Public Health Plans
TERTIARY INSTITUTION SOCIAL HEALTH INSURANCE PROGRAMME (TISHIP)
Benefits
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- Consultation with General Practitioners and prescribed drugs
- Health prevention and promotion: Family planning services excluding commodities, Dental care, HIV/AIDS
- Management of simple infections/ infestations: Malaria, Enteritis/ typhoid fever, Nose and Throat infections etc
- Management of minor injuries
- Minor Surgical Procedures: incision & drainage, suturing of lacerations, minor burns, simple abrasions, etc
- Excision of lump
- Primary dental care
- Management of non-communicable diseases
- Screening and referral for Cancers, Diabetes and Hypertension.
- Management of uncomplicated Hypertension and Diabetes.
- Management of neurosis
- Special Maternal, Neonatal and Child Health (MNCH) Services
- Childbirth services
- Normal delivery (spontaneous vaginal delivery) by skilled attendant
- Normal delivery
- Repair of birth injuries and episiotomy
- New born care and prompt referral
- Basic and Comprehensive Emergency obstetric care
- Essential drugs for Emergency Obstetric care (EmOC)
- Blood transfusion services – Screening etc
- Basic laboratory investigations
- Management of sickle cell disease
- Allergic conditions
- Poisoning
- Accidents and Emergency
- Consultation and treatment by specialist such as surgeons, paediatricians, ophthalmologist, etc
- Emergency cases outside place of residence.
- Admission (maximum of fifteen days cumulative per year)
- Basic and Comprehensive Emergency obstetric care
- Management of Preterm/Pre-labour Rupture of Membrane (P/PROM)
- Surgeries: Appendicectomy, Hernia repair, Hydrocelectomy, Management of Fractures
- Dental care: Amalgam filling, Simple and surgical tooth extraction
- Management of non-communicable diseases
- Management of emergencies, Management of emergencies such as accidents, severe asthmatic attack, severe shock, moderate to severe poisoning etc.
- Psychiatry, such as Management of psychoses
- Laboratory investigations at secondary level of care
FORMAL SECTOR SOCIAL HEALTH INSURANCE SCHEME (NHIS)
Benefits
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- Out-patient care, including necessary consumables as in NHIS Standard Treatment Guidelines and Referral Protocol
- Prescribed drugs, pharmaceutical care and diagnostic tests as contained in the NHIS Drugs Lists and NHIS Diagnostics Test Lists.
- Maternity (ante-natal, delivery and post-natal) care for four pregnancies ending in live births under the NHIS for every insured enrollees in the Formal Sector Programme. Additional care if any still birth.
- All live births eligible to cover will be covered during the post natal period of twelve (12) weeks from the date of delivery.
- All preterm/premature babies eligible to cover shall be covered for twelve (12) weeks from the date of delivery.
- Preventive care, including immunization, as it applies in the National Programme on Immunization, health and family planning education, Adult Immunization viz: HPV, Hepatitis etc
- Consultation with specialist, such as physicians’ pediatricians, obstetricians, gynecologists, general surgeon, orthopaedic surgeons, ENT surgeons, dental surgeons, radiologists, psychiatrists, ophthalmologists, physiotherapists, etc
- Hospital care in a standard ward for a stay limited to cumulative 21 days per year following referral.
- Eye examination and care, the provision of low priced spectacles but excluding contact lenses.
- A range of prostheses (limited to prosthesis produced in Nigeria)
- Annual medical checkup unrelated to illness