Logo of Phnom Penh Post newspaper Phnom Penh Post - NSSF clears member confusion on extent of health insurance

NSSF clears member confusion on extent of health insurance

Content image - Phnom Penh Post
Citizens come to receive treatment services using NSSF card at the Phnom Penh Referral Hospital. Heng Chivoan

NSSF clears member confusion on extent of health insurance

In a bid to avoid confusion, the National Social Security Fund (NSSF) said medical check-ups are not included in its healthcare coverage as members can use NSSF only for treatment and medical care.

The clarification came as some NSSF members questioned NSSF-covered healthcare services at state and private hospitals after paying out of pocket for certain tests run by their physicians when having a check-up.

NSSF deputy director-general Heng Sophannarith said on October 18 that most of the members who used the NSSF healthcare services had basic misconceptions about what was and was not covered.

He explained that one reason why some members were confused is that the NSSF materials refer to treatment, and in this case treatment is only in response to active health conditions rather than preventive treatment.

NSSF members who did not actively have a given disease but wanted to be tested for it or pursue preventive measures would have to pay for that themselves, he explained.

“We insure them for treatment of the diseases already afflicting them. It means that when they develop a disease, they can go and receive treatment at a clinic or go to a hospital and see doctors through the NSSF programme,” he said.

Sophannarith noted that the government is considering providing all NSSF members with a package of health check-ups and follow-ups with preventive care options covered in the future with coverage purchased on an annual basis.

However, he emphasised that the project is only one possible path the NSSF may follow for future coverage options, but in any event the organisation will continue to work to improve its healthcare coverage overall.

The NSSF’s social health insurance programme allows members to receive treatment and medical care with set daily allowances over a period in which the employees are absent from work due to illness or some other accident, in addition to covering occupational hazards and maternal leave.

The NSSF programme covers treatment in hospitals as well as diagnosis, lab services and other medical examination services, with medicine and food provided by the health facilities included.

Its members could receive emergency services under any circumstances without advance planning, and medical interventions can be carried for the purpose of saving their lives or the loss of any limbs or other bodily harm.

“They can go and use their nearest medical services. We will reimburse them or the hospital in most cases for these services if the victim informs within 48 hours of seeking the care via the 1286 hotline,” Sophannarith said.

In addition to the insurance coverage, NSSF members will also receive a package of physical therapy services, including medical assistance, obstetrics and prenatal care, post-delivery care and referral services, along with coverage for accidents and funeral services as well.

As of October 2, a total of 466,725 members from over 13,300 businesses had registered with the NSSF, which also launched social security and pension schemes for the private sector earlier this year.


  • Joy as Koh Ker Temple registered by UNESCO

    Cambodia's Koh Ker Temple archaeological site has been officially added to UNESCO’s World Heritage List, during the 45th session of the World Heritage Committee held in Riyadh, Saudi Arabia, on September 17. The ancient temple, also known as Lingapura or Chok Gargyar, is located in

  • Famed US collector family return artefacts to Cambodia

    In the latest repatriation of ancient artefacts from the US, a total of 33 pieces of Khmer cultural heritage will soon return home, according to the Ministry of Culture and Fine Arts. In a September 12 press statement, it said the US Attorney’s Office for the

  • Cambodia set to celebrate Koh Ker UNESCO listing

    To celebrate the inscription of the Koh Ker archaeological site on UNESCO’s World Heritage List, the Ministry of Cults and Religion has appealed to pagodas and places of worship to celebrate the achievement by ringing bells, shaking rattles and banging gongs on September 20. Venerable

  • Kampot curfew imposed to curb ‘gang’ violence

    Kampot provincial police have announced measures to contain a recent spike in antisocial behaviour by “unruly’ youth. Officials say the province has been plagued by recent violence among so-called “gang members”, who often fight with weapons such as knives and machetes. Several social observers have

  • CP denied registration documents by ministry

    The Ministry of Interior will not reissue registration documents to the Candlelight Party (CP). Following a September 21 meeting between ministry secretary of state Bun Honn and CP representatives, the ministry cited the fact that there is no relevant law which would authorise it to do

  • Manet touches down in Beijing for high-level meetings

    Prime Minister Hun Manet arrived in Beijing on September 14 for his first official visit to China, where he is slated to attend the 20th China-ASEAN Expo and meet other leaders including Chinese President Xi Jinping. Upon his arrival, Manet laid a wreath at the Monument