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 |