Mental Health at Work in Nigeria: HMO Cover and an HR Guide

Caleb Ihuarulam

Caleb Ihuarulam

Yes. Many HMO plans in Nigeria cover mental health, usually doctor consultations and referrals, but cover for therapy sessions, psychiatric care and admission varies by plan. Reliance HMO company plans include mental health benefits, including consultations for adult mental health conditions, and members can chat with a doctor 24/7 in the Reliance Care app.

For employers, the plan is only half of the answer. The other half is how you support staff day to day, so problems are spotted early and people feel safe asking for help.

This guide explains what HMO mental health cover usually means, what HR teams should ask an HMO, the signs to look out for at work and the policies that make a real difference.

Does HMO cover mental health in Nigeria?

Often, yes, but plans differ in what they include and how much they pay. Use this table to check a plan before you buy or renew:

Service What to check in the plan
Doctor (GP) consultation Is it covered, and can employees see a doctor about mental health without a referral?
Psychiatrist Is specialist care covered, and does it need a referral or approval code?
Psychologist or counselling Are therapy sessions covered, and is there a limit on the number of sessions?
Hospital admission Is psychiatric admission covered, at which hospitals, and up to what limit?
Medication Are prescribed mental health medicines covered, and for how long?
Telemedicine Can employees talk to a doctor by phone, chat or video, and at what hours?

Before you buy or renew a company plan, check the benefit table for:

  • Which mental health conditions and services are covered (consultations, counselling, psychiatric care, admission)
  • Annual limits or a maximum number of sessions
  • Which hospitals and clinics on the plan offer mental health care
  • Whether employees can get help remotely and privately
  • Any waiting periods or exclusions

Not sure how plans compare? Read our guide to choosing the best HMO in Nigeria.

Questions HR teams should ask an HMO

  • Does the plan include mental health support, and what are the limits?
  • Can employees speak to a doctor quickly and privately?
  • Is telemedicine available, including outside working hours?
  • Can employees get care without long delays for approval?
  • How is employee health information kept confidential from the employer?

The goal is care that is easy to use, confidential and free of stigma.

What the Mental Health Act means for employers

Nigeria’s National Mental Health Act 2021 received presidential assent in January 2023 and replaced the colonial-era Lunacy Act. According to a legal analysis by Templars, the Act:

  • Gives people with mental health conditions the same access to jobs and pay as others, and stops employers from ending someone’s employment only because of a past or present mental health condition or because they are getting treatment (section 13)
  • Stops employers from withdrawing benefits an employee is entitled to on those grounds (section 13)
  • Expects employers to help a worker seek medical advice or treatment where a condition is affecting their work (section 13)
  • Makes information about a person’s mental health condition and treatment confidential (section 21)

Check your HR policies against the Act with your legal adviser.

Why mental health is a business issue

Depression and anxiety cost the global economy nearly US$1 trillion a year, with an estimated 12 billion working days lost, according to the World Health Organization and International Labour Organization. Employees dealing with financial stress, job insecurity, long hours or burnout are more likely to miss work, make mistakes, withdraw from their team or resign. Many struggle in silence because of stigma or fear of being seen as weak.

Signs an employee may be struggling

Managers are not there to diagnose anyone, but they can notice changes and offer support. Common signs include:

  • Burnout: constant tiredness, cynicism about work, and lower performance despite long hours
  • Low mood: persistent sadness, hopelessness or feelings of worthlessness
  • Changes in behaviour: irritability, withdrawing from colleagues, or missing deadlines that were never missed before
  • Physical changes: poor sleep, changes in appetite or weight, frequent headaches or other unexplained aches
  • Trouble focusing: difficulty concentrating or making decisions

If someone talks about suicide or self-harm, or is in immediate danger, take it seriously: stay with them and call 112, Nigeria’s toll-free emergency number, or take them to the nearest hospital emergency unit.

8 workplace policies that support mental health

  1. Mental health benefits in your health plan. Make sure your employee health plan includes access to doctors, counselling or therapy, and psychiatric care. Tell staff clearly what is covered and how to use it.
  2. Stress management and wellbeing programmes. Identify high-pressure roles and offer support such as stress management sessions, mindfulness and regular check-ins.
  3. Workload management. Set realistic targets, spread work fairly and review workloads when people are consistently working late.
  4. Flexible working. Where possible, allow flexible hours or remote work. Avoiding long daily commutes alone can reduce stress for many employees in Nigerian cities.
  5. Leave that covers mental health. Make clear that sick leave can be used for mental as well as physical health, and encourage everyone to take their full annual leave.
  6. Anti-harassment and anti-bullying policies. Set clear standards of behaviour, provide a confidential way to report problems and act on reports quickly and fairly.
  7. Manager training. Train managers to recognise signs of stress and burnout, have supportive conversations and point employees to help.
  8. Return-to-work support. After time off for mental health, offer a gradual return, adjusted duties or regular check-ins.

Supporting wellbeing from hiring to every day

Before people join: write clear job descriptions and expectations, explain your health benefits and flexible working options during hiring, and build a culture where asking for help is normal.

When they start: use structured onboarding, a mentor or buddy, and introduce wellbeing support and how to use the health plan in the first week.

Day to day: keep workloads realistic, recognise good work, protect breaks and boundaries, run anonymous surveys, and have leaders talk openly about wellbeing and take their own leave. Review absence, turnover and benefit use each year.

How Reliance Health supports employee mental wellness

Reliance HMO company health plans include mental health benefits, with consultations for adult mental health conditions. Members can check their plan’s mental health benefits and talk to a doctor 24/7 in the Reliance Care app, so employees can get help early. Smaller teams can choose our small business plans.

Related: how teletherapy works, what to expect from talk therapy and tips to improve staff care.

Frequently asked questions

Does HMO cover mental health in Nigeria?
Many HMO plans include some mental health cover, such as consultations with doctors and mental health professionals, but services and limits vary by plan. Check the benefit table before you buy or renew.

What should HR look for in a mental health benefit?
Clear cover for consultations and counselling, fair annual limits, quick and private access to a doctor, telemedicine and strict confidentiality of employee health information.

What is a workplace mental health policy?
A written set of commitments and procedures that explains how an organisation supports employee mental health, prevents harm and helps staff get support.

How can employers reduce burnout?
Manage workloads, encourage leave and breaks, offer flexible working, train managers and give employees access to mental health support through their health plan.

What does the Mental Health Act mean for employers?
Employers cannot end someone’s employment or withdraw their benefits only because of a mental health condition or treatment, and information about an employee’s mental health must be kept confidential.

Get a Quote

Share this post


Caleb Ihuarulam

Caleb Ihuarulam

Your comment