The statement follows
The Jordan Insurance Federation and the Jordan Health Insurance Association followed with surprise and regret the continued call to stop dealing with a number of insurance companies and medical insurance management companies, despite previous clarifications and despite the commitment of insurance entities to the understandings related to the medical tariff, at a time when the application of the agreed-upon tariff did not include all entities paying the medical bill covered by it.
The Federation and the Association emphasize that patients and the insured should not be a means of pressure in matters related to doctors' fees, nor should they bear the consequences of strikes and media escalation in a way that affects their access to the medical services they deserve. The past years have witnessed the repeated resort to strikes, escalation, and media statements in the context of demanding an increase in doctors' fees, which has placed the stability of the health insurance system and the continuity of services provided to the insured before repeated challenges, and made patients and the insured bear consequences that have nothing to do with them.
In light of this position, the Federation and the Association confirm, pursuant to the authorization granted to them by the member entities, that any doctor's refusal to receive or treat an insured person is considered a violation of their contractual obligations, and will result in taking the necessary legal measures, including stopping dealing with them and excluding them from medical networks affiliated with insurance companies, medical insurance management companies, and insurance funds, in accordance with the granted authorization and the applicable contractual and legal provisions. This comes to preserve the rights of the insured and to respect existing contracts and obligations.
Out of the Federation and the Association's keenness on the stability of the health insurance sector, protecting the rights of the insured, and ensuring the continuity of medical services, and in light of what the past years have witnessed in terms of repeated resort to strikes, escalation, and media statements to demand an increase in doctors' fees, and the resulting state of repeated uncertainty for patients and the insured regarding their access to medical services, the Federation and the Association will begin a serious and comprehensive study to reconsider the existing contracting model with doctors, including the possibility of ending the medical network system and moving towards a mechanism based on cash payment by the insured, and submitting medical bills to insurance entities in accordance with the terms of insurance coverage and approved regulations. This study will aim to evaluate the available alternatives in a way that ensures the stability of the sector, protects the rights of the insured, and limits their exposure to the consequences of strikes and repeated escalation, while taking into account contractual obligations and applicable legislation.
At the same time, the Federation and the Association affirm their confidence in their partners among doctors, and their appreciation for their pivotal role in the healthcare system, while emphasizing that respecting contracts and professional and contractual obligations, and not burdening patients and the insured with the consequences of strikes and escalation, represent a foundation that cannot be compromised to ensure the stability of the sector and the continued provision of medical services.
The Federation and the Association reiterate that protecting the insured, safeguarding their rights, and the stability of the health insurance system will remain at the forefront of their priorities, and that they will take the necessary steps and measures within their powers and the authorizations granted to them to achieve these goals.
