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Social welfare system in Tunisia - Coggle Diagram
Social welfare system in Tunisia
Social Protection System
three lines of care and a free assistance for the needy
compulsory health insurance CNAM
public sector
benefiting of the necessary care
services subject to third-party payment
possibility of recourse to private sector
most chosen sector
geographical availibility
private sector
the obligatory resort to the approved family doctor
except pathologies related to gynecology,ophtalmology pediatrics, dentisery
30 percent patient participation
possibility of recourse to the public sector with a co-payment
cons
refusal of referring to the family doctor
bears the cost of care provided in private and public steuctures for the insured
the care basket
restrictive regulatory list
medical and paramedical costs
healthcare expense for insured subjects under the industrial accident and occupational disease scheme
The supply of pharmaceutical products nd equipments
system sector reimbursement of costs
choice between private and public sector
payment of the totality of care expenses by the patient
reimbursement by the fund
cons
low reimbursement ceiling
difficulty of advancing the costs encountered
Free medical assistanceAMG
the vulnerable
co-payments in the public sector
the poor
total free care
The free medical assistance program for the needy
Ministry of social affairs
Free Healthcare scheme
citizens under the pauverety line
total caverage of care
valid for 5 years
validated annually by the MAS sevice
Reduced Tariff scheme RTR
sameb co-payment as those insured by social security
validated annually
for the vulnerable(icom-limited)
valid for 5 years
fixed annual contribution of 10tnd by the beneficiary