Affordable basic healthcare plan by Ashmed covering 10 days general ward admission, daily patient feeding allowance, emergency care, and essential prescription medicines.
Ashmed Topaz Individual Plan is an entry-level healthcare plan by Ashmed Integrated Health Services. It covers general consultations, 1 specialist consultation, 10 days cumulative general ward admission, feeding allowance of ₦1,500/day during admission, treatment for malaria, typhoid, endocrine disorders, allergies, minor surgical procedures, basic eye examination, dental pain relief and simple extractions, maternity care, and family planning services.
Full breakdown of covered clinical procedures, medications, and consultations.
Exact statutory reimbursement limits underwritten by Ashmed Integrated Health Services LTD..
| Benefit Category | Annual Coverage Cap | Co-payment / Deductible |
|---|---|---|
| Overall Annual Maximum Benefit | ₦600,000 | ₦0 (Zero Deductible) |
| Enrollee Age Eligibility / Limit | 18 – 65 years | Valid ID / Proof of Age required |
| Inpatient Hospitalization Limit | ₦300,000 | ₦0 |
| Outpatient Primary Care Limit | ₦150,000 | ₦0 |
| Maternity & Childbirth Sub-limit | ₦250,000 | ₦0 |
| Dental Care Annual Sub-limit | ₦5,000 | ₦0 |
| Optical Eye Care Sub-limit | ₦5,000 | ₦0 |
| Prescription Medication Allowance | Included in Outpatient Limit | ₦0 (Generic/Branded) |
| Telemedicine Consultations (App & Call) | Unlimited 24/7 | Free |
This plan provides access under Tier 3 - Basic across Nigeria.
Provides comprehensive access to over 1,500 accredited quality private clinics, secondary hospitals, and diagnostic scan centres across all 36 Nigerian states and Abuja FCT.
National Health Insurance Authority (NHIA) statutory waiting periods for claim approvals.
In accordance with NHIA guidelines, the following procedures are excluded from standard coverage:
This policy is underwritten by Ashmed Integrated Health Services LTD.. All plan specifications, monetary caps, and premium schedules displayed on this portal are compiled from official NHIA tariff schedules and published underwriter guidelines.
HMO underwriting terms, participating clinic rosters, and waiting period waivers are subject to regular updates by Ashmed Integrated Health Services LTD.. Before remitting premium payments or completing binding enrolment, users are advised to reach out directly to the underwriter to verify active hospital accreditation in their locality, waiting period applicability to their medical history, and current tariff validity.
Visit Ashmed Integrated Health Services LTD. Official Website (ashmedintegratedhealthservices.com) ↗