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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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Bahamas News

Bahamas Issues Cybersecurity Alert Over Akira Ransomware Threat

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Nassau, The Bahamas, October 22, 2026 — The National Computer Incident Response Team of The Bahamas (CIRT-BS) has issued a cybersecurity advisory warning businesses, government institutions and other organisations about the growing threat posed by Akira ransomware, a cybercriminal operation capable of stealing sensitive information, disrupting networks and demanding ransom payments.

Active since March 2023, Akira operates through a Ransomware-as-a-Service model, with affiliates exploiting weaknesses in computer networks to gain unauthorised access.

Once inside, attackers can steal confidential data, disable recovery systems and encrypt files, preventing organisations from accessing critical information.

Particularly concerning is Akira’s use of double extortion, threatening to publish stolen information unless victims pay. Some attacks involve data theft without encryption.

The October 22 advisory identifies vulnerabilities involving Cisco and SonicWall firewalls, VPN services, Microsoft Remote Desktop Protocol, Veeam backup systems and outdated Windows and Linux operating systems. VMware ESXi and Nutanix AHV environments are also potential targets.

Attackers may exploit unpatched software, stolen login credentials and inadequately secured remote-access applications, including AnyDesk and RustDesk.

Warning signs include unexpected administrator accounts, unusual remote logins, unauthorised software installations, suspicious backup activity, mass file changes and ransom notes.

CIRT-BS recommends immediate security updates, multifactor authentication, restricted remote access, stronger network monitoring and secure backups maintained separately from operational systems.

Organisations should also remove unnecessary internet exposure of remote desktop services, limit administrative privileges and regularly test backup restoration.

The advisory does not identify any confirmed Akira attack against a Bahamian organisation but highlights vulnerabilities that could expose institutions to serious financial and operational disruption.

Cybersecurity incidents can be reported to CIRT-BS at soc@cirt.bs or through its official website.

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Crown Land Unit Leads Multi-Agency Enforcement Exercise in Five Cays

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Providenciales, Turks and Caicos Islands – Wednesday, 21st October 2026: The Crown Land Unit, with coordination and support from the Informal Settlements Unit (ISU), conducted a multi-agency enforcement exercise in the Five Cays area of Providenciales on October 8, 2026, as part of the Government’s ongoing efforts to address the illegal occupation and unauthorized use of Crown land.

The exercise brought together representatives from the Crown Land Unit, ISU, TCI Border Force and Royal Turks and Caicos Islands Police Force. Inspections were conducted across several parcels of Crown land in Five Cays, where instances of illegal occupation and unauthorized use had been identified.

During the exercise, a total of seven (7) Section 22 Notices of Unauthorized Occupation were issued in accordance with the provisions of the Crown Land Ordinance. The notices related to the unauthorized placement of shipping containers and derelict vehicles, as well as the construction of an incomplete concrete structure on Crown land. Where occupants or other responsible persons were not present, notices were affixed to the relevant structures or items.

The exercise forms part of the Crown Land Unit’s continuing efforts to prevent squatting and encroachment on Crown land and to ensure that instances of unauthorized occupation are identified and appropriately addressed.

The Government of the Turks and Caicos Islands reminds the public that occupying, developing or otherwise using Crown land without lawful authority is an offence under the Crown Land Ordinance. These inspections and enforcement activities form part of a sustained program aimed at safeguarding public lands, discouraging unlawful development and ensuring that Crown land is managed in the best interests of the people of the Turks and Caicos Islands.

The Crown Land Unit will continue to work closely with the ISU and other partner agencies to identify and address instances of illegal occupation across the Islands. Persons occupying Crown land without authorization are encouraged to comply with all notices issued and to seek guidance from the relevant authorities where necessary.

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Invest TCI Strengthens Regional Investment Connections at Caribbean Investment Forum 2026 in Barbados

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Providenciales, Turks and Caicos Islands – Monday, 19th October 2026: Invest Turks and Caicos Agency (Invest TCI) strengthened its regional presence at the Caribbean Investment Forum (CIF) 2026, held October 5 – 7, 2026, in Bridgetown, Barbados, participating as both a sponsor of the Forum and representative of the Turks and Caicos Islands’ investment landscape.

The Caribbean Investment Forum brought together regional and international investors, government representatives, business leaders, entrepreneurs, investment promotion agencies, and development partners to explore investment opportunities, strengthen partnerships, and advance sustainable economic development throughout the Caribbean.

The Agency’s sponsorship of CIF 2026 formed part of its continued commitment to strengthening the visibility of the Turks and Caicos Islands within the regional investment community and building relationships with investors, development partners, investment promotion agencies, and businesses across the Caribbean.

The opening of the Forum was attended by the Honourable Mia Amor Mottley, Prime Minister of Barbados, who emphasised the importance of scaling regional investment, strengthening economic cooperation, and transforming innovative ideas into commercially viable opportunities. Invest TCI was represented by Ms. Alexa Cooper, Domestic Investment Officer, and Mr. Hezron Henry, Marketing Support Officer. Throughout the Forum, the delegation engaged with stakeholders and promoted the Turks and Caicos Islands as a competitive investment destination while exploring opportunities for greater regional collaboration and knowledge exchange.

Speaking on her experience at the Forum, Ms. Alexa Cooper, Chief Domestic Investment Officer, said:

“CIF 2026 provided another valuable opportunity to engage with donor organisations, investors and Investment Promotion Agencies (IPAs) from across the Caribbean. A highlight for me was the introduction of an exclusive masterclass for fund managers, investors and support organisations, which offered practical insights into unlocking capital, strengthening investment ecosystems and supporting investment-ready businesses. I was equally impressed with the quality of projects pitched, which showcased the region’s innovation and investment potential. It was encouraging to see projects presented with a clearer understanding of investor expectations, reinforcing the importance of not simply developing projects, but ensuring they are well-structured, investment-ready and positioned to attract the right investment partners.”

Accompanying the Invest TCI delegation was Mr. Sean Penn, Chief Executive Officer of Sky Poultry Farm Ltd., the first commercial egg and poultry production facility in the Turks and Caicos Islands. Mr. Penn’s participation provided an opportunity to showcase the development of domestic enterprise within the Turks and Caicos Islands while highlighting the potential of agriculture and food production as part of the country’s broader economic diversification efforts.

Through his participation at CIF 2026, Mr. Penn had the opportunity to engage with regional stakeholders, gain exposure to developments within the Caribbean agricultural sector, and explore potential partnerships and opportunities related to agricultural investment, innovation, and enterprise development.

For Invest TCI, the combination of sponsorship, investment promotion and local business representation provided a multifaceted platform to advance the Agency’s mandate. It allowed Invest TCI not only to promote the Turks and Caicos Islands to prospective investors but also to facilitate greater exposure for a local enterprise operating within an emerging sector of the economy. The Forum also provided opportunities for the Invest TCI delegation to exchange knowledge with regional counterparts, strengthen institutional relationships, and gain insight into investment trends and opportunities affecting Caribbean economies.

As the Caribbean Investment Forum continues to expand its regional reach, Santo Domingo, Dominican Republic, was announced as the destination for the next edition of the Forum, providing another opportunity to bring together investors, policymakers, investment promotion agencies and businesses from across the Caribbean and beyond.

Invest TCI looks forward to the continued growth of the Caribbean Investment Forum and the opportunities it creates to deepen regional partnerships, promote investment, and connect Caribbean businesses with new markets and sources of capital. The Agency remains committed to attracting sustainable investment, supporting domestic enterprise, encouraging economic diversification, and developing partnerships that contribute to the long-term economic development of the Turks and Caicos Islands.

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