This document provides the benefits package of the National Health Insurance Scheme as offered to its beneficiaries through private health providers.
This Act provides for sound financing for the national health system; provides for universal access to quality insured health care services; establishes the National Health Insurance Management Authority and provides for its functions and powers; establishes the National Health Insurance Scheme and provides for its systems, procedures and operation; establishes the National Health Insurance Fund and provides for contributions to and payments from the Fund; provides for accreditation criteria and conditions in respect of insured health care services; provides for complaints and appeals processes; provides for the progressive establishment of provincial and district health offices of the Authority; and provides for matters connected with, or incidental to the foregoing.
This Decree implements the Social Security Code.
The law establishes the general conditions for implementing the principles governing Social Security, with the aim of providing salaried workers and their families with protection against the economic and social distress.