Oceanic Health Management

What Oceanic Health Management does

Oceanic Health Management Limited is a Nigerian Health Maintenance Organization (HMO) established in 2007 and licensed by the National Health Insurance Scheme (NHIS), now accredited by the National Health Insurance Authority (NHIA). The company designs and distributes four subscription-based health insurance plan tiers — Aqua (entry-level), Teal (mid-tier), Cerulean (comprehensive, including cancer care to N1,000,000), and Admiral (premium, with a N1.5m surgery cap, renal dialysis, ICU, and international procedure reimbursement) — to corporate employer groups across multiple industries in Nigeria and to individual enrollees and families. Its primary segment is B2B employer-based coverage, complemented by a growing individual enrollee channel acquired through the website and 24/7 call center.

The technology stack is a web-based HMO management platform comprising a customer enrollee portal, a healthcare provider portal for verification, claims submission, and pre-authorization, and mobile applications distributed on iOS (App Store ID 6740402588) and Android (Google Play, com.oceanic.dev). Service delivery is supported by a 24/7 call center, a website-deployed chatbot, TeleMedicine consultations, medical outreach programs, on-site health checks, and pharmacy benefits. A provider network of GPs, dentists, physiotherapists, pediatricians, ophthalmologists, E.N.T. practitioners, and over 50 cardiologists nationwide delivers care, with regional offices in Lagos (HQ), Abuja, Enugu, and Port Harcourt providing physical coverage of all six Nigerian geopolitical zones.

The business model is subscription-recurring: revenue is generated from annual health insurance premiums paid by corporate clients and individual enrollees, with pricing not publicly disclosed and structured in tiers. Go-to-market is sales-led, combining direct corporate sales and relationship management with self-serve individual enrollment via website and call center, plus a channel/reseller layer of healthcare providers. The company is privately held with no disclosed parent, no funding rounds, no identified institutional investors, and no disclosed revenue; leadership is led by MD/CEO Funlola Jide-Aribaloye. Compliance posture includes NDPR (Nigeria Data Protection Regulation 2019) alignment and GDPR-compatible data processing terms with third-party vendors.

Name

Oceanic Health Management

Legal name

Oceanic Health Management Limited

Website

https://oceanichealth.com

Company type

Private

Founded year

2007

Operating status

Operating

Headcount range

101–250 employees

Short description

Oceanic Health Management is a Nigerian HMO offering four tiered health insurance plans (Aqua, Teal, Cerulean, Admiral) to corporate employer groups and individual enrollees across Nigeria's six geopolitical zones, supported by a web portal, mobile app, 24/7 call center, and national provider network.

Ownership category

akta.pro rank

Product category

Health Insurance

NAICS

HMO Medical Centers (621491)

SIC

Services-Health Services (8000)

akta.pro primary industry

Network-Model HMOs (HLAEAMAC)

akta.pro secondary industries

Group HMO Plans (FSAIAFAK), Open-Access HMOs (HLAEAMAF)

Keywords

• Health insurance plans
• HMO services
• Managed healthcare
• Healthcare coverage
• Medical insurance

Headquarters

HQ city

Yaba

HQ country

Nigeria

HQ region

Africa

Offices5 records

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Operations, Personnel, Infrastructure, Technology or R&D, Marketing or Sales, Others

Revenue model

1. Health Insurance Premiums: Oceanic Health generates revenue through subscription-based health insurance premiums paid by corporate clients (employer groups) and individual enrollees. Plans are structured in tiers (Aqua, Teal, Cerulean, Admiral) with varying coverage limits and pricing.

Pricing tiers

Go-to-market motion1 record

Distribution channels4 records

Marketing channels5 records

Core offering

Oceanic Health Management is a Nigerian Health Maintenance Organization (HMO) that provides tiered health insurance plans — Aqua, Teal, Cerulean, and Admiral — to corporate employer groups and individual enrollees. The company delivers managed healthcare through a nationwide provider network of hospitals, clinics, and specialists, supported by a 24/7 call center, online enrollee and provider portals, and a mobile application. Services span consultations, diagnostics, surgeries, preventive care, dental and optical coverage, pharmacy benefits, telemedicine, medical outreach, and on-site health checks across Nigeria's six geopolitical zones.

Product overview

Oceanic Health Management operates as a health insurance provider offering four tiered health maintenance organization (HMO) plans: Aqua Plan (entry-level), Teal Plan (mid-tier), Cerulean Plan (comprehensive), and Admiral Plan (premium). These plans are designed to serve different market segments from basic coverage to premium comprehensive care. In addition to the core insurance products, the company provides supplementary services including TeleMedicine, Medical Outreach, On-Site Health Checks, Pharmacy Benefits, and 24-hour Call Center support. Members and healthcare providers access services through dedicated web portals and a mobile application available on iOS and Android. The product architecture combines insurance products with technology-enabled service delivery across Nigeria's six geopolitical zones.

Differentiator

Problem solved

Functional benefit

Brands

• Aqua Plan: Entry-level health plan covering outpatient care, surgeries, dental and ophthalmology, children vaccination, and second opinion service by experts.
• Teal Plan
• Cerulean Plan
• Admiral Plan

Products and services

• Aqua Plan Entry-level HMO plan offering affordable basic coverage including outpatient care, surgeries, dental and ophthalmology services, children's vaccination, and second opinion service by experts. Targeted at price-sensitive individual and corporate enrollees.
• Teal Plan Mid-tier HMO plan with increased surgery limits, enhanced antenatal care and Caesarean section coverage, reimbursement for surgery or procedures abroad, and access to specialist consultations.
• Cerulean Plan Comprehensive HMO plan providing cancer care coverage up to N1,000,000, health screening for principal and spouse, spa/wellness access, and health equipment for chronic conditions.
• Admiral Plan Premium HMO plan offering the highest level of coverage including access to health equipment for chronic conditions, renal dialysis for up to 10 sessions, intensive care services, reimbursement for surgery abroad, family planning, and admission with feeding in private room.
• Oceanic Health Mobile App Mobile application available on iOS and Android for Oceanic Health members to access plan information, services, and support on the go.
• Enrollee Portal Online self-service portal for enrollees to verify coverage status, submit claims, request pre-authorization codes, and manage their healthcare benefits.
• Provider Portal Web-based portal for healthcare providers to verify enrollee eligibility, submit monthly claims, and request pre-authorization codes electronically.

Quantifiable outcome

• 24/7 call center support ensures members can access assistance anytime
• +1 more outcomes

Segments3 records

Ideal customer profiles3 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature3 records

Partnerships

Five partnerships are on record, tiered core.

• Cardiologists NetworkcoreStrategic or Co-development PartnerPartnership with over 50 knowledgeable cardiologists nationwide who utilize advanced diagnostic tools and techniques to identify underlying heart problems and tailor treatment strategies to specific needs and medical history.
• Neurologists NetworkcoreStrategic or Co-development PartnerNetwork of expert neurologists with deep understanding of the human nervous system, skilled in diagnosing and treating conditions such as Stroke, Epilepsy, Neuropathies, Brain tumors, etc.
• Pediatricians NetworkcoreStrategic or Co-development PartnerSkilled pediatricians providing personalized care for children's health and well-being, addressing both physical and emotional needs and building trusting relationships with parents.
• Healthcare Providers NetworkcoreStrategic or Co-development PartnerExtensive network of healthcare professionals providing wide variety of services from primary care providers (GPs) to secondary care specialists including dentists, physiotherapists, pediatricians, ophthalmologists and E.N.T practitioners. Some providers offer both primary and secondary care services. Providers can join by sending proposal letter to [email protected].
• NHIA (National Health Insurance Authority)coreOthersAccredited national health insurance provider duly accredited by the National Health Insurance Authority (NHIA), with authorized share capital required to operate as an HMO in Nigeria.

Scale indicators4 records

Recent moves6 records

Expansion highlights6 records

Direct peers

• Hygeia HMO: One of Nigeria's largest and longest-operating HMOs, offering tiered corporate and individual health plans with a national provider network. Directly comparable to Oceanic across product structure, target market, and regulatory model.
• AXA Mansard Health: Health insurance arm of AXA Mansard, providing HMO plans to corporate and individual clients in Nigeria with international backing. Comparable in product offering and employer-group focus, though it operates with significantly more capital.
• Reliance HMO: Nigeria-focused HMO using a tech-led, mobile-first platform to deliver health plans to employers and individuals. Comparable in target market and product architecture; more digitally native than Oceanic.
• Avon HMO: Nigerian HMO providing corporate and individual health plans with a network of partner hospitals and clinics. Directly comparable on business model, plan tiering, and employer-group distribution.
• Leadway Health: Health insurance subsidiary of Leadway Assurance, one of Nigeria's leading insurance groups, offering HMO products to corporate clients. Comparable proposition with the backing of a larger insurance parent.
• AIICO Multishield (formerly Total Health Trust): Nigerian HMO under AIICO Insurance, providing employer-sponsored and individual health plans with a national provider network. Directly comparable on regulatory model and corporate distribution.
• HCI Healthcare (Healthcare International): Nigeria-based health insurance and managed care provider serving corporate clients with multi-tier plans. Comparable product architecture and B2B distribution.
• Mediplan Healthcare: Nigerian HMO offering individual and corporate health plans with a provider network across Nigeria. Comparable mid-tier peer competing in similar employer-group and individual segments.

Regional players

• Vitality Health International: International health insurer with West African operations including Nigeria, offering corporate and individual plans. Comparable product category but operates across multiple African markets rather than Nigeria only.

Emerging players

• mDoc: Nigerian digital health company providing managed care, teleconsultations, and chronic-disease support to employers and members. Partial overlap — comparable in the employer-health value proposition but differentiated by a digital-first, chronic-care-led model.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat6 records

Key risks5 records

Key highlights6 records

Customer concentration

• Xx.com/oceanichealth

Compliance1 record

Revenue estimate

Valuation estimate

Number of profiles

Profiles1 record

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Oceanic Health Management