COSMOPOLITAN HEALTH INSURANCE. FULL DETAILS

Cosmopolitan health insurance is one of the reliable and convenient health insurance in Ghana. This institution was established to support the government’s vision of providing affordable, accessible and quality healthcare to the public as whole. Cosmopolitan Health Insurance is licensed by the National Health Insurance Act 650 (2003).

In this article, we will kook at cosmopolitan health insurance. Cosmopolitan Health Insurance (CHI) is a private limited liability company registered under the laws of Ghana and licensed to operate per Act 852 of the National Health Insurance Law (2003).

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FULL DETAILS OF COSMOPOLITAN HEALTH INSURANCE

They come with the vision to transform the health care experience through a culture of excellence, care, quality service and innovation and also to provide the highest levels of coverage possible to our clients. We work to ensure that our insurance products are of the highest standard possible and our plans provide high levels of flexibility with comprehensive coverage.

As per the regulations of the act is authorized to undertake the following activities.

To provide, administer and manage private mutual health insurance schemes for corporate institutions and private individuals
To provide Third Party Administration (TPA) and management of healthcare schemes for corporate institutions and private individuals
To provide healthcare Top-Up services to corporate institutions and private individuals and
To provide healthcare cover for dependants of residents and non-resident Ghanaians.

SOME OF THE SERVICES OF COSMOPOLITAN HEALTH INSURANCE

COSMO CARE

This is a new medical package of CHI that tends at meeting the important healthcare needs of all persons in Ghana. This package offers members a reliable and efficient access to healthcare services and flexible payment terms. The annual premium must be paid within three months. (The annual premium can be paid either upfront or installment on daily, weekly or monthly) this makes it affordable and cost effective health insurance plan.

THIRD PARTY ADMINISTRATION

Third party administration of medical services for corporate bodies and associations with large membership. Management of Top up medical service for NHIS member.

CHI provides third party administration (TPA) to clients who have their own panel of clinics and hospitals.
CHI helps corporate institution to negotiate service charges and cost of drugs from health service providers.
CHI comprehensively study’s the contract that governs the health service relationship between corporate institution and the health service providers and provides advice.
With this agreement all claims shall be submitted to Cosmopolitan Health Insurance for vetting by CHI Medical Director. Afterwards vetted claims will be submitted to corporate institution for payment to health service providers.
An alternative payment option is for client to make a down payment against which vetted claims will be drawn.
Cosmopolitan has a team of Doctors who will vet all claims on time for onward payment.
Cosmopolitan will go to the extra mile of coming over to clients office to register the entire staff members.

PREMIUM BASED SERVICES

Cosmopolitan Health Insurance provides four key premium based health insurance products with each having unique benefit packages. This packages includes: