Frequently Asked Questions

Enrolling in the NHIS Scheme with the Police HMO offers the following benefits:

- Guaranteed access to quality healthcare services.
- Better and wider choice of hospitals.
- Efficient referral system from your hospital to higher levels of care.
- Guaranteed emergency or out-of-station care.
- Counselling on immunization services.
- Guaranteed customer service satisfaction.
- Peace of mind.

Referrals can only be requested by hospitals.

Requests for referrals can be made via SMS, e-mail and verbally to any of our call centre lines. Below are the types referrals and their requirements:

- Same hospital referral - enrollee name, enrollee NHIS number, diagnosis, treatment plan and enrollee phone number.
- Another hospital referral - enrollee name, enrollee NHIS number, diagnosis, reason for referral, enrollee phone number and the HCP being referred to.
- Out-of station code - enrollee name, enrollee NHIS number, diagnosis, treatment plan, enrollee phone number. Note however that verbal code request is only allowed on emergency cases.

A healthcare provider is an NHIS-approved hospital.

A person who is registered under NHIS.

Hospitals approved by the NHIS will among others, provide the following services:

- Out-patient care
- Prescribe drugs, pharmaceutical care and diagnostic tests as contained in the NHIS Drugs list and Diagnostic test list.
- Maternity care for up to four (4) live births.
- Preventive care, including immunization, as it applies in the National Programme on Immunization, health education, family planning, antenatal and post-natal care.
- Eye examination and care, including the provision of spectacles and contact lenses (as approved by the NHIS).
- Registration of parents as extra dependents at a token etc.

Go to any NHIA office close to you with the following documents:

- ID card
- Attestation form
- 3-months current pay-slip

There shall be a waiting/processing period of one three (3) months. However, you can call our call center periodically to confirm.

A husband, one wife and four biological children not more than eighteen (18) years for serving Police Personnel. Under GIFSHIP, an enrollee can register as many dependants they choose, with the stipulated token annually. A Police retiree can register just one spouse.

You can call any of the Police HMO call center lines or on the complaint designated line 09061129318. You can also reach us through our social media handles or the PHML website. You also have the right to change your hospital if you are not satisfied with their services.

Dedicated complaint line: 09061129318

You can walk into any NHIS-accredited hospital with your NHIS card or NHIS registration number to receive treatment and then, call Police HMO call center within 48 hours.

There is no limit. As long as the care package is within the provision of NHIS benefit package.

A husband, one wife and four biological children not more than eighteen (18) years.

You can call the Police HMO office or report to any NHIS office. You also have the right to change your hospital if you are not satisfied with their services.

Go to any Police HMO office or NHIS office close to you to fill the CHANGE OF PROVIDER FORM. You can also download it from this website.

Your hospital will refer you to a higher hospital accredited by NHIS, by calling Police HMO call center for an authorization/referral code.

No, but you have to pay ten percent (10%) of the cost of your drugs.