From: Thailand’s universal coverage scheme and its impact on health-seeking behavior
Civil Servant Medical Benefit Scheme (CSMBS, 9%): Per capita expenditure in 2010: US$ 367 | |
Target population | Government employees, dependents including parents, spouse and up to two children (age < 20) |
Financing source | General tax, noncontributory scheme |
Payment method | Fee for service for outpatient services and conventional DRG for inpatient services |
Health delivery | Free choice of public providers, no registration required |
Benefits package | Slightly higher than SSS and UCS |
Social Security Scheme (SSS, 16%): Per capita expenditure in 2010: US$ 71 | |
Target population | Private sector employees, excluding dependents |
Financing source | Payroll tax financed, tri-partite contribution 1.5% of salary, equally by employer, employee and government |
Payment method | Inclusive capitation for outpatient and inpatient services |
Health delivery | Registered public and private competing contractors |
Benefits package | Comprehensive: outpatient, inpatient, accident and emergency, high-cost care, with very minimal exclusion list; excludes prevention and health promotion |
Universal Coverage Scheme (UCS, 75%): Per capita expenditure in 2010: US$ 79 | |
Target population | The rest of population not covered by SSS and CSMBS |
Financing source | General tax |
Payment method | Capitation for outpatient services and global budget plus DRG for inpatient services |
Health delivery | Registered contractor provider, notably within the district health system |
Benefits package | Similar to SSS, including prevention and health promotion for the whole population |