Ulaanbaatar, January 27, 2025 /MONTSAME/. The Health Insurance Fund's revenue reached MNT 2,034.2 billion by the end of 2024. This marks an increase of MNT 445.5 billion compared to the same period of 2023.

This increase in revenue was driven by the following factors:

• Health insurance premium income increased by MNT 209.1 billion from 2023,
• Premiums paid by the State Budget of Mongolia on behalf of individuals whose insurance is fully covered by the Government of Mongolia rose by MNT 72.1 billion,
• The State Budget of Mongolia allocations for healthcare services financed through the Health Insurance Organization grew by MNT 163.4 billion. 

By the end of 2024, the Fund’s expenditure on health services amounted to MNT 2,073.9 billion, which is MNT 521.7 billion more than the same period in 2023.

The main driver of this increased expenditure was the rise in subsidized medicine costs, which went up by MNT 47.5 billion compared to the same period in 2023.

As of the end of 2024, a total (non-duplicated count) of 3,275.0 thousand people were covered by health insurance. Of these insured individuals:

• 2,291.2 thousand have their premiums fully covered by the State Budget,
• 770.9 thousand have their premiums paid individually and by their employers,
• 212.8 thousand pay their premiums entirely on their own.

Health insurance is the system in which the government, individuals, and legal entities pay insurance premiums in accordance with the law, thereby building up the Health Insurance Fund in advance, and purchasing healthcare services.

An insured individual is a citizen who, under the Health Insurance Law, regularly pays premiums in advance to the Health Insurance Fund and holds the right to share potential financial risks arising from health-related issues through this fund.

Other insured individuals pay their own health insurance premiums, other than those outlined in Articles 6.1.2, 6.1.3, 6.1.4, and 6.1.9 of the Health Insurance Law.

Individuals whose premiums are covered by the State Budget are children aged 0-18, citizens without a steady income apart from a pension, members of households needing social welfare assistance, mothers or fathers caring for a child, citizens serving in active military duty, and individuals serving prison sentences.

The health insurance premium is a fee paid by a citizen or on their behalf by the Government of Mongolia or a legal entity to the Health Insurance Fund at a legally specified rate for health insurance coverage.

The package of healthcare services covered by the Health Insurance Fund encompasses comprehensive healthcare services essential for diagnosis, early detection, treatment, rehabilitation, palliative care, nursing, active exercise, and sports, including subsidized medicine costs, as clarified by the National Statistics Office of Mongolia.