This regulation is issued to implement Proclamation No. 1273/2022 Community-Based Health Insurance Proclamation. It establishes the framework for managing health insurance pools and reserve funds (Sections 3-6), outlines membership and contribution procedures (Sections 7-9), and details provider payment mechanisms (Section 10). It also addresses fund management, financial deficit coverage (Sections 11-13), and miscellaneous provisions such as co-payment and data management (Sections 14-20).
This Proclamation provides the legal framework for the Community Based Health Insurance System.
The Proclamation establishes a mandatory health insurance scheme for pensioners, employees and members of their families in Ethiopia.
The Law establishes a mandatory health insurance scheme for pensioners, employees and members of their families in Ethiopia.
Medical Schemes Act No 131 of 1998
The Act consolidates the laws relating to registered medical schemes; provides for the establishment of the Council for Medical Schemes as a juridical entity; provides for the appointment of the Registrar of Medical Schemes; makes provision for the registration and control of certain activities of medical schemes; protects the interests of members of medical schemes; provides for measures for the co-ordination of medical schemes; and provides for incidental matters.