National Health Insurance Scheme is a body corporate established under Act 35 of 1999, as a social intervention program to provide financial access to quality, affordable and accessible health care.
Everybody, including foreigners resident in Nigeria, as the Scheme has different programmes tailored to meet various needs and categories of persons. Such programmes include: Formal Sector (Public sector, organized private sector, armed forces, police and and other uniformed services, Vital contributors scheme), Informal Sector (TISHIP, CBSHIP) and Vulnerable Group Sector (Pregnant women, children under five, prison inmates, retirees, the Aged)
There is no limit as long as it is within the provision of the benefit package of the Scheme.
It is the responsibility of the clinic to make all prescribed drugs available. However when necessary, the prescription may be changed to a close substitute.
No. However, associated opportunist illness/diseases like diarrhea, tuberculosis, etc. are included in the benefit package. Also the National Agency for the control of AIDS (NACA) is handling supply of anti-retroviral drugs.
Contributor, spouse and four biological children under 18 years of age.
Any member of the family outside the allowable six can be registered as-extra dependant
No. However, students in tertiary institutions are covered under TISHIP, and others not in higher institutions can be covered as extra-dependants or Vital Contributors.
No. HMOs are Health Maintenance Organizations contracted by the NHIS as moderators or interface between beneficiaries and Health Care Providers (hospitals) to ensure that the consumers of healthcare services who make contributions to the healthcare industry, get value for their contributions in line with set standards of the Scheme.
While still at the hospital, contact your HMO and they would have the hospital attend to you in so far as you are registered in the NHIS
Your HMO will issue you a form to fill our with your passport.
TISHIP stands for Tertiary Institutions Social Health Insurance Programme. It is designed for students in tertiary institutions.
Only students of tertiary institutions.
Yes. N500 is required for adding each one dependant payable through FG remita