Jordan Times
Wednesday, November 17, 2004

Ministry in talks with private sector to expand health insurance system

AMMAN (Petra) — The Ministry of Health is negotiating with the Private Hospitals Association (PHA) to sign an agreement that will allow beneficiaries from the Civil Health Insurance System to receive treatment at member hospitals in return for paying an unspecified percentage of the cost.

According to Minister of Health Saeed Darwazeh, civil servants will share in shouldering the costs of such a system in the form of a deduction from their salaries. But the minister stressed that the ministry will take into consideration the situation of low-income employees.

The deal, Darwazeh said, would give health insurance beneficiaries an opportunity to choose from 56 private hospitals throughout the Kingdom in which to receive treatment.

Under the present system, beneficiaries of the civil health insurance receive treatment only in three private hospitals and under strictly defined conditions.

Darawzeh added that the ministry intends to sign a contract with a private company, which will be tasked to administer the agreement with the private hospitals.

Its mission is to set controls, follow up on the deal, evaluate it and audit the bills released to the patients to make sure that the private hospitals involved are committed to the pricing system agreed on, according to the minister.

The move fulfils His Majesty King Abdullah's directives to widen the umbrella of health insurance to include all sections of society.

The new Comprehensive Health Insurance System will be fully-fledged in less than three years, the official said.

Elaborating on the developments related to the nationwide health insurance plan. Darwazeh said the ministry has set implementation mechanisms to carry out the expanded medical insurance plan.

Currently 75 per cent of the total population benefit from health insurance after the endorsement of the new insurance system last September.

Since its implementation, an additional 400,000 citizens have benefited from health insurance, in addition to the establishment of a Health Insurance Fund.

The fund allows citizens, who are not covered by any health insurance system, to benefit from its services in return for nominal fees. They are then eligible to receive treatment at the ministry's hospitals and healthcare centres. Under the comprehensive system, for example, a wife who is a beneficiary from this service will be allowed to add her husband and children to her insurance card.


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