Health insurance

National Health Insurance Center to purchase health services for Saudis

RIYADH – All employees and workers involved in the provision of health services at all levels under the Ministry of Health (MoH) will be transferred to the proposed Health Holding Company or one of the company’s subsidiaries.

Health Minister Fahd Al-Jalajel said the approval of the Custodian of the Two Holy Mosques, King Salman, for the Cabinet’s decision to establish the health holding company as well as organize the National Health Insurance Center would contribute to the effective performance of the Kingdom’s health system. .

Under the new scheme, the Ministry of Health is the regulator and supervisor of public and private health facilities, and it enables health hubs to provide integrated health services to beneficiaries in all regions of the Kingdom in accordance with the modern health model at its different levels. , underlined the minister.

“This decision lays the systemic foundation for the implementation of the transformation strategy within the Ministry of Health, which will take place in successive stages over the next few years, as the health clusters work to implement a set of transformative programs aimed at promoting community health, prevention and early detection of disease and health risks,” he added.

According to the Cabinet decision, the new National Health Insurance Center (NHIC) will purchase health services provided by the Health Holding Company or its subsidiaries. The budgetary allocations from the Ministry of Health for the provision of health services at all levels will be transferred to the NHIC, in accordance with the plan, phases and mechanisms decided by the health sector privatization supervision committee.

The allocations provided for in the general budget for the ongoing investment projects of the Ministry of Health continue to be disbursed in accordance with the provisions in force.

In accordance with the Cabinet decision, the Ministry of Health will continue to provide health services until it is completely transferred to the Health Holding Company or its subsidiaries. The decision also stipulates that the Health Holding Company undertakes to apply the modern healthcare model in accordance with the requirements set by the Ministry of Health. With regard to state properties that are managed by the Ministry of Health, it was stated in the Cabinet decision that the ministry should continue to perform its role in accordance with established regulations and rules.

The NHIC would submit the comprehensive vision for Citizens Health Insurance to the Economic and Development Affairs Council Strategy Committee for approval, before starting to implement Citizens Health Insurance. As for the Health Holding Company, it will establish health clusters in the form of independent companies called Health Clusters Company to provide health services.

All citizens eligible for health care will benefit from NHIC health services if they are not covered by other health systems, programs or services provided to them by entities other than the Ministry of Health. Citizens who are covered by other health systems, programs or special services provided to them by agencies other than the ministry will also benefit from the services of the NHIC. This will be in line with what is approved by the Council of Ministers based on a proposal submitted by the Ministry of Health, Ministry of Finance and similar bodies.

Beneficiaries also include Saudis working in the public and private sectors; their family members; as well as the children of a Saudi mother of a non-Saudi husband residing in the Kingdom or of a non-Saudi woman married to a Saudi man, and of a non-Saudi man married to a Saudi woman residing in the Kingdom, in the event that their health care is not covered by cooperative health insurance. Beneficiaries of the NHIC health service also include non-Saudi workers in government sectors, if they are not covered by special health systems, programs or services.

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