The Decree specifies the application of certain provisions of the law establishing the Universal Health Insurance Scheme, such as affiliation and registration, the insured person's card, care benefits covered, the assumption of responsibility for benefits, health care providers, among other aspects.
This document provides the benefits package of the National Health Insurance Scheme as offered to its beneficiaries through private health providers.
Loi No 2018-074 du 31 décembre 2018 portant institution du régime d'assurance maladie universelle
The law creates a compulsory health insurance scheme known as the "Régime d'Assurance Maladie Universelle" (Universal Health Insurance Scheme) designed to cover the health care costs attached to sickness and maternity for insured persons and their dependent family members.
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.
The law institutes the Compulsory Health Insurance scheme in Mali. Its purpose is to cover the health care costs inherent in sickness and maternity for insured persons and their dependent family members. The law defines the beneficiaries, the guaranteed benefits, the conditions of coverage, affiliation and registration, and financial organization, among other aspects.
The law regulates the compulsory health insurance scheme, the terms and conditions of membership, the benefits covered, the assumption of responsibility for benefits and care providers among other areas.