The National Health Insurance Authority (NHIA) of Ghana has released details of its Benefit Package, derived from Act 852.
This package, which covers 95% of diseases prevalent in the country, was determined based on epidemiological data from 2003 when the scheme was initiated.
The NHIA's Benefit Package offers a wide range of services across six major categories:
- Out-Patient Services: Including general and specialist consultations, investigations (lab, x-ray, ultrasound scans), and medications.
- In-Patient Services: Covering general and specialist in-patient care, investigations, and medications.
- Oral Health Services: Providing pain relief, incision and drainage, tooth extraction, dental restoration, and temporary dressing.
- Eye Care Services: Offering refraction, visual fields, A-Scan, keratometry, and cataract removal.
- Maternity Services: Encompassing ante-natal care, normal and assisted deliveries, caesarean section, and post-natal care.
- Emergency Services: Including medical emergencies, surgical emergencies due to accidents, pediatric emergencies, and obstetric and gynaecological emergencies.
However, the NHIA has also released an explicit exclusion list, detailing services not covered under the scheme:
- Aesthetic Treatments
- Dialysis for Chronic Renal Failure(interim programme in place)
- Organ Transplantation
- Orthopedics
- Cancer Treatment (Other than Cervical, Breast Cancer & 4 Childhood Cancers)
- VIP Ward Accommodation
- Heart and Brain Surgery (Other Than Those Resulting From Accidents)
- All Drugs Not Listed On NHIS ML
- Medical Examinations for Visa Applications, Driving Licenses etc.
- Diagnosis And Treatment Abroad
- Mortuary Services
- Immunizations
- Treatment of Tuberculosis, Onchocerciasis, Buruli Ulcer, Trachoma
- Mental Health Treatment
- HIV Treatment
The NHIA emphasises that while the Benefits Package is implicit, these exclusions are explicitly stated to provide clarity to all stakeholders.
According to the NHIA this comprehensive coverage, coupled with clear exclusions, aims to provide Ghanaians with improved access to healthcare while managing the scheme's resources effectively.
Latest Stories
-
Finance Minister to unveil Mahama’s 2025 Budget today
25 minutes -
Philippines’ ex-President Rodrigo Duterte arrested at ICC’s request over ‘drugs war’, government says
46 minutes -
Cowbell-GES Independence Day Debate: Gomoa Senior High Technical outshines Serwaa Kesse Girls’ SHS to win contest
1 hour -
Geisha champions women’s empowerment and progress at 7th National Women’s Summit & Expo
1 hour -
Musk’s Tesla facilities in US face ‘Takedown’ protests
1 hour -
Charity M. E. Adupong’s vision of promoting food security and empowering women in agricbusiness
2 hours -
Stocks fall in US and Asia over Trump tariffs concerns
2 hours -
Liverpool need best display of season to beat PSG – Slot
2 hours -
King and Kate return to annual Commonwealth service
2 hours -
US unveils new app for ‘self-deportations’
2 hours -
More than 80% of USAID programmes ‘officially ending’
3 hours -
Ayra Starr, Mofe-Damijo to join Idris Elba as cast of ‘Children of Blood and Bone’
3 hours -
Businessman, farmer granted bail for allegedly defrauding estate developer
3 hours -
Nigeria’s anti-graft agency recovers nearly $500m in one year
3 hours -
NDC Sowutuom branch organiser granted GH¢100,000 bail pending appeal
3 hours