Click here to download PREMIER MEDICAID HEALTH PLANS (BP 1)
Click here to download PREMIER MEDICAID BENEFIT PACKAGE (PB 2)
The PM Health Schemes comprise various Health Plans which ultimately guarantee improved health status, increase individual productivity and ensure job satisfaction.
These include:
(a) PM GoId
(b) PM Platinum
(c) PM Silver
(d) PM Diamond
PM Gold Alpha
* General and Specialist Consultation
* Prescription Drugs
* Basic Patient Care
* Comprehensive Laboratory Investigation
* X-ray/Ultrasound - (excluding MRI and VT Scan)
* Minor, Intermediate and Major Surgical Procedures
* Amenity Hospital Accommodation and Feeding
* Normal Delivery.
* Gynaecological Care excluding Infertility Treatment
* Immunisation and other Preventive Care
* Basic Eye Care
* Basic Dental Care
* Annual Health Status Screening
* Personal Accident Insurance cover up to N150,000
PM Gold Omega
* General and Specialist Consultation
* Prescription Drugs
* Basic Patient care
* Basic Laboratory Investigation
* Basic X-ray and Ultrasound (excluding MRl and CT scan)
* Minor and intermediate surgical procedures
* Basic Hospital Accommodations and Feeding
* Normal Delivery (after 12 months of registration)
* Gynaecological care, excluding infertility treatment
* Immunisation and other Preventive Care
* Basic Eye Care
* Basic Dental Care
* Personal Accident Insurance cover up to N100,000.00
PM Platinum (Co-operative)
This is a premium based plan specifically designed to cover co-operative groups who may not be covered by the NHIS Plan, Risk sharing among the insured leads to pooling of resources to minimize the cost burden to beneficiaries. The platinum covers the following:
* General and Specialist Consultation
* Prescription Drugs
* Basic Patient care
* Basic Laboratory Investigation
* Basic X-ray investigation/ultrasound scanning
* Minor and intermediate surgical procedures
* Basic Hospital Accommodation and Feeding
* Normal Delivery (after 12 months of Reg.)
* Gynaecological care, excluding infertility
* Immunisation and other Preventive Care
* Basic Eye Care
* Basic Dental Care
* Insurance Cover up to N100,000.00
PM Silver (Basic)
The National Health lnsurance Scheme (NIBS) based on Basic plan is designed to provide accessible, qualitative and cost effective Health care services to Beneficiaries. The PM Silver (Basic) coverage includes:
* General out patient consultations
* Prescription DrugsBasic Patient Care
* Basic Laboratory Investigations
* Minor Surgical Procedures
* Preventive Health and Counseling
* Basic hospital Accommodation and feeding
* Health Promotion
* Personal Accident and Insurance coverage (N50,000.00)
PM Diamond
The Premier Medicaid Diamond plan is a Third Party Administration guarantees a significant reduction in the total. Health care budget organization. This system reduces the stress of cost and administration which normally accompany the fee-for-service retainership arrangement. It also improves on quality health care
The quarterly, biannual or annual health care budget is deposited by the Employer with PM and PM Diamond plan ensures that cost effective and qualitative health care services are provided. THIS IS ENSURED BY ACTING AS EFFECTIVE INTERFACE BETWEEN ORGANISATION AND HEALTH PROVIDERS.
In the absence of any budget, PM will provide required health care budget at no fee, but 15% of the total health budget will be levied as administrative handling fees. The coverage includes:
* General and Specialist consultation
* Prescribed drugs on our Formulary
* Comprehensive laboratory investigation
* Radiological, ultrasound scanning and other relevant imaging procedure
* In-patient care including feeding
* Minor, intermediate and major or surgical procedures
* Antenatal Care
* Normal delivery including Caesarean operations
* Eye Care
* Dental Care
* Annual Routine physicaI examination and health counselling
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PM Special
These are special plans for enrollees with special needs. These include special plans for traditionally, enlarged families Amenity ward plans, plans for Retirement, international health coverage for Expatriates and top executives. This is in collaboration with our foreign technical partners. Special plans are made for stressed top executives for Exercise Gyms. There are also special community, plans, and in-House or on- site Health facilities.
The General Exclusion clause applies to al the above schemes
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