BE A CITIZEN NOT A SPECTATOR. I was admitted into one of the hospitals in Asante Akim of which I was asked to go for Malaria Test and X-Ray. The officer in Malaria Test department took GHS 30 as charge but X-Ray officer never took a penny from me. The officer in the X-Ray department told me it is free for all NHIS members. Few days later, I took my daughter to a hospital in Adansi was asked to pay for everything including syringe.
After I have read through NHIS MEMBERSHIP HANDBOOK there and then that I realized that Officer in Malaria Test and Officer in Adansi cheated me. The question I asked myself which sickness and medical items that NHIS covers.Thanks to God I hand on revised version of NHIS Medicine List which look effect from 1st July, 2018 about a year ago. In this master I will share list of Sickness, Medical test and items that covers in both Out patience Service (ODP) and In-Patience Service (IPD).
Out Patient Services (OPD)
Dial *929# to all networks for more information on your phone
.
Check out for List of Medicines and Prices in the next post
Source: http://www.nhis.gov.gh
After I have read through NHIS MEMBERSHIP HANDBOOK there and then that I realized that Officer in Malaria Test and Officer in Adansi cheated me. The question I asked myself which sickness and medical items that NHIS covers.Thanks to God I hand on revised version of NHIS Medicine List which look effect from 1st July, 2018 about a year ago. In this master I will share list of Sickness, Medical test and items that covers in both Out patience Service (ODP) and In-Patience Service (IPD).
Out Patient Services (OPD)
Consultations including reviews: Conditions treated at
outpatient setting include the following
1. Malaria, acute
respiratory tract infection, diarrhoea disease, skin disease and ulcers,
hypertension, acute eye infection, rheumatism, anaemia, intestinal worms
disorders, acute ear
infection, typhoid fever, dental caries, diabetes
mellitus, STIs, asthma and others (general and
specialist)
2. Investigations,
including laboratory investigations, x-rays
- Ultrasound scans for general and specialist out-patient services.
- HIV/AIDS symptomatic treatment for opportunistic infections.
- Out-patient/day surgical operations, including hernia repairs, incision and drainage of abscesses, and excision of lumps and haemorrhoidectomy.
- Out-patient physiotherapy.
- Medication, namely, prescription medicines on the National Health Insurance Scheme Medicines List, traditional medicines approved by the Food and Drugs Board and prescribed by accredited medical and traditional medicine practitioners.
- Any other services approved by the Minister of Health.
In Patient
Service(IPO)
1 1. General and specialist
in-patient care.
2. Investigations
including laboratory investigations, x-rays and ultrasound scans for in-patient
care.
- Cervical and breast cancer treatment.
- Diagnosis and complications from other cancers, e.g. anaemia or obstruction
- Surgical operations, including appendicectomy (removal of the appendix).
- In-patient physiotherapy.
- Accommodation in general ward.
- Feeding (where available).
- Medication, namely, prescription medicines on the
National Health Insurance Scheme Medicines List, traditional medicines
approved by the Food and Drugs Board and prescribed by accredited medical
and traditional medicines practitioners.
- (Processing for) blood and blood products.
Oral Health
1. Pain relief, which
includes incision and
2. Drainage, tooth
extraction and temporary relief.
3. Dental restoration, which includes simple amalgam
4. fillings and temporary dressing.
Eye Care Services
1. Refraction.
2. Visual fields.
- Scan.
- Keratometry (measuring the curvature of the anterior
surface of the cornea).
- Cataract removal.
- Eye lid surgery.
Maternity Care
1. Antenatal care
2. Deliveries (normal and
assisted)
- Caesarean section
- Post-natal care
Emergencies
All
emergencies are covered. These are crisis health situations that demand urgent
intervention and include:
1. Medical emergencies
and surgical emergencies, including brain surgery or heart surgery due
to accidents.
2. Paediatric
emergencies.
- Obstetric and Gynaecological emergencies including
Caesarean sections.
- Road Traffic Accidents.
- Industrial and workplace accidents.
Exclusions
The following health
care services are not covered under the NHIS:
1. Rehabilitation other
than physiotherapy.
2. Appliances and
prosthesis including optical aids, hearing aids, orthopaedic aids and dentures.\
3. Cosmetic surgeries and aesthetic treatment. However,
reconstructive surgery, such as is
performed on burns patients, is
covered.
- HIV antiretroviral medicines.
- Assisted reproduction, e.g. artificial insemination and
gynaecological hormone replacement therapy.
- Echocardiography (a painless test that uses sound waves
to create moving pictures of the heart to give information about the size
and shape of the heart and how well it is working).
- Photography (photographs taken in clinics/hospitals to
give visual records of patients' condition and operations to track
progress of treatment for medical files of the patient).
- Angiography (a procedure where a dye is injected into
the blood vessels and a photograph of the vessel is taken).
- Orthoptics (diagnosis and treatment of defective eye
movements and coordination).
- Dialysis for chronic kidney failure.
- Heart and brain surgery other than those resulting from
accidents.
- Cancer treatment other than cervical and breast cancer.
- Organ transplantation.
- Medicines that are not on the NHIS Medicines List.
- Diagnosis and treatment abroad.
- Medical examinations for purposes of employment, school
admissions, visa applications, driving license etc.
- VIP ward accommodation.
Dial *929# to all networks for more information on your phone
.
Check out for List of Medicines and Prices in the next post
Source: http://www.nhis.gov.gh
No comments :
Post a Comment