The study is on the impact of National Health Insurance Scheme on enrollees in Gombe metropolis. The study aimed at examining the problems and challenges of the scheme, determining the enrollee’s level of satisfaction towards services provided and to proffer solutions to improve health service delivery. The research work adopted a survey research design where questionnaires were administered and interview was conducted so as to sample the views of the respondents and to draw conclusion for the study. The major findings of the study are: the NHIS was established against the poor state of the national healthcare system and the rising cost of healthcare services. The scheme reduces out of pocket payment for healthcare services. It aims at improving access to good healthcare service delivery among Nigerians. Also the study found out that there is a significant relationship between enrollee’s satisfaction and quality of services provided. Hence the study suggests that the scheme should include some expensive drugs, procedures and some expensive surgical operations, increase the supply of medicine/drugs to health facilities, re-train health personnel and also post more healthcare personnel to health facilities.

Keywords : Health, Healthcare, Health Maintenance Organization, Health Care Provider, National Health Insurance Scheme, Enrollee, Satisfaction.