Increasing enrollment of people living with HIV in family health insurance

Contracting with  Seguro Nacional de Salud (SENASA) to receive payments for services rendered to people living with HIV is a critical element of strengthening the financial sustainability of NGOs. However, these people must be enrolled as SENASA members before the insurance company will pay the NGOs for their care. Many barriers prevent people living with HIV from enrolling in social health insurance, ranging from bureaucratic and legal barriers to stigma and social exclusion.

SHOPS Plus is fostering collaboration among NGOs, public providers, and the government to enroll people living with HIV in the health insurance scheme. The main strategy is assisting providers to collect required information during post-test counseling sessions and other routine services. The project will work with key partners and stakeholders to implement opportunities for the institutionalization of insurance enrollment at the point of service. SHOPS Plus will assist the organizations to protect the confidentiality of people living with HIV and inform them about how their data is being used.

Learn more about HIV and public-private engagement.

See all Dominican Republic program components.

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Sustaining Health Outcomes through the Private Sector (SHOPS) Plus is a five-year cooperative agreement (AID-OAA-A-15-00067) funded by the United States Agency for International Development (USAID). This website is made possible by the generous support of the American people through USAID. The information provided on this website is not official U.S. government information and does not represent the views or positions of USAID or the U.S. government.