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NHIB’s Statement at the MOH Access to Healthcare Press Conference – June 28, 2022

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#TurksandCaicos, July 16, 2022 – The National Health Insurance Board was established under the National Health Insurance Ordinance 2009, as a statutory body. NHIB’s goal is to facilitate the provision of accessible, affordable, and quality health care services to all its beneficiaries. We would like to use this platform to educate the public on the referral and treatment abroad program and how they work.

Urgent/Non-Urgent Referrals

Urgent referrals are referrals that must be executed within a short period of time usually less than 48 hours, non-urgent referrals or routine referrals are executed over a longer period. As it relates to these urgent referrals it is important for the public to know that:

  1. A referral must be sent from the hospital, through the Joint Referral Committee, to NHIB for processing. You must be seen by a doctor at TCI hospital who will then decide whether your case is eligible for urgent referral.
  2. The Medical Director reviews the referral and will advise the operations department to proceed.
  3. We have an operations team NHIB that checks the eligibility of the beneficiary.
  4. Once a beneficiary is eligible, the transfer arrangement begins.
  5. Referrals are sent firstly to providers in the region (Jamaica, Dominican Republic and Cayman Islands) for acceptance. If the case cannot be managed within the region, then it is sent to our providers in Colombia.
  6. Patient (if able to communicate) or next of kin is contacted and informed that NHIB is in receipt of an overseas referral and what arrangement will be made. The NHIB process is explained during this time.
  7. Once a physician and a hospital accept the case, travel arrangement (air ambulance or charter, commercial flight) will begin.

Treatment Abroad Program

Challenges and Important Information We do face a few challenges with the referral service especially when a patient must be flown out of country for special care. One of the major challenges is travel documents. We are asking the public to make sure your documents are up to do date as you do not know when you or a loved one that you may have to accompany will face sudden health challenges that require medical attention overseas.

  1. NHIB does not pay for travel documents, passport, or visas.
  2. Nationalities that require visas to enter another country is responsible for getting their visa, NHIB only assist with medical visas.
  3. NHIB provides a subsistence to assist with living arrangements and ground transportation. What this means is that we do not cover the cost of your FULL living arrangement while seeking medical treatment abroad. What we do is provide you with a stipend that should assist with your day-to-day expenses.
  4. Medical bills for health procedures abroad are 100% covered by the NHIB (subject to the limitations included in NHI (Benefit) Regulations Section 6(3)). This means that when you travel to get medical attention under the Treatment Abroad Program, you do not receive a bill. Your medical expense is fully covered (see above).
  5. Work Permit holders are reminded that work permits are to be renewed three months prior to expiry. Beneficiaries with an expired work permit cannot be transferred in the event of an emergency.
  6. Some beneficiaries are only entitled to receive on island care.
  7. As it relates to Air Ambulance – This is a service which we source from providers overseas. The closest air ambulance company is in the Dominican Republic, others are based within the United States. Air ambulance confirms their ability to transfer based on availability of aircrafts and medical personnel, the nature of the case, and their capacity to transfer a patient safely.

Understanding Co-payments

We also use this opportunity to advise the public that if you are covered and eligible under the National Health Insurance Plan and you visit a clinic to see a private doctor on island, that $35 is deducted from your bill and paid by NHIB. TCI hospital is our preferred health provider, so once you are eligible, you only pay $10 copayment when seeking medical services covered by NHIP.

Services NOT covered by National Health Insurance Plan

The following are medical services that are NOT covered by the NHIP:  Cosmetic procedures; Long term care; Long term psychiatric care; Orthodontics for adults; Acupuncture; Homeopathy; Alternative medicines; Podiatry; Lifestyle procedures and sex changes; Short term nursing or home skilled nursing facility; Fertility treatments; Dermatology; Dentistry.

Closing Remarks

I would like to take this time to thank all NHIP’s contributors. Once you get a good understanding of the National Health Insurance Plan, you will know that even though you may not require medical attention at this time, someone in need of medication, pre-natal care, emergency treatment, and all that is covered under the NHIP, is able to get the care they need because of your contribution. So, continue to make your contributions, and make them on time to avoid late fee penalties. Let us continue to work together in building a healthy nation one person at a time.

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Caribbean News

Liberty Caribbean Supports Regional Forum on AI, Cyber Resilience and Digital Inclusion  

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Port of Spain, TRINIDAD & TOBAGO (February 24, 2026) — Liberty Caribbean, the operators of Flow, Liberty Business and BTC, recently served as Gold-Level Partner of the two-day Trinidad and Tobago Internet Governance Forum (TTIGF), themed “The Innovation Paradox – Balancing Progress with Responsibility and Resilience”.

The Digital Divide is of particular interest to Liberty Caribbean and is being addressed through its Charitable Foundation across the region. Low broadband penetration in the Caribbean contributes to diminished opportunities for individuals, communities, and local economies, but with the support of funding partners, this gap can be addressed through a comprehensive programme – JUMP – that focuses on providing access, devices, and digital skills.

“Liberty Caribbean was proud to serve as Gold-Level Partner of the TTIGF because the conversations taking place here shape key digital policies for multiple stakeholders,” said Simone Martin-Sulgan, Vice President and General Manager, Flow Trinidad.

“As technology accelerates at an unprecedented pace, we must ensure that innovation strengthens our societies rather than fragments them. The theme, ‘The Innovation Paradox – Balancing Progress with Responsibility and Resilience,’ speaks directly to the work we do every day: building networks that are not only fast and reliable, but secure, inclusive and future-ready.”

Across the Caribbean, the digital divide remains one of the most pressing barriers to equitable growth. Low broadband penetration limits access to education, entrepreneurship and essential services, and that is why we are deeply committed to closing this gap.

Through the Liberty Caribbean Charitable Foundation and initiatives like the JUMP Programme, the company is expanding access to technology, affordable connectivity and digital skills training so that individuals and communities are empowered to participate fully in the digital economy.

Martin-Sulgan further stated “at Liberty Caribbean, we believe progress and responsibility must move in lock step. By investing in resilient networks, inclusive programmes and trusted partnerships, we are helping to build a Caribbean that is innovative, secure and prepared for the opportunities ahead.”

Topics covered during the Forum, with over 140 participants, included “Securing Critical Infrastructure”, Integrating AI into Digital Transformation”, “The Digital Divide”, The Human Cost of Innovation – Mental Health and Well-being in the Digital Age’, and AI, Cyber Resilience and Regional Innovation”.

Focused on the underlying mandate of the Conference theme thought leaders, innovators, policymakers, technologists, researchers, and community stakeholders were invited to explore how countries can evolve boldly without compromising values or long-term stability.

Photo Caption: 

TTIGF – l-r Darren Campo, Regulatory & Compliance Officer; Yolande Agard-Simmons, Senior Manager Communications; and Kevon Swift, Senior Manager Government and Regulatory Affairs of Flow Trinidad in attendance at the Post Event Mixer at Caribbean Telecommunications Union’s Head Office in St Clair, Port of Spain

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Multi-Agency Enforcement Action Conducted in Five Cays

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Providenciales, Turks and Caicos Islands, 20 February 2026 — The Informal Settlements Unit (ISU), in collaboration with key government agencies, coordinated a multi-agency enforcement exercise on Thursday, February 5, 2026, at Block and Parcel 60609/33 in the Five Cays area.

The exercise was led by the Crown Land Unit, pursuant to its statutory mandate under the Crown Land Ordinance to prevent squatting and encroachment on Crown land. The ISU coordinated the operation, with support provided by the Planning Department and the Turks and Caicos Islands Border Force, while the Royal Turks and Caicos Islands Police Force ensured security throughout the activity.

The enforcement action followed a series of inspections conducted by the Crown Land Unit throughout Five Cays, which identified several illegally constructed buildings made of concrete and timber on sections of the subject parcel. In keeping with the provisions of the Crown Land Ordinance, occupied structures were served Letters of Illegal Occupation, delivered by hand to occupants and posted on structures where individuals were absent. Incomplete and unoccupied structures were served Notices of Unauthorized Occupation pursuant to section 22 of the Ordinance. A total of ten (10) Letters of Illegal Occupation and three (3) Notices of Unauthorized Occupation were issued during the exercise.

The Informal Settlements Unit reiterates that these coordinated enforcement exercises form part of the Government’s ongoing efforts to uphold the law, protect Crown land, and manage informal settlements in a structured and lawful manner. Members of the public are reminded that unauthorised occupation and development on Crown land is unlawful and subject to enforcement action.

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Health

What to Look for with Self-Checks at Home

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February is National Self- Check Month and family medicine physician at Cleveland Clinic, OH, John Hanicak, MD, highlights why at home self-checks are extremely important when it comes to not just early cancer detection but identifying other illnesses too and offers tips on what to look out for.

“Sometimes Ilook at them as sort of like your check engine light on the car, just like therewould be a red flashing light that tells you that there’s something wrong with acar and prompts you to bring that in and get serviced. Your body does the samething. It gives you warning signs tolook intothat symptom a little bit further,” said Hanicak.

Dr. Hanicak saidself-checks are going to be a little different for everyone. 

However, in general, he recommends looking for anything that may seem abnormal, such asunexplained weight loss,blood in your urine, bumps and bruisesthat won’t heal,and changes in bowel habits. 

For example, if you suddenly start going to the bathroom a lot more than you used to, that could bea signof something more serious. 

He also suggestsdoing regular skin checksanddocumentingany molesor spotsthat start to look different. 

“Realize that you are your own person.There’s nobody else in the world exactly like you.You’ve got your own set ofideas, your own family history and your own genetics.Know what is normal for you, and when that changes, that’s the kind of thing thatwe would be interested in talking about,” said Dr. Hanicak. 

Dr. Hanicaknotes that self-checks are not meant to replace cancer screenings, as those are just as important to keep up with. 

Press Release: Cleveland Clinic

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