EKO PREPAID MEDICAL SCHEME (EKO PMS)
INTRODUCTION
Eko Prepaid Medical Scheme was borne out of the desire of Ekocorp plc to extend qualitative healthcare services to a broad spectrum of Nigerians from different socio-economic background. Ekocorp Plc is the only hospital business listed on the Nigerian Stock Exchange and has been providing qualitative health care services over the years through its multi-branch hospital network.
Government, realizing that it cannot fund Healthcare alone, promulgated the National Health Insurance Scheme (NHIS) Decree 35 of 1999, which incorporates and encourages private sector initiative.
Private Health Insurance Scheme offers enrollee with a flexible and affordable plan to contribute towards meeting his or her health needs without much strain.
WHO CAN REGISTER FOR EKO PMS
The scheme is for all Nigerians and Expatriates resident in Nigeria who desire quality healthcare cover for themselves and their families. Individuals, families societies, cooperative and companies can register.
TYPES OF MEDICAL SERVICES
The capitation payment covers essentially primary care comprising
- GP Consultations
- Treatment of common ailments and conditions
- Maternity care including antenatal care
- Eye care
- Dental care
- Health Education
- Immunizations
- Hospitalization for maximum of 4 days
- Pertinent ancillary investigations for primary and secondary care (GP -prescribed simple x-rays, FBC, stool, Urine Examinations, microscopy, culture and sensitivity)
- Treatment (medications)
- Routine physical examinations
Medical services not covered above will be paid for on a fee-for-service basis.
Our HMO Network includes Hospitals owned and managed directly by Ekocorp Plc and other primary providers which are affiliated.
Secondary and tertiary services are also available and can be covered with adjustments of the capitation or through direct payment for services to the capitation or through direct payment for services to be provided. Modern backup investigative and therapeutic facilities are available with 26 specialties and sub-specialties clinics run by consultants at the corporate headquarters Eko Hospital Ikeja, which is a private teaching hospital.
Cross referrals from any primary provider is not a problem as the network provides a one-stop shopping advantage for the enrollee.
WHY IS EKO PREPAID MEDICAL SCHEME DIFFERENT AND BETTER?
You may be wondering why we think Eko Prepaid Medical Scheme is any different or any better than the myrid other medical schemes on offer in Nigeria. Here are a number of advantage of being a member.
- Ekocorp Plc, the administrator of the scheme, is the leading private provider of primary, secondary and tertiary services in the country. With 25 yers experience in the private sector, a broad range of facilities and specialties, you can be for sure that your medical needs are well catered for.
- Access to Eko Prepaid Scheme ensures you get the best and most appropriate care at reasonable prices.
- Access to top emergency service, which offers emergency medical response.
- Enrollees will enjoy 20% discount on very specialized investigations and therapies like CT Scan and Radiotherapy, not normally covered under the scheme.
- Broad range of specialties and sub-specialties within the network ensures effective referral system.
SILVER PLAN
Covered Benefits
- General and Specialist Consultation
- Routine Laboratory Tests
- Supply of Drugs and Medicaments Prescribed
- Radiology (X-ray & Ultrasound
- Hospitalization in General Ward for not more the 4days.
- Emergency Treatment for lnjuries
- Minor Surgery
- Maternity Care including Antenatal
- Primary Dental Care
- Basic Eye Examination and Treatment
- Family Planning
- Childhood Immunizations
- Basic Gynaecology
GOLD PLAN
Contents of Silver Plan plus
- Secondary Surgeries
- Annual Medical Check-up
- Hospitalization Semi Private Room for maximum of 7 days
GENERAL EXCLUSIONS
- Complex or Plastic Surgeries
- Chronic Severe lliness or Organ Failures e.g. Renal Dialysis
- Generalised Burns
- Prolonged Intensive Care (ICU)
- Artificial Limbs and Prosthesis
- Eye Glasses
- Treatment for Infertility
- Denture and Special Dental Procedures
- Radiotherapy Treatment
- CT Scan
- Treatment for HV/AIDs
Services may be provided at discounted fees
BENEFITS
To An Employer
- Guaranteed bench mark quality assurance
- A healthier workforce
- Ease of budgeting
- Minimal abuses
To An Employee / Individual / Family
- Get good value for treatments
- Guaranteed access to quality healthcare services
- Better choice of primary care services
- Efficient referral system through primary to secondary and tertiary levels of care
ENROLMENT
An application for enrolment shall be made on the appropriate (see Application Form attached) form, including names of children and spouse where they are covered. This will be processed accordingly, and you will be subsequently informed about your date of enrolment and the benefits covered by the plan you have chosen.
Each member of the family shall be issued identification with passport photographs. For this reason, each application shall be accompanied by three passport photographs of each enrollee. Each person will be required to undergo a medical examination before benefits are enjoyed.
SUBSCRIPTION
The subscription is payable in advance before enjoyment of benefits can commence. Payments may be made half yearly or yearly in advance. A subscription card is issued on payment.
