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.
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).
The Insurance Act of 2021 establishes the National Insurance Commission, and provides for the regulation and supervision of the insurance market and related matters.
This law establishes a universal health insurance in the Togolese Republic.
The National Health Insurance Act was adopted to establish a National Health Insurance Authority to implement a National Health Insurance Scheme, establish a National Health Insurance Fund to pay for the cost of health care services to members of the Scheme, establish private health insurance schemes, and to provide for related matters.
The National Health Insurance Regulations of 2004 govern the registration, management, and oversight of health insurance schemes licensed under the Health Insurance Act of 2003, detailing requirements for licensing conditions, and fees. They mandate non-discrimination, set minimum benefit standards, and outline procedures for interim management and the accreditation of healthcare facilities.