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Plan Details

SERVICE DESCRIPTION AXA MANSARD-ANDELA PLAN Accessibility from
Hospital Access Category A+B+C Q1
Annual Limit Unlimited
Region of Cover (Elective and Non-elective) Nigeria
Out-patient Services
Health Purchase | AXA Mansard Covered Q1
Prescribed Medications Covered Q1
Management of Chronic Conditions Covered Q4
In-patient Services
Admissions (including feeding) Private Ward (unlimited) Q1
Accommodation for parents whose infants are on admission 3 days Q2
Nursing care & Consumables Covered Q1
Prescribed Medications Covered Q1
Diagnostic services
Basic Radiological studies e.g Plain x-ray, Contrast X-ray & Ultrasonography (abdominal and Pelvic) Covered Q3
Laboratory Services- Histopathology, Hematological investigations, Microbiological investigations, Serology& Clinical chemistry Covered Q3
Spirometry, Electrocardiogram (ECG) - Rest & EEG-Electroencephalogram Covered Q3
Advanced and Complex Investigations e.g Echocardiogram, CT scan, MRI,e.t.c. Covered Q4
Physiotherapy Services
Physiotherapy Sessions (Up to approved limits) 15 Sessions Q3
Prescribed Physiotherapeutic appliances e.g Cervical collar, Crutches Covered Q3
Obstetrics and Gynaecological Services
Antenatal care Covered Q4
Induction of labour & Normal delivery Covered Q4
Assisted delivery Covered Q4
Emergency or Medically indicated Elective Caesarean Section Covered Q4
Post-natal care Covered Q4
Family Planning Services - Pills, Injectables, Copper IUCD, tubal ligation and Vasectomy Including Norplant or Implanon Q3
Fertility services (Investigation only) Counselling, USS, SFA, HSG, Hormonal Assay (Covered up to N100,000) Q3
Neonatal/Paediatric services
Primary Care including Circumcision, Ear piercing and Exchange Blood transfusion Covered Q1
Special Baby Care Unit (Intensive care Unit-including life support, Phototherapy & Incubator care) 14 days Q3
Routine Immunization (NPI) for 0 - 5yrs - Pneumococcal, DPT, Hepatitis B, HiB (Pentavalent), BCG, Measles, Oral Polio, Vitamin A supplementation& yellow fever Covered Q1
Additional Immunization for under 5 ( Hexaxim (DTPa-hepB-IPV-Hib), Varicella, Rotarix, Pneumococcal, Yellow Fever, Meningococcal, Hepatitis B, HIB,MMR &Typherix) at Designated centre Covered Q2
Additional Immunization for children 6 to 17 years (Meningitis, Yellow fever and Hepatitis B) Covered Q2
Accidents and Emergencies
Evacuation (Home/Hospital to Hospital & Roadside to Hospital) Covered Q1
Stabilization, Emergency drugs and Investigations (Including CT scan and MRI) Covered Q1
Intensive Care Unit (ICU) up to 6 days Q4
Dental Services
Primary Dental Care- Examination, Basic dental treatment, Simple amalgam or composite filling, Scaling and polishing, Non-surgical extractions and Pain therapy/ relief Up to a limit of N80,000 Q3
Secondary Dental Care- Surgical tooth extraction, Root canal treatment and Orthodontics Up to a limit of N80,000 Q3
Ophthalmological Services
Primary Eye Care- Consultation, Examination, Simple or primary infection or conditions and Medications Covered Q3
Eye testing Covered Q3
Biennial Optical Lenses and Frames Up to N25,000 Q3
Eye Surgeries As a part of Surgical services Q4
Otolaryngological (ENT) Services
Treatment of ENT diseases and removal of foreign bodies Covered Q4
Surgical Services
Minor, Intermediate, Major Surgeries and Procedures Covered Q4
Anaesthesia, Surgical supplies/Consumables, administration of blood or blood products, etc Covered Q4
Other services/ benefits
Renal Dialysis 4 sessions Q3
Health Screening at Designated centres (For Principals & Spouses) Physical examination, BMI, Urinalysis, PCV, blood pressure, blood sugar, Genotype, Chest x-ray, serum cholesterol, LFT, E/U/Cr,cervical smears every 2 years for women > 30 years, PSA for men above 40 yrs Q4
Structured Lifestyle management programme (Pharmacy benefits) Covered Q4
On-site Health Checks, Health Talks/ Education forum or wellness fairs Covered Q4
HIV/AIDS- Diagnosis + Treatment at free specialist centers Covered Q3
Cancer Care: Surgical + Radiotherapy & Chemotherapy Covered up to N1,000,000 Q4
Outpatient Psychiatry cover (12 weeks) Covered Q4
Mortuary Services up to N250,000 /family Covered Q4
Life and Permanent disability Benefit for each dependent N75,000 Q4
Personal Accident Benefit for Principal N50,000 Q4
Worldwide Travel Insurance cover for Principal 1 week Q4
Subsidized Fitness/ nutritional club membership (for non-network gym) Covered Q4
Discount at Nutritional and healthy food centres Covered Q4
Network Gym Access Covered Q4
Personal Health Equipment for Chronic condition Glucometer or Sphygmomanometer Q4
Inpatient/hospitalisation benefits in the UK, France and Germany Covered up to $750 Q4
Second opinion service by Experts local and abroad Covered Q4
Congenital anomaly treatment (for children born on the plan) N500,000 Q4
Reimbursement for delivery Abroad Normal Delivery – N150,000,Caesarean Section - N250,000 Q4
Employee Assistance Programme (EAP) Covered Q4
Vaccination at home (at selected cities) Covered Q4
MyAXA App Covered Q1
Telemedicine Services Covered Q4

GENERAL EXCLUSIONS

The following exclusions are applicable

  • • Cosmetic Surgery
  • • Dental Prosthesis
  • • Dental & Surgical Implants
  • • Domiciliary/Hospice Care
  • • Alternative /Unorthodox medicine
  • • Neonatal care not listed under neonatal services
  • • Self-inflicted injuries
  • • Congenital abnormalities for children not born on the plan
  • • Conditions caused by an act of war, an epidemic or Enrolee participating in a riot
  • • Services primarily for weight reduction or treatment of obesity
  • • Treatment of substance abuse
  • • Professional Sports and wilful exposure to needless danger
  • • Spine surgery
  • • School admission test
  • • Stem cell transplant or bone marrow transplant
  • • Laparoscopic surgery
  • • Epidural for normal delivery
  • • All procedures, management and investigations not covered by the plan
 

Terms & Conditions:

  • • Maximum age limit on the product is 60 years.
  • • A family comprises of the Customer (The principal), a spouse and up to 4 dependent children under the age of 25.
  • • Non-spouse dependents are not entitled to antenatal care.
  • • The preferred minimum payment plan to be selected is quarterly
  • • For new member, onboarding takes up to 48hrs after successful purchase of plan on the portal
  • • For new member, onboarding takes up to 48hrs after successful purchase of plan on the portal
  • • Plan would be deactivated if payment is not received with 48hrs after the renewal due date
  • • This policy shall automatically terminate at the end of the term. Where a Policy expires and is not renewed with the HMO within thirty (30) days, the member shall forfeit the moratorium specified in the accessibility column (of the benefit schedule) if previously enjoyed or if such entitlement is due where the policy has been in force for the stipulated uninterrupted terms and enrolee shall be required to observe the waiting period
   
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Personal Information

Contact Information

e.g Driver's License, National ID Card, International Passport (Max file size: 2MB)

Other Information

Pre-existing health conditions?:

Heart and Artery Diseases Endocrinology Diseases including Diabetes Lung Disease Kidney and Urinarytract Diseases Muscles Bones and joints Diseases Haematology Diseases Ear Nose Throat and Eye Diseases Malignant Tumours or Cancer Sexually Transmitted Diseases Congenital Diseases Nervous system Diseases Gastroenterology Diseases Previously Undergone any surgery due to a disease or an accident Currently take any medicines on a frequent regular or permanent basis Suffer from allergies to any medication food other environmental factors Married women only! Are you currently pregnant?

Payment Frequency

Sponsor Details


e.g Driver's License, National ID Card, International Passport (Max file size: 2MB)

Beneficiary Information

Pre-existing Health Condition?

Heart and Artery Diseases Endocrinology Diseases including Diabetes Lung Disease Kidney and Urinarytract Diseases Muscles Bones and joints Diseases Haematology Diseases Ear Nose Throat and Eye Diseases Malignant Tumours or Cancer Sexually Transmitted Diseases Congenital Diseases Nervous system Diseases Gastroenterology Diseases Previously Undergone any surgery due to a disease or an accident Currently take any medicines on a frequent regular or permanent basis Suffer from allergies to any medication food other environmental factors Married women only! Are you currently pregnant?

Payment Frequency

View Plan Details

Plan Details

SERVICE DESCRIPTION AXA MANSARD-ANDELA PLAN Accessibility from
Hospital Access Category A+B+C Q1
Annual Limit Unlimited
Region of Cover (Elective and Non-elective) Nigeria
Out-patient Services
Health Purchase | AXA Mansard Covered Q1
Prescribed Medications Covered Q1
Management of Chronic Conditions Covered Q4
In-patient Services
Admissions (including feeding) Private Ward (unlimited) Q1
Accommodation for parents whose infants are on admission 3 days Q2
Nursing care & Consumables Covered Q1
Prescribed Medications Covered Q1
Diagnostic services
Basic Radiological studies e.g Plain x-ray, Contrast X-ray & Ultrasonography (abdominal and Pelvic) Covered Q3
Laboratory Services- Histopathology, Hematological investigations, Microbiological investigations, Serology& Clinical chemistry Covered Q3
Spirometry, Electrocardiogram (ECG) - Rest & EEG-Electroencephalogram Covered Q3
Advanced and Complex Investigations e.g Echocardiogram, CT scan, MRI,e.t.c. Covered Q4
Physiotherapy Services
Physiotherapy Sessions (Up to approved limits) 15 Sessions Q3
Prescribed Physiotherapeutic appliances e.g Cervical collar, Crutches Covered Q3
Obstetrics and Gynaecological Services
Antenatal care Covered Q4
Induction of labour & Normal delivery Covered Q4
Assisted delivery Covered Q4
Emergency or Medically indicated Elective Caesarean Section Covered Q4
Post-natal care Covered Q4
Family Planning Services - Pills, Injectables, Copper IUCD, tubal ligation and Vasectomy Including Norplant or Implanon Q3
Fertility services (Investigation only) Counselling, USS, SFA, HSG, Hormonal Assay (Covered up to N100,000) Q3
Neonatal/Paediatric services
Primary Care including Circumcision, Ear piercing and Exchange Blood transfusion Covered Q1
Special Baby Care Unit (Intensive care Unit-including life support, Phototherapy & Incubator care) 14 days Q3
Routine Immunization (NPI) for 0 - 5yrs - Pneumococcal, DPT, Hepatitis B, HiB (Pentavalent), BCG, Measles, Oral Polio, Vitamin A supplementation& yellow fever Covered Q1
Additional Immunization for under 5 ( Hexaxim (DTPa-hepB-IPV-Hib), Varicella, Rotarix, Pneumococcal, Yellow Fever, Meningococcal, Hepatitis B, HIB,MMR &Typherix) at Designated centre Covered Q2
Additional Immunization for children 6 to 17 years (Meningitis, Yellow fever and Hepatitis B) Covered Q2
Accidents and Emergencies
Evacuation (Home/Hospital to Hospital & Roadside to Hospital) Covered Q1
Stabilization, Emergency drugs and Investigations (Including CT scan and MRI) Covered Q1
Intensive Care Unit (ICU) up to 6 days Q4
Dental Services
Primary Dental Care- Examination, Basic dental treatment, Simple amalgam or composite filling, Scaling and polishing, Non-surgical extractions and Pain therapy/ relief Up to a limit of N80,000 Q3
Secondary Dental Care- Surgical tooth extraction, Root canal treatment and Orthodontics Up to a limit of N80,000 Q3
Ophthalmological Services
Primary Eye Care- Consultation, Examination, Simple or primary infection or conditions and Medications Covered Q3
Eye testing Covered Q3
Biennial Optical Lenses and Frames Up to N25,000 Q3
Eye Surgeries As a part of Surgical services Q4
Otolaryngological (ENT) Services
Treatment of ENT diseases and removal of foreign bodies Covered Q4
Surgical Services
Minor, Intermediate, Major Surgeries and Procedures Covered Q4
Anaesthesia, Surgical supplies/Consumables, administration of blood or blood products, etc Covered Q4
Other services/ benefits
Renal Dialysis 4 sessions Q3
Health Screening at Designated centres (For Principals & Spouses) Physical examination, BMI, Urinalysis, PCV, blood pressure, blood sugar, Genotype, Chest x-ray, serum cholesterol, LFT, E/U/Cr,cervical smears every 2 years for women > 30 years, PSA for men above 40 yrs Q4
Structured Lifestyle management programme (Pharmacy benefits) Covered Q4
On-site Health Checks, Health Talks/ Education forum or wellness fairs Covered Q4
HIV/AIDS- Diagnosis + Treatment at free specialist centers Covered Q3
Cancer Care: Surgical + Radiotherapy & Chemotherapy Covered up to N1,000,000 Q4
Outpatient Psychiatry cover (12 weeks) Covered Q4
Mortuary Services up to N250,000 /family Covered Q4
Life and Permanent disability Benefit for each dependent N75,000 Q4
Personal Accident Benefit for Principal N50,000 Q4
Worldwide Travel Insurance cover for Principal 1 week Q4
Subsidized Fitness/ nutritional club membership (for non-network gym) Covered Q4
Discount at Nutritional and healthy food centres Covered Q4
Network Gym Access Covered Q4
Personal Health Equipment for Chronic condition Glucometer or Sphygmomanometer Q4
Inpatient/hospitalisation benefits in the UK, France and Germany Covered up to $750 Q4
Second opinion service by Experts local and abroad Covered Q4
Congenital anomaly treatment (for children born on the plan) N500,000 Q4
Reimbursement for delivery Abroad Normal Delivery – N150,000,Caesarean Section - N250,000 Q4
Employee Assistance Programme (EAP) Covered Q4
Vaccination at home (at selected cities) Covered Q4
MyAXA App Covered Q1
Telemedicine Services Covered Q4

GENERAL EXCLUSIONS

The following exclusions are applicable

  • • Cosmetic Surgery
  • • Dental Prosthesis
  • • Dental & Surgical Implants
  • • Domiciliary/Hospice Care
  • • Alternative /Unorthodox medicine
  • • Neonatal care not listed under neonatal services
  • • Self-inflicted injuries
  • • Congenital abnormalities for children not born on the plan
  • • Conditions caused by an act of war, an epidemic or Enrolee participating in a riot
  • • Services primarily for weight reduction or treatment of obesity
  • • Treatment of substance abuse
  • • Professional Sports and wilful exposure to needless danger
  • • Spine surgery
  • • School admission test
  • • Stem cell transplant or bone marrow transplant
  • • Laparoscopic surgery
  • • Epidural for normal delivery
  • • All procedures, management and investigations not covered by the plan
 

Terms & Conditions:

  • • Maximum age limit on the product is 60 years.
  • • A family comprises of the Customer (The principal), a spouse and up to 4 dependent children under the age of 25.
  • • Non-spouse dependents are not entitled to antenatal care.
  • • The preferred minimum payment plan to be selected is quarterly
  • • For new member, onboarding takes up to 48hrs after successful purchase of plan on the portal
  • • For new member, onboarding takes up to 48hrs after successful purchase of plan on the portal
  • • Plan would be deactivated if payment is not received with 48hrs after the renewal due date
  • • This policy shall automatically terminate at the end of the term. Where a Policy expires and is not renewed with the HMO within thirty (30) days, the member shall forfeit the moratorium specified in the accessibility column (of the benefit schedule) if previously enjoyed or if such entitlement is due where the policy has been in force for the stipulated uninterrupted terms and enrolee shall be required to observe the waiting period
   
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Principal Details


e.g Driver's License, National ID Card, International Passport (Max file size: 2MB)

Pre-existing health conditions?:

Heart and Artery Diseases Endocrinology Diseases including Diabetes Lung Disease Kidney and Urinarytract Diseases Muscles Bones and joints Diseases Haematology Diseases Ear Nose Throat and Eye Diseases Malignant Tumours or Cancer Sexually Transmitted Diseases Congenital Diseases Nervous system Diseases Gastroenterology Diseases Previously Undergone any surgery due to a disease or an accident Currently take any medicines on a frequent regular or permanent basis Suffer from allergies to any medication food other environmental factors Married women only! Are you currently pregnant?

Beneficiary Information

Add your beneficiary(ies) details below and select a health plan as well as hospital for them.

Adding over 10 individuals? Contact our Sales Team

Pre-existing health conditions?:

Please check this box to confirm that you have read the exclusions from your policy

  Important Notice

Please read them carefully before agreeing to proceed as you will be bound by these terms and the terms contained in the policy document after a successful purchase.

 

General Conditions: Applies to All Plans.
All AXA Mansard Health Plans

  • The maximum age limit for Principal and Dependant is 65 years and 25 years respectively.
  • Chronic ailments and pre-existing conditions as well as the following conditions: Diabetes, Hypertension, Arthritis, Sickle Cell Anaemia; pregnancy and maternity care have a one year waiting period and will not be covered or provided in the first year of the commencement of any of the plans. On renewal, these conditions will be covered subject to the health insurance plan limits provided the Enrollee remains enrolled with AXA Mansard Health for a period of one consecutive year.

 

Exclusions:

  • Cosmetic Surgery or treatment
  • Teeth Whitening
  • Dental Prosthesis
  • Domiciliary/Hospice Care
  • Alternative /Unorthodox medicine
  • Neonatal care not listed under neonatal services
  • Self-inflicted injuries
  • Congenital abnormalities
  • Conditions caused by an act of war, an epidemic or enrollee participating in a riot
  • Services primarily for weight reduction or treatment of obesity
  • Treatment of substance abuse

Exclusions:

  • Cosmetic Surgery or treatment
  • Teeth Whitening
  • Dental Prosthesis
  • Domiciliary/Hospice Care
  • Alternative /Unorthodox medicine
  • Neonatal care not listed under neonatal services
  • Self-inflicted injuries
  • Congenital abnormalities
  • Conditions caused by an act of war, an epidemic or enrollee participating in a riot
  • Services primarily for weight reduction or treatment of obesity
  • Treatment of substance abuse
  • Infertility- All investigations and treatment
  • Orthodontics
  • Advanced radiological investigations (e.g. C.T. scan, Myelogram, EEG)
  • Advanced and Complex investigations (e.g. Marrow biopsy, skeletal survey)
  • Prosthetic devices such as cardiac pacemaker, orthopedic implants
  • Management of Chronic Renal Failure (Dialysis and Transplant Surgery)
  • Induced Abortion
  • Laser Treatments
  • Transplants
  • Complex major Surgeries (e.g. Heart, Brain and Great blood vessels).
  • Neurological surgeries.
  • Management of Cancers
  • Professional Sports and wilful exposure to needless danger
  • Infectious and contagious diseases in an epidemic
  • All procedures, management and investigations not covered by the plans


Cover Limit: : The overall cover limit refers to the maximum annual reimbursement by AXA Mansard Health to cater for the care and treatment of an Enrolee. These limits are plan and provider category specific. Specific monetary or benefit limits may apply for specific services such as optical, dental and surgical procedures. In addition, some services are capped or restricted based on length of stay or number of procedures dispensed.

 

Waiting period The standard waiting period is 14 days and during this period, you will have no access to the covered services and the plan purchased will only become active 14 days after completion of registration.

 

Right to cancel Policy: AXA Mansard Health is at liberty to cancel the cover of an Enrolee who has misled it or breached any term of the health insurance policy, given incorrect, incomplete or misleading information, failed to provide any reasonable information which AXA Mansard Health has requested for, conspired with a third party to obtain undue benefit from this Policy, or submitted a claim which is in any respect fraudulent or unfounded. In any of these circumstances, AXA Mansard Health shall have the right to cancel the Enrolee’s cover from the date of commencement (without refund of any portion of the unused premium) and shall recover from the Enrolee any benefit it might have paid in relation to such claim

 

Cancellation/Termination by an Enrolee is only possible within the first 30 days of the commencement of the policy. An Enrolee that decides to cancel/terminate this Health Insurance Policy must notify AXA Mansard Health in writing and the Enrolee shall be entitled to a refund of the premium paid less (1) any amounts incurred on their behalf as medical and other expenses (2) an administrative charge of 20% of the premium paid. No refund shall apply in case of termination/cancellation made by an Enrollee after 30 days of the commencement of the policy.

 

Cancellation/Termination by AXA Mansard: AXA Mansard Health may terminate the Policy by sending 30 days' notice by registered letter to an Enrolee at their last known address or to their known e-mail address. In such event, AXA Mansard Health will refund to the Enrolee an amount equal to the pro-rata value of their unused premium. Unused premium refers to the difference between the premium paid and the medical cost incurred as at the effective date of termination which includes amounts reported and amounts yet to be reported but which were incurred prior to the date of termination.

 

Treatment prior to Date of Commencement: AXA Mansard Health will not cover or pay for any treatment that was given before an Enrolee’s commencement date of cover or after cancellation/termination of cover or during any period for which AXA Mansard Health is yet to receive premiums.

 

Treatment that is not covered under the Benefit Schedule: AXA Mansard Health will not cover or pay for any treatment that is not specifically covered under the Benefit Schedule of the Policy. Similarly, all plans do not cover Consultations with unrecognized/un-orthodox consultants, hospitals, family doctors, therapists, dental practitioners or complementary medicines practitioners. In the same vein, complications from such unrecognized/un-orthodox places are not covered under any of the plans.

 

Transferability: The plans are person specific and non-transferable.

 

Confidentiality: AXA Mansard Health is committed to protecting the information of its Enrolees and it is bound by law and regulatory standards to maintain the privacy of its Enrolees’ medical information and records. AXA Mansard Health also holds its employees, providers and consultants and business associates to strict policies and procedures protecting Enrolee’s information. The Information collected from an Enrolee at enrolment and other transactions would include an Enrolee’s biodata as well as an Enrolee’s medical information through claims and utilization data submitted from healthcare providers. AXA Mansard Health can also access an Enrolee’s medical records in furtherance of its role under the health plans and you hereby consent to our access of your medical records and information accordingly.

 

Categorization of Healthcare facilities: Healthcare Providers are categorized by AXA Mansard Health for the benefit of ease of access to care by its Enrolees. AXA Mansard Health reserves the right to review this categorization from time to time without prior recourse to an Enrolee. This could include (but not limited to) the addition and deletion of healthcare providers from the general list and/or from a specific plan provider list. At the point of filling your proposal form, you shall be required to select your preferred hospital(s) from the list of in-network hospitals accessible on your plan. PLEASE NOTE that we will not be liable to pay for care accessed from an in-network hospital that is not available on the list of hospitals associated with your plan. In the event we choose to make payment for care received from an in-network hospital not on your plan, our payment shall be limited only to what it would have cost us to pay if you had accessed the services from an in-network hospital accessible on your plan.

 

Liability: AXA Mansard Health shall not be liable for any damages or losses that may arise from an Enrollee’s failure to pay premiums as and when due.

 

Refunds: Enrollees are required to access care within AXA Mansard Health’s network of Providers and not pay out of pocket for covered services. Reimbursement may only apply for extreme cases of emergency requiring enrollee to access care in a non-network Hospital, AXA Mansard Health should be notified of such emergencies within 72hrs of occurrence for approval through its contact centre. refund will be made by AXA Mansard Health upon the Enrollee providing the following documents within 30 days of encounter:
(1) copy of medical report from the Healthcare practitioner indicating history of the medical condition, diagnosis and treatment administered
(2) Original Receipt for having made payment indicating the costs separately for consultation, each investigation, each procedure and each Drug and the quantity dispensed.
(3)Pre-authorisation number received from AXA Mansard Health.
All refunds will be made only into the principal Enrollees designated account based only on medical emergency as might be reviewed by AXA Mansard Health's in-house medical practitioners and only at AXA Mansard Health's designated/customary rate irrespective of the cost of care. Also, refunds are only applicable where same is processed and paid before receipt by AXA Mansard Health of the notice to terminate or expiration of a plan.

 

Supply of drugs & medication: all Enrolees are covered for drugs recommended during their treatment for covered services except for excluded items.

 

Notices or Demands: . Any notices or demands required to be given under this Agreement, or given in connection with it, shall be in writing and shall be given by electronic means. Should the Enrollee require or where AXA Mansard Health deems same expedient, such notice can also be issued in hard copy and delivered by personal delivery or courier service delivery to the last known address of the other party. Changes in address has to be communicated to the other party otherwise, notifications will continue to be delivered to the last known address and remain legally enforceable. AXA Mansard Health can be contacted at any time through its Call Centre: 0700 AXAMANSARD (07002926267273); or send an email to HealthCare@axamansard.com

 
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