Politics Society & Culture

Private healthcare providers excluded from insurance scheme

Consultation and treatment sought at private healthcare providers will no longer be covered by the state’s free health insurance scheme after an abrupt policy change was implemented without notice on Saturday night.

The government-owned Aasandha health insurance company informed private hospitals and clinics of the decision in a late night circular. The ADK private hospital in Malé received the circular at 11:22 pm and announced that it would stop offering Aasandha services from Sunday onward.

The Aasandha company said the decision was made by the national social health insurance scheme board.

“The decision follows ongoing efforts to review the principles for implementing the Aasandha scheme,” reads the circular.

The circular noted that inpatient, outpatient, laboratory and scan services are available free of charge in public hospitals. Patients presently undergoing treatment at private hospitals and clinics will still be able to make payments through the Aasandha scheme, it added.

“From this date on, private hospitals have been de-empanelled with a decision to cancel their agreements. We also request [private hospitals] to send invoices within the coming 30 days,” the circular read.

The Aasandha universal health insurance scheme was introduced in January 2012 during the administration of former President Mohamed Nasheed. It was expanded to ‘Unlimited Aasandha’ by President Abdulla Yameen in 2014.

The scheme initially provided coverage of up to MVR100,000 (US$6,485) annually for all Maldivian nationals with valid identity cards.

Full details are available from the link below:

Source URL:  Maldives Independent

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