Andorran health system

Extract of (COMMITTEE ON THE RIGHTS OF THE CHILD: CONSIDERATION OF REPORTS SUBMITTED BY STATES PARTIES- ANDORRE)
 

 

"....The Constitution of the Principality of Andorra recognizes the right to protection under a State-guaranteed social security system.

The health system is mixed: it is based on the social security system and consists of all facilities and services relating to hygiene, public health and individual and collective health care - these fall directly under the general administration and are placed under its management. The funding and the supply of services are mixed in the sense that the users participate in the financing, and both independent professionals and publicly employed professionals and public and private institutions provide services in public and private establishments.

The health-care and hygiene functions are assigned between the general administration and the management bodies as follows:

(a) The Government is responsible for developing and programming all health sectors and for implementation in regard to public health and hygiene;
(b) The Caixa Andorrrana de Seguritat Social (CASS) is responsible for collecting insured persons' contributions and financing the health services used by beneficiaries;
(c)The Andorran Health Care Service (SAAS) is responsible for running government-funded health services, in addition to its duties as stipulated in the law creating SAAS.

Accordingly, the health system in Andorra is run by the State and falls under the regulatory authority of the Government, which guarantees the system so that all citizens enjoy the best possible health facilities.

Membership in CASS

Membership in CASS is compulsory for all wage earners. Other persons may become voluntary members. Disabled persons may obtain health insurance through a disability pension, and elderly persons not in receipt of other pensions may obtain a non-contributory old age pension. These are granted and financed by the Government, which pays the contributions to CASS in proportion to the number of retirees. Approximately 80 per cent of the population is now covered by insurance.

The sickness scheme is administered by CASS as a single system, without any distinction between the various groups of insured persons, regardless of occupation or type of membership. The sickness scheme must ensure a financial balance between revenue, exclusively from contributions, and payments for health services and other benefits. Employers and workers contribute a specific percentage of salary (10 per cent in 1998, i.e. 7 per cent by the employer and 3 per cent by the wage earner). Voluntary contributors pay CASS 10 per cent of their average declared salary. The contribution for retirees is 3 per cent of their pension.

Health services are not provided directly by the social security system. The system engages professionals or institutions through general or special agreements. In addition, the State has concluded or is in the process of concluding international social security agreements with Spain, France and Portugal. The sickness scheme plays an important role in financing health care, but it covers only about a quarter of health service expenditures. For this reason, many people need supplementary insurance with private companies.

Supply of services

Services are supplied by dispensaries and, in the case of hospitalization, by professionals at public and private centres. All the professions involved are regulated and may be exercised under the public or private system. The private system is termed "liberal practice", and comprises independent professionals. They can, as appropriate, work in public establishments, such as hospitals. It may therefore be said that the supply of health services is mixed, i.e. both public and private.

Andorran Health Care Service (SAAS)

SAAS is a semi-public body established under the General Health Act; it was created on 23 December 1986 by agreement with the Consell General. Its task is to manage and administer all public health resources - human, material and financial - both in the hospital and primary-care sectors.

The responsibilities of SAAS in the health system are to develop and implement health promotion activities and programmes....."

 

Updated: 20/11/02
Keywords: HEALTHCARE, SYSTEM, HEALTH, ANDORRA
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