FAQs
Police HMO
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How does NHIA benefit me?
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- Guaranteed access to quality healthcare services.

- Better and wider choice of hospitals.

- Efficient referral system from your hospital to higher levels of care.

- Guaranteed emergency or out-of-station care.

- Counseling on immunization services.

- Guaranteed customer service satisfaction.

- Peace of mind.

How Can I Request for Referrals?
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- Referrals can only be requested by hospitals.

- Requests for referrals can be made via SMS, e-mail and verbally to any of our call centre lines. Below are the types referrals and their requirements:.

- Same hospital referral - enrollee name, enrollee NHIA number, diagnosis, treatment plan and enrollee phone number.

- Another hospital referral - enrollee name, enrollee NHIA number, diagnosis, reason for referral, enrollee phone number and the HCP being referred to.

- Out-of station code - enrollee name, enrollee NHIA number, diagnosis, treatment plan, enrollee phone number. Note however that verbal code request is only allowed on emergency cases.

Who is a Healthcare Provider?
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- A healthcare provider is an NHIA-approved hospital.

Who is an Enrollee?
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- A person who is registered under NHIA.

What is included in the Benefit Package?
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Hospitals approved by the NHIA will among others, provide the following services:

- Out-patient care

- Prescribe drugs, pharmaceutical care and diagnostic tests as contained in the NHIA Drugs list and Diagnostic test list.

- Maternity care for up to four (4) live births.

- Preventive care, including immunization, as it applies in the National Programme on Immunization, health education, family planning, antenatal and post-natal care.

- Eye examination and care, including the provision of spectacles and contact lenses (as approved by the NHIA).

- Registration of parents as extra dependents at a token etc.

How do I register Under this Scheme?
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Go to any NHIA office close to you with the following documents:

- ID card

- Attestation form

- 3-months current pay-slip

If I register, change my hospital or add a dependant, how long will it take me to access care?
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- There shall be a waiting/processing period of one three (3) months. However, you can call our call center periodically to confirm.

If I am not satisfied with the services of a hospital, who do I complain to?
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- You can call any of the Police HMO call center lines or on the complaint designated line 09061129318. You can also reach us through our social media handles or the PHML website. You also have the right to change your hospital if you are not satisfied with their services.

- Dedicated complaint line: 09061129318

How do I get medical treatment in case I fall sick when I am on duty or out-of-station?
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- You can walk into any NHIA-accredited hospital with your NHIA card or NHIA registration number to receive treatment and then, call Police HMO call center within 48 hours.

Is there a limit to the Medical bills Police HMO will pay?
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- There is no limit. As long as the care package is within the provision of NHIA benefit package.

How many members of my family are covered under the scheme?
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- A husband, one wife and four biological children not more than eighteen (18) years.

If I am not satisfied with the services of a hospital, who do I complain to?
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- You can call the Police HMO office or report to any NHIA office. You also have the right to change your hospital if you are not satisfied with their services.

How do I change my hospital if I am not satisfied with the services?
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- Go to any Police HMO office or NHIA office close to you to fill the CHANGE OF PROVIDER FORM. You can also download it from this website.

In case of any specialized case that cannot be handled by my hospital, what do I do?
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- Your hospital will refer you to a higher hospital accredited by NHIA, by calling Police HMO call center for an authorization/referral code.

Am I supposed to pay for my treatment?
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- No, but you have to pay ten percent (10%) of the cost of your drugs.