Below is what you need to know about medical scheme in Rwanda
Medical Insurance Scheme
Members automatically include all civil servants, pensioners who previously contributed towards medical care and private institutions who have been accepted.
How much does the insurance cost?
The contributions paid to RSSB represents 15% of employee’s basic salary. It is paid by both the employer and the employee at the rate of 7.5% each.
RSSB also covers the medical insurance for pensioners with 7.5% contribution deducted from their monthly pension.
The employer is responsible for deducting, declaring and paying their employee’s contribution to RSSB. The contribution is deducted on a monthly basis and paid not later than the 10th day of the following month.
What is covered?
RSSB covers 85% of the bill for medical treatment and prescribed drugs. Patients themselves cover the remaining 15% of the cost.
RSSB covers the following medical care provision:
- Medical consultations
- Drugs, including chemotherapy
- Surgical interventions
- Dental care including prosthesis
- Medical imaging, including CT Scan & MRI
- Laboratory tests
- Eye treatment including provision of; lenses and frames
- Lower / upper limb prosthesis & Orthesis
- Full Medical check-up
The full medical checking is provided under conditions (35 years for women and 40 years for men). RSSB covers all medical acts and procedures, all laboratory and imaging investigations provided in Rwanda
Please note that medical care is refundable by RSSB provided that the health facility has signed an agreement with RSSB. The Ministry of Health in collaboration with RSSB has agreed which medical procedures and drugs are to be refunded.
How can private institutions join?
The process for private institutions joining the Medical Benefit Branch involves the following:
- A letter addressed to the Director General applying for registration;
- An official document showing the employees’ salary structure for three consecutive months,
(Gross and basic salary) fringe benefits and other charges deducted from one’s salary as
Provided for by the law, such as professional taxes and RSSB contributions;
- Tax declaration( PAYE ) from RRA;
- Formats filled; for each employee who requests medical insurance; signed by employee and by employer with legally recognized dependents’ photos and certificates.
- Certificate of registration in RSSB pension scheme and each employee’s registration number
- Clearance Certificate from RSSB
- Trading License for Trading Companies;
- Certificate of registration obtained:
- From RDB for domestic company registration;
- From MINALOC for the case of NGO’s;
- From Rwanda Cooperative Agency (RCA) for the case of cooperatives;
- From RBC and accreditation from MOH for medical services;
- License from BNR for microfinance activities, saving and credit cooperative operating in Rwanda;
- Agreement to open primary & secondary schools from MINEDUC;
- License certificate from Media High Council (MHC) for radios and others media activities;
- Registration certificate from Directorate General of Immigration and Emigration for International Nongovernmental Organizations.
- Legal entity for Associations/Cooperation or temporally certificate from RGB (Rwanda Governance Board) allow to provisionally operate in Rwanda while a Non-governmental Organization processing the application for legal personality;
- Number of dependants : spouse and children who are legally recognized;
- To have at least seven employees by institution;
– Any institution or company wishing to adhere to RSSB medical insurance is required to take membership for all its employees;
– Where both spouses belong to those employees who are insured by RSSB Medical insurance, each one pays his/her own contribution;
– Based on the notification letter granting the application for registration, the employer is required to declare medical contributions not later than the end of the following month;
– Any contribution paid by employer before his/her application has been approved will not be refunded;
– Once this information has been received, it will be reviewed and once accepted, notification will be given