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Civil Servant Medical Benefit Scheme (CSMBS)
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9%, government employees plus dependants (parents, spouse, and up to 2 children)
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General tax, non-contributory scheme
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Fee for service, direct disbursement to mostly public providers and Diagnostic Related Groups (DRG) for inpatient treatment
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Free choice of public providers
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Social Health Insurance (SHI)
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16%, private sector employees, excluding dependants
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Tripartite contribution, equally shared by employer, employee and the government
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Inclusive capitation for both outpatient and inpatient plus additional adjusted payments for accident and emergency and high-cost care
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Registered public and private contractors
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Universal Coverage Scheme (UCS)
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75%, the rest of the ‘Thai’ population not covered by the SHI and the CSMBS
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General tax
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Capitation for outpatients and global budget plus DRG for inpatients
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Registered contractors, notably the network of public hospitals (Contracting Unit for Primary Care)
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