The treatment from private clinics will not be covered in the universal health insurance scheme “Aasandha” commencing on January 1, 2012.
State Minister Ibrahim Waheed said the “Aasandha” scheme will not include private clinics as the government wants to establish a mechanism that would allow patients to receive all kinds of treatment from a single place, according to Haveeru.
“We haven’t planned to include private clinics in Aasandha in 2012. The government doesn’t want everyone to set up clinics in their houses but rather wants the people to be able to receive treatment from a single place,” he was quoted as saying in Haveeru.
According to Aasandha website, the scheme will initially cover treatment from IGMH, ADK Hospital, IMDC Hospital in Addu and other hospitals and health centers currently operated by state owned health corporations.
Under the parliament-approved scheme, all Maldivian citizens will receive government-sponsored coverage up to Rf100,000 (US$6,500) per year, including further provisions to citizens who require further financial assistance.
Expatriate workers are also eligible for coverage providing their employers pay an upfront fee of Rf1,000 (US$65).
The Aasandha program was officially signed at Artificial Beach on December 22 with hundreds of Maldivian citizens in attendance.
Aasandha is a public-private partnership with Allied Insurance. Under the agreement, Allied will split the scheme’s shared 60-40 with the government. The actual insurance premium will be paid by the government, while claims, billing and public awareness will be handled by the private partner.
The service will cover emergency treatment, including overseas if the treatment is not available locally, inpatient and outpatient services, domestic emergency evacuation, medicine under prescription, and diagnostic and therapeutic services.