Our Retail Plan
Our Retail plans are tailored to suit individuals and families seeking affordable, reliable healthcare coverage. Whether you’re self-employed, retired, or simply looking for personal health insurance, our plans provide flexible options that cater to your unique medical needs.
01
Personalized Health Coverage
Enjoy healthcare tailored specifically for you and your loved ones. Our retail plans include outpatient and inpatient care, preventive screenings, maternity services, dental and optical coverage, and more—all designed with individuals and families in mind.
02
Affordable & Flexible Options
We believe quality healthcare should be accessible to everyone. Our retail packages offer flexible payment plans, affordable premiums, and the option to upgrade or modify your plan as your circumstances change.
03
Wide Network of Providers, Seamless Access To Care
With an extensive network of accredited hospitals, clinics, and healthcare professionals across the country, you can receive quality care wherever you are—without the stress of long wait times or paperwork delays.
1. Plan Overview & Annual Premiums
This table provides the starting cost and basic eligibility for each plan
| Feature | SOCIAL PLAN | BUSINESS PLAN | UPPER PLAN | EXECUTIVE PLAN | PRESTIGE PLAN | FLEX PLAN |
|---|---|---|---|---|---|---|
| Individual Premium (Annual) | 65,590.00 | 133,911.00 | 219,268.00 | 434,896.00 | 711,382.00 | 987,868.00 |
| Family Premium | Per Head | Per Head | Per Head | Per Head | Per Head | Per Head |
| TOTAL ANNUAL LIMIT | 760,000.00 | 1,777,000.00 | 3,000,000.00 | 5,720,000.00 | 8,125,000.00 | 11,840,000.00 |
2. Outpatient & Diagnostic Services
Covers consultations, medications, and laboratory tests.
| Service | SOCIAL | BUSINESS | UPPER | EXECUTIVE | PRESTIGE | FLEX |
|---|---|---|---|---|---|---|
| GP Consultation | Covered | Covered | Covered | Covered | Covered | Covered |
| Specialist Consultation | Covered | Covered | Covered | Covered | Covered | Covered |
| Sub/Rare Specialist | Not Covered | Covered | Covered | Covered | Covered | Covered |
| Physiotherapy | 3 Sessions | 7 Sessions | 10 Sessions | 15 Sessions | 17 Sessions | 20 Sessions |
| Basic Lab Tests | Covered | Covered | Covered | Covered | Covered | Covered |
| Advanced (MRI/CT/Echo) | Emergency Only | Emergency Only | Max 4/year | Max 6/year | Max 6/year | Max 6/year |
3. Inpatient & Maternity Services
Covers hospital stays, surgeries, and childbirth.
| Benefit | SOCIAL | BUSINESS | UPPER | EXECUTIVE | PRESTIGE | FLEX |
|---|---|---|---|---|---|---|
| Accommodation | General Ward | Semi-Private | Private Ward | Private Ward | Private Ward | Private Ward |
| Admission Days | 20 Days | 30 Days | 35 Days | 45 Days | 50 Days | 60 Days |
| Antenatal Care | Covered | Covered | Covered | Covered | Covered | Covered |
| Normal Delivery | Covered | Covered | Covered | Covered | Covered | Covered |
| C-Section Delivery | Covered | Surgical Limit | Surgical Limit | Surgical Limit | Surgical Limit | Surgical Limit |
| Neonatal Care (4 wks) | Covered | Covered | Covered | Covered | Covered | Covered |
4. Specialized Care & Wellness
Covers Dental, Optical, and Health Screenings.
| Service | SOCIAL | BUSINESS | UPPER | EXECUTIVE | PRESTIGE | FLEX |
|---|---|---|---|---|---|---|
| Dental Care | 20,000 | 50,000 | 70,000 | 140,000 | 195,000 | 270,000 |
| Optical Care | 20,000 | 50,000 | 70,000 | 140,000 | 195,000 | 270,000 |
| Annual Screening | Not Covered | Basic Exam | Standard | Comprehensive | Comprehensive | Advanced + PAP |
| Gym Services | - | 60,000 | 120,000 | 220,000 | 300,000 | 400,000 |
5. Annual Benefit Limits (Summary)
Detailed limits for major spending categories.
| Benefit Category | SOCIAL | BUSINESS | UPPER | EXECUTIVE | PRESTIGE | FLEX |
|---|---|---|---|---|---|---|
| Out-Patient Limit | 150,000 | 250,000 | 350,000 | 700,000 | 1,100,000 | 1,700,000 |
| In-Patient Limit | 150,000 | 250,000 | 350,000 | 700,000 | 1,100,000 | 1,700,000 |
| Surgical Limit | 100,000 | 300,000 | 500,000 | 800,000 | 1,100,000 | 1,700,000 |
| Maternity Limit | 50,000 | 150,000 | 250,000 | 500,000 | 750,000 | 1,000,000 |
| ICU Care | - | 150,000 | 400,000 | 800,000 | 1,000,000 | 1,500,000 |
Need Assistance?
Our dedicated customer support team is available to provide guidance and address any concerns you may have. Whether you are an enrollee, corporate client, or healthcare provider, we are here to support your healthcare journey.