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National Health Insurance Fund (Tanzania)

Summary

Enrollment in the National Health Insurance Fund is mandatory for formal sector employees and voluntary for all informal sector workers. The scheme offers a wide range of preventative and curative medical care benefits.

Key program components

Benefits of the government-driven scheme include basic diagnostic tests, out-patient services, in-patient service care at fixed rates per day, minor surgery, major in- and out-patient specialized services, physiotherapy, dental services, glasses, prostheses and services for retirees. Services are provided by the accredited health facilities and pharmacies.

The premium for formal sector employees is 6 percent of the employee's salary. The employer contributes 3% and the employee pays the remaining 3%. Informal sector workers pay a flat fee.

In 1997 the government launched the National Social Security Fund to complement this program.