We're always happy to answer any question you have about our services,
Please call our team on 0800 222 222 if you can't find an answer here or email us on firstname.lastname@example.org
What do I do if I am denied service at an accredited service provider?
- Call 0800 222 222 immediately or inform your relationship manager.
My Doctor has asked that I do an MRI. What do I do?
- You are required to seek for Approval from NMI for all advanced imaging [MRI , CT scan, EEG]
- The health provider requesting for the MRI must send a request to NMI.
- Contact 0800 222 222 for more details
Can I use my card to buy over-the-counter [OTC] drugs at the pharmacy?
- Over the counter treatment and self medication are not allowed.
- You can only have access to prescribed medication or diagnostic investigation after undergoing through medical consultation with a Medical officer/ Health Professional.
If I had an accident and damaged my tooth will the insurance pay for crowns?
- Generally, artificial tooth and crown are exclusions.
Can another person use my card to access healthcare?
- The card covers only the person insured [the person whose details are on the membership card]. Health insurance benefits are not transferrable.
Can I change my benefit package after enrollment?
- Yes, moving from one plan to another is allowed .However upgrade can only be done within the first quarter [3 months] of the policy period /benefit year
- Upgrades are subject to conditions [contact your Relationship Manager for further details]
What happens when I exceed my benefit limit?
- This rarely happens but your medical cover ends immediately.
- NMI notifies member(s) who exceed 70% of their utilization.
- Members are encouraged to restrict medical expenses wherever possible to reasonable limits, so as to accumulate enough reserves for emergencies or sudden life threatening medical conditions.
What happens if I do not get all the drugs prescribed at the hospital or one pharmacy?
- The pharmacist will cross out the drugs supplied on the prescription form
- Run photocopy of the original prescription
- You will be given a copy of the prescription form which would enable you take the remaining drugs on the prescription.
- In case you are given a photocopied prescription, ensure that it is endorsed by the Pharmacist/pharmacy attendant.
What happens to me during an emergency?
- Emergency is an unexpectedly injury to or illness of a Beneficiary, which requires immediate medical intervention to preserve life.
- You are required to pay if your NMI plan specific service provider isn’t available within the locality where the emergency occurred.
- Submit the receipt and request forms to your Company HR or contact Nationwide immediately.
Can I visit a clinic or hospital that is not part of the NMI list of clinics and hospitals?
- No, except in emergency situations or when the required care is not available within the network of NMI accredited service providers.
- You are required to seek for pre-authorization from NMI before accessing care at any unaccredited care provider.