Table 2 Relationship of NHIS*, Community Health Insurance Scheme, and Private Commercial Health Insurance Scheme
From: Players and processes behind the national health insurance scheme: a case study of Uganda
NHIS | CHIS* | PCHIS* | |
|---|---|---|---|
Common arrangements | |||
Role of proposed Board of Directors of NHIS | For oversight of health insurance schemes and in-house operations of public sector workers and their dependants scheme, the social health insurance scheme | Represented on the Board. The NHIS Board will provide regulations | Represented on the Board. The NHIS Board will provide regulations |
Regulation by Insurance Regulatory Authority of Uganda. | Yes | Yes | Yes |
Participation in solidarity funds | Provides funds to CHI for indigents | Membership for indigents shall be paid by the NHIS | Contributes part of the premium to the solidarity fund for paying premiums to indigents. |
Specific issues | |||
Ownership | Government | Private | Private |
Current coverage | - | 5–10% of the population where the schemes exist | 1% of the national population |
Target membership | Public formal-sector workers and their dependents | Informal-sector workers and their dependents. | Employees and dependents from the private formal sector |
Proposed/current source of funding | Mandatory payroll deductions and contributions from both employees and the government | Contributions from personal earning for those above the poverty line. | Mandatory payroll deductions and contributions from employees and private-sector employers |
Payment from the solidarity fund for those below the poverty line | |||
Benefit package | Stipulated in the bill | Negotiated with the private healthcare providers | Negotiated with employers, trade unions, and individual members and insurance companies. |