Call for Expression of Interest Health Insurance

Background:

For more than 40 years, Médecins du Monde, a campaigning medical organization committed to international solidarity, has been caring for the most vulnerable populations at home and abroad. It has continued to highlight obstacles that exist in accessing health care and has secured sustainable improvements in health-for-all policies. Those working for this independent organization do not solely dispense care and treatment but condemn violations of human dignity and rights and fight to improve matters for populations living in precarious situations.

MdM currently works in 30 countries across all continents where it focuses on 5 major priority areas: emergencies and crisis, sexual and reproductive health, harm reduction, migrants and displaced populations (health rights), health and environment.

MdM is active in North-East Nigeria since 2016. And recently North-West Nigeria (2024). The program is implemented around the main following components:

Access to primary health care
Nutrition treatment (severe acute malnutrition)
Gender based violence survivors’ treatment
Mental health and psychological support

MdM has its coordination office in Abuja, base offices at Maiduguri and Katsina and a sub office in Damboa. The team is composed of over 200 national staffs. Médecins du Monde France intends to engage a health insurance company for the purpose of providing health insurance cover in accordance with the mandatory requirement of the federal government of Nigeria.

The proposition the Health Insurance company should be done including

Administrative documentation (registration, tax, etc)

Financial proposition including : 

Inclusions:-

Provide a list of outpatients services: – Physicians/Specialist/Health Facilities authorized by the health service provider including pre employment examination  
Provide a list of inpatient facilities general ward 
Provide guideline for emergency cases
Provide services upon prescription/recommendation for:

Radiological, Laboratory & Diagnostics Services Pathology tests, X-rays, Ultrasonography, Echocardiogram, Electrocardiogram, Electroencephalogram , MRI, CT scan
Physiotherapy & Physical Rehabilitation Services 
Mental Health Wellness 

Surgical Care 

 Antenatal Care & Delivery (Capped of NG 400,000)
Oral & Dental Care (Capped NG 30,000 )
Hearing Aid (Capped 15,000)
Ophthalmic (Eye) Care  (Glasses NG 15,000 capped at once every 2 years), if surgical procedures needed, covered under Surgical limit.
Chronic Diseases:-  Arteriosclerosis, other Cardiac related diseases, Hypertension, Diabetes Mellitus, Psychiatric cases, Asthma, Tuberculosis, Hepatitis and HIV covered within the cover limit of NG 400 000 

Exclusions: – 

Unlicensed Medical consultations & prescriptions i.e. food supplements 
Any sessions for Therapies/treatments by chiropractors, acupuncturists, herbalists etc 
Cosmetic Surgeries & Infertility treatments/prescriptions 
Treatment for substance abuse e.g. alcohol, drugs and or self-inflicted injuries e.g suicide attempt, criminal acts etc 
Non-emergency transport costs without prior approval 
Hospitalizations in private room and medical expenses incurred abroad without prior approval by the HMO 

Selection Criteria

The offer will have to detail: 

the coverage per family and/or per Member for the singles 
scope of coverage (services) being offered 
health facilities recognized in the plan

The elements mentioned above will be those evaluated for selection

Interested and qualified candidates should forward their CV to: supply.nigeria@medecinsdumonde.net. The subject of the email must be : REF: 24-NG-ABU-013 (HEALTH INSURANCE) using the position as subject of email.

Apply via :

supply.nigeria@medecinsdumonde.net