1. We have a list of all our Healthcare Providers (HCP) that has been approved to participate in the scheme.  All principal beneficiaries are required to choose only one hospital that suits them and their family’s health needs.  We will register each member with the HCP so chosen and it automatically becomes the member’s healthcare provider.

NB:  Registration covers your family, which includes you, your spouse, and 4 children. Single or unmarried members on a family plan are allowed a maximum of two named dependants.

 

2. All scheme members will be required to remain with their chosen healthcare provider (Primary Care Physician, who is also the gatekeeper).  During this period, beneficiaries are not to visit any other hospital or clinic, unless by referral from your Primary Physician.  When necessary, the member’s Primary Physician shall give a referral to the appropriate Specialist facility within the network (e.g. in cases requiring surgeries). 

 

3. In case of emergencies, arrangement has been put in place for members to attend any hospital within the network, located around the place of occurrence.  For example, a beneficiary whose HCP is at Ikeja could attend a hospital within the network, located at Surulere, if emergency occurs at Surulere.  However, where an HCP within Mediplan network is not within reach any other available hospital/clinic could be used.  It is required for such facility to inform us within 24 hours.  Emergency connotes any medical condition, which if not attended to immediately could lead to death or permanent disability.

The subscription is payable in advance, and enjoyment of benefits can only commence after premiums have been paid.  Payments may be made quarterly, half yearly or yearly in advance.  A subscription certificate is issued on payment detailing the terms of the contract.