What is an insurance scheme?

How does NHIS work?

NHIS is to provide social health insurance in Nigeria where health care services of contributors are paid from the common pool of funds contributed by the participants of the Scheme. ... The amount/funds are pooled, allowing the Health Maintenance Organisations(HMOs) to pay for those needing medical attention.

How many Nigerians are covered by NHIS?

“There are over 10 million Nigerians currently covered by health insurance under various programmes by NHIS, State health insurance agencies and private plans by HMOs.”

Why is NHIS important?

The major objective of the NHIS was to ensure that it covers all indigent Nigerians across the country with the purpose of delivering a comprehensive and affordable healthcare nationally. It comprises employers, employees, self-employed, unemployed and rural communities.

What are the disadvantages of NHIS?

The disadvantages of NHIS according to respondents include non-dispensing expensive drugs (60.9%), non-availability of NHIS forms (24.5%), poor attitude of health workers (10.4%) and inadequate coverage (4.2%).

Why was NHIS introduced?

NHIS was launched in Nigeria in 2005 as part of the reform in health that was aimed to improve access, equity and quality in healthcare services delivery (Obalum and Fiberesima, 2012; Akande et al, 2012;Adegboyega and Abioye, 2017).

What is Prime Minister insurance scheme?

PM-JAY is the world's largest health insurance/ assurance scheme fully financed by the government. It provides a cover of Rs. 5 lakhs per family per year for secondary and tertiary care hospitalization across public and private empanelled hospitals in India.

What is the difference between social insurance and private insurance?

With private insurance, the policy holder freely chooses a policy to suit their own personal budget and individual requirements. ... In comparison, social insurance programs are designed to cover blanket social adequacy for all patients. Those who can afford to are expected to pay more, while those on low incomes pay less.

What are the four models of financing health care?

In the broadest terms, there are four major healthcare models: the Beveridge model, the Bismarck model, national health insurance, and the out-of-pocket model.

What type of insurance is PhilHealth?

The Philippine Health Insurance Corporation (PhilHealth) was created in 1995 to implement universal health coverage in the Philippines. It is a tax-exempt, government-owned and controlled corporation (GOCC) of the Philippines, and is attached to the Department of Health.

Is NHIS a policy?

NHIS is a pro-poor policy with the potential to promote access to needed quality health care among Nigerian populace and reduce the rate of uninsured as was reported in the ACA in America [16].

What are the qualities of a good hospital?

What are the disadvantages of insurance?

How much is NHIS salary?

The average salaries for National Health Insurance Scheme (NHIS) is 281,050 Naira. This data is collated by 5 employees from National Health Insurance Scheme (NHIS). The roles include Chartered Accountant, Senior Manager, Senior Officer, Medical Delegate, Manager/Supervisor.

How much does NHIS cost?

The premium and enrolment processing fee from the non-exempt group is GHS30. 00 (US$6.33) per year. However, the exempt group only pays a processing fee of GHS8. 00 (US$1.69) for new enrolment and GHS5.

Does NHIS cover dental?

Dental treatment services under the National Health Insurance Scheme (NHIS) are listed as secondary care and as such dental health care providers are secondary care providers.

How much is NHIS registration fee in Nigeria?

Registration of your dependants (Children and Parents) usually cost around N9,000 per head. VCSHIP costs a registration fee of N15,000 and a N10,000 per head fee. NMHIP costs N12,000 and N9,000 per head. All fees would be renewed annually.

What is HMO in NHIS?

Health Maintenance Organisations (HMOs) are limited liability companies licensed by the National Health Insurance Scheme (NHIS) to facilitate the provision of healthcare benefits to contributors under the Formal Sector Social Health Insurance Program (FSHIP) to interface between eligible contributors, including ...

Does NHIS cover pregnancy?

For certain vulnerable groups, including the elderly (defined as those over 70), people under 18, and pregnant women and their newborns, the NHIS is provided free of charge.

How can I join NHIS?

What you can do, though, is register for NHIS online. To do that, go to nhisonline.com.ng and click Register. You will need to fill in your NHIS number, surname, and date of birth to register an online account. That way, you will be able to manage your account and see the information of your dependants.

How do I find my NHIS number?