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NHIA vows to intensify enforcement against illegal charges at health facilities

NHIA vows to intensify enforcement against illegal charges at health facilities
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The National Health Insurance Authority (NHIA) has welcomed directives by the Ghana Health Service (GHS) and the Christian Health Association of Ghana (CHAG) ordering healthcare facilities to stop imposing unauthorised charges on National Health Insurance Scheme (NHIS) members.

The directives, issued on November 9 and 11, 2026, respectively, require healthcare providers to comply strictly with NHIS implementation guidelines and eliminate illegal charges.

In a statement issued on Thursday, November 12, the NHIA said the directives reinforce President John Dramani Mahama’s instruction to intensify monitoring of healthcare providers, conduct facility-to-facility inspections and sanction institutions found imposing unauthorised fees.

The Authority described the directives as an important demonstration of institutional commitment to protecting NHIS members and restoring public confidence in the Scheme.

It also welcomed CHAG’s directive to its member institutions to implement revised NHIA-approved tariffs, update billing systems and strengthen internal compliance monitoring.

The NHIA disclosed that it disbursed GH¢210.36 million to credentialed healthcare providers in October alone, bringing total claims payments for 2026 to GH¢2.325 billion.

It attributed the improved financial support to government interventions, including the uncapping of the National Health Insurance Fund, regular monthly reimbursement of vetted claims and an approximately 50 per cent upward adjustment in NHIS service tariffs, effective August 2026.

The Authority said it would intensify monitoring, investigations and enforcement activities, working with healthcare provider leadership and other stakeholders to ensure compliance at the facility level.

It further urged NHIS members to report facilities demanding unauthorised payments for services covered under the Scheme.

Complaints can be lodged through the NHIA Call Centre on 6447, 054 444 6447 or 0302 74 6447. Members can also report such incidents via WhatsApp on 0501 169 8778.

The NHIA reiterated its commitment to eliminating illegal co-payments and ensuring that NHIS members access their entitled healthcare services without additional financial barriers.

By: Bernard Mensah

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