Equal Global Health Services — Coverage you can navigate

Coverage you can actually navigate.

Equal Global Health Services plots a clear line from your first question to your next appointment — plans, providers, claims, and costs, across our network in Africa, all read off the same map.

In-network hospitals and clinics in 20+ African countries — priced in USD, billed locally.
Enroll Choose a plan See a provider File & track claims
Coverage

Plans & what they cover

Every plan lists the same four numbers up front, so you're comparing apples to apples before you ever compare doctors.

Premium
What you pay monthly to keep the plan active.
Deductible
What you pay before coverage kicks in.
Copay
A flat fee per visit or prescription.
Out-of-pocket max
The most you'll pay in a year, full stop.
HMO — 002

EGHS Local

Lower premiums in exchange for staying inside a defined network and getting referrals from your primary care provider.

Referral requiredLowest premium
PPO — 014

EGHS Open

See any provider, in or out of network, without a referral. You'll pay more for the flexibility.

No referralOut-of-network OK
EPO — 021

EGHS Direct

No referrals needed, but care must stay in-network except in emergencies. A middle ground between HMO and PPO.

No referralIn-network only
POS — 033

EGHS Choice

Primary care coordinates your referrals, but out-of-network visits are still covered at a lower rate.

Referral requiredPartial OON
HDHP — 041

EGHS Horizon

A high deductible paired with a lower premium and HSA eligibility — built for people who rarely see a doctor.

HSA eligibleHigh deductible
NB — 056

EGHS National Bridge

Tops up your country's national health insurance scheme (NHIS, NHIF/SHA, NHIA and equivalents) with private facility access and shorter wait times.

Bridges national schemesBundled Rx
Benefits_Summary_2027.pdf
Plain-language overview of what's covered, exclusions, and limits for every plan, updated for 2027.
Download SBC
Add-on coverage

Life, vision & more, added to any plan

Voluntary coverage you can layer on top of any medical plan above — priced separately and billed alongside your premium.

LIFE — 070

EGHS Life

Term life insurance for you, with the option to add a spouse or dependents. Coverage starts the first of the month after enrollment.

  • Coverage amount$25K – $500K
  • Guaranteed issueUp to $150K
  • Dependent coverageSpouse & children
  • Waiting periodNone for guaranteed issue
From $6/month per $50K of coverage
VIS — 081

EGHS Vision

Annual eye exams, plus an allowance toward glasses or contacts. Works alongside any Equal Global Health Services medical plan.

  • Eye examCovered in full, 1x/yr
  • Frames or contacts allowance$150/yr
  • Lens upgrades20% member discount
  • Network12,000+ locations
From $9/month per person
EMT — 092

EGHS Emergency Transport

Ground and air ambulance coverage for true emergencies, including inter-facility transfers when a higher level of care is needed.

  • Ground ambulanceCovered after copay
  • Air ambulanceCovered, in-network rate
  • Out-of-network transportBalance billing protection
  • Non-emergency transferPrior authorization required
From $4/month per person
ABR — 104

EGHS Abroad Care

Hospitalization and treatment coverage while you're traveling or living outside the country, including emergency evacuation back to an in-network facility.

  • Inpatient hospitalizationCovered worldwide
  • Emergency evacuationCovered in full
  • Outpatient treatment abroadCovered after copay
  • Coverage area190+ countries
From $14/month per person
GHS — 115

EGHS Group Home Support

Covers residential and group home care for dependents, aging parents, or members who need daily living assistance — with a care coordinator to help arrange placement.

  • Daily living assistanceCovered
  • Group home placementCovered after assessment
  • Respite care14 days/yr
  • Care coordinatorIncluded
From $18/month per person
Provider network

Find care in-network

Hospitals & urgent care

Locate emergency rooms, urgent care clinics, and in-network hospitals near you, with live wait-time estimates where available.

Pharmacy network

Check whether your regular pharmacy is in-network and compare mail-order pricing on maintenance medications.

Telehealth

Talk to a provider by video within your plan's copay — usually available same-day for non-emergency concerns.

Your health record

Patient dashboard

One record for everything a provider, pharmacist, or first responder might need to know about you.

Connecting to database…
AR
✎
Alex J. Rivera
Patient ID MH-4471-2298 · DOB 03/14/1989 · She/They
Blood type
O+
Emergency contact
+234 802 555 0148
Case worker
D. Okafor
75%
health score
Overall health score
Vitals
82%
Med adherence
90%
Appt. attendance
70%
Lab results
65%
Calculated from recent vitals, medication adherence, visit history, and lab results.

Medical history

Confidential
  • ConditionsAsthma, Type 2 diabetes
  • AllergiesPenicillin, peanuts
  • SurgeriesAppendectomy (2014)
  • ImmunizationsUp to date

Dental history

Confidential
  • Last cleaningApr 2026
  • Procedures2 fillings, 1 crown
  • OrthoNone on file
  • Next checkupOct 2026

Current medications

— active

    Biometric ID

    Fingerprint on file for identity verification at check-in.

    Verified

    Insurance card

    EGHS Open
    EQUAL GLOBAL HEALTHMEMBER
    Alex J. Rivera
    ID MH-4471-2298Grp 88214

    Payment & credit history

    11 of 12 on time
    SepNovJanMarMayJulAug
    Aug 1, 2026 — Premium$462.00On time
    Jul 1, 2026 — Premium$462.00On time
    Dec 1, 2025 — Premium$451.00Late — 6 days

    Premium payment history may be reported to consumer credit bureaus in accordance with applicable national regulations in your country of residence. On-time payments can help build your credit profile; late payments may affect it.

    Medical emergency number

    Your country's emergency line, or EGHS 24/7 line +234 800 555 0100 — say "medical emergency" for priority routing across our African markets.

    Your emergency contact and blood type are shared automatically with responding EMS when this number is called from your registered phone.

    • Transport coverageEGHS Emergency Transport — active
    • Abroad coverageEGHS Abroad Care — active

    Primary doctor

    PCP
    Dr. Wanjiru Kamau, MD Nairobi Family Medicine
    • Phone+254 700 555 0121
    • Next visitSep 9, 2026

    Medical case worker

    Dominique Okafor Chronic care coordination
    • Phone+234 802 555 0177
    • Emaild.okafor@eghs.africa

    Patient notes

    From provider
    — Dr. Kamau, Aug 12, 2026

    Appointments & follow-ups

    — upcoming

    Patient charting

    Last 6 readings
    Member account

    Everything about your coverage, in one place

    Once you're signed in, your account becomes the single source of truth for claims, spending, and paperwork.

    MERIDIAN HEALTHMEMBER ID
    Alex J. Rivera
    EGHS Open (PPO) — Group 88214
    Member ID
    MH-4471-2298
    Group
    88214-A
    RX BIN
    610014
    Copay PCP / Specialist
    $25 / $50

    Deductible progress

    Individual deductible for the 2026 plan year.

    61%
    met
    $1,830 of $3,000 met
    $1,170 remaining before coinsurance drops to 20%.

    Claims history

    Every claim filed on your behalf, with status, date of service, and the provider that submitted it.

    View claims →

    Explanation of Benefits

    See exactly how a claim was priced — what Equal Global Health Services paid, what was adjusted, and what you owe.

    View EOBs →

    Prior authorization

    Track requests your provider has submitted for procedures or medications that need approval first.

    Check status →

    Prescription refills

    Reorder maintenance medications, switch to 90-day mail order, or compare pharmacy pricing.

    Manage prescriptions →

    Digital ID card

    Pull up your card at the pharmacy or front desk — no need to dig for the plastic one.

    Open ID card →

    Billing & payments

    View premium invoices, set up autopay, or make a one-time payment on your account.

    Manage billing →
    Enrollment & billing
    Open enrollment closes in 19 days

    Compare plans side by side before Nov 14.

    Start enrollment
    PlanMonthly premium (USD)DeductibleOut-of-pocket maxReferral
    EGHS Local (HMO)$318$1,500$5,000Required
    EGHS Open (PPO)$462$1,000$6,000Not required
    EGHS Direct (EPO)$389$1,250$5,500Not required
    EGHS Horizon (HDHP)$241$3,000$7,000Not required

    Premiums shown in USD for cross-market comparison; your invoice is billed in your local currency at the prevailing rate.

    Qualifying life events

    Certain changes let you enroll or update coverage outside the open enrollment window.

    MarriageNew childJob lossMoved statesLost other coverageDivorce
    Plan ahead

    Estimate a procedure's cost

    Estimated you'll owe
    $212
    Negotiated rate$1,060
    Applied to deductible$0
    Coinsurance (20%)$212
    Equal Global Health Services pays$848
    Support & resources

    Questions, answered plainly

    What's the difference between a copay and coinsurance?+

    A copay is a flat fee, like $25 for a specialist visit. Coinsurance is a percentage — after your deductible is met, you might pay 20% of a bill and Equal Global Health Services covers the rest.

    How do I appeal a denied claim?+

    File a written appeal within 180 days of the denial notice from your account's Claims section. You'll get a decision within 30 days for standard appeals, or 72 hours for urgent ones.

    Can I keep my doctor if I switch plans?+

    Check the provider directory for your new plan before switching — networks differ between HMO, PPO, EPO, and POS options, even within Equal Global Health Services.

    What counts as a qualifying life event?+

    Marriage, divorce, a new child, losing other coverage, or moving to a new service area all open a 60-day special enrollment window.

    Talk to someone
    Member services
    Mon–Sat, 7am–9pm, across all time zones we serve
    Not an emergency, but not nothing
    24/7 nurse line
    Free with every plan
    Extras
    Wellness programs
    Gym discounts, mental health, more

    Regional offices

    USA services agent
    Roland Pour, Jr.
    5901 Brooklyn Blvd, Suite 207
    Brooklyn Center, MN 55429, USA
    Phone   763-443-0160
    What this office handles
    US-based members & employers
    Billing in USD, expat and traveler coverage questions, and employer group enrollment for US-headquartered companies with staff across our African network.
    Not a claims office
    Route claims & care questions locally
    For claims, provider search, or urgent care, use the in-country contact on your ID card or the 24/7 nurse line above — the Atlanta office covers account and billing matters only.
    Get started

    Client intake form

    Tell us a little about you and what you're looking for. A member of our team — or our USA services agent, if you're based in the US — will follow up within two business days.

    Plans you're interested in
    Add-on coverage
    * required

    What happens next

    We review your answers, match you to plans in your country, and reach out by your preferred method.

    In the USA?

    Our USA services agent, Roland Pour, Jr., handles US-based members and employers: 763-443-0160.

    Need care right now?

    This form is not for urgent needs. Call your local emergency number or the EGHS 24/7 nurse line.