The equalization scheme of the residual voluntary health insurance in Slovenia

Boris Zgrablić

Abstract


Residual voluntary health insurance in Slovenia covers the difference between the (recognised) value of the health service and the part of this value that is payed by the compulsory health insurance. From the inception of compulsory health insurance in 1992, residual voluntary health insurance has open enrolment. From 2006 community rating applied, as well as an equalization scheme with which the differences in health services expenses, arising from the different structures of the insurees of the single insurance undertakings regarding age and gender, shall be equalized. The equalization scheme of the residual voluntary health insurance in Slovenia is presented, along with a detailed explanation of the formulae required for the computation.


Keywords


Residual voluntary health insurance, equalization scheme, claims equalization, risk equalization.

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DOI: https://doi.org/10.26493/1855-3974.667.fec

ISSN: 1855-3974

Issues from Vol 6, No 1 onward are partially supported by the Slovenian Research Agency from the Call for co-financing of scientific periodical publications