Despite the fact that national health insurance has been available in Ghana since 2003, the coverage is far from universal. Research Paper #23 evaluates a consumer education intervention for microfinance clients by Freedom from Hunger and Sinapi Aba Trust designed to increase awareness, knowledge and eventually take-up rates of the National Health Insurance Scheme. Results suggest that the lack of knowledge may not the most important barrier to enrolment: while health insurance education appeared to increase knowledge of health insurance among those who received it, there were no significant differences in enrolment rates between the treatment groups and control group. Rather, it appears that convenience of registration and timing of premium payments were more common challenges faced by these individuals.