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Maftoon F, Mousavi B, Soroush M, Mohammad K, Sharifan M, Naghizadeh Moghari F. Supplementary Insurance and Out of Pocket Payment: The Satisfaction of War Survivors and Their Families. Iran J Health Insur 2019; 1 (4) :128-134
URL: http://journal.ihio.gov.ir/article-1-51-en.html

Introduction: The rate of out of pocket in health services has particular importance in health system. The aim of this study was to assess the rate of out of pocket and also the satisfaction with reimbursement process.
Methods: This study was across- sectional one which was done in 2018. At all 1177 war survivors and their families whom were covered by supplementary insurance were studied and they were selected randomly. In this study the questionnaire which was used in similar previous study, used for collecting data.
Results: At all 1177 veterans, their families and martyrs' families were studied. About 53 percent (622 persons) of them had paid out of pocket for health services during the one year. In reimbursement process the satisfaction of 622 studied persons with the waiting time, providers, service place and repayment process was 33%, 69%, 54% and 39%.respectively. Also the waiting time and situation of cost repayment effected on satisfaction with reimbursement process.
Conclusions: Base on this study results decreasing the rate of out of Pocket Payment and increasing the satisfaction with reimbursement Process are important. For next study it is recommended appropriate project resulted in strategies for improving reimbursement Process.