Pentavalent

Hepatitis B Vaccine (HBV)

Vitamin A

Measles

Yellow Fever

Meningitis Vaccine

Measles, Mumps, and Rubella (MMR)

Inactivated Polio Vaccine (IPV)

Rotavirus Vaccine

Diphtheria-Tetanus-Pertussis (DPT)

Pneumococcal Vaccine

Typhoid Vaccine

Human Papillomavirus Vaccine (HPV)

.

IMMUNIZATIONS (5 – 18 years)

Hepatitis B Vaccine (HBV)

Yellow Fever

Meningitis Vaccine

.

OBSTETRICS AND GYNAECOLOGY

Antenatal care

Induction of labour & Normal delivery

Assisted delivery

Emergency or Elective Caesarean Section (subject to surgical limit)

Reimbursement for delivery abroad, limits per plan

Normal -N225,000.00 , CS- N375,000.00

Normal -N270,000.00, CS- N450,000.00

Normal -N315,000.00, CS- N525,000.00

Therapeutic Abortion (Manual Vacuum Aspiration)

Benefit Sub-Categories

Standard

Essential

Bloom

Classic

Prime

Vintage

ENT

Treatment of ENT diseases and removal of foreign bodies

ENT Surgeries – (part of the surgical limit)

Unlimited

DENTAL CARE: All care covered under the plan up to the limits

N20,000

N30,000

N50,000

N80,000

N150,000

N200,000

Dental Consultation, Imaging, Endodontic treatment, Extraction

Preventive Treatment: Prophylactic Scaling and Polishing

Gum Treatment & Surgeries, Restorative Treatments

Pharmacy: Prescribed Drugs

Dental Crowning

Subject to the dental limit

Subject to the dental limit

Subject to the dental limit

Subject to the dental limit

Subject to the dental limit

Subject to the dental limit

Oral and Maxillofacial Surgery

Subject to the surgical limit

Subject to the surgical limit

Subject to the surgical limit

Subject to the surgical limit

Subject to the surgical limit

Subject to the surgical limit

.

EYE CARE

Primary Eye Care- Consultation, Examination, primary infections, and Medications

Advanced Ocular tests (Central Visual Field, Depth Perception Test, Schirmer Tear Test, Amsler Test, Retina Photography, OCT Scan, A Scan, B Scan)

Limited to NGN30,000.00

Limited to NGN50,000.00

Limited to NGN75,000.00

Limited to NGN100,000.00

Eye Surgeries covered as part of over all surgerical limit

Biennial Optical Lenses and Frames covered up to annual limit per plan

N10,000

N15,000

N20,000

N30,000

N45,000

N55,000

.

PHYSIOTHERAPY CARE

Number of sessions limit per plan

5 sessions

10 sessions

15 sessions

20 sessions

25 sessions

30 sessions

Specialist Consultation and Preventive Counselling

Pain therapy

Access to prescribed drugs

Cervical Collar, Lumber Corsets, Knee and Ankle Braces (on prescription)

Crutches (on prescription)

Walker (on prescription)

Surgeries (Minor, Intermediate and Major)

N200,000

N300,000

N500,000

N1,500,000

N2,500,000

N3,500,000

Benefit Sub-Categories

Standard

Essential

Bloom

Classic

Prime

Vintage

FERTILITY SERVICES

Basic Investigation limits per plan

N15,000

N25,000

N45,000

N75,000

N100,000

N200,000

Unlimited

HIV / AIDS TREATMENT (at designated referral centres)

Covered

Covered

Covered

Covered

Covered

Covered

.

CANCER CARE

Consultation, Admission, Counselling, Surgical – Chemotherapy – Radiotherapy; limits per plan

N300,000

N500,000

N750,000

N1,000,000

N2,000,000

N3,000,000

.

RENAL CARE

Dialysis sessions limit per plans

3 sessions

3 sessions

6 sessions

12 sessions

20 sessions

25 sessions

CHRONIC DISEASE MANAGEMENT / PHARMACY BENEFIT

Annual limit of N150,000

Annual limit of N250,000

Annual limit of N400,000

Annual limit of N500,000

Annual limit of N600,000

Annual limit of N750,000

Drug delivery and pick up at partner pharmacies

Personal health equipment – BP machine and Glucometer (to be picked up at our partner pharmacies, subject to the subsidized annual limit, being an enrollee for a minimum period of 9 months and confirmation from Bastion’s quality assurance team)

Subsidized Limit of NGN20,000

Subsidized Limit of NGN30,000

Subsidized Limit of NGN40,000

.

ACCIDENT AND EMERGENCY CARE

Care for accident and emergency cases, Ground Ambulance transfer from roadside to hospital and hospital to hospital

Stabilization, Emergency Care,drugs and Investigations

Benefit Sub-Categories

Standard

Essential

Bloom

Classic

Prime

Vintage

TELEMEDICINE AND HEALTH COACH

Telemedicine app – chat with a doctor consultation online 24/7

Unlimited

ANNUAL WELLNESS SCREENING (Principal & Spouse at designated facilities)

Physical examination (BMI)

Visual Acuity

Blood pressure

Fasting Blood Sugar

Full blood count

Urinalysis

Serum Cholesterol

ALT / AST

ECG

E/U/Cr

Mammogram- Breast scan, cervical smears every 2 years for women above 35 years,

PSA for men above 40 yrs

Pap Smear (to be done once in 3 years)

.

LIFESTYLE MANAGEMENT

Network Gym Access

Covered up to 1 session per week

Covered up to 2 sessions per week

Covered up to 2 sessions per week

Covered up to 3 sessions per week

Health Talks, Employee Assistance Program and Stress Management

2 sessions in a year

2 sessions in a year

2 sessions in a year

2 sessions in a year

2 sessions in a year

2 sessions in a year

.

MENTAL HEALTH

Specialist Consultations on Outpatient Cases Only; limited based on type of plans

2 sessions per year

5 sessions per year

8 sessions per year

8 sessions per year

11 sessions per year

14 sessions per year

Inpatient Psychiatry Cover

3 days

5 days

7 days

SECOND OPINION CONSULTATION

Second opinion diagnosis and treatment from providers within Bastion’s network

Line of treatment confirmation from Internationally Certified Medical and Surgical Specialists Outside Africa

1 case per year

1 case per year

.

MORTUARY SERVICES FOR FAMILY

N20,000

N50,000

N75,000

N100,000

N150,000

N250,000