NATIONAL HEALTH INSURANCE SCHEME
 
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NHIS Benefits Package

Over 95% of disease conditions that afflict us are covered by the NHIS.

 

 

  1. Out Patient Services
  • General and specialist Consultations reviews
  • General and specialist diagnostic testing including, laboratory investigation, X-rays, Ultrasound scanning
  • Medicines on the NHIS Medicines list
  • Surgical Operation such as Hernia repair
  • Physiotherapy

 

  1. In Patient Service
  • General and specialist in patient care
  • Diagnostic tests
  • Medication-prescribed medicines on the NHIS medicines list, blood and blood products
  • Surgical operations
  • In patient physiotherapy
  • Accommodation in the general ward
  • Feeding (where available)

 

  1. Oral Health
  • Pain relief (tooth extraction, temporary incision and drainage)
  • Dental restoration (simple amalgam filling, temporary dressing)

 

 

  1. Maternity Care
  • Antenatal care
  • Deliveries (normal and assisted)
  • Caesarean session
  • Post-natal care

 

  1. Emergencies
    These refer to crises in health situations that demand urgent attention such as:
  • Medical emergencies
  • Surgical emergencies
  • Pediatric emergencies
  • Obstetric and gynecological emergencies
  • Road traffic accident

 

 

         EXCLUSION LIST. 

         The following health procedures are excluded from the NHIS Benefits List:

  • Appliance and Prostheses including Optical aids, Heart aids, Orthopaedic aids, dentures etc.
  • Cosmetic surgeries and aesthetic treatment
  • HIV Retroviral drugs
  • Assisted Reproduction (e.g. Artificial Insemination) and gynecological hormone replacement therapy.
  • Echocardiography
  • Photography
  • Angiography
  • Dialysis for chronic renal failure
  • Organ transplantation
  • All drugs that are not listed on the NHIS list
  • Heart and Brain Surgery other than those resulting form accidents
  • Cancer treatment other than breast and cervical
  • Mortuary Services
  • Diagnosis and treatment abroad
  • Medical examinations for purposes other than treatment in accredited health facilities (e.g. Visa application, Education, Institutional, Driving license etc)
  • VIP ward (Accommodation)

 

Click to view NHIS Medicines List  Click to view NHIS Medicines List
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