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Stats: 3,080,249 members, 7,587,017 topics. Date: Saturday, 23 September 2023 at 05:53 PM
|Re: Which Is The Best HMO In Nigeria? by DrDax: 10:25pm On Sep 09, 2021|
Categorically RELIANCE HMO
The only Tech-Health HMO in the industry.
PS: If you need a job in an HMO, if you know you can add value to the marketing department, kindly respond to this post. I can connect you.
|Re: Which Is The Best HMO In Nigeria? by diet29(f): 10:34pm On Sep 09, 2021|
Have you looked at SUNU HEALTH HMO?... They're very very good, with reliable customer service and mobile App on play store, for easy access to care.
I think you can get a plan for like 25k per annum or so.
They are also domiciled in some African countries too.
Our office in Ghana use them too.
My company use them for more than five years and they're very good.
They started operation since 2007 or thereabout.
I recommend them
I have their customer care number: 08079992837.
|Re: Which Is The Best HMO In Nigeria? by ImaIma1(f): 10:56pm On Sep 09, 2021|
Reliance HMO. It includes gym and spa. Really cool
|Re: Which Is The Best HMO In Nigeria? by Equity15(m): 10:56pm On Sep 09, 2021|
AXA mansard. I would not lie. They are amazing. My company uses them
|Re: Which Is The Best HMO In Nigeria? by passionberry(f): 11:33pm On Sep 09, 2021|
DuduParaPara:Try AXA MANSARD
|Re: Which Is The Best HMO In Nigeria? by Mayeldah(m): 11:39pm On Sep 09, 2021|
The best for corporate and retail HMO plans
|Re: Which Is The Best HMO In Nigeria? by SAMTOBIJU(m): 12:01am On Sep 10, 2021|
|Re: Which Is The Best HMO In Nigeria? by SAMTOBIJU(m): 12:02am On Sep 10, 2021|
Green bay is good
|Re: Which Is The Best HMO In Nigeria? by Geeman2006: 12:35am On Sep 10, 2021|
If your based in South East, middle belt or North. There is one HMO like that called " liberty blue". Run away from them as far as possible.
They know how to cut corners and their service is terrible. They prefer to offer you mushroom hospitals and connive with hospital management to offer mediocre services. Then, only my colleagues based in Lagos & Abuja never complained. Most likely , because our HQ and Top bosses were based in Lagos then and frequent Abuja, so eye service was key but other locations was just terrible.
My experience with them was so bad I had to ditch them and join NHIS despite monthly deductions from my salary then.
|Re: Which Is The Best HMO In Nigeria? by Geeman2006: 12:45am On Sep 10, 2021|
Liberty Blue you say! Outside Abuja and Lagos, their service is trash. Read my post above.
|Re: Which Is The Best HMO In Nigeria? by Oyindamolah: 2:50am On Sep 10, 2021|
Maxymilliano:Which Hygeia? Comot am sharp sharp
|Re: Which Is The Best HMO In Nigeria? by henrijin: 6:50am On Sep 10, 2021|
|Re: Which Is The Best HMO In Nigeria? by principalgee: 6:57am On Sep 10, 2021|
To me , Hygeia all d way
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 9:02am On Sep 10, 2021|
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 9:18am On Sep 10, 2021|
I worked in a hospital and trust me, Hygeia can never be the best.
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 9:22am On Sep 10, 2021|
Hygeia na yeye people!
Mansard and Venus (owned by zenith bank) are the best.
|Re: Which Is The Best HMO In Nigeria? by NONY04: 9:44am On Sep 10, 2021|
Achisolo:AXA is global. I will recommend AXA mansard insurance plc. I am working with them for 8years and have seen how prompt claims are been paid. They have won prompt claims payment insurance for good 6 years. Contact me for your insurance needs both general business, life, health and investment. Thanks
|Re: Which Is The Best HMO In Nigeria? by yewande1234(f): 1:30pm On Sep 10, 2021|
Ambode4g:. You hit the nail right on the spot Hygeia is one of the worst hmo ever. You can only enjoy little services at their best hospital which is lagoon hospital because they are the owner of both the hmo and hospital
|Re: Which Is The Best HMO In Nigeria? by ttmax09(m): 2:47pm On Sep 10, 2021|
Tesie2003:do you by any means know the plan your current employer has you under?
|Re: Which Is The Best HMO In Nigeria? by Olumaeme: 2:57pm On Sep 10, 2021|
|Re: Which Is The Best HMO In Nigeria? by Blegho: 4:08pm On Sep 10, 2021|
What about Leadway? My company just started using Leadway.
|Re: Which Is The Best HMO In Nigeria? by elbulk(m): 10:49pm On Sep 12, 2021|
Because hospitals scam HMOs a lot but Hygeia audit and nip it in the bud, a lot of other HMOs are still n the dark with this.
They are heavy on technology which helps catch this fraud
|Re: Which Is The Best HMO In Nigeria? by elbulk(m): 10:50pm On Sep 12, 2021|
Lies, I don't even stay in Lagos but have used them for 7 years now. The hospital's short coming has nothing to do with the HMO. If it does will their own hospital be doing well?
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 11:38am On Sep 13, 2021|
Hospitals make use of electronic medical records EMR software now which make it impossible to cheat because every treatment statement is printed out, the patients goes through it and signs before leaving the hospital premises.
Hygeia rejects as little as folic acid for pregnant women!!
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 11:40am On Sep 13, 2021|
They don't have mate, they're the best... Same with Venus owned by Zenith bank.
|Re: Which Is The Best HMO In Nigeria? by elbulk(m): 3:04pm On Sep 14, 2021|
EMR doesn't stop fraud. Hospitals often give out drugs not needed. This has happened to me. They treated me for something but n the portal they uploaded additional tests. With Hygeia there is a robust online portal where even you can check what you've been treated for and then contest when what is it is false. So they don't work with the hospital EMR but what the hospitals load on the portal, some even check in people who didn't come.
So they can show the patient one thing but upload another on the portal.
|Re: Which Is The Best HMO In Nigeria? by LadyExcellency: 4:23pm On Sep 14, 2021|
He should go for Hygeia. I love their services. I am proud I fought to make it better.
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 3:31pm On Sep 16, 2021|
I don't know how that is done with the kind of EMR I have seen because the doctor documents every visit of a patient while the patient is still in the consulting room. The EMR is programmed to print out diagnosis and treatment plan for the patient to confirm and sign before leaving. When requesting for approval on the Hygeia portal, u enter diagnosis and treatment plan and then you get approval or denial there and then while the patient is still around. If approved, the billing unit prints their own copy and send to Hygeia it is at this moment they refuse paying for what they had previously approved.
What most of these HMOs tell their enrollees is totally different from the agreement they have with the hospital's, this is where most of the problem comes in.
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 3:34pm On Sep 16, 2021|
Lol...I don't think it's the same Hygeia I know...it's like they never frustrate you before.
|Re: Which Is The Best HMO In Nigeria? by elbulk(m): 7:58pm On Sep 18, 2021|
Now let me explain, EMR is used locally by the hospital and the HMO has no access to it, what they have access to are case notes and what the hospitals put on the portal.
Now they refuse some payments because of inconsistencies where hospitals go for more expensive tests where not needed or giving expensive drugs where there are cheaper options as agreed in the contract. They do not send any copy to the HMO but they upload on the portal.
A hospital has requested for treatment with my name and I didn't even go to the hospital, another time they added treatments they didn't do for me. Thanks to the app I saw it there and complained. I know 2 other people this happened to.
The HMO signs an agreement with the hospitals and with the enrollees and nothing is verbal, thing is in Nigeria we do not read contracts but we just sign and when enforcement is carried out we cry foul.
I will show you a reputable organization that connived with hospitals to claim they treated them and then share the proceeds with the hospitals.
I don't talk on assumption but data, it took me a while to come to my conclusions
|Re: Which Is The Best HMO In Nigeria? by enonche85(m): 7:16pm On Sep 21, 2021|
I'm not saying hospitals don't cheat, some of them do. Hygeia are very fond of denying payments for treatments given to their enrollees. Let me give you an example from when I was working in a hospital. A patient was on admission for like 3 days, on each of those days he was given a medication as per the dosage and treatment plan after which he recovered and was discharged. Now the bill was compiled, the patient signed and was discharged. The bill was now sent to Hygeia for payment only for them to say why was the patient given that medication for 3 days and not 2?, hence they refused paying for the 3rd dosage. So who will pay for the 3rd dosage?.
|Re: Which Is The Best HMO In Nigeria? by elbulk(m): 8:27am On Sep 22, 2021|
It's called medical necessity. A lot of times hospitals I beyond the medically necessary treatment. An enrolee signing isn't a thing. I will call a reputable organization that were defrauding HMOs in conjunction with hospitals. For respect reasons, I won't call the organization.
Treating someone isn't good enough but with necessity. The idea of insurance is that it should be the nearest minimum quality treatment as it is so anywhere in the world. How much premium do these companies pay? Hardly ever up to 100k per year per person. From my research Hygeia as a company pays an average of 700M per month to hospitals. That informed more strict measures where you will see a good percentage of claims was not even done.
Some will even want refunds for cosmetic things which insurance will never cover.
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