The scheme is mandatory and compulsory for all residents in the State.
The scheme is mandatory and compulsory for all residents in the State.
For Public Servants/Formal Sector, 1.5% is being deducted from their salary while the state government adds 3%, this serves as their premium until their retirement.
For the general Public or Informal Sector. The sum of ₦ 12, 066 is charged for an individual, while ₦ 57, 600 is charged for family of 6 (father, mother and four biological children or legally adopted under the age of 18) for one year.
OHIS cards for civil servants expires on the date of their retirement, it is the same with their spouse. For their children, it is when they reach the age of 18.
OHIS cards for Informal Sector expire after one year of registration.
For civil servant, accessing health care takes immediate effect. For the informal sector accessing health care starts after 45 of enrolment
Yes, it is possible after 6 months; the enrollee will visit OHIS Headquarters at Ogo-Oluwa to complete necessary forms on the process.
For civil servants, Principal enrollee is entitled to 5 dependants, spouse and 4 biological/legally adopted children.
Health Management Organizations, TPAs Third Party Administrators. They are the OHIS representatives spread across the 9 Federal constituencies in the state. HMOs/TPAs handle cases on behalf of OHIS; they solve various problems encountered by OHIS enrollees. They perform publicity marketing and enrollment activities for the Agency. HMOs also perform Quality assurance claims management and pre-authorize of referrals from PCP to SCP.
The PCP will refer the enrollee or his/her dependent to a higher healthcare facility, SCP. This is normally handled by the TPAs/HMOs through code generation.
Only the 10% of the cost of drugs administered during treatment will be paid.
Yes, it is possible after 6 months; the enrollee will visit OHIS Headquarters at Ogo-Oluwa to complete necessary forms on the process.
Only one legally married wife is qualified to be his dependent and 4 biological children. Meanwhile, the man can enroll other wives on individual basis at the cost of ₦ 12, 066 for a year.
Yes, This programme is known as TISHIP: The Tertiary Institutions Social Health Insurance Program.
Yes, such an enrollee will get in touch with HMO/TPA assigned and will give the necessary directives where the enrollee will be treated, and arrangement to settle the bill will be made by the HMO.
No, but all basic ailments are covered, note that ailments such as Cancer, etc. are not covered in the scheme. (Psychiatric cases).
OHIS emergency No is 0700022556447 the call centre will attend to your call in the language you prefer (English, Yoruba and Pidgin)
Yes OHIS Social media address are: a) Facebook: Osunhealthinsurancescheme b) Twitter: @Osunhis c) Website: www.oshia.ng d) Email: info@oshia.ng
The enrollee will come to OHIS Headquarters, with a sworn affidavit fill a form requesting for a new OHIS card, stating the reasons, or what happened to the first card. He will be requested to pay a token.
Yes, for cases of emergency midwived by the HMO/TPAs
Individual informal sector plan.
Yes, for cases of emergency.
No.
As many times as needed within the provision of the benefit package.
The scheme is based on the principle of Social solidarity, where the healthy pays for the sick, and the rich pays for the poor. The Agency pays the Health care provider on monthly basis, on each of the enrollee, whether they access care or not. Anyone who does not visit The facility of his choice throughout the year is not entitled to any returns.
In this case, the wife is given the authority to choose the facility for the children. Children cannot be beneficiaries of both the husband and wife to avoid double capitation payment.
There is a department in charge of monitoring the HCPs in OSHIA, Standard & Quality Assurance (SQA). Visitation are done frequently to ensure that the HCPs comply with the rules and regulations embedded in the OHIS benefit packages.
Yes, (e.g Hernioraphy, Appendicytomy, Ceasarian Section etc)
This is a contribution from Federal, State and Local Government meant to take care of the vulnerable in the society.
Eto yii je dandan fun gbogbo olugbe ipinle Osun.
Fun awon osise ijoba, ida kan ataabo ninu ogorun (1.5%) ni won n yo ninu owo osu won, ijoba si n ba won fi idameta ninu ogorun (3%) kun un titi di asiko ifeyinti won.
Fun gbogbo awon araalu ti won ko sise ijoba, enikansoso yoo san egberun mejila o le die naira (₦ 12,066), idile to ba je eleni mefa, iyen, baba, iya, awon omo won tabi awon omoti won gba to merin ti ojo ori won ko ti i pe odun mejidinlogun (18) yoo san egberun matadinlogota o le egbeta naira (₦ 57,600) fun odidiodun kan.
Ojo ti osise ijoba ba feyinti ni kaadi eto adojutofo ilera re ko ti wulo mo, bee lo si ri fun iyawo tabi oko re naa. Fun awon omo won, ojo ti won ba pe omo odun mejidinlogun tabi ti awon obi won ba fehin ti ni kaadi won ko sise mo.
Leyin odun kan ti won ti gba kaadi ni ko ti wulo mo.
Leyin ojo marunlelogoji (45 days) teeyan ba ti foruko sile ni won le bere gbigba itoju.
Beeni, o se e se leyin osu mefa, iru eni bee yoo sabewo si olu ile ise OHIS to wa ni Ogo-Oluwa ni Osogbo lati se awon eto to ye lori igbese to feegbe.
Eeyan marun. Iyawo tabi oko re pelu merin ninu awon omobibi inu e tabi awon to gba to.
Awon HMO: Health Maintenance Organization ati awon TPA: Third Party Administration je asoju ileese wa kaakiri ekun (Constituencies) meseesan to wa nipinle Osun. Won n yanju isoro-kisoro ti awon to foruko sile fun eto wa ba n dojuko. Won maa n setaniji kaakiri fun awon araalu nipa eto wa. Won maa n ran awon ti won ba leto si owo idojutofo lowo lati seto re, bee ni won si n gba awon ti won nilo itoju nileewosan niyanju lati lo sibe nipase imoran awon ilewosan alaboode atawon ile iwosan agba.
Iru dokita alaboode bee yoo mu oro eni naa to ile iwosan agba lo, awon TPA ati awon HMO ni won maa sise aarin naa.
Idamewaa ninu ogorun owo oogun (drugs) ti won ba lo fun un nileewosan nikan ni yoo san.
Iyawo kan soso to ba fe pelu ofin ati omo merin ti won je omo bibi inu re tabi to gba to nikan ni won letoo si anfaani yii. Sugbon, iru okunrin bee le foruko awon iyawo yooku sile nipa sisan egberun mejila naira o le die (₦ 12,066) fun enikookan won lodun.
Beeni. Eto yii ni a pe ni The Tertiary Institutions Social Health Insurance Programme (TISHIP).
Beeni. Iru eni bee yoo pe asoju wa to maa n lo, iyen HMO/TPA, asoju yii ni yoo to o sona lori ibi ti yoo ti lo gba itoju, ajo wa yoo si seto sisan owo itoju naa nipase asoju wa.
Rara o, sugbon anfaani re wa fun itoju awon aisan to je gboogi. A gbodo mo pe ko wulo fun awan arun bii jejere ati bee bee lo.
Nomba ero ibanisoro OHIS niyii: 0700022556447. Oju ipe yii yoo dahun gbogbo ibeere yin ni ede ti e ba fe (English, Yoruba ati Pidgin).
Beeni. Adiresi wa lori ero ayelujara niwon yii: a Facebook: Osunhealthinsurancescheme b Twitter: @Ohisng d) Website: www.osunhis.com e) Email: info@osunhis.com
Eni bee yoo wa si olu ileese wa pelu iwe ibura lati ile-ejo, yoo gba foomu ninu eyi ti yoo ti so idi to fi nilo kaadi tuntun tabi ohun to sele si kaadi ti n lo tele. Yio san owo tasere.
Beeni. Ohun ti eni to foruko sile naa nilo lati se ni ko pe oju ero ibanisoro wa (0700022556447), asoju wa yoo si se gbogbo eto to ye fun un.
Eto BHCPF wa fun awon ti won ko sise ijoba atawon osise feyinti ti ko si agbara fun.
Beeni, fun isele ojiji.
Rara.
Gbogbo asiko ti won ba nilo itoju nibamu pelu alakale eto ti won se pelu wa.
A gbe eto yii kale fun ifowowewo lawujo wa ni, nibi ti awon ti ara won da pe yoo ti sanwo fun awon alaisan, ti awon olowo yoo ti sanwo fun talaka. Osoosu la n sanwo fun awon osise wa lori enikookan to foruko sile, yala, won gbatoju tabi won ko gbatoju. Enikeni ti ko ba lo sileewosan lo gbatoju laarin odun kan ko letoo si owo kankan.
Ni iru nnkan bayii, iyawo lanfaani lati ko awon omo sabe. Ko se e se fun awon omo lati wa labe oko atiyawo, ki inawo ma ba a di ona meji fun ajo wa.
Eka kan wa to je pe ojuse tiwon ni lati maa samojuto awon asoju wa. Won maa n sabewo si won loorekoore lati ri i pe won n tele ofin ati ase ileese wa gege bo se wa ninu alakaleofin ise wa.
Beeni. Anfaani wa fun ise-abe fun awon alaboyun, ipake ati bee bee lo.
O je owo ti ijoba apapo, ijoba ipinle ati ijoba ibile maa n san lati fi pese itoju fun awon to ku die ka a to fun lawujo. Idameji ninu ida ogorun (2%) owo to n wole labenu fun joba ipinle ati ijoba ibile pelu owo tijoba apapo ya soto fun eto ilera, eyi tii se Basic Healthcare Provision Fund (BHCPF) ni owo naa.