Oyo State Health Insurance Agency (OYSHIA)

What Oyo State Health Insurance Agency (OYSHIA) does

Oyo State Health Insurance Agency (OYSHIA) is a government-owned statutory health insurance agency headquartered in Ibadan, Oyo State, Nigeria. Established on August 18, 2015 and operationally launched on May 25, 2017, OYSHIA administers a mandatory state-wide health insurance scheme backed by a December 2016 enabling law that requires health insurance for every resident of Oyo State. The agency offers a tiered portfolio of subscription-based plans covering individuals (Universal Health Coverage, Top-Up One, Top-Up Two, Standard Plus, Standard Peak, Student), families (Family Plan of 4 at N63,000/year and Family Plan of 6 at N94,500/year), pregnant women (Maternal Care Cover at N108,000/year with up to N3,097,000 limits on premium plans), and businesses (group plans at N18,250-N108,000 per employee annually), with premiums starting as low as N1,520/month.

The agency operates an ICT-driven enrollment and claims management platform accessible via a self-service web portal at self-service.oyshia.oy.gov.ng, supplemented by physical enrollment centers, accredited agents, and employer-based enrollment for civil servants. Distribution is anchored by a network of 400+ accredited healthcare providers spanning all 33 local government areas of the state. The technology stack is functional rather than differentiated, focused on digital enrollment and provider integration rather than advanced analytics.

OYSHIA's revenue model combines individual and family subscription premiums with mandatory civil servant payroll deductions (5% of basic salary under the Ilera Boku formal sector plan), corporate group enrollment, and federal/state subsidies including the Basic Health Care Provision Fund (BHCPF) targeting 37,500 indigent persons. An Adoption Model allows individuals, organizations, philanthropists, and government officials to sponsor coverage for vulnerable populations, with the Governor of Oyo State personally enrolling over 5,000 residents. As a statutory body under the Oyo State Government, OYSHIA reports over 400,000 lives insured but does not publicly disclose revenue or financial statements.

Name

Oyo State Health Insurance Agency (OYSHIA)

Legal name

Oyo State Health Insurance Agency

Website

https://oyshia.oy.gov.ng

Company type

Private

Founded year

2015

Operating status

Operating

Headcount range

11–50 employees

Short description

OYSHIA is a government-owned statutory health insurance agency in Oyo State, Nigeria, operating a mandatory state-wide health insurance scheme covering 400,000+ lives across 33 local government areas via tiered subscription plans and a 400+ provider network.

Ownership category

akta.pro rank

Product category

Government Health Insurance

NAICS

Direct Health and Medical Insurance Carriers (524114), Health and Welfare Funds (525120)

SIC

Accident & Health Insurance (6321), Hospital & Medical Service Plans (6324)

akta.pro primary industry

Managed Care / Network-Based Group Health Plans (Carrier Network Products) (FSAIAFAO)

akta.pro secondary industry

Large Group Health Insurance (Mid-Market & National Accounts) (FSAIAFAE)

Keywords

• Government health insurance
• Universal health coverage
• Community health insurance
• Health insurance enrollment
• State health insurance agency

Headquarters

HQ city

Ibadan

HQ country

Nigeria

HQ region

Africa

Offices1 record

Markets served

GTM type

B2B and B2C

Offering type

Services

Cost components

Personnel, Operations, Technology or R&D, Marketing or Sales, Infrastructure, Others

Revenue model

1. Health Insurance Premiums: Subscription-based health insurance premiums collected annually from enrollees including civil servants, informal sector workers, families, pregnant women, and businesses. Premiums vary by plan type from N1,520/month for basic individual coverage to N108,000/year for pregnancy plans.

Pricing tiers

Go-to-market motion2 records

Distribution channels5 records

Marketing channels9 records

Core offering

Oyo State Health Insurance Agency (OYSHIA) provides subsidized health insurance coverage to residents of Oyo State, Nigeria, through a portfolio of tiered plans including individual (Universal Health Coverage, Top-Up One, Top-Up Two), family (4 and 6 member plans), pregnancy/maternal care, business/corporate group plans, and formal sector (Ilera Boku) plans. Members access care via a network of 400+ accredited public and private healthcare facilities spread across all 33 local government areas.

Product overview

Oyo State Health Insurance Agency (OYSHIA) operates as a multi-plan health insurance platform offering tiered coverage options for individuals, families, pregnant women, and businesses. The core product portfolio includes the Universal Health Coverage (UHC) Plan as the flagship offering, supplemented by Family Plans (covering 4 or 6 members), Individual Plans, Pregnancy Plans, and Business/Organization Plans. Add-on Top-Up Plans (One and Two) provide enhanced coverage for pre-existing conditions and premium benefits. The agency also offers formal sector plans like Ilera Boku. All plans are accessible through a self-service web portal for enrollment and management.

Differentiator

Problem solved

Functional benefit

Products and services

• Universal Health Coverage Plan (Individual) The flagship individual health insurance plan providing comprehensive coverage at N21,000 per year for individuals, covering hospital admissions, emergency services, maternity care, child health, eye care, dental care, and surgical services with up to N420,000 overall medical limit. Targeted at individual residents of Oyo State seeking affordable health coverage.
• Top Up One Plan (Individual) Enhanced individual plan at N82,000 per year designed for individuals with pre-existing conditions such as hypertension, diabetes, sickle cell, heart disease, epilepsy, asthma, tuberculosis, glaucoma, kidney disease, and HIV/AIDS. Covers up to N1,847,841 with major surgery, cancer care, and advanced investigations including CT-SCAN and MRI.
• Top Up Two Plan (Individual) Premium individual plan with N3,097,000 overall medical limit, supporting total wellness and comfort and covering all Top Up One benefits plus additional premium benefits for individuals seeking the highest tier of individual coverage.
• Family Plan of 4 Family health insurance plan priced at N63,000 annually covering a spouse and two dependents under 21 years, with N1,528,694 medical limit including admissions, emergency services, annual medical checkup, child health services, eye care, dental care, and surgical services.
• Family Plan of 6 Expanded family health insurance plan priced at N94,500 annually covering a spouse and four dependents under 21 years, with comprehensive coverage including emergency services, maternity, and surgical benefits.
• Ilera Boku (Formal Sector Plan) Formal sector optional plan covering the staff member, spouse, and 4 biological children up to 21 years, priced at 5% of basic salary. Includes annual medical checkup, access to high-end investigations, cancer care, renal dialysis, colonoscopy, and papsmear tests. Designed for civil servants and formal sector workers in Oyo State.
• Pregnancy Plan (Maternal Care Cover) Pregnancy health plan priced at N108,000 covering antenatal care, delivery, and postpartum expenses with N1,528,694 medical limit, including emergency services, maternity services, medical laboratory services, HIV/AIDS management, and family planning services. Targets expectant mothers (pregnancy not more than 3 months) seeking comprehensive maternal coverage.
• Top Up Two Plan (Pregnancy) Premium pregnancy plan at N117,000 with N3,097,000 medical limit, covering everything under Universal Health Coverage plus major surgery, elective and emergency hysterectomy, C/S, and full maternity services including ante-natal care, normal delivery, post-natal care, and family planning counseling.
• Universal Health Coverage Plan (Business) Business group health insurance plan at N21,000 per year per employee offering N420,000 overall medical limit, 21 days admissions, out-of-station care, emergency services, annual medical checkup, maternity services, child health, eye care, dental care, surgical services, HIV/AIDS management, and ENT care. Designed for employers seeking to provide health benefits to staff.
• Top-Up One Plan (Business) Business plan for organizations whose employees have pre-existing conditions, priced at N50,000 annually per employee. Offers N1,000,000 medical limit, 35 days admissions, emergency services (N250,000), maternity services (N250,000), and renal failure coverage with 4 dialysis sessions.
• Top-Up Two Plan (Business) Premium business plan at N108,000 annually per employee offering N2,500,000 medical limit, 42 days admissions, emergency services (N300,000), maternity services (N300,000), full ENT coverage, and renal failure coverage with 6 dialysis sessions. Targets organizations seeking the highest tier of group coverage.
• Standard Plus Plan Standard health insurance plan offered at N13,500 per year, providing basic coverage for enrollees seeking an entry-level OYSHIA plan.
• Standard Peak Plan An enhanced standard health insurance plan with expanded coverage benefits above the Standard Plus tier, targeted at individuals seeking broader protection.
• Student Plan A specialized health insurance plan designed for students, with coverage tailored to the student demographic's healthcare needs and affordability.

Quantifiable outcome

• Over 400,000 lives insured
• +3 more outcomes

Named customers6 records

Segments7 records

Ideal customer profiles7 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

Eight partnerships are on record, tiered core, flagship and minor.

• Oyo State Forum of Permanent Secretaries and MDAscoreStrategic or Co-development Partner · 11 January 2024Partnership between Oyo State Forum of Permanent Secretaries and OYSHIA to adopt 100 vulnerable children under 5 and newborn babes into the State Health Insurance Scheme. The Forum contributed N945,000 for enrollment at a ceremony held at the Conference Room of the Head of Service, State Secretariat, Ibadan.
• Pastor Johnson AworenicoreStrategic or Co-development Partner · 19 December 2023Renowned philanthropist Pastor Johnson Aworeni single-handedly sponsored health insurance coverage for 500 lives under OYSHIA's Adoption Model at ceremony held at PHC Orita Aperin, Ibadan.
• Governor Seyi Makinde (Community Based Adoption)flagshipStrategic or Co-development Partner · 17 April 2023Governor Engr. Seyi Makinde personally key into Community Based Health Insurance Scheme, single-handedly paying and enrolling over 5,000 enrollees from various communities into the scheme as Adoption Ambassador.
• Civil Society Organizations (CSOs)coreStrategic or Co-development Partner · 16 March 2022Office of Oyo State Human Capital Development in collaboration with OYSHIA and National HCD Core Working Group hosted a stakeholder summit engagement meeting with Civil Society Organizations at the House of Chiefs for promoting effective collaborative strategies and care awareness.
• Ondo State Contributory Health Commission (ODCHC)minorStrategic or Co-development Partner · 1 February 2022Ondo State Contributory Health Commission visited OYSHIA on a three-day study tour to learn innovations that helped OYSHIA make developmental strides. DG Mr. Abiodun Oyeneyin led the team to understand OYSHIA's model for potential replication.
• African Students Union Parliament (ASUP)minorStrategic or Co-development Partner · 13 December 2021OYSHIA committed to cooperate with African Students Union Parliament in the fight against drug abuse using all instruments at its disposal. ASUP has over 50 million students under its umbrella across the African continent.
• Basic Health Care Provision Fund (BHCPF)flagshipStrategic or Co-development Partner · 30 November 2021OYSHIA training stakeholders on enrollment of residents onto Basic HealthCare Provision Fund, aimed at capturing 37,500 indigent persons including aged, children under 5, and pregnant women across 33 LGAs. Funded by annual Federal Government grant.
• Armed Forces Command and Staff College JajiminorStrategic or Co-development Partner · 24 November 2021Senior officers from Armed Forces Command and Staff College Jaji conducted a study tour to OYSHIA as part of Nigeria Study Tour 21 curriculum. Executive Secretary Dr. Sola Akande delivered a lecture on 'Enhancing National Security through Socio-Economic Development'.

Scale indicators6 records

Recent moves6 records

Expansion highlights5 records

Broad incumbents

• AXA Mansard Health: Nigerian health insurance arm of AXA Mansard, offering group and individual health plans through corporate channels. Comparable product offering but private/commercial versus OYSHIA's government-mandated base.
• National Health Insurance Authority (NHIA) Nigeria: Federal-level regulator and operator of national health insurance frameworks in Nigeria. Comparable as the umbrella public-sector health insurance authority, but operates at federal scale rather than single state.

Emerging players

• Hygeia HMO: Largest private health maintenance organization in Nigeria offering HMO plans to individuals and corporates. Comparable on managed-care network structure but operates in private/commercial market rather than as a state-mandated scheme.
• Leadway Health: Nigerian health insurance provider offering HMO products to corporate and individual customers with a provider network model. Comparable on health plan mechanics and provider accreditation approach.
• Total Health Trust (THT): Nigerian HMO offering managed care health plans to corporate clients and individuals. Comparable network-based delivery model even though it operates in the private/commercial segment.

Direct peers

• Kwara State Health Insurance Agency: Another Nigerian state-level health insurance agency providing subsidized coverage to residents via a network of accredited providers. Operates the same regulatory category and product structure as OYSHIA.
• Ondo State Contributory Health Commission (ODCHC): Neighboring Nigerian state's contributory health insurance scheme that conducted a study tour of OYSHIA to learn its model. Operates a near-identical state-level mandatory health insurance structure.
• Lagos State Health Management Agency (LASHMA): Lagos State government's health insurance scheme operating a similar mandatory-enrollment, multi-tier health plan model (Ilera Eko) for Lagos residents. Most directly comparable sub-national peer in Nigeria given scale and state-law mandate.

Others

• Africa Health Organisation: Continental health policy and systems organization promoting universal health coverage across African states. Comparable thematically given OYSHIA's Pan-African award recognition and role as a reference UHC scheme.

Regional players

• Babcock University Teaching Hospital Insurance Scheme: Tertiary hospital-affiliated health insurance scheme in Nigeria operating community-based health plans. Comparable on provider-network delivery in a similar Nigerian context, though smaller scale.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Xx.com/oyshia_oy
• Facebookfacebook.com/oyostatehia
• LinkedInlinkedin.com/company/oyo-state-health-insurance-agency-oyshia
• Instagraminstagram.com/oyostatehia

Revenue estimate

Valuation estimate

Number of profiles

Profiles6 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Oyo State Health Insurance Agency (OYSHIA)