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Authorities at the Komfo Anokye Teaching Hospital and their counterparts at the National Health Insurance Authority have resolved what they describe as grey areas in the implementation of the health insurance.
Diagnosis and treatment of cancers on the NHIS benefits package have become a subject of controversy between the two institutions.
It followed media reports that patients with NHIS cards were being turned away until they paid upfront for treatment of some tumor-related diseases, which was initially treated at the hospital as part of the health insurance package.
At a meeting in Kumasi, the two parties concluded that the exclusion of 42 tumor-related conditions from the NHIS tariff list was as a result of a miscommunication between the two parties.
According to a release jointly signed by representatives of both KATH and NHIA, the contentious issue has now been resolved .
Acting Director of Strategic and Corporate Affairs at National Health Insurance Authority, Winfred Agbeibor told Nhyira News the issue has been clarified.
Referring to the 42 tumuor related cases, he said “those tumors are still covered by the National Health Insurance Scheme.”
According to him, there have been misinterpretations about whether tumors should be classified as cancers.
“Tumor does not necessarily mean you have a cancer so that was where the complication and misinterpretation was coming from which we clarified,” he explained.
“The benefit package doesn’t change, it remains the same.”
On whether subscribers who had paid cash on the 42 listed conditions can get refund, Mr. Agbeibor directed all affected persons to contact officials of KATH or any nearest NHIA office.
Story by Ohemeng Tawiah, Nhyira Fm-Kumasi, Ghana
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