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Expat Exchange - How to Enroll in the Public Healthcare System in Nigeria
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Lagos, Nigeria


How to Enroll in the Public Healthcare System in Nigeria

By Betsy Burlingame

William Russell
William Russell

Summary: A primer on how to enroll in the public healthcare system in Nigeria.

If you're planning to enroll in the public healthcare system in Nigeria, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

The public healthcare system in Nigeria is known as the National Health Insurance Scheme (NHIS). Established in 2005, the NHIS aims to provide easy access to healthcare for all Nigerians at an affordable cost through various prepayment systems. However, the quality of public healthcare in Nigeria varies greatly, with urban areas generally having better facilities and services than rural areas. The cost of healthcare under the NHIS is relatively low, but it is not mandatory for all residents. In fact, only a small percentage of the population, primarily government employees, are currently enrolled in the scheme.

Foreigners living in Nigeria are allowed to enroll in the NHIS, but it is not a common practice due to the inconsistent quality of healthcare. Many expatriates and wealthier Nigerians prefer to use private healthcare providers or travel abroad for medical treatment. However, for those who wish to enroll in the NHIS, the process is relatively straightforward.

Requirements for Enrollment

Before you can enroll in the NHIS, you must meet the following requirements:

  • Be a resident of Nigeria
  • Have a valid work permit or resident permit
  • Be employed by a government or private organization that is part of the NHIS, or be self-employed and able to pay the annual premium

Steps for Enrollment

Once you meet the requirements, you can follow these steps to enroll in the NHIS:

  1. Visit the NHIS office in your state or the NHIS website to obtain an enrollment form.
  2. Fill out the form with your personal details, including your name, address, occupation, and health history.
  3. Submit the form along with the required documents, which include a copy of your work permit or resident permit, and proof of employment or self-employment.
  4. Pay the annual premium, which varies depending on your income and the type of coverage you choose.
  5. Once your application is approved, you will receive an NHIS card that you can use to access healthcare services at NHIS-approved hospitals and clinics.

It's important to note that the NHIS only covers a limited range of healthcare services. Some services, such as advanced surgeries and treatments for certain chronic diseases, are not covered. Therefore, many foreigners living in Nigeria choose to purchase additional private health insurance to ensure they have access to a wider range of healthcare services.

Furthermore, the quality of healthcare in Nigeria can be a concern, especially in rural areas where there is a lack of facilities and trained healthcare professionals. Therefore, it's advisable for foreigners living in Nigeria to have a plan for accessing quality healthcare, which may include using private healthcare providers or traveling abroad for treatment.

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About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


William Russell
William Russell

William Russell
William Russell

Lagos, Nigeria

William Russell
William Russell

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Get a quote for international health insurance from our partner, William Russell.
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