Health care services that are not covered under NHIS: NHIS Exclusions List

National Health Insurance Scheme (NHIS)
National Health Insurance Scheme (NHIS)

The Ghana Health Service (GHS) and the Ministry of Health (MoH) in collaboration with the National Health Insurance Authority has outlined NHIS Exclusions List.

In a document intercepted by Coverghana.com.gh, a list of health care services that are not covered under the National Health Insurance Scheme have been disclosed.

According to the National Health Insurance Authority, the list will help the public know the health care services that do not cover the NHIS.

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The following health care services are not covered under the NHIS:

1. VIP ward accommodation

2. Mortuary services

3. Medical examinations for purposes of employment, school admissions, visa applications, driving license etc.

4. Diagnosis and treatment abroad

5. Rehabilitation other than physiotherapy.

6. Appliances and prosthesis including optical aids, hearing aids, orthopaedic aids and dentures.

7. Cosmetic surgeries and aesthetic treatment. However, reconstructive surgery, such as performed on burns patient, is covered.

8. HIV antiretroviral, TB and other programme medicines.

9. Assisted reproduction, e.g. artificial insemination and Gynaecological hormone replacement therapy.

10. Echocardiography (a painless test that uses sound waves to creat moving pictures of the heart to give information about the size and shape of the heart and how well it is working).

11. Photography (photograph taken in clinics/ hospital to give visual records of patients’ condition and operations to track progress of treatment for medical files of the patient).

12. Angiography (a procedure where a dye is injucted into the blood vessels and a photograph of the vessel is taken).

13. Orthoptics (Diagnosis and treatment of defective eye movements and coordination).

14. Dialysis for chronic kidney failure.

15. Heart and brain surgery other than those resulting from accidents.

16. Cancer treatment other than cervical and breast cancer.

17. Organ transplantations.

18. Medicines that are not on the NHIS medicines List.

SOURCE: Coverghana.com.gh

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