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Jerryson Ameworgbe Gidisu, BSc. Med. Sci,  MBBS, MD, MS, PhD , FWAMS

Welcome Message from the CEO of KQTH



Types of health insurance

There are three main categories of health insurance in Ghana.

The first and most popular category is the district mutual health insurance scheme, which is operational in every district in Ghana. This is the public/non-commercial scheme and anyone resident in Ghana can register under this scheme. If you register in ‘District A’ and move to ‘District B’, you can transfer your insurance policy and still be covered in the new district. The district mutual health insurance scheme also covers people considered to be indigent – that is too poor, without a job and lacking the basic necessities of life to be able to afford insurance premiums.

Apart from the premium paid by members, the district mutual health insurance schemes receive regular funding from central government. This central government funding is drawn from the national health insurance fund. Every Ghanaian worker pays two-and-a-half percent of their social security contributions into this fund and the VAT rate in Ghana also has a two-and-a-half percentage component that goes into the fund.
To sign up for the district mutual health insurance scheme, you need to get to the district assembly where you reside or look for the offices of the scheme and register. You will fill a form, offering some basic personal information and you will be asked to present at least two passport pictures. You will need to fill forms for dependants above below 18 as well.

The second category of health insurance comprises the private commercial health insurance schemes, operated by approved companies. You can just walk into any of such companies and buy the insurance for yourself and dependants – just as you would a car. Commercial health insurance companies do not receive subsidy from the National Health Insurance Fund and they are required to pay a security deposit before they start operations.

The third category of health insurance is known as the private mutual health insurance scheme. Under this, any group of people (say members of a church or social group) can come together and start making contributions to cater for their health needs, providing for services approved by the governing council of the scheme. Private mutual health insurance schemes are not entitled to subsidy from the National Health Insurance Fund.