The article analyses the prerequisites for the development and formation of health insurance in Ukraine. In particular, four historical stages through which insurance relations have passed are distinguished, as a result of which it is established that the institution of health insurance in Ukraine has deep roots, having originated in the times of Kievan Rus. Each of these periods of development of health insurance has its own peculiarities and a significant impact on the improvement of this national institution as a whole. The study also identifies the concept of health insurance and proposes to consider the main models of health insurance implementation in the world. The most widespread insurance models are the Bismarck model, the Beveridge model, the national health insurance model, the direct payment model, etc., where each of them offers a special way of exercising the right to health insurance. In addition, the author describes the main two types of health insurance. It is established that compulsory health insurance in Ukraine has not yet been regulated by law, although such a draft law has already been included in the agenda No. 3939-IX of 03.09.2024 and is to be considered at the twelfth session of the Verkhovna Rada of Ukraine of the IX convocation. In addition, the author analyses the main provisions and structure of the above draft law. At the same time, the author determines that voluntary health insurance is complementary to compulsory health insurance, and the main difference between them is that social relations regarding compulsory insurance arise on the basis of law, while voluntary insurance is based solely on an agreement between the insured and the insurer. The essence of voluntary health insurance is that a person who takes out such insurance can receive free medical care, and usually out of turn, within the terms and budget of the relevant policy. However, this type of insurance, despite its many advantages, is currently underdeveloped in Ukraine due to risks caused primarily by the war, and requires increased promotion among the population and support from the state.
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