NHIS expands to cover mental health conditions, effective Nov. 1
The government has expanded the coverage of the National Health Insurance Scheme (NHIS) to include four mental health conditions namely Depression Disorder, Bipolar Disorder, Anxiety Disorder, and Schizophrenia Disorder.
This expansion will take effect from November 1, 2024, by providing outpatient services and covering the initial acute hospitalization stages, according to Dr. Da-Costa Aboagye, Chief Executive Officer (CEO) of the National Health Insurance Authority (NHIA), in a statement issued in Accra yesterday.
Under the new policy, NHIS subscribers will have access to mental health services at any NHIS-accredited facility.
These services will remain free of charge at specialized mental health hospitals, such as Accra Psychiatric Hospital, Ankaful Psychiatric Hospital, and Pantang Psychiatric Hospital.
The initiative aims to improve access to mental healthcare across the country, especially since there are only a few specialized mental health hospitals in Ghana.
The NHIA emphasized that this step would help remove financial and geographical barriers, allowing more people to seek the care they need.
This latest move is part of the government’s broader strategy to address gaps in mental healthcare and accelerate the delivery of Universal Health Coverage (UHC).
By integrating mental health services into the NHIS, the government aims to encourage early diagnosis and treatment of mental health issues, preventing more severe conditions from developing.
“Mental health is not just about severe conditions like madness; it also includes mild to moderate psychological disorders such as anxiety, depression, bipolar disorder, and sleep disorders.
Early intervention is key to preventing these issues from escalating,” the statement read.
The NHIA acknowledged that the stigma surrounding mental illness often prevents individuals from seeking help.
Many who suffer from mental health issues hesitate to visit specialized hospitals, where care is free, or find private care unaffordable, leading to inadequate treatment and widening the access gap—contrary to the principles of UHC.
By integrating mental health services into the NHIS, the government hopes to provide a lifeline for individuals suffering from these conditions, enabling them to access necessary treatments without barriers.
This expansion is part of a series of enhancements made to the NHIS in recent years, aligning with the government’s vision for a comprehensive healthcare system that leaves no one behind.
Other notable additions include family planning services, coverage for four childhood cancers (Acute Lymphoblastic Leukemia, Burkitt Lymphoma, Retinoblastoma, and Wilms tumor), and dialysis services.
The NHIA also introduced free annual health screenings for all Ghanaians aged 18 and above, emphasizing prevention as a cornerstone of better healthcare outcomes.
“Our goal is to ensure that every Ghanaian has access to quality healthcare, regardless of their economic status or location, and we are on track to achieve this agenda,” the NHIA stated.
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