(NHIS)
:
NHIS was established to make quality healthcare affordable and accessible to all Nigerians. As a Nigerian and a registered NHIS enrollee, you have the backing of the government (via the Constitution) to enjoy quality healthcare at a cheaper cost.
You can sue NHIS for not making its promises good and for any damage sustained due to negligence... And NHIS can also sue you as it deem fit.
NHIS place higher priority on its customers (you). This alone should be enough to boost your confidence and trust in the scheme. Anytime your complaint gets to NHIS, her judgement is always in favour of the enrollee involved.
NHIS has plenty hospitals (both private and government owned) on its list that any registered enrollee can choose from.
If you are dissatisfied with your chosen hospital's services, you can apply for a change of hospital after three (3) months of initial access to care but it may take up to about six (6) months to be effected.
NHIS has various programmes...So, whether you're a government worker or private organization employee or self-employed- there is a package for you under NHIS.
If you subscribe to NHIS' formal sector insurance programme; you, your spouse and four(4) biological children under the age of 18 years are covered for medical care under the scheme.
NHIS pay capitation (upfront payment) on behalf of its registered enrollee to their respective HMOs.
NHIS has three levels of health care providers on its list of accredited hospitals.
NHIS has at least one office in every state in Nigeria- here is the list of NHIS contact persons in every state.
NHIS always publish capitation payment notice for each quarter on its website homepage... So, when next your hospital try to deny you access to health care services due to "no capitation" payment, quickly run a check on NHIS website to know who to blame...
You're to make a co-payment of 10% for drugs (that is, tablets, injections and infusions) to a hospital with NHIS approved pharmacy at point of drugs collection. You're not paying for any other service...
Every registered enrollee is entitled to referrals to specialist whenever your chosen primary health care provider deems it fit or can't handle your case.
As an active NHIS enrollee or couple, your newly born baby is covered for 12 weeks starting from the date of delivery. Can you see how considerate NHIS is? Your baby will enjoy access to health care for 3 months when he/she is not yet registered, isn't that amazing?
NHIS doesn't cover for any kind of family planning device, you're only covered for counseling.
NHIS doesn't cover for treatment of infertility.
As an active enrollee of NHIS, you're covered for a cumulative of 21 days hospitalization (admission) per year.
An active NHIS enrollee can access medical care in any NHIS accredited hospital anywhere outside his/her state of residence.
As a student under NHIS, Tertiary Institutions Social Health Insurance Programme (TISHIP) covers you when pregnant in school for about 2 live births.
TISHIP only covers a newly born baby of a female student for 3 months starting from the date of delivery. It doesn't cover any child under you except the new born and it's for the first three months only.
If you're dissatisfied with services rendered by your chosen hospital, you can either complain to your HMO or NHIS. Here is NHIS complaint form and your HMO's contact.
Every NHIS accredited hospital is bond by the law to provide healthcare services 24 hours a day and 365 days in a year.
Every NHIS accredited hospital is under an oath to "accept every active NHIS enrollee without discrimination. An accredited hospital cannot reject a patient except on appeal to NHIS stating the grounds for rejection."
Every accredited health care provider is bond by the law to "accord NHIS enrollees the necessary rights and privileges due to them as beneficiaries of the scheme."

Very nice

Check out this post on The Importance of health care in Nigeria http://themdng.com/blog/importance-health-insurance-nigeria/

Its quite unfortunate that something this educative will not reach the front page.... Mods are you really there?

Can someone explain how NHIS capitation works? All private hospitals I know that are NHIS accredited keep complaining about capitation.