Health insurance, what benefit, who are the beneficiaries of the scheme
Health Insurance Activity developed based on legislation filed on principles of solidarity, equality and protection of most vulnerable groups of population. With health insurance, designed for the first time in Albania in 1994, but move in a way already known to the world experience. Health insurance rose in Albania by Law no. 7870, date. 13.10.1994, “On Health Insurance in the Republic of Albania”. This law has been enriched over the years, to reach in 2007 with the inclusion of all primary service health insurance scheme, and for peaked in early next year service involvement and hospital insurance scheme.
Who benefits from health insurance?
All economically active persons, including:
1. All employees in the state or private organizations that are providing
2. The self-employed in the city or village, that vetësigurohen.
The state contributes to inactive persons as:
a) children, students and full-time students;
b) retirees
c) the disabled (mental and physical);
d) the unemployed;
e) persons who dealt with economic aid and social assistance
h) mothers with maternity;
f) citizens who perform military service compulsory.
* Council of Ministers has the right to specify other groups of citizens, who must contribute to the state.
What benefit?
Through health insurance benefit:
1. Free health service to the general practitioner and family.
2. The doctor for free medical service specialist.
3. Free home health services, ambulance and hospital.
4. Free laboratory and radiological examinations.
5. Unique tertiary examinations with 90% refund and co-payments from insured persons 10%.
6. The list of reimbursed medicines free for children 0-12 months, full disabled, pensioners, the blind and orphans
7. All medicines free for veterans with chronic illnesses and invalids.
8. Free drugs for the patients with tumors, kidney transplant, multiple sclerosis, thalassemia major.
9. Drugs with partial reimbursement for all other categories of people, in different percentages, but not less than 50%, medication list, compared with prescription reimbursement issued by the general practitioner in all pharmacies that contract with HII-in. List of drugs, which features and price of the patient, is available from all pharmacies and made available tëçdo interested person.
When the benefit?
Take advantage when you are provided with health booklet, which provides each provided at the Regional Health Insurance. Health insurance gives you the right to choose the general physician and family you want. He will be your personal doctor, which you can change once a year.