The Imo State Health Insurance Agency is transforming healthcare in Nigeria through Imo Care, a program offering free healthcare to millions. With over 2.7 million enrollees and 438,000 cases treated, the agency reaches deep into rural communities. Led by Dr. Uchenna Ewelike, the agency is trusted across political lines. Imo Care has reduced maternal deaths, supported surgeries, and given hope to vulnerable families. It’s a model of equity, trust, and people-centered governance in action.