NHIA Director bemoans illegal charges on NHIS clients

Mr Kasimu Abudulai, Upper East Regional Director of the National Health Insurance Authority (NHIA), has bemoaned increasing reports of illegal charges on clients at healthcare facilities in the region.

He said some members of the public in the region, who are beneficiaries to the National Health Insurance Scheme (NHIS), complained of being charged to pay money for services covered by the Scheme.

The Regional Director noted that the Authority was troubled by the reports and would address the issue to ensure that clients benefitted fully from it to improve access to healthcare services.

“One issue, we are going to pay particular attention to, in 2023 is the issue of illegal charges at the level of the facilities,” Mr Abudulai told Ghana News Agency in an interview in Bolgatanga, adding, “they call it co-payment, it is not right, it is illegal co-payment.

“It is getting rampant, it is happening in our region, unfortunately we are one of the poorest regions in the country and unfortunately it is not even happening more at the lower levels like the CHPS compounds, it is rather happening more at the district hospitals and the regional hospital,” Mr Abdulai stated.

“In Ghana, our NHIS is not a co-payment system, we finance everything that is covered by the Scheme because when we talk of co-payment, it is where it is officially agreed and signed that if you go to the hospital, you will pay a certain percentage of the bill for a service rendered to you while the Scheme covers the other percentage,” he said.

Mr Abudulai indicated that in other countries where co-payment system was practiced, the higher level one attained the higher percentage one was likely to pay which system, was not allowed in Ghana.

As part of efforts to tame the phenomenon, Co-payment Committees have been established at all levels, including the national, regional and district with guidelines to help reduce or eliminate the challenge.
He said the committees would help identify facilities involved in illegal charges and will engage them to address the issue to relieve vulnerable people of unnecessary burden, he added.

The Regional Director noted that the committee had already engaged management of Zebilla Hospital who were charging sanitation levy of GH₵5.00 on clients who visited the facility including NHIS clients in which they promised to stop.

“We have some issues with the Bolgatanga regional hospital, which is yet to be resolved because they are doing some top ups on NHIS clients and they are giving the Authority reasons why they were doing so but the matter is being handled by the national committee for solution,” he said.

Source: newsghana.com.gh