Scribd
Upload
2K views6 pages

AXA Mansard Bronze Plan Coverage Details

This document summarizes the coverages and exclusions of the AXA Mansard Personal Bronze Plan. It covers emergency care, intensive care, evacuations, outpatient and inpatient care, diagnostic services, physiotherapy, antenatal care and delivery after 24 months, neonatal and pediatric care, family planning, fertility counseling, minor, intermediate and major surgeries up to N250,000, dental care up to N10,000, eye care including biennial lenses up to N7,500, health screenings, HIV/AIDS care and treatment, and mental health services. Exclusions include secondary dental care, advanced investigations, additional childhood immunizations, incubator care, and pre-existing conditions in the first

Uploaded by

Koladudu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
2K views6 pages

AXA Mansard Bronze Plan Coverage Details

This document summarizes the coverages and exclusions of the AXA Mansard Personal Bronze Plan. It covers emergency care, intensive care, evacuations, outpatient and inpatient care, diagnostic services, physiotherapy, antenatal care and delivery after 24 months, neonatal and pediatric care, family planning, fertility counseling, minor, intermediate and major surgeries up to N250,000, dental care up to N10,000, eye care including biennial lenses up to N7,500, health screenings, HIV/AIDS care and treatment, and mental health services. Exclusions include secondary dental care, advanced investigations, additional childhood immunizations, incubator care, and pre-existing conditions in the first

Uploaded by

Koladudu
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
  • Personal Bronze Plan Overview
  • Exclusions

AXA MANSARD PERSONAL BRONZE PLAN

Cover & Exclusions

This plan covers the following services;


EMERGENCY CARE: Initial stabilization and care, it also covers intensive care if required.

INTENSIVE CARE (Emergency only): Admission and care in a specialized unit where access to a
high level of medical care and monitoring would be provided for critical cases.

EVACUATION: Ambulance services are covered under this plan; it includes evacuation from site
of injury to hospital and from hospital to hospital.

OUTPATIENT COMPONENT:
 General consultations
 Specialist consultations
 Provision of prescribed drugs and medications for covered condition

INPATIENT COMPONENT: Comprising of admission for the treatment of covered conditions in a


General ward (unlimited).
 Feeding of enrolees for the duration of admission.
 Provision of medical care, nursing care, and prescribed medication and consumables
during the duration of admission

DIAGNOSTIC SERVICES
a. Radiological services
 Plain X-rays of the limbs, spine, abdomen, pelvis, chest, skull
 Contrast studies
 Ultrasound scan
b. Laboratory services
 Histopathology
 Haematological investigations
 Microbiological investigations
 Serology
 Clinical chemistry
c. Electrocardiogram (ECG) Rest
d. Spirometer
e. EEG - Electroencephalogram

PHYSIOTHERAPY
 Physiotherapy services – 5 Sessions
 Provision of prescribed physiotherapeutic appliances e.g. Soft and hard cervical collar

ANTE NATAL CARE AND DELIVERY – covered only after 24 months on the plan
 Antenatal care including prescribed drugs up to agreed hospital tariffs
 Antenatal procedures including Shirodkar's operation
 Management of pregnancy complications
 Normal delivery
 Assisted vacuum or forceps delivery
 Caesarean section
 Post natal care

NEONATAL SERVICES AND PAEDIATRIC CARE


 Neonatal care including sepsis, cord care, physiologic jaundice, ophthalmic neonatorum
 Circumcision
 Ear piercing
 Well baby clinic at 6 weeks

 Routine Immunizations BCG, Measles, DPT, Oral Polio, Vitamin A supplementation


 Treatment of common childhood diseases like malaria, and other uncomplicated febrile
illnesses, diarrheal diseases, Upper respiratory tract infection

FAMILY PLANNING SERVICES - Pills, injectable and IUCD

FERTILITY SERVICES- Counselling, SFA& USS

2|Page
MINOR, INTERMEDIATE AND MAJOR SURGICAL PROCEDURES (Up to a limit of N250, 000.00)
 Wound dressing
 Suturing of minor cuts and lacerations
 Incision and drainage of abscesses
 Minor ENT (Ear, Nose, Throat) procedures like ear syringing
 Minor wound debridement
 Lump excision
 Hernia repairs
 Appendectomy
 Closed reduction and manipulation of simple fractures and dislocations
 Surgery for haemorrhoids
 Endoscopy
 ENT procedures like Antral washouts, Tonsillectomy
 Surgery for ectopic pregnancy
 Myomectomy
 Elective Orthopaedic Surgery

DENTAL CARE- Covered up to N10,000.00


 Examination
 Basic dental treatment
 Simple amalgam
 Scaling and polishing
 Non-surgical extractions
 Pain therapy drugs
 Dental Surgical Extraction
 Root canal and orthodontics

3|Page
EYE CARE:
 Basic eye examination
 Refraction
 Biennial optical lenses (up to N 7,500)

HEALTH SCREENING AT DESIGNATED CENTRES


 Physical examination
 BMI
 Urinalysis
 PCV
 Blood pressure
 Genotype

HIV/AIDS CARE AND TREATMENT (In designated centres)


 Voluntary counselling and testing
 Pre-treatment assessment
 Monitoring
 Drugs

MENTAL HEALTH SERVICES


 Counselling
 Outpatient consultation and treatment (up to 8 weeks)

REGION OF COVER – Nigeria& India

4|Page
PLAN SPECIFIC EXCLUSIONS:

AXA MANSARD PERSONAL BRONZE PLAN:

The exclusions on this plan include:

 Secondary dental care


 Advanced/complex investigations (CT scan and MRI scan).
 Additional immunization for 0-5 years (Pneumococcal and Rotavirus)
 Incubator Care

GENERAL EXCLUSIONS: The following exclusions are applicable on all the plans

 Cosmetic Surgery
 Teeth Whitening
 Dental Prosthesis
 Domiciliary/Hospice Care
 Alternative /Unorthodox medicine
 Neonatal care not listed under neonatal services
 Self-inflicted injuries
 Congenital abnormalities
 Conditions caused by an act of war, an epidemic or enrollee participating in a riot
 Services primarily for weight reduction or treatment of obesity
 Treatment of substance abuse
 Infertility- All investigations and treatment.
 Orthodontics.

5|Page
 Advanced radiological investigations (e.g. C.T. scan, Myelogram, EEG).
 Advanced and Complex investigations (e.g. Marrow biopsy, skeletal survey).
 Prosthetic devices such as cardiac pacemaker, orthopedic implants.
 Management of Chronic Renal Failure (Dialysis and Transplant Surgery).
 Induced Abortion.
 Laser Treatments.
 Transplants.
 Complex major Surgeries (e.g. Heart, Brain and Great blood vessels).
 Neurological surgeries.
 Management of Cancers
 Professional Sports and wilful exposure to needless danger
 Infectious and contagious diseases in an epidemic
 All procedures, management and investigations not covered by the plan

The following pre-existing or chronic conditions will be excluded in the first 24 months of the
inception of the policy, however this list is not exhaustive only includes common ones:

 Hypertension and Cardiac related diseases.


 Diabetes and its complications.
 Hepatitis B & C.
 Kidney related conditions.
 Hemoglobinopathies
 Peptic Ulcer Disease.
 Asthma.
 Epilepsy and Seizure disorders.
 Glaucoma and Cataract.
 Arthritis.
 Pregnancy – All treatment related to Antenatal, Natal or Postnatal period.
 E.t.c.

6|Page

You might also like