In Nigeria and other Sub-Saharan African countries, public health services are often unavailable or limited. Therefore, access to health care programs for employees and their dependent relatives is an important benefit for employees, especially in the organized private sector. From the employer side, it involves a large amount of administration that must be managed efficiently.

Various approaches have been implemented by an oilfield services company in Nigeria in providing access to health care for its employees and dependents. The health care management of the local employees has evolved through various models to the present model of a fully insured plan managed by four health maintenance organizations. This managed plan has proved very effective in terms of delivery efficiency, administration, and cost optimization.

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