Aasandha Resumes Outpatient Coverage for Private Insurance Holders

Aasandha Company Limited has resumed providing insurance coverage for outpatient services under the national health insurance scheme for individuals with private insurance.

Last year, as part of the government’s efforts to reform Aasandha and reduce inefficiencies in the health insurance system, outpatient services for those with private insurance were no longer covered. This change meant that individuals with private insurance could only access Aasandha coverage once their private insurance was fully exhausted. However, due to public concerns, the decision has now been reversed.

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On Wednesday, Aasandha announced that it would once again cover outpatient services for individuals with private insurance. The company clarified that, despite this change, service fees will still be deducted from private insurance before Aasandha coverage is utilised. For consultations, the consultation fee will be deducted from private insurance, with any remaining balance covered by Aasandha.

Coverage for other outpatient services is set to begin on 27 April. The same policy will apply in these cases, with private insurance being billed first, and Aasandha covering any remaining costs. This adjustment is part of Aasandha’s ongoing efforts to reform the health insurance scheme.

Aasandha is one of the most financially demanding government schemes, costing over USD 6.5 million annually in subsidies, largely due to mismanagement within the health insurance system. In response, President Dr Mohamed Muizzu is actively pursuing reforms aimed at reducing waste within the system.

The government has already implemented several cost-cutting measures, including an overhaul of the subsidy system. The current universal subsidy will be replaced with targeted subsidies aimed at those most in need.