National Health Insurance Scheme

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Home FAQs
NHIS - Frequently Asked Questions

Would a beneficiary continue to access service after retirement?

NHIS has different programmes targeted at various groups such as rural community, Urban self -employed, and the voluntary contributors in which retirees can participate.
 

How does a beneficiary who falls ill outside his/her station get treated?

Such a beneficiary can access care from  any NHIS  accredited provider in the location, who would later be reimbursed by the HMO covering the beneficiary's organization.
 

If I am living apart from my family how would I and my family access health?

There is provision on the NHIS registration form for alternate primary provider in the case of participants that live apart from their families.
 

What happens if life is lost through the negligence of a provider?

Arbitration Boards will be set up to address cases where parties are aggrieved.  In addition, aggrieved party can seek redress in a court of law if he/she suffers injury/loss as a result of the providers professional negligence.
 

If I am not satisfied with the services of the provider who do I complain to?

You can lodge complaints with nearest NHIS office or report to your health maintenance organization.  Nevertheless if you are still not satisfied you can change your provider after six months.
 
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