Tbilisi: Within the framework of the Universal Healthcare Program, the Ministry of Health of Georgia has established an upper limit on the patient’s co-paying share for medical services.
In terms of DRG financing, while other additional tax has been removed for patients, in addition to the co-payment share upto 30%, in some cases, co-payment is still a heavy burden for patients and their families, and with this decision, the patient will not have to pay more than the upper limit.
In particular, the following are the upper limits set up by the Georgian Ministry of Health.
 For the pensioners, the co-pay share will be – 10% – but not more than 500 GEL (for example, if 10% of the total cost of the service exceeds 500 GEL, the patient pays only 500 GEL, and the rest is fully funded by the state. )
 For children upto the age of five, children with disabilities, severely disabled people and for students – 20% – not more than 1000 GEL; (for example, if 20% of the total cost of the service exceeds 1000 GEL, the patient pays only 1000 GEL, and the remaining amount would be fully funded by the state. )
 For the benefits of the basic package – 30% – at least 1500 GEL. For example, if 30% of the total cost of the service exceeds 1500 GEL, Pacinet pays only 1500 GEL, and the remaining amount would be fully payable by the state.Â
For services whose value exceeds the defined limit – 15 000 GEL, the patient’s co-payment share will remain unchanged, in particular: the difference between the value and the limit.
With these changes, the Ministry of Health of Georgia aims to further increase the access to quality medical services for the population.
