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. 2017 Sep;27(5):491–500. doi: 10.4314/ejhs.v27i5.7
Insurer No. of Insured Annual Budget
(2016– 2017)
Share of
expenditure from
Total Health
Expenditure
Method of Calculation of Premium Liabilities
IHIO 36,000,000 2,795,265,222 9% Iranian Medical Insurance Fund: 50% is paid
by insured and the rest by government, in
case, people which cannot afford the rest of
premium after the confirmation of IKHRF, it
is paid by government. The Rural Fund: No
premium is paid by insured. Civil Servants
Fund: 5% of minimum level of wage and
advantages multiplied by 2. Other strata Fund:
the premium depends on the socioeconomic
condition.
90% of public approved hospitalized
care in both private and public sectors,
70% of public approved out-patient and
ambulatory services in both private and
public sector
SSO 40,000,000 4,793,531,620 16% In compulsory insurance coverage, the
premium is defined based on pay-roll tax and
the insured should pay 7%, the employer 20%
and the government 3%.
In SSO's own medical center, the
services are free of charge.
Upon purchasing the services from
other private or public providers: 90%
of public approved hospitalized care in
both private and public sectors, 70% of
public approved out-patient and
ambulatory services in both private and
public sector
IKHRF 4,500,000 30,941,380 1% Total premium is paid by government. Free of charge for hospitalized services,
special and catastrophic illness. With a
limited franchise for other medical
services