North Macedonia

North Macedonia has a compulsory insurance-based health system, with near universal coverage (although with coverage gaps for the Roma population). The current benefits package is considered to be very comprehensive.  The Government and the Ministry of Health provide the framework for operation and stewardship, and the Health Insurance Fund is responsible for the collection of contributions, allocation of funds and the supervision and contracting of providers.

In the compulsory health insurance system, the funds generated by the collection of contributions represent the main source of financing of the health sector. Co-payments by insured people and transfers from the state budget constitute additional, though rather small, sources of revenue. Co-payments must be made by insured people for using health services and drugs (specified on a list) at all levels of care. 

Health care is delivered through a system of health care institutions, covering the country’s territory relatively evenly. Health facilities range from health care stations and centres at PHC level and specialist-consultative and inpatient departments at secondary level, to university clinics and institutions at tertiary level.