Forms and Registration

The Health Council currently registers health service providers (facilities) on a voluntary basis. Voluntary registration is not required by law. Registering a health service provider helps to ensure that the provider is meeting minimum safety and operational standards, the people delivering the health services are registered and adequately trained, and any high risk technology is monitored. Voluntary registration also guides the Health Council in making recommendations for insurance reimbursement for providers.

Basic Level:

Advanced Level:

All forms under the Basic level plus the Annual Self-Assessment Form

Premier Level: 

All forms under the Advanced level plus the Council Assessment Form 

The SHB programme is being reviewed as part of initiatives for system and financing reform.  A moratorium will be placed on all provider-submitted SHB applications for new services until further notice. 

Facilities must apply and annually renew their registration to provide services under the Standard Health Benefit (SHB). The Health Council has developed a formal mechanism for approving and renewing the status of facilities and providers, establishing that they are safe, follow best business practices and are legally compliant.

SHB Proposals Guide

All health insurers (which includes health insurance companies, approved employer-financed health schemes, and the Health Insurance Department of the Bermuda Government) wishing to undertake health insurance business in Bermuda must apply to the Bermuda Health Council for a license which will be valid from the approval date until 31st December of the same year. License renewals take place on an annual basis from 1st January of each year.

Home Medical Services (HMS) are professional nursing services provided in the home to treat a medical condition. The Health Council approves HMS and reimbursement rates to be covered under the Standard Health Benefit. A patient must be referred by a physician to an approved HMS agency to qualify for the benefit.

Physician Referral Form for Home Medical Services

The Health Council regularly receives and analyzes data from health system stakeholder as part of a particular request or as part of our routine system review processes.  In support of our mandate to educate the public on health system matters, we have developed a Data Request Form for interested members of the public to request specific analyses.

Data Analytics Request Form

The Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012 prohibit charging insured patients for the insured portion of a health bill at the time of service (upfront payments), and set out the requirements and procedures for providers to make claims and receive reimbursement.

The Bermuda Health Council monitors and enforces compliance by health service providers and insurers with the Regulations.

Forms:

Health Insurance Claims Form

CR1- Application by Insurer Claims Regulations
This form is for use by insurers who wish to apply to vary time requirements to pay electronic health insurance claims per section 10 of the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012.

CR2- Application by Provider Claims Regulations
This form is for use by health service providers who wish to apply for permission to require payment by an insured person of the insured portion of a procedure in accordance with section 5 of the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012.

CR3- Application for Exemption Claims Regulations
This form is for use by health service providers who wish to apply for an exemption in accordance with section 15 of the Health Insurance (Health Service Providers and Insurers) (Claims) Regulations 2012.

Health Service Provider Registration Guide

Loader Loading...
EAD Logo Taking too long?
Reload Reload document
| Open Open in new tab

Download

Coronavirus
Get the latest resources and advice on Coronavirus and what we're doing as a Health Council.
X