Comoros - Health Insurance

Overview

Country/Region	Comoros
Solution	Health Insurance
Program Operator	Assurance Maladie Généralisée (AMG)
Program type	Health Insurance (objective: national UHC program), combining contributory insurance & state-funded contribution for poorest
Implemented since	July 2022, pilot to start July 2025
Implementing Partner(s)	Consortium team AEDES – lead organization Swiss TPH – Health Financing and openIMIS technical expertise Other partners Y-note – IT development Build-out Initiative for Development (BID) – Health Financing expertise Local IT Partner: Etech
Supporting Partner(s)	Financial Assistance: Agence Française de Développement (AFD), locally managed by UTGAM (Technical Unit for Health Insurance Management)
Version	…
Functionalities used
Coverage	pilot in
Number of beneficiaries
Number of users
Number of health facilities
Status
Last update	May 2025

Health scheme implemented since
Name of openIMIS focal point
Total number of health scheme employees
Total number of employees using openIMIS
Total number of employees not trained on openIMIS
Number of health insurance products managed by the health scheme and using openIMIS

Number of households covered

Number of households covered
Note
Average size of a household
Household contribution amount
Individual contribution
Average amount paid for a claim
Last Update

Version

Version
Has anything been modified (customization)	One membership card per family • New facilities type: pharmacy, laboratory • Some services require pre-authorization • Claim review will be done by FENAMUSAC
What standards are used to code services, items, diagnosis and products