The National Health Insurance Scheme (NHIS) was introduced in Ghana in 2004. The scheme was brought on board a substitute for the then out-of-pocket system, popularly identified as the dreaded ‘cash and carry system’. This system required that clients pay healthcare service at the point of service. The reimbursement of claims by the National Health Insurance Authority (NHIA) has not been regular as it ought to be. This study assessed whether delays in claim payment by the NHIA affect healthcare service delivery by private hospitals in the Ga West and Ga North Municipality of the Greater Accra region.