The National Health Insurance Authority has refunded more than ₦14.2 million to enrollees and suspended nine healthcare facilities after receiving complaints about services under the country’s health insurance system. The authority also issued 368 warning letters to providers.

These actions followed the resolution of 3,878 complaints. The details were disclosed by the agency’s Director-General, Dr Kelechi Ohiri, during a mid-year review of Nigeria’s health sector reforms in Abuja.

Inspection teams have been deployed to monitor compliance with the one-hour treatment authorisation policy and other quality-of-care requirements. National health insurance enrolment has grown from about 16 million at the start of the current administration to more than 23 million.

Ohiri said the authority is focused on turning insurance coverage into real access to healthcare and financial protection for patients. Recent reforms have also increased payments to providers and expanded support for cancer patients through a cost-sharing arrangement.

Despite the progress, the director-general acknowledged that most Nigerians remain outside the health insurance system. He stressed that the next steps must ensure reliable access and better health outcomes for those already enrolled.