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 decree sets out the contractual framework between the managing body and the "Organismes Gestionnaires Délégués" (Delegated Management Organizations) of the universal health insurance scheme.
The decree defines the values and nomenclatures for pharmaceutical acts and products covered by the universal health insurance scheme.
The Decree establishes the health benefit package covered under the Universal Health Insurance. The decree was published on 25 November 2023 in the Official Journal.
This decree sets out the terms and conditions for access to health care services covered by the universal health insurance.
This decree sets the base, rates, amounts, and collection procedures for social security contributions and other contributions due in respect to universal health insurance.
This decree confers the management of Universal Health Insurance to the National Health Insurance Institute and the National Social Security Fund.
This decree sets out the conditions and procedures for membership, affiliation, and registration with the Universal Health Insurance Medical Assistance Scheme.
This decree sets out the terms and conditions of affiliation and registration to the compulsory health compulsory health insurance scheme.
The Decree sets out the terms and conditions of the medical inspection carried out by the Universal Health Insurance management body.
This Proclamation provides the legal framework for the Community Based Health Insurance System.
The decree sets out the powers, organization, and operation of the Institut National d'Assurance Maladie. It was published in the Official Journal on 7 October 2022 (see pages 108 to 114).
The decree sets out the missions, composition, organization, and operation of the "comité de régulation de l'assurance maladie universelle" (universal health insurance regulatory committee). It was published in the Official Journal on 7 October 2022 (see pages 137 to 140).
This law establishes a universal health insurance in the Togolese Republic.
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.