Friday, April 19, 2024

National Health Insurance scheme releases Benefit Package

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The Newly Constructed Chinsali General Hospital due to open in February
The Newly Constructed Chinsali General Hospital due to open in February

The National Health Insurance scheme has said the first ever Benefit package for the National Health Insurance scheme (NHIS) has been completed and released to the public.The Benefit Package is as a result of a participatory process that involved several stakeholders and experts including the Ministry of Health and other Government line Ministries, Academia,Professional bodies,Regulators ,Private sector,informal sector,Cooperating partners,Civil Society ,Trade Unions and members of the public. The NHIs said this is another bold step in fulfilling their pledge towards Universal Health coverage and ensuring that all eligible citizens and established residents will have access to affordable and quality healthcare under the National Health Insurance scheme as outlined in the NHI Act No.2 of 2018 and Section 10 of the S1 63 of 2019.

The Benefit Package essentially outlines the insured health services that members will be able to access at accredited public and private healthcare providers under the NHIS.It will also serve as a reference point and standardization of claims that will be made by accredited healthcare providers for reimbursement from NHIMA for services utilized by members of the NHIS.

The Benefit Package covers standard,high cost,premium and fast track services in accredited public health facilities.The covered services include Consultations,Registration,Hospitalisation,Intensive Care Unit,Minor and Major,Maternity and Neonatal Care,Eye Care Services,Oral Health Services,Pharmaceuticals,Blood products and Physiotherapy.

National Health Insurance Management Authority

6 COMMENTS

  1. The National Health Insurance Scheme is the biggest scam in the history of this country. It is bigger than the Mukula, Fire Tenders and Speed Cameras scandals put together. PF trying to defraud Zambian when most vulnerable ( sick at hospitals) is disgusting and despicable.

  2. I WAS JUST LOOKING AT THE LIST OF SOME ACCREDITED HEALTH INSTITUTIONS,
    WHAT A MESS.
    SOME DONT EVEN HAVE DOCTORS, EQUIPMENT AND STANDARDS.
    WHAT HEALTH SERVICES ARE WE GOING TO GET FROM THESE.
    ZAMBIANS LETS STOP THIS NONSENSE.
    AM ANNOYED, FIRST TIME

  3. Do people also qualify to be taken to morning side hospital in South African for specialized treatment? Cause that would make real sense ka

  4. This is a good idea that will be turned into a major scam & cash cow.For starters the director General was recruited fraudulently.It is all Luapula United.

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