National Health Insurance Authority (NHIA) ayi sika GH¢219.84 million ama ayaresabea ne apɔwmuden adwumayɛfoɔ a wɔagye wɔn tom wɔ Ghana nyinaa, de hyɛ bɔ a wɔahyɛ sɛ wɔbɛtua sika ama ayaresabea a wɔwɔ National Health Insurance Scheme (NHIS) ase ntɛm ne sɛ wɔbɛbɔ apɔwmuden dwumadie a ɛntwa mu mu den wɔ ɔman no nyinaa mu.

Wɔ nsɛm a NHIA yi de baeɛ wɔ Yawoada, Kitawonsa (July) 30 no, Tumidifoɔ no bɔɔ dawuro sɛ akatua a ɛtwa toɔ a wɔayi no Kitawonsa 1 no ka sika a na ɛda so a wɔntuaeɛ afe a ɛtwam no ne deɛ wɔahwehwɛ mu a wɔde kɔmaa dwumadie a wɔde maeɛ kɔsi Oforisuo (May) 2026.

Sika a wɔayi no ma sika a NHIA atua afiri dwumadie a wɔahwehwɛ mu aka yi mu wɔ afe yi mu nyinaa bɛyɛ GH¢1.2 billion, a ɛkyerɛ deɛ Tumidifoɔ no kyerɛeɛ sɛ ɛyɛ wɔn mmɔdenbɔ a ɛkɔ so de hyɛ apɔwmuden sikanya mu den ne sɛ wɔbɛma anidasoɔ a apɔwmuden dwumayɛfoɔ a wɔwɔ NHIS mu wɔ no ayɛ kɛseɛ.

Sɛnea NHIA kyerɛ no, akatua yi botaeɛ ne sɛ ɛbɛma ayaresabea sika gyinabea ayɛ den denam sɛ wɔbɛnhwɛ sɛ wɔwɔ nneɛma a ɛho hia de kɔ so de apɔwmuden dwumadie a ɛyɛ papa ma NHIS asɔremma a ɛrennya ntontom biara.

Wɔ sika GH¢219,838,955.41 a wɔayi no mu no, ankorankorɛ ayaresabea ne dwumayɛfoɔ nsam na ɛkɔɔ kɛseɛ.

Ankorankorɛ ayaresabea nyaa GH¢98.24 million, a ɛyɛ 44.69 per cent wɔ sika a wɔayi no nyinaa mu.

Aban ayaresabea nyaa GH¢80.86 million, a ɛyɛ 36.78 per cent, berɛ a asɔre ne nyamesom ahyehyɛdeɛ ayaresabea nso nyaa GH¢40.70 million, a ɛyɛ 18.53 per cent wɔ sika a wɔtuaeɛ nyinaa mu.

Nkyekyɛmu yi kyerɛ mmoa a NHIA kɔ so de ma apɔwmuden dwumayɛfoɔ ahodoɔ a wɔde dwumadie ma wɔ National Health Insurance Scheme ase wɔ ɔman no nyinaa mu.

Berɛ a ɔreka akatua a ɛtwa toɔ yi ho asɛm no, NHIA Panyin Kɛseɛ (Chief Executive), Dr Victor Asare Bampoe, siidɔɔ so sɛ Tumidifoɔ no asi wɔn adwene pi sɛ wɔbɛtua sika a apɔwmuden dwumayɛfoɔ de yɛ adwuma no ntɛm de ka mmɔdenbɔ a ɛtrɛ de hyɛ apɔwmuden deɛ mu den ho.

“Akatua yi hyɛ bɔ a yɛahyɛ sɛ yɛbɛhyɛ ayaresabea a wɔsom NHIS asɔremma da biara no sika gyinabea den,” Dr Bampoe kyerɛeɛ.

“Yɛn adwene da so si so sɛ yɛbɛnhwɛ sɛ dwumayɛfoɔ a wɔwɔ ɔman no nyinaa mu, afiri yɛn ayaresabea akɛseɛ so kɔsi ayaresabea nkumaa Community-based Health Planning and Services (CHPS) compounds so, bɛnya sika a ɛfata na ɛdi mu wɔ berɛ a ɛfata mu ma ayaresa a wɔde ma no.”

Ɔhyɛɛ no nsow sɛ ayaresabea sika mu tim da so yɛ nneɛma a ɛho hia paa de kora dwumadie a ɛnto mu na ama ayaresanifoɔ a wɔwɔ National Health Insurance Scheme mu no akɔ so anya apɔwmuden ayaresa a ɛyɛ papa.

Dr Bampoe kaa sɛ Tumidifoɔ no de nsakyeraeɛ ahodoɔ reba a botaeɛ ne sɛ ɛbɛma ntotoeɛ a wɔde hwɛ sika a bisatua (claims) so no ayɛ ntɛm na asa ntwayɛ wɔ sika tua mu.

Sɛnea ɔkyerɛ no, NHIA kɔ so hyɛ nneɛma a wɔde di claims adwuma no mu den na ama berɛ a wɔde tua sika no ayɛ tiawa berɛ a wɔne apɔwmuden dwumayɛfoɔ yɛ adwuma bɔm de ma claim nsɛm a wɔde ba no so ayɛ papa na ɛdi mu.

Ɔhyɛɛ apɔwmuden dwumayɛfoɔ a wɔagye wɔn tom nyinaa nkuran sɛ wɔde claims bɛba ntɛm na ɛne akwankyerɛ a wɔahyehyɛ no ahyia na ama akyire yi da biara nsɔhwɛ ne sika tua ayɛ ntɛm.

NHIA gye di sɛ mmara a wɔbɛdi so papa wɔ claims ahyɛdeɛ mu no bɛte adwumayɛ mu ankyɛdesɛm so na ama sika tua kwan no ayɛ yie kyɛn kan.

Akatua a ɛtwa toɔ yi ka Tumidifoɔ no nhyehyɛeɛ kɛseɛ a wɔde bɛhyɛ National Health Insurance Scheme mu den denam sika a ɛbɛtena hɔ daa ne ayaresabea dwumayɛfoɔ nhyiamu a ɛyɛ papa so.

NHIA kaa sɛ sika tua ntɛntɛm da so yɛ deɛ ɛho hia na ama dwumayɛfoɔ ahotosoɔ atena hɔ, akyerɛ sɛ aduro ne ayaresa nneɛma bɛkɔ so aba, na wɔaboa de ama apɔwmuden dwumadie a ɛyɛ papa wɔ ɔman no nyinaa mu.

Tumidifoɔ no nso siidɔɔ so sɛ wɔbɛkɔ so adi Aban no anisoadehyeɛ a ɛne sɛ wɔbɛnya Universal Health Coverage a ɛbɛma Ghanani biara anya apɔwmuden ayaresa a ne bo yɛ mmerɛ na ɛyɛ papa a wɔrennya sika mu ahokyere biara.

Denam sika a dada no dada nso a wɔtuaeɛ ne deɛ wɔahwehwɛ mu nsiakyibaa yi so no, NHIA botaeɛ ne sɛ ɛbɛma ayaresabea ahodoɔ sika gyinabea ayɛ den berɛ a ɛbɛma wɔade wɔn adwene asi ayaresanifoɔ hwɛ so kyɛn sɛ wɔbɛdwene sika a wɔnya no haw ho.

Tumidifoɔ no san siidɔɔ so sɛ wɔkɔ so de wɔn ho ma sɛ wɔbɛhyɛ National Health Insurance Scheme mu den denam sika so hwɛ a ɛyɛ nyansa, claims tua a ɛba berɛ mu ne apɔwmuden dwumayɛfoɔ nkɔsoɔ nhyiamu de ma apɔwmuden nsonsonsoɛ ayɛ papa ma Ghananom nyinaa.