Abstract
This paper aimed to describe health insurance coverage in Brazil. Data from the 2013 and 2019 editions of the National Health Survey (PNS) were analyzed. The medical or dental health insurance coverage was analyzed according to demographic and socioeconomic characteristics, work status, urban/rural area, and Federation Unit. Coverage of medical or dental health insurance was 27.9% (95% CI: 27.1-28.8) for 2013 and 28.5% (95% CI: 27.8-29.2) for 2019. The results show coverage is still concentrated in large urban centers, in the Southeast and South, among those with better socioeconomic status and some formal employment. In 2019, only 30.7% of formal workers reported the monthly payment is made directly to the providers, while 72.7% of informal workers reported this information. About 92% of medical health insurance covers hospitalization, and almost 20% of women with health insurance are not covered for labor. Only 11.7% of women aged between 15 and 44 are covered for childbirth by health insurance. The results show the health insurance coverage is still quite unequal, reinforcing the Unified Health System (SUS) importance for the Brazilian population.
Key words:
Prevalence of private health insurance plan; Prepaid health insurance plan; Epidemiological surveys; Brazil
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a Significant difference between the 2013 and 2019 estimates, based on a p-value < 0.01 in the Student’s t-test for independent samples.
* Public servant, formal employee, employer, or military. ** Aggregation of the categories “Only another resident of the household”, “Person not resident of the household” and “Other”.
* Public servant, formal employee, employer, or military.