NHIA Disburses Over GH¢210 Million to Healthcare Providers In October
The National Health Insurance Authority (NHIA) has disbursed GH¢210.36 million to credentialed healthcare service providers across the country for services rendered to members of the National Health Insurance Scheme (NHIS).
The latest disbursement, made in October 2026, brings the total claims payments made by the Authority since the beginning of the year to GH¢2.325 billion.
The October payment of GH¢210,359,997.55 was distributed among public, private and mission healthcare facilities.
Public healthcare facilities received GH¢114,517,237.92, representing 54.44 percent, private healthcare facilities received GH¢64,461,422.32, representing 30.64 per cent; while mission healthcare facilities received GH¢31,381,337.31, representing 14.92 per cent.
The disbursement is expected to strengthen the operational capacity of healthcare facilities, support the procurement of essential medicines and medical supplies, and enhance the delivery of quality healthcare services to NHIS members.
While acknowledging the critical role of healthcare providers in delivering quality services to NHIS members, the Authority is issuing a strong warning to all credentialed healthcare facilities to immediately desist from charging members illegal fees for services covered under the NHIS Benefit Package.
The NHIA is particularly concerned about reports of some facilities compelling NHIS members, including vulnerable patients, to make additional payments for services, medicines and procedures for which the Authority is responsible for reimbursing providers.
The Authority reminded all healthcare providers that claims reimbursements are being processed and payments released regularly, while it had implemented significant upward adjustments to NHIS tariffs, including an increase of approximately 50 per cent, to improve provider reimbursement rates and address concerns about the cost of delivering healthcare under the Scheme.
“It is therefore unacceptable for any credentialed provider to continue imposing unauthorised charges on NHIS members under the pretext of inadequate tariffs, delayed claims payments or operational challenges.
“The NHIA will not tolerate practices that undermine the rights of members, erode public confidence and defeat the fundamental purpose of the National Health Insurance Scheme.”
Facilities and practitioners found engaging in such practices risk facing appropriate sanctions in accordance with the Authority’s regulatory and contractual provisions. These may include recovery of unauthorised charges, suspension or termination of credentialing, and referral to the appropriate regulatory or law enforcement bodies where necessary.
The Authority also urged NHIS members not to remain silent when confronted with unauthorised charges for services covered by the Scheme.
“Members have the right to access covered healthcare services without being compelled to make illegal out-of-pocket payments. Members who encounter such situations are encouraged to demand clarification from the facility and report the matter to the NHIA through its established complaint and customer service channels for prompt investigation and redress.”
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