Personal Health Insurance

Health Coverage
That Puts
You First.

A Prestige Mediclaim plan offers enhanced health protection with higher benefit limits, access to any hospital of your choice in Nigeria, and over 2,500 hospitals in India — for individuals, families and corporates.

0+ Years Trusted
Nationwide Nigeria Coverage
Any Hospital
NAICOMLicensed
Introduction

What Is Prestige
Mediclaim?

A Prestige Mediclaim plan offers enhanced health insurance coverage with higher benefit limits, broader hospital networks, and additional features like pre-hospitalisation, post-hospitalisation and wellness benefits. It is designed for individuals seeking extensive healthcare protection.

Unlike regular HMOs, Prestige Assurance makes sure every client and their dependants can receive treatment and hospital facilities in any hospital of choice in Nigeria, as well as over 2,500 hospitals in India through our parent company TPA (Third Party Administrator).

If you are looking for quality health insurance in Nigeria that you can fully rely on — what are you waiting for?

  • Coverage at any hospital of your choice in Nigeria
  • Congenital disease cover — not available with most HMOs
  • Critical Care Benefit, Hospital Cash & Grace Period
  • ICCU & Cataract cover included as standard
Health Plans Available

Individual & Family

Covers individuals and family members under one policy with comprehensive in-patient and out-patient benefits.

Group Mediclaim

Designed for corporates and organisations — covers employees and family members with optional add-on riders.

Family Floater

A single shared sum-insured pool covering the whole family, optimising premium cost across all members.

Group Add-Ons

Waiver of pre-existing conditions, maternity cover, and critical care benefits available as group riders.

The Prestige Difference

Why Prestige Over
Regular HMO?

Prestige Mediclaim goes far beyond what standard HMO plans offer. From admission benefits to congenital disease cover, we provide a safety net that truly protects you and your family in any medical situation.

Our parent company TPA (Third Party Administrator) network opens access to over 2,500 hospitals in India in addition to our nationwide hospital network across Nigeria.

Nigeria + 2,500+ hospitals across India
Feature Prestige Typical HMO
Room Rent & Boarding Expenses
Ambulance Charges
ICCU Cover
Cataract Cover
Congenital Diseases
Critical Care Benefit
Grace Period
Hospital Cash Benefit
Any Hospital of Choice
India Hospital Network
Coverage Benefits

What Is Covered

Comprehensive protection across hospitalisation, surgery, critical illness, ambulance, and more — designed to cover life's most serious health events.

Hospitalisation Expenses

Room & board, nursing charges, ICCU costs, and all in-patient medical expenses covered up to your policy sum insured.

Surgical & Anaesthesia

Surgeon fees, operation theatre charges, and anaesthetist fees for all medically necessary surgical procedures.

Pre & Post Hospitalisation

Medical expenses incurred 30 days before and 60 days after hospitalisation are reimbursed as part of your cover.

Day Care Treatments

Modern procedures requiring less than 24-hour stay — dialysis, chemotherapy, minor surgery — all covered.

Ambulance Charges

Emergency road ambulance charges for transferring the insured to the nearest hospital are fully reimbursed.

Specialist Consultations

In-patient specialist consultations — cardiologists, orthopaedic surgeons, neurologists — fully covered.

Critical Care Benefit

Lump-sum benefit payable on diagnosis of life-threatening conditions — cancer, stroke, or major organ failure.

Congenital Diseases

Unlike most HMO plans, Prestige Mediclaim covers treatment costs for congenital conditions from birth.

Hospital Cash Benefit

A daily cash allowance paid for each in-patient day helps offset incidental costs not covered by main benefits.

ICCU & Cataract Cover

Intensive Cardiac Care Unit charges and cataract surgery — both covered as standard, absent from most HMOs.

Grace Period Provision

A grace period for premium payment after the due date protects your policy from lapsing unintentionally.

India Hospital Network

Access to over 2,500 hospitals in India through our parent company's TPA — for advanced specialist treatment.

Plan Options

Choose Your Plan

Whether you are an individual, a family, or a business — there is a Mediclaim plan built precisely for your needs.

Individual Plan

Tailored cover for a single insured person with flexible sum-insured options to match your lifestyle.

  • In-patient hospitalisation cover
  • Surgical & anaesthesia expenses
  • Pre & post-hospitalisation (30/60 days)
  • Day-care procedure cover
  • Emergency ambulance charges
  • ICCU & cataract cover included
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Group Mediclaim

For corporates providing health benefits to their workforce — fully customisable with optional add-on riders.

  • Cover for employees & their families
  • Waiver of pre-existing conditions rider
  • Maternity cover add-on available
  • Critical care benefit rider
  • Nationwide hospital network access
  • Dedicated corporate account manager
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Eligibility

Who Should Get
Mediclaim?

Prestige Mediclaim Health Insurance is open to Nigerian residents between the ages of 18 and 65 years. Dependent children from 3 months to 25 years can be covered under a Family Floater plan. Senior citizens can be added with a loading premium at the company's discretion.

Whether you are a salaried professional, a business owner, self-employed, or a parent wanting to protect your family — Mediclaim gives you the financial cushion to focus on recovery, not medical bills.

  • Salaried employees and civil servants
  • Self-employed professionals and entrepreneurs
  • Families including spouses and dependent children
  • Senior citizens (subject to medical underwriting)
  • Employers covering their workforce with group plans
  • Students covered under a parent's floater plan

Policy Quick Facts

Entry Age18–65 years (adults) · 3 months–25 years (dependants)
Policy TenureAnnual (renewable)
Sum Insured₦500,000 – ₦10,000,000 per annum
Hospital NetworkNationwide + 2,500+ in India (TPA)
Waiting Period30 days for illnesses · None for accidents
RegulatorNAICOM, Licence No. 040
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Exclusions

What Is Not Covered

The following are generally excluded. Please read the full policy document for a comprehensive list.

01
Pre-existing Conditions

Illnesses or injuries that existed before policy inception and were not declared are excluded for the first two policy years.

02
Cosmetic & Aesthetic Procedures

Elective cosmetic surgeries, dental implants, and procedures undertaken solely for aesthetic improvement are not covered.

03
Self-inflicted Injuries

Medical costs arising from intentional self-harm, suicide attempts, or injuries sustained under the influence of alcohol or narcotics are excluded.

04
Experimental Treatments

Treatments not recognised by the Nigerian Medical Association or still in experimental / clinical-trial phases are not covered.

05
War & Civil Unrest

Injuries or illnesses directly resulting from war, invasion, terrorism, civil commotion, or armed conflict are excluded.

06
Non-allopathic Treatments

Traditional medicine, herbal treatments, homeopathy, or alternative therapy not supported by conventional medical evidence are not reimbursed.

Ready to Protect Your Health
and Your Family?

Get a personalised Mediclaim quote today. Our team is ready to help you find the right plan — individual, family, or group.