Health Insurance

1. Health Insurance: Most corporate organizations in Nigeria have precisely

the same problems in the provision and mode of financing the Medicare of their work force.  These problems led to the introduction of a unique insurance plan known as “Group Health Insurance Scheme”.  It is pertinent to note that very few insurance companies in Nigeria today have the facilities for health insurance.  However, the main objectives of Group Health Insurance Scheme are to:

1. Enhance the medical expense limit of employees;
2. Control medical expense budgets of corporate bodies; and

• Reduce the incidence of fraud through collusion between employees and medical practitioners.

• Though the limit of cover for different categories of staff shall be determined by the insured organisation or employer, the most common arrangements are:-

  OR

  Junior staff     …..     N20,000.00 per annum

  Senior staff    ……    N40,000.00 per annum

  Please note that the following conditions and treatments are usually excluded under health insurance scheme: –

  1. Pregnancy and related conditions/ ailments
  2. Dental care, including provision of dentures
  3. Cosmetics or major surgery
  4. Optical treatment and provision of lenses

   

  different sums insured for different categories of employees e.g.a flat sum insured for all employees irrespective of status