Individual, Family and Group contributory scheme
Organized private sector (OPS) for organizations with a minimum of five (5) staff
Uniformed service men e.g. Civilian Task Force, Borno State Road Management Agency and others
Retirees
All elected and political appointees of the state and local government
Tertiary Institution Students Contributory Health Program
The employees in the public service of the state and local government shall contribute 3.5% of their monthly basic salary.
For the organized private sector, the employer pays 10%, while the employee pays 5% representing 15% of the employee’s monthly basic salary. In a situation where the contribution is less than what is required, the Agency is to determine a minimum take off balance. However, the employer/employee may decide to pay the entire contribution.
For Uniformed Service Men, contribution is monthly contribution of 3.5% of their monthly earnings.
For Retirees, a contribution rate is monthly contribution of 3.5% of basic salary.
There shall be a processing/waiting period of ninety (90) days before an enrollee can access healthcare services for formal and informal programs.
Primary Level Care |
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Disease prevention and health promotions |
Management of simple infections/infestations |
Primary surgery |
Primary eye care |
Primary paediatrics |
HIV/AIDS/Sexually Transmitted Diseases |
Family Planning Services Basic Packages |
Maternal, Neonatal and Child Health (MNCH) Services |
Emergency Care |
Basic laboratory investigations (Malaria Parasite using Rapid diagnostic test, Urinalysis, urine and stool microscopies, Packed Cell Volume (PCV), Random Blood Sugar /Fasting Blood Sugar (RBS/FBS), Pregnancy test |
Other conditions that may be listed by the agency from time to time.) |
Secondary Level Care |
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Pediatrics |
Internal medicine |
Gynecological intervention |
Surgeries |
Dental care |
Ophthalmology |
Ear, Nose & Throat (ENT) |
Physiotherapy |
Laboratory Services |
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Laboratory investigations at secondary level of care: (All investigations (a-g) at primary level |
Genotype |
Urea/electrolyte/creatinine |
Bilirubin (total and conjugated) |
Microscopy/Culture/Sensitivity-Urine |
Blood |
stool |
Sputum |
Wound |
Urethral |
Ear |
Eye |
Throat |
Aspirate |
Cerebrospinal |
Fluid |
Endocervical |
Swab |
High Vaginal Swab |
pap smear |
Occult blood in stool |
Gram stain |
Blood groupings/cross matching |
Hepatitis B surface antigen |
Hepatitis C virus antibody screening |
Screening for HIV/AIDs |
FBC and ESR |
Blood transfusion services including blood bag |
Lipid profile |
Liver function test |
2-hour postprandial blood sugar |
Thyroid function test |
Hemoglobin A1C |
Cardiac markers |
Serum Uric acid |
Radiology |
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X-ray of chest |
Abdomen |
Skull & Extremities |
Dental X-rays and other plain X-rays |
Abdominopelvic USS |
Obstetric and gynecological USS |
Small parts e.g. thyroid |
scrotal sac |
Doppler USS |
Diagnosis and counseling as well as treatment