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National Health Insurance Scheme And State Own Hospitals. - Health - Nairaland

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National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:14am On Oct 04, 2014
My wife was told categolically that it is not easy to get an attention in state own general hospital as a national health insurace scheme(NHIS),that is after spending two weeks in general hospital without anythng.
Did any other person here experience same?
Re: National Health Insurance Scheme And State Own Hospitals. by Nobody: 11:17am On Oct 04, 2014
Okay...tell her to try harder
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:29am On Oct 04, 2014
chimoz:
Okay...tell her to try harder
guy look,this is nt funy at all,do you knw that my wife is bleeding?
Instead of the doctor to attend to us,he was busy attending to those that came with cash
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 11:32am On Oct 04, 2014
Hospital's name and the state. If possible, the doctor's name too. What HMO is she registered with?
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:32am On Oct 04, 2014
I thnk gvt should employ doctor and other health worker under NHIS,that will be better.
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 11:33am On Oct 04, 2014
Toktee:
My wife was told categolically that it is not easy to get an attention in state own general hospital as a national health insurace scheme(NHIS),that is after spending two weeks in general hospital without anythng.
Did any other person here experience same?
and, who "categolically" told your wife this rubbish?
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:34am On Oct 04, 2014
Gboliwe:
Hospital's name and the state. If possible, the doctor's name too. What HMO is she registered with?
she is nt just a registered client,she work with healthcare international.
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 11:35am On Oct 04, 2014
Toktee:
she is nt just a registered client,she work with healthcare international.
. Appears your wife doesn't know both her job and her rights!

1 Like

Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:36am On Oct 04, 2014
Gboliwe:
and, who "categolically" told your wife this rubbish?
a matron in the same general hospital,she said they dnt treat them the same way they treat those with cash in hand.
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 11:40am On Oct 04, 2014
Toktee:
a matron in the same general hospital,she said they dnt treat them the same way they treat those with cash in hand.
Sorry, I don't mean to be callous but I lost interest the moment I read she works with Healthcare int'l. I don't want to believe you anymore. Maybe this thread is headed somewhere, I don't wish to go that way anymore.

By the way, this thread should be in the health section. Nothing political about it.

2 Likes

Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 11:40am On Oct 04, 2014
Toktee:
a matron in the same general hospital,she said they dnt treat them the same way they treat those with cash in hand.
Sorry, I don't mean to be callous but I lost interest the moment I read she works with Healthcare int'l. I don't want to believe you anymore. Maybe this thread is headed somewhere, I don't wish to go that way anymore.

By the way, this thread should be in the health section. Nothing political about it.
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:43am On Oct 04, 2014
Gboliwe:
. Appears your wife doesn't know both her job and her rights!
what do you xpect of her,for the past two weeks nw the doctor kept giving xcuses on how busy he is,yesterday they prepared my wife,i accompanied her to theatre for evacuation,the same doctor was informed,we spent three hour in the theatre without seen the doctor,later we were told that the doctor was busy with cs,we waite in the ward untill 10pm without any news of the doctor,this morning we are told that while my wife was waiting in the theatre,the doctor travelled to suleja on emergency,cn u imagine that?
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 11:46am On Oct 04, 2014
Gboliwe:
Sorry, I don't mean to be callous but I lost interest the moment I read she works with Healthcare int'l. I don't want to believe you anymore. Maybe this thread is headed somewhere, I don't wish to go that way anymore.

By the way, this thread should be in the health section. Nothing political about it.
chairman,i dnt knw where u thnk the thread is headed,but i wnt u to knw that,me and my wife chosed a private hospital,we are in general hospital for a referal,that is why i said i dnt knw what you wnt me say again.
Re: National Health Insurance Scheme And State Own Hospitals. by Nobody: 12:28pm On Oct 04, 2014
Toktee:
guy look,this is nt funy at all,do you knw that my wife is bleeding?
Instead of the doctor to attend to us,he was busy attending to those that came with cash
Sorry, it's not the doctors fault, it's possibly hospital policy. Your problem should be with the hospital adminstration.
Re: National Health Insurance Scheme And State Own Hospitals. by doctokwus: 1:02pm On Oct 04, 2014
Toktee:
chairman,i dnt knw where u thnk the thread is headed,but i wnt u to knw that,me and my wife chosed a private hospital,we are in general hospital for a referal,that is why i said i dnt knw what you wnt me say again.
I don't get this.U choose a private hosp,HCI being a private hmo;den u were referred to general hosp under NHIS.Was ur wife not supposed to b referred to another private hosp,but this time secondary facility.NHIS is used by govt employees,or are u a govt employee whc explains ur family being under NHIS?
Ur experience is not peculiar.Its because of d peanuts nhis pays health providers,whc evn at dat takes some time b4 being remitted,dat hosp are quite reluctant to attend to their enrollees.Imagine a major surgery like cs being billed at about N60,000 under.If someone is admitted into d ward,d first 2days(including d ptnts feeding) is borne by d hosp,this is for a capacitation of about N200 paid to d provider per enrollee,is this not d height of ridicule of health insurance?
Don't b surprised if NHis recommended charge for ur wife's evacuation is maximum of N5k and she has to b admitted and fed for d first 48hrs free.Which dr wud feel encouraged by such,particularly in govt hospitals.
Its unfortunate ur wife's bleeding for dat long,she needs emergency attention.I implore u to take her to a private,capable facility,let her b taken care of first,u can later sort it out wt d nhis who wud sort it out wt d hosp(dey are unlikely to though because its a GH where no one is directly responsible to anyone,pitiable as it sounds.
Re: National Health Insurance Scheme And State Own Hospitals. by Unemadu: 1:15pm On Oct 04, 2014
Op u should know that this is Nigeria. Can u imagine that a doctor left a patient and travelled?

Please report that doctor or take him to court.
Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 1:32am On Oct 07, 2014
In fact, the person who set up this thread should be spending his time educating the public and private hospitals on the features of NHIS.

Don't worry, I will come back to share my experience soon.
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 6:37pm On Oct 07, 2014
laudate:
In fact, the person who set up this thread should be spending his time educating the public and private hospitals on the features of NHIS.

Don't worry, I will come back to share my experience soon.
pls come back,if the gvt hospitals are nt satisfied with what the gvt is paying them,they should complain,or government shuld employ their own medical staffs and install them in the hospitals.
Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 7:46pm On Oct 09, 2014
Toktee:
pls come back,if the gvt hospitals are nt satisfied with what the gvt is paying them,they should complain,or government shuld employ their own medical staffs and install them in the hospitals.

Am back. Ehen....where was I? Ah, yes. NHIS....the scheme that many doctors, nurses, hospital administrators in Lagos are so clueless about.

Let me share my own story, first. After I left the corporate sector some months back to go back to graduate school for my post-graduate course, I decided to take out a health care plan in order to cover my medical needs, as my university only had one health centre which had a tough time coping with the sheer number of staff and students that turned up on its steps daily.

Anyway, I decided to start my journey on Lagos Island. From Maroko through Falomo to Onikan before ending up in Obalende, I visited 7 private hospitals and 4 public hospitals (including 2 health centres). These were the results:



At front desk of 1st private hospital in Ikoyi:

Me: Please does your hospital accept NHIS cards for treatment of patients, and can you advise me on where I can sign up for these NHIS health care plans? smiley

Nurse: NHIS, ke? What is that?? shocked Wait let me ask my matron. (She turns and walks over to a senior nurse and whispers feverishly to her, then walks back), Ah, we don't take NHIS here, oh! But wait let me phone our admin.

(She picks up the phone, whispers into the receiver for a long time, then turns to face me again).

Nurse: Sorry o, admin says they don't even know where this NHIS place is located. But if you want to be treated, you have to bring your cash o. It is =N=5,000 for registration and =N=10,000 for consultation. Then, we will calculate the cost of the drugs seperately, when the doctor issues the prescription.

Me: Ah, that amount is too much. Can you find me someone who knows where the nearest NHIS office is located? NHIS is the National Health Insurance Scheme. Or can you direct me to the nearest HMO? sad

Nurse: I have told you, nobody knows where this your NHIS is located. As for HMO, we don't collect such things here again. These HMOs do not pay in time. They will owe you for a long time, and then they will still slash your bill on top. So we have stopped using them.

Ok, I took my leave when they could not help. I headed for the health centre located inside the Eti-Osa Local Government office. The same drama replayed itself, on an even worse scale.

Nurse: (frowning) I have never heard of this your NHIS or HMO before, oh! (Scratching her head) maybe you should wait for the Local Govt Chairman to come. Go upstairs and ask those in his office. undecided

Again, I took my leave and headed for another private hospital.

Me: Please can you advise me on which HMO referrals you accept as well as direct me to the nearest NHIS office.

Matron: HMO, ke? Where? shocked Those people sabi owe money, oh...abeg, if you are coming for treatment just hold your cash, otherwise we won't be able to attend to you. As for this your NHIS, maybe you should go to Alausa and check them becuase I have not come across any of their offices before. Don't you know anybody that has their phone number?

I left them in a very unhappy state of mind. The same scene was repeated at Onikan Health Centre, General Hospital Lagos and all the other hospitals I went
.

Now tell me, if the front desk staff at each of these hospitals know next to nothing about NHIS scheme, how do you expect the common man on the street to get the information?

How much would it cost the NHIS office to put a desk in each health centre located within every govt hospital? They can even deploy corpers to man these desks and sign up new users.
Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 8:06pm On Oct 09, 2014
As for the HMOs, .... na another tory be dat. cheesy

One of them told me snootily over the phone, "Sorry, we only cater to the corporate sector!" and promptly cut the line without any further word. shocked

Another one told me, "Ah, we can't offer a health care plan for a sole individual. If you are part of a group, or a society or an organisation then we can offer you a health care plan provided everyone else in your group signs up for it." See wahala....must I join a group by force, simply because I need a health care plan?

The 3rd one said, "check the NHIS website but you cannot find current information on it and most of the offices lack functional phone numbers."

Kai! In these days of GSM and CDMA phones where SIM cards are being hawked like pure water...! lipsrsealed
Re: National Health Insurance Scheme And State Own Hospitals. by Toktee(m): 12:44pm On Oct 10, 2014
laudate:
As for the HMOs, .... na another tory be dat. cheesy

One of them told me snootily over the phone, "Sorry, we only cater to the corporate sector!" and promptly cut the line without any further word. shocked

Another one told me, "Ah, we can't offer a health care plan for a sole individual. If you are part of a group, or a society or an organisation then we can offer you a health care plan provided everyone else in your group signs up for it." See wahala....must I join a group by force, simply because I need a health care plan?

The 3rd one said, "check the NHIS website but you cannot find current information on it and most of the offices lack functional phone numbers."

Kai! In these days of GSM and CDMA phones where SIM cards are being hawked like pure water...! lipsrsealed

it is imposible for the gvt to employ medical staffs that will be stationed in the hospitals across the the country to take care of NHIS subscribers?
Re: National Health Insurance Scheme And State Own Hospitals. by shikharDubey: 1:07pm On Oct 10, 2014
Hello Doctors,
Want to get money by referring patients to India?
Just refer any patient to India, we recieve that patient and get him admitted to the hospital like Fortis, Escorts, Primus and many more. You will get a 10% referral amount of the total cost occurred in treatment. Suppose you refer any patient to India and his total treatment cost is $5000, then you will get $500 for this at the instance.
It's just a simple philosophy and you can also earn something by just referring relevant patients.
Mail me at shikhar.db@gmail.com for further questions.
Re: National Health Insurance Scheme And State Own Hospitals. by Joodaaa(m): 3:38pm On Oct 10, 2014
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Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 10:39am On Oct 15, 2014
@Laudate, you keep singing this same song every where and you have finally agreed it to be true. Sadly so!

I took time to trash this out with you before the great loss of data. Why are you hell bent on not changing your views, neither will you meet agree to meet someone who will give you the best of services NHIS can offer? Huh?
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Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 1:11pm On Oct 16, 2014
Gboliwe:
@Laudate, you keep singing this same song every where and you have finally agreed it to be true. Sadly so!

I took time to trash this out with you before the great loss of data. Why are you hell bent on not changing your views, neither will you meet agree to meet someone who will give you the best of services NHIS can offer? Huh?


Bros, you did not trash out anything. I really do wish that the Nairaland crash that led to loss of data had not occurred so that I can pull up all the posts related to that topic.

There is nothing to change about my views. This is a real life experience that happened. I took time out to relate it exactly as it occurred, yet you claim "you keep singing this same song every where and you have finally agreed it to be true. Sadly so!" Have you taken time to visit the hospitals in the area that I mentioned, and you discovered the story was untrue? I weak o!

Is it wrong for me to share my experiences and the lapses I have observed in the NHIS scheme? A lot of Nigerians are dying, because they lack access to good medical care and where such medical care is available, they lack the funds to access it!! cry

Why should this occur if NHIS is doing its job of properly educating all Nigerian cictizens, and also monitoring the HMOs to ensure they are offering quality services to the public? Do you know how many needless deaths have occurred because the afflicted patients lacked money to pay for medical services? undecided

In many communities, districts, and local government areas the only health care centres in those areas are public health facilities. It is really distressing when such public health facilities that should have health care insurance information at their fingertips are so clueless about the scheme! What does that portend for their patients??!! shocked In most cases, it is the poor, the dispossessed, the unemployed, the artisans, the petty traders, the illiterate that suffer the most when such schemes don't work or when such schemes are poorly implemented. angry

The rich can always afford to buy the best medical care available, either in the country or outside it. undecided

I beg, if you know the management of the NHIS scheme, tell them that their current score card is 2/100 (i.e. 2%). sadThere are roughly 150 million Nigerians in this country, how many of them are registered on the NHIS, or how many of them have a HMO funding their medical care?
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 1:23pm On Oct 16, 2014
laudate:


Bros, you did not trash out anything. I really do wish that the Nairaland crash that led to loss of data had not occurred so that I can pull up all the posts related to that topic.

There is nothing to change about my views. This is a real life experience that happened. I took time out to relate it exactly as it occurred, yet you claim[i] "you keep singing this same song every where and you have finally agreed it to be true. Sadly so!"[/i] Have you taken time to visit the hospitals in the area that I mentioned, and you discovered the story was untrue? I weak o!

Is it wrong for me to share my experiences and the lapses I have observed in the NHIS scheme? A lot of Nigerians are dying, because they lack access to good medical care and where such medical care is available, they lack the funds to access it!! cry

Why should this occur if NHIS is doing its job of properly educating all Nigerian cictizens, and also monitoring the HMOs to ensure they are offering quality services to the public? Do you know how many needless deaths have occurred because the afflicted patients lacked money to pay for medical services? undecided

In many communities, districts, and local government areas the only health care centres in those areas are public health facilities. It is really distressing when such public health facilities that should have health care insurance information at their fingertips are so clueless about the scheme! What does that portend for their patients??!! shocked In most cases, it is the poor, the dispossessed, the unemployed, the artisans, the petty traders, the illiterate that suffer the most when such schemes don't work or when such schemes are poorly implemented. angry

The rich can always afford to buy the best medical care available, either in the country or outside it. undecided

I beg, if you know the management of the NHIS scheme, tell them that their current score card is 2/100 (i.e. 2%). sadThere are roughly 150 million Nigerians in this country, how many of them are registered on the NHIS, or how many of them have a HMO funding their medical care?


Lol @ score card. Its really a struggle for me now to attend to you wholly like I did the other time, I feel like I am wasting my time since you are bent on maintaining, sustaining and nurturing the perception you have. But one thing I will say again to you is, you are in error. Your views are warped! If you want an Nhis cover for yourself as an individual, family or group it is obtainable. You want a hospital, private or public owned to cater for your health need it is still very possible, that's what nhis is about. When you want to prove me wrong, follow my instructions and meet a dead end then come back here and shut me up. Until then, I can't stop telling you you are in error.
Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 1:34pm On Oct 16, 2014
Gboliwe:


Lol @ score card. Its really a struggle for me now to attend to you wholly like I did the other time, I feel like I am wasting my time since you are bent on maintaining, sustaining and nurturing the perception you have. But one thing I will say again to you is, you are in error. Your views are warped! If you want an Nhis cover for yourself as an individual, family or group it is obtainable. You want a hospital, private or public owned to cater for your health need it is still very possible, that's what nhis is about. When you want to prove me wrong, follow my instructions and meet a dead end then come back here and shut me up. Until then, I can't stop telling you you are in error.

Hello!! You are one of those that want us to believe that NHIS is succeeding when in fact, it has failed woefully!

If I want "a hospital, private or public owned to cater for your my health need it is still very possible", provided I make payment in cash!!

If I go to a hospital, private or public owned to cater for my health needs it is not possible, for me to get treatment via NHIS if I am an unemployed, poor, single individual because of the following reasons:

1). Most HMOs prefer to provide health care plans to corporate organisations and members of a group, society or community as a whole package; sad

2). Most hospitals (especially public owned ones) are clueless about NHIS schemes and cannot offer accurate or adequate information on where prospective and existing patients can sign up for the scheme or how they can access it. undecided

Please do a meaningful survey among both public and private hospitals in Lagos before you come here to yarn your strange stories!! angry

Your last comment telling me to "follow my instructions and meet a dead end then come back here and shut me up," made me laugh! Was it not in the process of trying to get an NHIS health care plan from an HMO or get information about NHIS health care plans from both public and private hospitals in Lagos Island, that I had my encounter which I shared above?

Stop behaving like an ostrich by giving NHIS a passmark, when it is obvious they have failed woefully in their bid to reach majority of Nigerians and provide them with adequate information and access to health care plans.
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 1:42pm On Oct 16, 2014
laudate:


Hello!! You are one of those that want us to believe that NHIS is succeeding when in fact, it has failed woefully!

If I want "a hospital, private or public owned to cater for your my health need it is still very possible", provided I make payment in cash!!

If I go to a hospital, private or public owned to cater for my health needs it is not possible, for me to get treatment via NHIS if I am an unemployed, poor, single individual because of the following reasons:

1). Most HMOs prefer to provide health care plans to corporate organisations and members of a group, society or community as a whole package; sad

2). Most hospitals (especially public owned ones) are clueless about NHIS schemes and cannot offer accurate or adequate information on where prospective and existing patients can sign up for the scheme or how they can access it. undecided

Please do a meaningful survey among both public and private hospitals in Lagos before you come here to yarn your strange stories!! angry

Once again, you are in error! The only thing constant is change. Change this your perception and enjoy NHIS if you want to. Stop restricting yourself. Enjoy this scheme now!
Re: National Health Insurance Scheme And State Own Hospitals. by Gboliwe: 1:46pm On Oct 16, 2014
Lol. I see you edited your "epistle" after I'd quoted you. The energy you exert trying to discredit me and NHIS would have been awesome if you channeled it into making a call to the number I offered to give you in our other thread that was lost. Book an appointment and see you enjoy this scheme as an individual and with your family.
Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 1:49pm On Oct 16, 2014
Gboliwe:


Once again, you are in error! The only thing constant is change. Change this your perception and enjoy NHIS if you want to. Stop restricting yourself. Enjoy this scheme now!

Continue to cry "you are in error! ". No one is impressed! I don't blame you because you have probably been paid by NHIS to blow their trumpet. undecided That is the problem with Nigeria.

Fancy policies and programmes are made by government agencies without any attempt to involve the community in monitoring it and providing feedback on how effective such policies or programmes, are. sad

And when those targeted by the programmes respond with feedback that such schemes are not working, their paid lackeys ignore it and scream "you are in error!" instead of finding ways to fine tune it and make it work properly! shocked
Re: National Health Insurance Scheme And State Own Hospitals. by laudate: 1:55pm On Oct 16, 2014
Gboliwe:
Lol. I see you edited your "epistle" after I'd quoted you. The energy you exert trying to discredit me and NHIS would have been awesome if you channeled it into making a call to the number I offered to give you in our other thread that was lost. Book an appointment and see you enjoy this scheme as an individual and with your family.

Yes, I edited it to correct typograhical errors and to clarify my thoughts on the subject. I did not remove anything from the original post. So does the editing offend you? Kindly point out the section, you have a problem with! angry

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