Hygeia Community Health Plan (HCHP)
Country of Operation
- Hygeia Nigeria LimitedFor-profit
Target income level
- Bottom 20%
- Lower-middle income (20-40%)
- Middle-income (40-60%)
SummaryThe Hygeia Community Health Plan (HCHP) offers health insurance to a total target group of approximately 177,500 people, 67,500 in Lagos and 110,000 in Kwara State. Per July 2010, over 60,000 people were enrolled in the scheme.
Key program components
HCHP is implemented on behalf of HIF by PharmAccess and in Nigeria they have contracted Hygeia Nigeria Limited as the local implementing partner. The benefit package provides coverage for the most common medical problems found among the target groups and consists of primary care, limited secondary care and medication, including HIV/AIDS treatment.
Hygeia Nigeria Limited has contracted 21 healthcare providers to deliver healthcare to the enrollees. The provider network is involved in a continuous quality improvement program. Through the quality improvement program, HCHP and PharmAccess support the providers to continuously improve the quality of care.
The insurance is currently available for four groups:
The first target group consists of approximately 40,000 people, market women and their families in Lagos. The women are organized in market associations. They trade a wide variety of products.
The second target group consists of approximately 27,500 people, workers of small business that are part of Computer and Allied Products Dealers Association of Nigeria (CAPDAN) an umbrella organization for small- and medium sized enterprises (SMEs) and their families in Lagos.
The third and fourth target groups consists of approximately 110,000 people, farmers and their families in rural farming community of Shonga and Afon in Kwara State. The main occupation in Shonga and Afon is farming, but households are also involved in other activities such as trading and fishing.
In 2012, a new scheme was launched in Kwara State, expanding the coverage area of the program. In 2013, Hygeia launched a biometrics identification system to verify enrolee identity/eligibility and capture statistics on use. Hygeia also plans to continue expanding the insurance scheme and to introduce enhanced community-based care.
There were 90,000 people enrolled in the scheme; 79,107 clients were served and 253,145 total visits (Recorded in 2012).
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