Algeria: Third-party medical insurance payment firm established

Source: Middle East Insurance Review | Nov 2017

After a waiting period of several months, the insurance industry is ready to officially announce the creation of a company to manage third-party healthcare payments, under the supervision of the Central Reinsurance Company (CCR).

Government-owned and privately held insurers will soon be proposing a third-party payment formula for the reimbursement of healthcare costs, as is practised by the National Social Insurance Fund (CNAS).

It remains only to announce the creation of the company because all the details have been settled, a source told Emerging Maghreb.

With CNAS reimbursements standing at 80%, the eight life and health insurers in the market would not only pay compensation of the remaining 20% but could even pay up to 50% over time. In the long term, CNAS will have less medical expenses to reimburse because more of such costs will be covered by commercial medical insurance.

Insured persons will be given a health insurance card which will cover their treatment at any private clinic, including medication.

Representatives of government-owned insurers have visited other countries to study their health insurance reimbursement systems.

The health insurance third-party payment plan was first mentioned by the CEO of CAARAMA Insurance, Ammar Meslouh, last year. M

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