The State Agency on Mandatory Health Insurance (hereinafter-Agency) is a public legal entity that implements mandatory health Insurance through accumulating revenues to finance medical services within benefit package and acting as purchaser of these services.
The Agency started functioning on 15 February 2016 as State Agency on Mandatory Health Insurance under the Cabinet of Ministers of the Republic of Azerbaijan. In accordance with the Decree № 1125 dated 24 November 2016 of the President of the Republic of Azerbaijan, public legal entity “State Agency on Mandatory Health Insurance” was established on the basis of Agency which held legal status of body of executive power. The Charter of the Agency was approved with Decree № 1592 dated 6 September 2017 of the President of the Republic of Azerbaijan.
The Agency goals are the following:
- To involve the public in mandatory health insurance;
- To accumulate revenues to finance medical services within benefit package;
- To take measures to improve quality of medical services and to ensure accessibility of these services to the public;
- To protect rights and legal interests of the insured;
- To ensure efficient spending of accumulated revenues and making insurance payments on time.
The Agency operates in the following directions:
- Involvement in developing a single policy on mandatory health insurance and to ensure implementation of this policy;
- Arranging mandatory health insurance for the public and ensuring financial sustainability of this insurance;
- Providing the public with equal conditions to use medical services as part of mandatory health insurance;
- Taking measures to ensure accessibility of mandatory health insurance for everyone and to improve quality and efficiency of medical services to protect the health of the population;
- Ensuring further development of mandatory health insurance.
Strategy
Vision
Ensuring universal and sustainable health insurance guaranteeing delivery of safe, quality, and efficient healthcare services to the public.
Mission
Ensuring public access to quality healthcare services regardless of time and place.
Core values
- Transparency
- Accessibility
- Reliability
- Professionalism
- Fairness
Pilot scheme
Mandatory health insurance has been implemented as a pilot scheme in Mingachevir and Yevlakh (the Decree of the President of the Republic of Azerbaijan No. 1127 of 29 November 2016) and Aghash (the Decree of the President of the Republic of Azerbaijan No. 1830 of 16 February 2018) providing 1829 medical services within a benefit package.Citizens of the Republic of Azerbaijan registered in Mingachevir, Yevlakh or Agdash in accordance with the Law of the Republic of Azerbaijan On Registration of Residence and Presence, and foreigners or stateless persons temporarily or permanently residing in Mingachevir, Yevlakh or Agdash in accordance with the Migration Code of the Republic of Azerbaijan, as well as internally displaced persons settled in Mingachevir, Yevlakh or Agdash were entitled to benefit from the pilot project. Since April 1, 2021 mandatory health insurance has been implementing throughout the country.
Medical services provided under mandatory health insurance are the following:
- Emergency (including ambulance service);
- Primary healthcare (family physician);
- Outpatient services;
- Inpatient services;
- Instrumental diagnostics ;
- Physiotherapy;
- Laboratory;
- Pregnancy and delivery;
- Urgent vaccinations (anti-rabic, anti-tetanus, anti-snake venom, etc.);
- Scheduled child vaccinations;
- Surgeries (including expensive heart surgeries, cochlear implantations, etc.);
- Specialised continuing healthcare.
