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Nhis(national Health Insurance Scheme) - Health (3) - Nairaland

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Reps Committee Calls For Overhauling Of NHIS, NAFDAC / National Health Insurance Scheme And State Own Hospitals. / National Health Insurance Scheme (2) (3) (4)

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Re: Nhis(national Health Insurance Scheme) by haibe(m): 8:28pm On Jan 02, 2015
upmanagers:
I have been a little more busier than I thougth I would which is why I have not updated on this topic.
But I ee their is No question or comment, does it mean Nairaland health section knows so much about NHIS? Well since nobody is saying anything let me simply make a correction I noticed on the lekki address I gave.
6-7, Awudu Ekpega, off admiralty way, lekki phase 1, lekki.
for how long is a person covered?

1 Like

Re: Nhis(national Health Insurance Scheme) by Natasha2(f): 8:32pm On Jan 02, 2015
nice thread.
Re: Nhis(national Health Insurance Scheme) by 9free(m): 8:35pm On Jan 02, 2015
upmanagers:
Enrollees' beneficiary rights

• During registration, individuals have the right to choose any primary health care provider(PHCP) of his/her choice
• A registered enrollee would be empowered with NHIS identity card/patient card for easy access to his/her PHCP
• A subscribed enrollee has the right to present card at the chosen HCP when they fall sick
• A subsribed enrollee has the right to qualitative health care providers without making any payment except 10% co-payment at the point of collection of drugs
• A subscribed enrollee is entitled to referral services from their PHCP and also from a secondary HCP to a Tertiary HCP as contained in th NHIS benefit package
• A subscribed enrollee has the right to change provider to another PHCP of his/her choice after six(6) months
• A subscribed enrollee who is dissatisfied with services rendered to him/her HCP has th right to make formal complaint to his/her HMO/NHIS
• A subcribed enrollee who falls ill outside his station has the right to access care from any NHIS accredited provider in that location upon presentation of NHIS identity card. The HMO covering that subscribed enrollee would later reimburse the HCP.

Must collect my card on monday.
Re: Nhis(national Health Insurance Scheme) by uzolexis(f): 8:38pm On Jan 02, 2015
thanks for this thread OP
Re: Nhis(national Health Insurance Scheme) by ckhelvin: 8:48pm On Jan 02, 2015
My HMO is liberty blue by THT( Total Heakth Trust Ltd)..provides health care service that covers all treatment as the case may be..And no co-payment needed at the point of collection of drugs..so it is entirely free!..anyways it actually depend on the company u work!
Re: Nhis(national Health Insurance Scheme) by Mooaloji(m): 8:54pm On Jan 02, 2015
Iyabetajos:
thanks for educating us.pls i want to know what type of infertility treatments nhis covers

























































































































































































Re: Nhis(national Health Insurance Scheme) by smsdigito: 8:57pm On Jan 02, 2015
upmanagers:
I started this topic to educate and enlighten those that wanted to no more about NHIS but all my topics where cleared so am starting all over again. As I said in my previous post, I may not be able to check this post everyday but I would try to do that twice a week so if their is any question(s) please don't fail to ask and I will do my best to give answers to them.

NHIS is a health insurance plan programme for every individual in Nigeria. Our offices in lagos
> Lagos Zonal office: 443, Herbert Marculay way, yaba.
> Ikeja state office: 112, awolowo way, balogun bus stop, ikeja.

Various programs are:
1. Formal sector social Health insurance programme i.e it is a health insurance programme for employees in the public sector and organised private sectors(ops). Ops is a private company that has 10 staff and above. Formal sector covers staff, spouse and four biological children.
2. Volunty contributors social health insurance programme (vcship) is for individuals who do not work in formal sector or who do not belong to a community ot tertiary institute that is covered under nhis. Its cost is 15,000 yearly in bank draft in favour of national health insurance scheme. Vcship is gradually phasing out giving way for the NMHIP (national mobile health insurance program) which is inconjonction with the mobile communication industry like mtn etc.
3. Tertiary social health insurance programme is for students in tertiary institutes.
4. Community based social health insurance programme is for community's such as villages, market people, and groups with a member of 1000 people and above.
5. Pupil in public primary school social health insurance programme for students in public primary sch.

For any private organisation that may want to key into NHIS you can call me on 07030410822 (ikeja office)
That system is yet to be efficient. I stand to be corrected.
My reasons:
1. Hospitals are not been check-mated to ensure they standard of service they offer to your clients are up to standard.
2. There is no regular follow up between your org. and your clients to get feedbacks on the state of service they receive from hospitals.
3. Responses on issues raised by your clients are often not gotten on time sometimes not at all.
4. Your policies are not efficiently executed.
5. Awareness is not been created to let clients know their rights regarding the policy.
Your org. needs to wake up and get more serious

1 Like

Re: Nhis(national Health Insurance Scheme) by BetterCelestian(m): 8:57pm On Jan 02, 2015
Ghyft:
I registered for NHIS but I'm yet to get my card. How do I go about it? school:Uniben


The initial registration was completed november 2014 .
The HMO would surely get bac to u guys
And ensure to kip the white slip given to u safe
Re: Nhis(national Health Insurance Scheme) by Mooaloji(m): 8:57pm On Jan 02, 2015
ckhelvin:
My HMO is liberty blue by THT( Total Heakth Trust Ltd)..provides health care service that covers all treatment as the case may be..And no co-payment needed at the point of collection of drugs..so it is entirely free!..anyways it actually depend on the company u work!
Is only public sector enrollees dat pay 10% co-payment on drugs bt private sector dnt pay
Re: Nhis(national Health Insurance Scheme) by akpumping7720(m): 9:07pm On Jan 02, 2015
upmanagers:
My topic for our inhouse training coming up in december 2014 is the Tertiary Institution Social Health Insurance Program (TISHIP).
Am raeding towards it but just to make sure am totally ready for it I will appreciate any question concerning NHIS's TISHIP.
If you have any question concerning other programs you can keep them coming.
Am pleased to annouce the mobile health known as National Mobile Health Insurace Programme (NMHIP). Its is here to replace the VCSHIP which was N15,000. NMHIP is N12,000 annually. Was launched on 21st july, 2014. For now only MTN user can subcite to it but we are hoping thhat pretty soon other network providers will join. Dial *616# with you MTN line.
Pls I want to know more about dis NHIS; I work with a private organisation, how do I go about the registration; can I register my daughter and myself only? If yes, under what plan will I be going for and what is the cost of the total package?
Re: Nhis(national Health Insurance Scheme) by Mooaloji(m): 9:10pm On Jan 02, 2015
BolajiApata:
Happy New Year!
Does NHIS cover ENT surgery such as Adenoidoctomy, Tonsility and Sinus surgery?.

Because at Federal Staff Hospital, Jabi-Airport Road, Abuja. They always insist that as NHIS enrolle, one must pay 4K before you be attended to by ENT specialist at the Hospital.

I spoke my HMO - United Heaith Care, they seem not knowing what to do. And I need to urgently see the ENT specialist for my baby. What can be done now? Thanks
the public sector cover pays for specialist consultation of 1k only and mayb ur HCP does not hv inhouse ENT and mayb day do invite d sugeou frm outside and he will collect like 5k
Re: Nhis(national Health Insurance Scheme) by Dapresident(m): 9:22pm On Jan 02, 2015
Omo awa mods are wicked ooo... C dis informative topic is jux makin FP since Aug 2014. Buh if na Tonto decay or Tiwa scavenger na same dy we go c am.. Mods una beta turn born again dis year or else.......

1 Like

Re: Nhis(national Health Insurance Scheme) by Ghyft(f): 9:27pm On Jan 02, 2015
haibe:


i didn't get my card either while in school but at least I used the benefit. You should make inquiries at the medical centre in your school
I don't understand
Re: Nhis(national Health Insurance Scheme) by gbodimowo(m): 9:28pm On Jan 02, 2015
upmanagers:
I started this topic to educate and enlighten those that wanted to no more about NHIS but all my topics where cleared so am starting all over again. As I said in my previous post, I may not be able to check this post everyday but I would try to do that twice a week so if their is any question(s) please don't fail to ask and I will do my best to give answers to them.

NHIS is a health insurance plan programme for every individual in Nigeria. Our offices in lagos
> Lagos Zonal office: 443, Herbert Marculay way, yaba.
> Ikeja state office: 112, awolowo way, balogun bus stop, ikeja.

Various programs are:
1. Formal sector social Health insurance programme i.e it is a health insurance programme for employees in the public sector and organised private sectors(ops). Ops is a private company that has 10 staff and above. Formal sector covers staff, spouse and four biological children.
2. Volunty contributors social health insurance programme (vcship) is for individuals who do not work in formal sector or who do not belong to a community ot tertiary institute that is covered under nhis. Its cost is 15,000 yearly in bank draft in favour of national health insurance scheme. Vcship is gradually phasing out giving way for the NMHIP (national mobile health insurance program) which is inconjonction with the mobile communication industry like mtn etc.
3. Tertiary social health insurance programme is for students in tertiary institutes.
4. Community based social health insurance programme is for community's such as villages, market people, and groups with a member of 1000 people and above.
5. Pupil in public primary school social health insurance programme for students in public primary sch.

For any private organisation that may want to key into NHIS you can call me on 07030410822 (ikeja office)

Thanks
Re: Nhis(national Health Insurance Scheme) by todayguest(m): 9:30pm On Jan 02, 2015
I registered in Imo, now I'm in Kaduna. What should I do? Also, my kids haven't been enrolled what should I also do? If I want to change my initial health provider (hospital) to another within a state. What should I do?
Re: Nhis(national Health Insurance Scheme) by haibe(m): 9:30pm On Jan 02, 2015
Ghyft:
I don't understand
i was referred to luth from my school medical centre and was giving an NHIS form to submit to NHIS office in luth. from there a bill recording all my medical expenses was given to which will be covered by the insurance. That is, instead of paying the doctors, the price for the treatment. will just be recorded in the bill. I later submitted it back to their office as they will pay for the expenses.
Re: Nhis(national Health Insurance Scheme) by graciousolo(m): 9:34pm On Jan 02, 2015
upmanagers:
There are 3 levels of care in NHIS.
1. Primary health care providers- they act as first point of contact and gate keepers. In other words, when choosing a facility, every enrollee has a choice to chose a primary health care provider(hospital). The primary healthcare has about 70% cases yearly.
2. Secondary health care providers- contact with them is through referrals via primary provider.
3. Tertiary health care providers- entry is through referrals via primary and/or seconary providers.

I will go on to discuss enrollee benefit packages, which people are eligible for each programme and how to register
hi,I attend unilorin,i got tis medical card from the school authorty. I want to know if its automatically NHIS.finally can treatment be administered outside the school's clinic.thank you.
Re: Nhis(national Health Insurance Scheme) by EagleScribes: 9:34pm On Jan 02, 2015
upmanagers:
I started this topic to educate and enlighten those that wanted to no more about NHIS but all my topics where cleared so am starting all over again. As I said in my previous post, I may not be able to check this post everyday but I would try to do that twice a week so if their is any question(s) please don't fail to ask and I will do my best to give answers to them.

NHIS is a health insurance plan programme for every individual in Nigeria. Our offices in lagos
> Lagos Zonal office: 443, Herbert Marculay way, yaba.
> Ikeja state office: 112, awolowo way, balogun bus stop, ikeja.

Various programs are:
1. Formal sector social Health insurance programme i.e it is a health insurance programme for employees in the public sector and organised private sectors(ops). Ops is a private company that has 10 staff and above. Formal sector covers staff, spouse and four biological children.
2. Volunty contributors social health insurance programme (vcship) is for individuals who do not work in formal sector or who do not belong to a community ot tertiary institute that is covered under nhis. Its cost is 15,000 yearly in bank draft in favour of national health insurance scheme. Vcship is gradually phasing out giving way for the NMHIP (national mobile health insurance program) which is inconjonction with the mobile communication industry like mtn etc.
3. Tertiary social health insurance programme is for students in tertiary institutes.
4. Community based social health insurance programme is for community's such as villages, market people, and groups with a member of 1000 people and above.
5. Pupil in public primary school social health insurance programme for students in public primary sch.

For any private organisation that may want to key into NHIS you can call me on 07030410822 (ikeja office)


Please how can one register as a formal worker and what are the requirements? Thanks
Re: Nhis(national Health Insurance Scheme) by Ghyft(f): 9:36pm On Jan 02, 2015
BetterCelestian:


The initial registration was completed november 2014 .
The HMO would surely get bac to u guys
And ensure to kip the white slip given to u safe
No white slip was given oh..we were asked to fill a form as well as submit passport photographs
Re: Nhis(national Health Insurance Scheme) by BetterCelestian(m): 9:51pm On Jan 02, 2015
Ghyft:
No white slip was given oh..we were asked to fill a form as well as submit passport photographs



ok jux chilax, they would get bac to u
Re: Nhis(national Health Insurance Scheme) by Pizzanatty(m): 10:19pm On Jan 02, 2015
akpumping7720:

Pls I want to know more about dis NHIS; I work with a private organisation, how do I go about the registration; can I register my daughter and myself only? If yes, under what plan will I be going for and what is the cost of the total package?

IF UR ORG DID NT SUBSCRIBE TO ANY HMO,U CAN GO 4 AN INDIVIDUAL HEALTH PLAN. THERE ARE DIFFERENT PLAN e.g my HMO,A STANDARD PLAN IS AS LOW AS 26K FOR D YEAR,WHICH U CAN HAVE FOR U AND UR DUAGHTER.MY HMO IS NHIS ACCREDITED AND IS NATION WIDE.
ALSO IF U TINK UR ORG STAFF STRENGHT IS MORE THAN 7, AND THEY CAN SUBSCRIBE 4 A CORPORATE PLAN,D PRICE OF THE STANDARD PLAN CAN COME AS LOW AS 20K AND U WILL ONLY NEED 4 UR DUAGHTER. U CAN PM ME FOR MORE DETAIL.THANKS
Re: Nhis(national Health Insurance Scheme) by moonberry: 10:54pm On Jan 02, 2015
my husband works with a private org. and registered us with united healthcare at his office, i want to know if its same with NHIS, Cos i started my antenatal treament with their card but it got to a stage the hospital stopped attending to me cos the hmo refused to take responsibilty of the past treatment.
Re: Nhis(national Health Insurance Scheme) by Pizzanatty(m): 11:11pm On Jan 02, 2015
moonberry:
my husband works with a private org. and registered us with united healthcare at his office, i want to know if its same with NHIS, Cos i started my antenatal treament with their card but it got to a stage the hospital stopped attending to me cos the hmo refused to take responsibilty of the past treatment.
There Is Limit To Liability For An Enrollee Under A Particular Plan And Also Maybe The Plan That Covers U Is Nt Comprehensive Enough To Cover Ur Antenatal Charges. E.G A Plan For Say 26k Cannt Cover For Ur Antenatal. Hence A Plan For Say 50k Will Cover For It.

There Are Hmo Dt Are Accredited By Nhis. The Nhis Makes D Cost To Be Affordable And Also They Still Run Their Private Plans.
Re: Nhis(national Health Insurance Scheme) by upmanagers: 7:19am On Jan 03, 2015
EagleScribes:



Please how can one register as a formal worker and what are the requirements? Thanks

If you work with federal government then ask from your collegues that are already registered or your admin dept to find out your HMO, they are the once to register u free with you and ur wife and 4 biological kids under 18years passport and also me for of identification.
If you work with a private firm with atleast 10 staff then your admin/ management would need to send to NHIS a letter of intention to join NHIS OPS programme. You can call me during working hours.
Re: Nhis(national Health Insurance Scheme) by upmanagers: 7:21am On Jan 03, 2015
EagleScribes:



Please how can one register as a formal worker and what are the requirements? Thanks

If you work with federal government then ask from your collegues that are already registered or your admin dept to find out your HMO, they are the once to register u free with you and ur wife and 4 biological kids under 18years passport and also me for of identification.
If you work with a private firm with atleast 10 staff then your admin/ management would need to send to NHIS a letter of intention to join NHIS OPS programme. You can call me during working hours, mon-fri.

1 Like

Re: Nhis(national Health Insurance Scheme) by upmanagers: 7:25am On Jan 03, 2015
haibe:
for how long is a person covered?

As long as your premium is paid, you are covered.
Re: Nhis(national Health Insurance Scheme) by upmanagers: 7:34am On Jan 03, 2015
moonberry:
my husband works with a private org. and registered us with united healthcare at his office, i want to know if its same with NHIS, Cos i started my antenatal treament with their card but it got to a stage the hospital stopped attending to me cos the hmo refused to take responsibilty of the past treatment.

United Healthcare is accredited as 1 on NHIS HMO list but also has its own private plan.
I guess your husband is coved under their private plan.
NHIS covers from antinatal, delivery (both cs and womanly delivery) and postnatal upto 12weeks.

Pizzanatty:

There Is Limit To Liability For An Enrollee Under A Particular Plan And Also Maybe The Plan That Covers U Is Nt Comprehensive Enough To Cover Ur Antenatal Charges. E.G A Plan For Say 26k Cannt Cover For Ur Antenatal. Hence A Plan For Say 50k Will Cover For It.
There Are Hmo Dt Are Accredited By Nhis. The Nhis Makes D Cost To Be Affordable And Also They Still Run Their Private Plans.
Re: Nhis(national Health Insurance Scheme) by alexola20(m): 8:10am On Jan 03, 2015
Thanks #Op.
I have never heard of such program before in Nigeria.Hurray!! Something is working at home.
I am planning to move back to Nigeria later this year.
1.How do I go about registering with NHIS pls?
2.What are the available plans?
3.How much does each plan cost?

Will appreciate your response.

Thanks again.
Re: Nhis(national Health Insurance Scheme) by DAXTACY(m): 8:26am On Jan 03, 2015
Does NHIS Cover sickness like depression
Re: Nhis(national Health Insurance Scheme) by koolg: 8:33am On Jan 03, 2015
upmanagers:
Enrollees' beneficiary rights

• During registration, individuals have the right to choose any primary health care provider(PHCP) of his/her choice
• A registered enrollee would be empowered with NHIS identity card/patient card for easy access to his/her PHCP
• A subscribed enrollee has the right to present card at the chosen HCP when they fall sick
• A subsribed enrollee has the right to qualitative health care providers without making any payment except 10% co-payment at the point of collection of drugs
• A subscribed enrollee is entitled to referral services from their PHCP and also from a secondary HCP to a Tertiary HCP as contained in th NHIS benefit package
• A subscribed enrollee has the right to change provider to another PHCP of his/her choice after six(6) months
• A subscribed enrollee who is dissatisfied with services rendered to him/her HCP has th right to make formal complaint to his/her HMO/NHIS
• A subcribed enrollee who falls ill outside his station has the right to access care from any NHIS accredited provider in that location upon presentation of NHIS identity card. The HMO covering that subscribed enrollee would later reimburse the HCP.



What's d process for changing PHCP
Re: Nhis(national Health Insurance Scheme) by amdx21: 8:35am On Jan 03, 2015
@OP I have been trying to obtain the registration forms for almost 2 years now at NHIS office in my organization (Ahmadu Brllo University) but its always not available. Where can I get the form? Can I obtain it from the HMO of my institution? If yes please give me the HMO details and address for Ahmadu Bello University. Thanks.
Re: Nhis(national Health Insurance Scheme) by koolg: 8:37am On Jan 03, 2015
upmanagers:


United Healthcare is accredited as 1 on NHIS HMO list but also has its own private plan.
I guess your husband is coved under their private plan.
NHIS covers from antinatal, delivery (both cs and womanly delivery) and postnatal upto 12weeks.


What's this private plan of a thing all about pls?

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