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Ghana - Renew for Private Health Insurance Scheme


Procedure

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Apply In-Person:

  1. To Renew for Private Health Insurance Scheme in Ghana, the applicants has to approach the Ghana National Health Insurance Authority contact link
  2. Address and contact details can be found in the following contact link
  3. Applicant must obtain the application form from the relevant department.
  4. Applicant should read carefully in the application form, after all details must be filled in the application form.
  5. Applicant has to enter all information in the application form.
  6. Applicant must make sure to carry both photocopies and originals of all documents are necessary for completing this procedure. Documents that are needed for this procedure are mentioned under “Required Documents” section of this page.
  7. Applicant should attach photocopies of documents (whichever is necessary) along with the applicant from while submitting it at the office.
  8. Completed application forms submit to the Ghana National Health Insurance Authority.
  9. Payment of appropriate fees should be made and that can be found under the "Fees" section of this page.
  10. An application for registration and licensing to operate PHIS shall be processed upon payment of a non-refundable amount.
  11. PHIS may be issued with a renew certificate by the Board upon satisfaction of the requirements set out in Act 852 and as provided for in this guide.
  12. Generally, the processing time for this procedure takes 9 weeks.


Note: PHIS shall disclose the methodology and assumptions used in determining premium. This must be described in sufficient detail that another actuary qualified in the same practice area could evaluate their rationality.





Required Documents

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The following shall be submitted with the application:

  • The names and particulars of members of the governing body of the scheme.
  • Details of the management team.
  • The NHIA credentialed healthcare providers and healthcare facilities used by the scheme.
  • The current healthcare benefits package/premium under the scheme.
  • Audited financial statements. Refer to Appendices 1, 2 and 3 for the formats for the submission of this report.
  • Operational report (Refer to Section 23.0)
  • Any other information that the Board may require.






Office Locations & Contacts

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National Health Insurance Authority
Address: AU, Ridge Residential Area, 36 SekouToure St, Accra, Ghana
HR83+9P Accra, Ghana
No. 36-6th Avenue, Opposite AU Suite, Ridge Residential Area, Accra.
Digital address: GA-029-3976
Fax number: +233 (0) 302 232325
Contact number: +233302216970/+233 (0) 302 238136/ 233255/ 216970/ 241690
Email id: info@nhia.gov.gh
Location link
Contact link



Eligibility

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  • A scheme does not qualify to apply to operate a private health insurance scheme unless it is registered and incorporated under the Companies Act, 1963 (Act 179) as a:
    • Limited liability company in the case of PCHIS or
    • Company limited by guarantee in the case of PMHIS
  • Where a commercial health insurance company is solely owned by non-Ghanaian, a minimum of 15% percent of the shares shall be owned by Ghanaians.




Fees

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  • Registration fees for Private Mutual Health Insurance Scheme -3,000 GHS
  • Private Commercial Health Insurance Scheme -3,000 GHS


NOTE:
  • The Board may review these fees as and when appropriate.
  • These fees, once paid are non - refundable.



Validity

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  • Licences issued will be valid for a period of 2 years.




Documents to Use

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Sample Documents

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Please attach sample completed documents that would help other people.




Processing Time

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  • The processing time for this procedure takes 3 months.




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Videos explaining the procedure or to fill the applications.
Attach videos using the following tag <&video type='website'>video ID|width|height<&/video&> from external websites.
Please remove the '&' inside the tags during implementation.
Website = allocine, blip, dailymotion, facebook, gametrailers, googlevideo, html5, metacafe, myspace, revver,
sevenload, viddler, vimeo, youku, youtube
width = 560, height = 340, Video ID = Can be obtained from the URL of webpage where the video is displayed.
e.g In the following url 'http://www.youtube.com/watch?v=Y0US7oR_t3M' Video ID is 'Y0US7oR_t3M'.





Instructions

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Please provide other instructions related to the certificate/documents.
e.g. The state office holds birth records since january 1908.




Required Information

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  • The application fee of GHC
  • Particulars of directors details
  • Particulars of management team details
  • Details of particulars of auditor
  • Name of principal officer/manager
  • Declaration





Need for the Document

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  • Private health insurance is designed to cover policyholders for certain hospital and medical expenses that aren't covered under the public health system, Medicare, or where the patient chooses to be treated privately.




Information which might help

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Private Mutual Health Insurance Schemes (PMHIS)

  • A PMHIS refers to a health insurance scheme operated exclusively for the benefit of its members. Any identifiable group of persons in Ghana may form and operate a PMHIS. For example, membership may be community-based, occupation-based, faith-based or an association. PMHIS shall have individuals (natural persons) as their members and NOT corporate organizations. Under no circumstance shall an employer impose membership of PMHIS on employees.


Private Commercial Health Insurance Scheme (PCHIS)

  • A PCHIS refers to a health insurance company that is operated for profit based on market principles. Premiums are based on the calculated risks of particular groups and individuals who subscribe to it. Commonly, the ownership of the private commercial health insurance scheme resides with a company and shareholders. A PCHIS shall be owned by its shareholders.




Other uses of the Document/Certificate

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Please explain what are other uses of obtaining this document/certificate.
e.g. Birth Certificate can be used as proof of identity.





External Links

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Others

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More information which might help people.





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