Hygeia HMO
Hygeia HMO is a Nigerian Health Maintenance Organization founded in 1986 offering subscription-based health insurance plans across individual, family, senior, maternity, SME, corporate, and wellness segments, with digital tools (mobile app, telemedicine, provider directory) and the country's widest provider network.
- Company typePrivate
- Founded1986
- HeadquartersLagos, Nigeria
- Headcount251–500
- GTM typeB2B and B2C
- OfferingServices
What Hygeia HMO does
Hygeia HMO Limited is a Nigerian Health Maintenance Organization founded in 1986 and headquartered in Lagos, operating as a privately held private limited company. The company operates across the full health insurance value chain, offering subscription-based health insurance plans to individuals, families, senior citizens, SMEs, and corporate organizations through seven product families with public pricing ranging from N55,590 to N865,266 annually per individual plan. Its core product portfolio includes Individual Plans (HyBasic, HyPrime, HyPrime Plus, HyPrime Exclusive), Family Plans (HyBasic Family, HyPrime Family), Senior Citizen Plans (Senior Mini, MIDI, Premium), Maternity Plans (HyMat, HyMat Plus), SME Plans (HyStarter, HyStarter Premium), Corporate Plans (HyDeal, HyLite, HyBrid, HyValue, HyEnhanced, HyLeague), and Wellness Plans (HyFit Silver, Gold, Platinum), plus supplementary offerings including the Global HealthBridge discount card (integrated with ValuePoint by MultiPlan in the USA) and a Refer and Earn loyalty program.
The technology stack is composed of an HMO Insurance Management Platform with a Hygeia Mobile Application (iOS/Android), a 24/7 Telemedicine Platform, a Provider Directory searchable online, an HyAdmin Enrollee Web Portal, and a HyDirect Provider Portal for claims management. The back-end claims automation engine and mobile infrastructure were built in partnership with Medismarts under a five-year commercial agreement starting in 2016. The company claims to maintain the widest healthcare provider network in Nigeria, with tiered plan access ranging from 1,920 to 2,082 partner hospitals across categories A through D.
Hygeia's revenue model is primarily subscription-based, with recurring premiums from individuals, families, SMEs, and corporate clients, supplemented by referral and partnership fees. Distribution is multi-channel: direct-to-consumer via website and mobile app, in-person sales through 9 regional offices across Nigeria, dedicated corporate sales for enterprise clients, and self-service digital tools. The company is institutionally backed by Swiss-Re (reinsurance), IFC (World Bank Group), and IFHA (International Finance Holdings Africa), and employs between 251 and 500 staff. Leadership includes CEO John Iwuajoku (appointed after June 2022-May 2023 acting CEO tenure of Enema Anumnu), CCO Enema Anumnu, and CFO/Head of Risk Bode Olawunmi. The company targets market leadership in Nigeria's HMO sector with broad demographic and corporate coverage.
Hygeia HMO firmographics
Firmographics- Name
- Hygeia HMO
- Legal name
- Hygeia HMO Limited
- Website
- https://hygeiahmo.com
- Company type
- Private
- Founded year
- 1986
- Operating status
- Operating
- Headcount range
- 251–500 employees
- Short description
- Hygeia HMO is a Nigerian Health Maintenance Organization founded in 1986 offering subscription-based health insurance plans across individual, family, senior, maternity, SME, corporate, and wellness segments, with digital tools (mobile app, telemedicine, provider directory) and the country's widest provider network.
- Ownership category
- akta.pro rank
Hygeia HMO industry classification
Industry- Product category
- Health Insurance
- NAICS
- Direct Health and Medical Insurance Carriers (524114), Direct Life, Health, and Medical Insurance Carriers (52411)
- SIC
- Hospital & Medical Service Plans (6324), Services-Health Services (8000)
- akta.pro primary industry
- Network-Model HMOs (HLAEAMAC)
- akta.pro secondary industries
- Open-Access HMOs (HLAEAMAF), Group HMO Plans (FSAIAFAK)
Keywords
Where Hygeia HMO is headquartered
LocationHeadquarters
- HQ city
- Lagos
- HQ country
- Nigeria
- HQ region
- Africa
Offices9 records
Markets served
Hygeia HMO business model
Business model- GTM type
- B2B and B2C
- Offering type
- Services
- Cost components
- Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure
Revenue model
- Health Insurance Premiums: Primary revenue from subscription-based health insurance premiums paid by individuals, families, SMEs, and corporate organizations for access to comprehensive healthcare services including outpatient, inpatient, optical, dental, chronic disease management, telemedicine, and physiotherapy.
- Referral and Partnership Fees: Revenue generated through referral programs and partnerships, including referral rewards for successful customer referrals to retail health plans.
Pricing tiers
| Model | Billing | Price |
|---|---|---|
| Subscription | Monthly | HyBasic Individual - Entry-level individual plan |
| Subscription | Monthly | HyPrime Individual - Mid-tier individual plan |
| Subscription | Monthly | HyPrime Plus Individual - Premium individual plan |
| Subscription | Monthly | HyBasic Family - Entry-level family plan |
| Subscription | Monthly | HyPrime Family - Mid-tier family plan |
| Subscription | Monthly | Senior Mini - Senior citizen entry plan |
| Subscription | Monthly | Senior Midi - Senior citizen mid-tier plan |
| Subscription | Monthly | Senior Premium - Senior citizen premium plan |
| Subscription | Monthly | HyStarter SME - SME entry plan |
| Subscription | Monthly | HyStarter Premium SME - SME premium plan |
| Subscription | Multi-year contract | Corporate Plans (HyDeal, HyLite, HyBrid, HyValue, HyEnhanced, HyLeague) - Enterprise health plans |
Go-to-market motion1 record
Distribution channels5 records
Marketing channels6 records
Hygeia HMO product offering
Product offeringCore offering
Hygeia HMO provides subscription-based health insurance products and managed-care services across Nigeria, covering outpatient, inpatient, surgical, dental, optical, chronic disease, maternity, telemedicine, and physiotherapy benefits. Products are segmented into Individual, Family, Maternity, Senior, SME, Corporate, and Wellness/Gym plans, supported by the widest hospital provider network in Nigeria and digital channels including a mobile app, enrollee portal, provider portal, and online provider directory.
Product overview
Hygeia HMO is a Nigerian Health Maintenance Organization offering a comprehensive portfolio of health insurance products organized across multiple segments: Individual Plans (HyBasic, HyPrime, HyPrime Plus), Maternity Plans (HyMat, HyMat Plus), Family Plans (HyBasic Family, HyPrime Family), Senior Citizen Plans (Senior Mini, Senior Midi, Senior Premium), SME Plans (HyStarter, HyStarter Premium), and Corporate Plans (HyDeal, HyLite, HyBrid, HyValue, HyEnhanced, HyLeague). Additional offerings include Wellness/Gym Plans (HyFit Silver, Gold, Platinum), Telemedicine services, Provider Directory platforms, and the Global HealthBridge discount card for international medical savings. The core platform provides access to Nigeria's widest hospital network with tiered coverage levels, supported by a mobile app for digital health management.
Differentiator
Problem solved
Functional benefit
Brands
- HyBasic: Individual health plan
- HyPrime
- HyPrime Plus
- HyPrime Exclusive
- HyMat
- HyMat Plus
- HyBasic Family
- HyPrime Family
- Senior Mini
- Senior Midi
- Senior Premium
- HyStarter
- HyStarter Premium
- Hydeal
- HyLite
- HyBrid
- HyValue
- HyEnhanced
- HyLeague
- HyFit Silver
- HyFit Gold
- HyFit Platinum
Products and services
- Individual Health Insurance Plans Tiered individual health insurance plans providing outpatient, inpatient, surgical, dental, optical, advanced investigations, and telemedicine coverage for individual retail customers in Nigeria. Plans range from HyBasic (₦55,590 annually) up to HyPrime Plus (₦448,902 annually) with progressively broader hospital networks and higher benefit limits.
- Family Health Insurance Plans Family health insurance plans covering multiple family members including spouses and children under a single policy, with maternity and child care benefits and access to category B-D hospital networks.
- Maternity Health Insurance Plans Maternity-focused health insurance plans covering expecting mothers throughout pregnancy, including prenatal care, delivery, postnatal care, and maternity-related complications coverage through Hygeia's hospital network.
- Senior Citizen Health Insurance Plans Health insurance plans designed for elderly enrollees, including chronic disease management, physiotherapy, and specialized senior care services. Plans span Senior Mini (entry-level) to Senior Premium (top-tier) with progressively broader hospital network access.
- SME Health Insurance Plans Affordable employee health insurance plans for small and medium enterprises offering essential healthcare coverage for staff, with HyStarter as the entry tier and HyStarter Premium providing expanded coverage and higher limits.
- Corporate Health Insurance Plans Comprehensive corporate health insurance plans for large enterprises and organizations, spanning six tiers (HyDeal, HyLite, HyBrid, HyValue, HyEnhanced, HyLeague) with progressively broader coverage, hospital networks, and benefit limits, sold on multi-year contracts with customized options.
- Wellness and Gym Plans (HyFit) Wellness-focused health plans providing access to gym and spa facilities in three tiers (HyFit Silver, HyFit Gold, HyFit Platinum) for fitness and wellness-focused consumers.
- Telemedicine Service 24/7 telemedicine service that allows enrollees to consult with doctors remotely via phone or video, included with unlimited access on all retail plans.
- Global HealthBridge Discount Card Discount healthcare card providing access to low-cost medical care through the ValuePoint by MultiPlan network in the USA, offering savings on medical services, prescriptions, and dental procedures across a network of over 600,000 providers.
Quantifiable outcome
- 15% savings available on select plans
- +1 more outcomes
Companies that use Hygeia HMO
Customer profileNamed customers3 records
Segments7 records
Ideal customer profiles3 records
Hygeia HMO technology and API
TechnologyTechnology focussed No
API detail
- Has API
- No
- API docs
- API detail
Core technology
AI maturity
App detail
Integration1 record
Feature5 records
Hygeia HMO partnerships and signals
Strategic signalPartnerships
Two partnerships are on record, tiered minor and core.
- VerveLife 8.0minorHygeia HMO joined as a supporting partner for Africa's biggest fitness party - VerveLife 8.0 scheduled for November 1st at Eko Hotel Convention Centre in Lagos. Co-headline sponsors include Google Play and Carloha Chery alongside Interswitch, Quickteller, and others.
- MedismartscoreMedismarts partnered with Hygeia HMO in 2016, marking a breakthrough that transformed Medismarts from a struggling electronic medical records startup into a dominant healthtech provider. The partnership was formalized through a five-year commercial agreement. Medismarts built an integrated HMO-provider portal, mobile app for health insurance access, and cloud-based claims automation engine for Hygeia HMO.
Scale indicators3 records
Recent moves6 records
Expansion highlights5 records
Hygeia HMO competitors and assessment
Company assessmentDirect peers
- Reliance HMO: Nigerian HMO with comparable individual, family, SME, and corporate health plan offerings and a strong digital/app-led service model. Directly competes with Hygeia in the same retail and SME segments in Nigeria.
- Avon HMO: Nigerian HMO offering individual, family, and corporate health plans with a comparable provider-network-driven model. Direct competitor in the same Nigerian HMO market across retail and enterprise segments.
- Total Health Trust: Nigerian HMO offering similar individual, family, and corporate health plans with a comparable provider network approach. Direct peer competing in retail, SME, and corporate segments.
Broad incumbents
- AXA Mansard Health: Subsidiary of AXA Africa with health insurance among its broader life and general insurance portfolio. Competes with Hygeia on corporate and group health plans but operates as a multi-line insurer with deeper capital.
- Leadway Health: Health insurance arm of Leadway Assurance, one of Nigeria's largest insurance groups. Competes with Hygeia particularly on corporate plans and benefits from parent-group distribution scale.
- Bupa: Global health insurance specialist with international health cover operations. Relevant broad-incumbent peer for understanding global HMO/health-insurer operating models and reinsurance-backed scaling.
- Cigna Healthcare: Global health insurer with employer-sponsored and individual health plans. Relevant broad-incumbent benchmark for product design, claims automation, and provider network management at scale.
Emerging players
- Novo Health Africa: Nigerian health insurer/HMO with growing individual and SME plan offerings. Emerging peer that competes selectively with Hygeia in retail and SME tiers, particularly in Lagos.
- Hycare Health: Nigerian digital-first HMO targeting retail and SME segments with a tech-led proposition. Emerging competitor testing lower-cost digital distribution models against established players like Hygeia.
Others
- MultiPlan (ValuePoint): Provider-network and claims-cost management vendor whose ValuePoint network is already integrated with Hygeia's Global HealthBridge discount card. Adjacent infrastructure partner/peer rather than direct competitor.
Market position
Strengths4 records
Weaknesses4 records
Competitive moat5 records
Key risks6 records
Key highlights6 records
Customer concentration
Hygeia HMO social profiles
Digital presenceHygeia HMO compliance and trust
Trust signalCompliance1 record
Hygeia HMO financial estimates
Financial estimateRevenue estimate
Valuation estimate
Hygeia HMO leadership team
Management profileNumber of profiles
Profiles7 records
Hygeia HMO funding detail
Funding detailFunding overview
Funding rounds
Investors
Funding detail is available on the Subscription and Enterprise plan.Contact sales →
Hygeia HMO M&A and investment
M&A and investmentM&A
Investments
M&A and investment is available on the Subscription and Enterprise plan.Contact sales →
Frequently asked questions about Hygeia HMO
What does Hygeia HMO do?
Hygeia HMO provides subscription-based health insurance products and managed-care services across Nigeria, covering outpatient, inpatient, surgical, dental, optical, chronic disease, maternity, telemedicine, and physiotherapy benefits. Products are segmented into Individual, Family, Maternity, Senior, SME, Corporate, and Wellness/Gym plans, supported by the widest hospital provider network in Nigeria and digital channels including a mobile app, enrollee portal, provider portal, and online provider directory.
Is Hygeia HMO a public or private company?
Hygeia HMO is a private company. It is classified as venture growth investor backed and is currently operating.
When was Hygeia HMO founded?
Hygeia HMO was founded in 1986. It employs 251 to 500 people.
Where is Hygeia HMO based?
Hygeia HMO is headquartered in Lagos, Nigeria, in the Africa region.
How does Hygeia HMO make money?
Two revenue lines are on record. Health Insurance Premiums are the primary driver. The others are referral and Partnership Fees.
Who are Hygeia HMO's main competitors?
Direct peers on record are Reliance HMO, Avon HMO and Total Health Trust. Broad incumbents are AXA Mansard Health, Leadway Health, Bupa and Cigna Healthcare. Emerging players are Novo Health Africa and Hycare Health. MultiPlan (ValuePoint) is listed as an others.
Does Hygeia HMO have an API?
No public API is recorded for Hygeia HMO.
What industry is Hygeia HMO in?
Hygeia HMO's product category is Health Insurance. Its primary akta.pro industry code is HLAEAMAC, Network-Model HMOs, with a secondary code of HLAEAMAF, Open-Access HMOs. Its NAICS code is 524114 and its SIC code is 6324.