Benefit Package

Benefit Package Consists of a basic, defined minimum package of health services for Primary Care as well as “affordable “. Individuals pays #8,500.00, while a family of Six (Father, Mother and Four Children under 18years of age, pays #40,000.00 only Per annum. The table below depicts the treatment package. 

BENEFIT – DETAILS
REGISTRATION & CONSULTATION –  Registration, General consultation,  Specialist Consultation*
Telemedicine Services**
COMMON AILMENTS –  Malaria and other acute uncomplicated febrile illnesses, Diarrhoeal diseases, Acute respiratory tract infections, Uncomplicated pneumonia, Simple anaemia (not requiring blood transfusion), Simple skin diseases, Worm infestation, Other uncomplicated bacterial, fungal, parasitic and viral infections and illnesses,  Follow-up treatment of chronic illnesses,e.g. Hypertension, Diabetes mellitus, Sickle cell, Asthma,  First Aid for Dog bites, Snakebites, Scorpion stings, Arthritis and other minor musculoskeletal diseases.  Other illnesses as may be listed from time to time
CHILDHOOD ILLNESSES –  Feeding problems and nutritional counselling, treatment of common childhood illnesses, e.g., (Malaria, Other febrile illnesses, Diarrhoea diseases, Uncomplicated malnutrition, Measles, Upper respiratory tract infections,  Uncomplicated pneumonia and other childhood exanthemas, Common skin diseases & Other illnesses as may be listed from time to time
EYE CARE – Treatment of minor eye ailments including Conjunctivitis, Parasitic and allergic ailments, Simple contusion, Abrasions, Other eye conditions as may be listed from time to time
FAMILY PLANNING SERVICES – Counselling on family planning and contraception
CHILD WELFARE SERVICES –  Growth monitoring, Nutritional advice, health education and other services to be included from time to time,  NPI schedule for Under 5s**
HOSPITAL CARE AND ADMISSION – (15 days cumulative/annum) – •standard ward, meals excluded.
PHARMACEUTICAL CARE –  Provision of prescribed drugs in line with LSHS for primary care cases
BLOOD TRANSFUSION –  Two (2) pint limit (Maternal cases only)
CHRONIC DISEASE –  Screening and Diagnosis of Diabetes, Hypertension, Asthma, Treatment of Diabetes, Hypertension and Asthma, Periodic routine investigations for Diabetes and Hypertension
HIV/AIDS – Clinical based testing of HIV/AIDS; Refer to HIV referral centres for treatment
TUBERCULOSIS – Sputum AFB for Tuberculosis, Referral to TB treatment centres for treatment)
LAB TESTS – • Full Blood count ESR Westergren,  Malaria Parasites, Genotype, Rhesus Factor, Blood Group, Bleeding Time, Clotting Time, Prothrombin Time (PT), Partial Thromboplastin Time (PTT) , Random/Fasting Blood Sugar, , Electrolyte/Urea/Creatinine,  Pregnancy Test, Urinalysis, 2 Hrs. Post-Prandial, Blood Urea Creatinine, Creatinine Clearance, Cholesterol, Triglyceride, HDL/LDL Cholesterol, Gamma GT, Uric Acid, Calcium, Phosphorus, Bilirubin• Albumin, Alkaline Phosphatase Sputum M/C/S,  M/C/S for urine, stool, blood, HVS, wound swabs, semen and CSF, Semen analysis
RADIOLOGICAL INVESTIGATIONS –  X-Ray (Chest and Limbs), Obstetric Scan
OTHER TESTS –  ECG, Cervical Cytology (VIA)
PRENATAL CARE AND DELIVERY – Antenatal Services (VDRL, Hep B, HIV, blood group, BP, glucose, HB, prenatal drugs and at least 2 routine ultrasound scans), examinations and EMTCT, Normal Delivery, Assisted vacuum or forceps deliveries, RhoGAM injection , Elective/Emergency Caesarean Section, Dilatation and curettage for missed abortion and incomplete abortion,
MANAGEMENT OF POSTPARTUM HAEMORRHAGE –  Hysterectomy , Explorative laparotomy indicated to control post-partum haemorrhage
NEONATAL SERVICES*** (Care up to N24,000) –  National Programme on Immunization (NPI) schedule vaccination, Circumcision of male neonate **, Ear piercing of female neonate **, Perinatal care for the following conditions in first 28days ,  Incubator care for premature newborn (5 days limit), Ophthalmia neonatorum, Phototherapy, Asphyxia, Sepsis
HEALTH PROMOTION – Health education on various illnesses
DENTAL CARE –  Preventive oral health care including Gingivitis, scaling and polishing (once a year), dental caries and tooth extraction (max 3 per annum).
LOCAL AMBULANCE SERVICES – Maternity emergency from Primary care referral
MINOR SURGERIES – Incisions and Drainages, Herniotomy Herniorrhaphy, Appendectomy, Lumpectomy (ganglion, simple lipoma), POP application
MAJOR SURGERIES – Emergency Salpingectomy, Repair of vesicovaginal/recto-vaginal fistula
EMERGENCY CARE – Establishing an intravenous (infusion) line, Simple tracheostomy, Management of convulsion, Control of bleeding, Cardiopulmonary resuscitation, Assisted respiration (e.g. Ambubag, etc.), Management of simple fractures (using splints, neck collars etc.), Aspiration of mucus plug to clear airways. Acute Asthma Attack & other emergency conditions as may be listed from time to time
Telemedicine Services**

*For Hypertension and/diabetes mellitus, Others (total 4/ year) 

**Subject to the provision by LASHMA as top-up

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