ILERA-EKO SENIORS SOCIAL HEALTH INSURANCE PLAN

INTRODUCTION

ILERA-EKO seniors social health insurance plan is a customized social health insurance protection plan  under the Lagos State mandatory health scheme. The plan is designed  as a bespoke benefit package suitable for the elderly and 60 plus.

The plan will guarantee affordable and quality of health services for the elderly through third-party financing and management system that enables a pooling of resources and medical expertise. This system of ensuring delivery and receipt of qualitative healthcare is provided by the Lagos State Health Management Agency.

For a pre-paid premium, subscribers to ILERA-EKO seniors social health insurance plan are assured of access to  affordable and quality healthcare services when required amongst the list of Ilera-Eko accredited hospitals. The plan provides access to over 200 [still counting] private and public hospitals in all local government of the state along with accredited diagnostic laboratories  for  annual screening and test.

Premium
Status Annual Plan
Individual ₦35,000
Couple ₦65,000
Dependant ( less than 18) ₦6,000
   
Plan Features
  • Premiums are Payable annually
  • Premium is payable as individual and couple.
  • Issuance of single policy number to individual.
  • Issuance of single policy number to couple.
  • Seniors access care with policy number and/or Ilere Eko ID.
  • Seniors access basic care at Ilera Eko accredited Hospitals.
  • Seniors access listed listed screening and test at accredited laboratories.
Benefits
  • Healthy Seniors
  • Access to robust medical benefit.
  • Affordable premiums.
  • Access to Quality health care
  • Peace of mind
  • Financial Protection
Laboratory Screening ( * Listed Screening can only be done once in a year )
  • Prostrate Specific Antigens ….PSA
  • Cancer Antigen….CA 125
  • Blood in Stool Test ….Occult Blood
  • Chest X-ray……CXR
  • Cervical Cancer Test……PAPS Smear
  • Breast Cancer Screening…Mammogram
  • Scans
 
Benefit Details
REGISTRATION & CONSULTATION Registration
General consultation
Specialist Consultation*
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 (e.g. P. rosea, Taenia versicolor, T. Capitis, etc.),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
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
HOSPITAL CARE AND ADMISSION(15 days cumulative/annum) Care in the firsts 2 days (48 hours) per admission-period per person in a standard ward, meals excluded.
PHARMACEUTICAL CARE Provision of prescribed drugs in line with LSHS for primary care cases
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 and Diagnosis of HIV/AIDS including HTS; Refer to HIV referral centres for treatment
TUBERCULOSIS Sputum AFB for Tuberculosis
TB (referral linkages to designated treatment centres for treatment)
SEXUALLY TRANSMITED DISEASES Management and Treatment
HAEMATOLOGY Full Blood count [Haemoglobin (Hb), Packed Cell Volume (PCV), Differential count (WBC) White Cell Count (WBC), Red Blood Count (RBC)]
ESR Westergren
Malaria Parasites
Genotype
Rhesus Factor, Blood Group, Bleeding Time, Clotting Time, Prothrombin Time (PT), Partial Thromboplastin Time (PTT)
CLINICAL CHEMISTRY Random/Fasting Blood Sugar
Electrolyte (Sodium, Potassium, Chloride & Bicarbonate)
Urinalysis
2 Hrs. Post Prandial,
Blood Urea Creatinine, Creatinine Clearance,
Cholesterol, Triglyceride, HDL/LDL Cholesterol, Gamma GT, Uric Acid, Calcium, Phosphorus, Bilirubin (Direct/Indirect)
Albumin , Alkaline Phosphatase
MICROBIOLOGY 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)
OTHER TESTS ECG
Cervical Cytology (VIA)
HEALTH PROMOTION Health education on various illnesses HIV, Hypertension, Diabetes Mellitus, Tuberculosis, Chronic obstructive pulmonary diseases (COPD)
DENTAL CARE Preventive oral health care e.g.  Gingivitis, including scaling and polishing (once a year), dental caries and tooth extraction (max 3 per annum)
MINOR/ MAJOR SURGERIES Incisions and Drainages
Minor lacerations
Herniotomy Herniorrhaphy, Appendectomy, Lumpectomy (ganglion, simple lipoma)
POP application
EMERGENCY CARE Establishing an intravenous (infusion) line, Simple tracheostomy, Management of convulsion, Control of bleeding, Cardio-Pulmonary resuscitation, assisted respiration (e.g. Ambu bag, 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.

 

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