Last updated: 14/11/2019

Basic Information

Country
Geographic area

Programme Details

Programme objectives

To provide health care to all citizens regardless of their socioeconomic status. This scheme covers those outside the formal sector and civil service.

References
International Labour Office 2016. ‘Universal Health-care Coverage Scheme’, International Labour Office, <http://www.social-protection.org/gimi/gess/RessourcePDF.action?ressource.ressourceId=54059> (accessed 22 May 2018). Personal communication
Programme components
Health promotion and disease preventive package and treatment and care package.
References
Thaiprayoon, S. and Wibulpolprasert, S. 2017. ‘Political and Policy Lessons from Thailand’s UHC Experience’, Observer Research Foundation, <https://www.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_174_ThailandUHC.pdf> (accessed 22 May 2018).
Start date
2001
References
Thaiprayoon, S. and Wibulpolprasert, S. 2017. ‘Political and Policy Lessons from Thailand’s UHC Experience’, Observer Research Foundation, <https://www.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_174_ThailandUHC.pdf> (accessed 22 May 2018).
Coverage
48.3 million people in 2016.
References
National Health Security Office 2016. ‘NHSO Annual Report 2016’, National Health Security Office, <https://www.nhso.go.th/FrontEnd/page-about_result.aspx>, (accessed 22 May 2018).
Programme expenditure
THB 123,009.04 million or THB 3,028.94 per capita in 2016.
References
National Health Security Office 2016. ‘NHSO Annual Report 2016’, National Health Security Office, <https://www.nhso.go.th/FrontEnd/page-about_result.aspx>, (accessed 22 May 2018).

Targeting and eligiblity

Targeting methods
Categorical Targeting
Self-Targeting
Targeted areas
Nationwide
Target groups
People outside formal sector and civil service. Through the Unique Identification Number the databases of the three health care systems are cross-referenced on a regular basis.
References
Personal communication
Eligibility criteria
Individuals are enrolled upon registration at a health facility in their area of residence.
References
Thaiprayoon, S. and Wibulpolprasert, S. 2017. ‘Political and Policy Lessons from Thailand’s UHC Experience’, Observer Research Foundation, <https://www.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_174_ThailandUHC.pdf> (accessed 22 May 2018).

Coverage and other information

Type of benefits
Health services.
Amount of benefits
The packages cover all outpatient and inpatient services, including rehabilitation, palliative and long-term care and a limited list of around 800 essential medicines. Cosmetic surgery, infertility treatments, some high-cost technologies, and the provision of private room and boarding are excluded.
References
Thaiprayoon, S. and Wibulpolprasert, S. 2017. ‘Political and Policy Lessons from Thailand’s UHC Experience’, Observer Research Foundation, <https://www.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_174_ThailandUHC.pdf> (accessed 22 May 2018).
Payment/delivery frequency
Government pays service providers (both public and private) through a mixed system of capitation for outpatients, DRG-based capped global budget for inpatients, and fixed-rate fees for some services to increase access and decrease financial risks for hospitals.
References
Thaiprayoon, S. and Wibulpolprasert, S. 2017. ‘Political and Policy Lessons from Thailand’s UHC Experience’, Observer Research Foundation, <https://www.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_174_ThailandUHC.pdf> (accessed 22 May 2018).
Benefit delivery mechanism
UCS beneficiaries should first seek primary providers, which work with referral systems, except in cases of accidents and emergencies, when they may go directly to any UCS health facility.
References
Thaiprayoon, S. and Wibulpolprasert, S. 2017. ‘Political and Policy Lessons from Thailand’s UHC Experience’, Observer Research Foundation, <https://www.orfonline.org/wp-content/uploads/2017/04/ORF_IssueBrief_174_ThailandUHC.pdf> (accessed 22 May 2018).
Benefit recipients
Beneficiaries themselves.