SHIA — Social Health Insurance Authority
Caymis Bulsho (EPHS core)
Social Health Insurance package = EPHS 2020 core benefits
فعّال · v1
| التدخل | مستوى المرفق (الأدنى) | التعرفة (دولار) | يتطلب موافقة مسبقة |
|---|---|---|---|
| Access to care | |||
| Common signs & symptoms | |||
| Outpatient consultation and treatment | وحدة صحية أولية | $5.00 | لا |
| Continuity & care planning | |||
| Registration, triage and care planning | وحدة صحية أولية | $5.00 | لا |
| Emergency care | |||
| Emergency stabilisation and referral | مركز صحي | $10.00 | لا |
| Emergency surgery | مستشفى إحالة إقليمي | $120.00 | نعم |
| Communicable diseases | |||
| HIV / TB / malaria / hepatitis | |||
| Testing and treatment | مركز صحي | $10.00 | لا |
| Immunization | |||
| Routine EPI vaccination | وحدة صحية أولية | $5.00 | لا |
| Neglected tropical diseases | |||
| NTD diagnosis and treatment | مركز صحي | $10.00 | لا |
| Outbreak surveillance | |||
| Case detection and notification | وحدة صحية أولية | $5.00 | لا |
| Life course, growth & development | |||
| Adults & older people | |||
| Screening and chronic-care follow-up | مركز صحي | $10.00 | لا |
| Childhood & adolescence | |||
| Growth monitoring and IMCI | وحدة صحية أولية | $5.00 | لا |
| Nutrition | |||
| Management of acute malnutrition | مركز صحي | $10.00 | لا |
| Non-communicable diseases | |||
| Cancer | |||
| Cancer screening and referral | مستشفى المنطقة | $120.00 | نعم |
| Cardiovascular & pulmonary | |||
| Hypertension and asthma management | مركز صحي | $10.00 | لا |
| Diabetes | |||
| Diabetes diagnosis and management | مركز صحي | $10.00 | لا |
| Injuries | |||
| Injury and trauma management | مستشفى المنطقة | $25.00 | لا |
| Mental health | |||
| Mental-health assessment and treatment | مستشفى المنطقة | $25.00 | لا |
| Rehabilitation | |||
| Rehabilitation | |||
| Physiotherapy and assistive devices | مستشفى المنطقة | $120.00 | نعم |
| Reproductive, maternal & newborn health | |||
| Antenatal care | |||
| ANC visits (4+), tetanus, iron/folate | وحدة صحية أولية | $5.00 | لا |
| Delivery | |||
| Caesarean section | مستشفى المنطقة | $120.00 | نعم |
| Normal delivery by skilled attendant | مركز صحي | $10.00 | لا |
| Family planning | |||
| Counselling and contraceptives | وحدة صحية أولية | $5.00 | لا |
| Postnatal & newborn care | |||
| Postnatal visits and newborn care | وحدة صحية أولية | $5.00 | لا |