COVERED SERVICES
The scope of services covered by HyPriority Plan includes:

A. OUT-PATIENT AND SPECIALIST CONSULTATIONS
- Registration
- Consultation with General practice doctors
- Consultations with Specialists on referral by a general practitioner
- Non-Specialist and Specialist diagnosis of medical and surgical
conditions
- Accident & Emergency room services:
Patient is stabilised in the event of life threatening emergencies before definitive care
- Supply of prescribed drugs and medications
- Routine Immunisations. All immunisations listed as follows are covered:
- BCG, Measles, DPT, Oral Polio, Vitamin A supplementation

Laboratory Tests, these will include:
1. Hematology
2. Clinical Chemistry
3. Serology
4. Microbiology
5. Histopathology

Other Diagnostic Services, these will include:

1. Electrocardiography (ECG) – resting

B. IN PATIENT CARE (FOR COVERED MEDICAL AND SURGICAL CONDITIONS ONLY)

1. Admissions and accommodation in a general ward
2. Feeding for enrollees on admission
3. Skilled nursing and medical services
4. Supply of prescribed drugs, dressings, medical and surgical consumables
5. Blood transfusion services

C. RADIOLOGICAL, LABORATORY & DIAGNOSTIC SERVICES
These services will be carried out and offered based on the clinician’s judgment:
Radiological Services include:

1. Plain and contrast x-rays of all parts of the body
2. Abdominal and pelvic ultrasound scans

D. PHYSIOTHERAPY AND PHYSICAL REHABILITATION SERVICES
These will include:

1. Basic Physical Therapy including infra red therapy, TENS stimulation
2. Supply of basic physiotherapeutic appliances i.e. Cervical collar, Lumbar corset, Crutches

E. MINOR SURGERIES & PROCEDURES
These include:

1. Wound dressing
2. Incision & drainage of abscesses
3. Suturing of minor cuts and lacerations
4. Excision

F. INTERMEDIATE SURGERIES & PROCEDURE
These include:

1. Excision of various lumps
2. Repair of hernia
3. Appendicectomy
4. Closed reduction and manipulation of simple fractures
5. Ear, nose and throat procedures such as antral washout; antrostomy

and tonsillectomy

G. ANTENATAL CARE & DELIVERY (Up to N80 000 P.A.)

1. Antenatal services, examinations and supply of drugs
2. Delivery room services which include:

• Management of labour
• Normal & assisted delivery (vacuum delivery, forceps delivery etc)
• Caesarean section delivery
• Cervical cerclage (shirodkar procedure)

3. Post-natal check

H. NEONATAL SERVICES
Care required by a new born in the first month of life. This includes:

1. Male circumcision
2. Ear piercing
3. Treatment of mild or moderate neonatal sepsis not requiring admission
4. Phototherapy

I. DENTAL CARE

1. Routine dental check
2. Scaling and polishing (annual)
3. Amalgam or composite filling for dental caries
4. Simple (non-surgical) extraction of teeth

J. EYE GLASSES or CONTACT LENSES (up to N7 500 P.A.)

1. Refraction
2. Supply of frames and lenses (unifocal, bifocal, varifocal) replaceable once every two years
3. Contact lenses (soft lenses replaceable twice a year)
4. Treatment of acute and chronic eye diseases

K. HIV/AIDS CARE AND TREATMENT

1. HIV screening
2. Confirmatory tests
3. Treatment with anti-retroviral drugs when required
4. Treatment of opportunistic infections

EXCLUSIONS
The following are excluded from the HyPriority Plan:

1. Overseas treatment and transplant surgery
2. Plastic/cosmetic surgeries
3. Major and complex surgeries and procedures
4. Intensive care services
5. Cancer care
6. Ambulance services
7. Investigation and treatment for problems relating to fertility e.g.
8. hormone profiles, laparoscopy, hydrotubation, hysterosalpingogram IVF, GIFT, artificial insemination; and virility enhancing drugs
9. Herbal drugs, non-prescription drugs/food supplements, experimental drugs and treatment
10. Dental care not listed under services
11. Home care, domiciliary care and ambulance services
12. Embalmment & autopsies
13. Joint replacements and prosthetic limbs
14. Long term psychiatric illness (exceeding 6 months)
15. Comprehensive health screening/well-person check
16. Treatment for newborns not registered on the plan within 4 weeks of birth
17. Self-inflicted injuries
18. Congenital abnormalities
19. Incubator care
20. Special baby unit care
21. Advance and complex investigations (CT scan, MRI scan, echocardiography, electroencephalography, doppler scans)
22. Neonatal care not listed under neonatal services