Logo of Phnom Penh Post newspaper Phnom Penh Post - NSSF, ministries finalising health insurance scheme

NSSF, ministries finalising health insurance scheme

Medical staff attend to garment workers in Kampong Cham province earlier this month after a mass fainting saw 49 employees admitted to a referral hospital. NSSF
Medical staff attend to garment workers in Kampong Cham province earlier this month after a mass fainting saw 49 employees admitted to a referral hospital. NSSF

NSSF, ministries finalising health insurance scheme

The National Social Security Fund yesterday said it’s gearing up to sign agreements with about 200 provincial referral hospitals and health centres to provide coverage to a wave of recently insured workers in the country.

Ouk Samvithyea, executive director of the NSSF, said a workshop held yesterday in conjunction with the Labour and Health ministries was intended to prepare health care providers for the upcoming changes.

“We need to make them aware of how we are going to work with them,” he said outside the workshop.

NSSF has already signed 10 contracts with service providers in Phnom Penh, Kandal and Kampong Speu. Roughly 360,000 workers in those three provinces are already registered for health insurance under the NSSF expansion.

Under the new scheme, a worker contribution of 1.3 per cent of their gross monthly salary will be matched by employers.

Health providers will not only need to check if the workers are members of the NSSF when seeking care, Samvithyea said, but will also need to verify the workers’ identity. Agreements are still being worked out as to how much the NSSF will reimburse providers for various medical procedures.

“After providing services, the hospital can make a claim to NSSF, and then NSSF will check whether the claim matches the agreement price,” he said.

The NSSF has also established a medical committee to monitor the quality of care at the contracted hospitals and health centres, Samvithyea said.

If health-care facilities are not in compliance with agreement terms, the providers will be given time to correct their errors. “We will discuss with them and ask them to make reforms,” he said.

Ath Thorn, president of the Coalition of Cambodian Apparel Workers’ Democratic Union, welcomed the news of a medical committee to monitor the delivery of services.

“Currently, services at the hospitals and treatment are not very good,” he said. “There have been a lot of complaints of poor services at the hospitals.”

Ek Bun Than, governor of Kandal’s Loeuk Dek district and a medical doctor himself, said the scheme was a win-win for health providers and workers, as the health facilities will be reimbursed for the services they provide and workers will get the care they need.

However, he said, at least in his district, the capacity to provide health services to an influx of workers is not yet there.

“Currently, our district is lacking human and technical resources,” he said. “We are not sure if we could afford to expand our services.”

Additional reporting by Yesenia Amaro

MOST VIEWED

  • Time to avert disastrous Covid situation: officials

    The Covid-19 situation in Cambodia is heading towards further large-scale community transmission as the total number of confirmed cases is nearing 61,000 and the death toll passed 900 on July 10, senior health officials warned. Ministry of Health spokeswoman Or Vandine expressed concern that the country was going

  • Visa A holders get to quarantine at Himawari Hotel

    The Ministry of Health has permitted foreign diplomats, UN and International NGO officials to undergo quarantine at Himawari Hotel in the capital in case they do not have a separate place suitable for this purpose, but the government would not be responsible for the expenses.

  • Two luxury hotels latest quarantine options for inbound travellers

    The Inter-Ministerial Committee to Combat Covid-19 has designated two luxury hotels as alternative quarantine options for travellers who wish to enter Cambodia through Phnom Penh International Airport – Sokha Phnom Penh Hotel & Residence and the Courtyard by Marriott Phnom Penh. In a notice detailing guidelines issued

  • Baby saved as mother is lost to Covid

    Newborn baby Neth David has had a rough start in the world. His mother, Vong Daneth, was seven months pregnant when she contracted a severe case of Covid-19. When it became clear to her doctors that she would not survive, they performed a cesarean section

  • Jabs for kids bring hope for school reopenings

    Cambodia is tentatively planning to reopen schools – at least at the secondary level – when the vaccination of children aged 12-17 is completed, even though daily transmissions and deaths in other age groups remain high. Schools across the country have been suspended since March 20, one month

  • Hun Sen: Get 12-17 age group ready for Covid jabs

    Prime Minister Hun Sen has told parents of children aged 12-17 in Phnom Penh and the provinces of Kandal and Preah Sihanouk to get them ready for vaccinations soon. “There is a need to vaccinate children and youths aged 12 to 17. According to the statistics provided