Tuesday, 18 August 2015

Classification of NHIS Programmes

In order to ensure that every Nigerian has access to good healthcare services, the National Health Insurance Scheme has developed various cover for different segments of the society. These are:
v   Formal sector programme:
·       Public sector (Federal, State, Local Government)
·       Armed forces, Police and other Uniformed services.

·       Organized private sector
·       Students of Tertiary Institutions and Voluntary participations
v   Informal Sector:
·       Rural Community
·       Urban self employed
v   Vulnerable group:
·       Permanently disabled persons and the Aged
·       Children under five
·       Prison inmates
v   Others:
·       Diaspora family and friends
·       International Travel Health Insurance
·       Pregnant women and orphans
·       Retired & unemployed  
1.1.8. Formal Sector Social Health Insurance Programme
This programme covers employees of the formed sector that is the public and the organized private sectors. It is mandatory for every organization with (10) or more employees.
Benefit Package (Services Covered)
v Primary Healthcare services
·       Access to curative services for common ailments, including consumables and outpatient care.
·       Essential drugs from NHIS accredited pharmacy provider plus needed provision of pharmaceutical care by the pharmacists. Beneficiary is expected to pay 10% of the total cost of drugs (co-payment)
·       Routine laboratory investigations
·       Health education to prevent and control health problems such as counseling and testing for HIV/AIDS, plus health education
·       Maternal and childcare services
·       Primary eye care, dental and mental services.
·       Accident and emergency services.
v  Secondary Health Care Services.
·       Specialists care for medical, surgical, pediatrica, obsteris and gynecology, internal medicine, psychiatry, ENT, ophthalmology, management of HIV/AIDS etc.
·       Hospitalization in general wards, maximum of 15 days per year.

·       Physiotherapy-restorative and rehabilitative services. 

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