Health care in Tunisia


If you are moving to Tunisia, you probably have queries regarding its health care system. Here is an overview.

When moving abroad, health care is with no doubt a key issue for expatriates, especially when they are not well acquainted with the country. So if you are traveling to Tunisia, you should not think of it as a developing country in terms of health care. In fact, the country's health system is so efficient that it does not present major health risks.

Health care system

In total, Tunisia hosts around 2,000 basic health care centers, 180 hospitals, as well as more than a hundred private health care institutions such as clinics. In general, emergency services in hospitals and clinics are available 24/7, providing quality health care to patients.

For a visit to a general practicable, you will need around 25 to 30 dinars while a visit to a specialist doctor can cost around 35 to 40 dinars. Note, moreover, that most hospitals and doctors prefer cash payments.

When it comes to buying medication, you will need a prescription for controlled drugs. However, common medicine are easily available in pharmacies, some of which are often on call at night.

Public health care

The Caisse Nationale d'Assurance Maladie is responsible for all health-related issued in Tunisia. As a social protection system, it applies to the whole population and is compulsory. Services depend on each social and professional category:

  • the non-agricultural sector includes a general scheme, a supplementary scheme and another one for the self-employed
  • agricultural workers and farmers are also covered.

To be eligible to the Tunisian social security system, you must:

  • have worked for at least 50 days during the last two quarters
  • have worked for at least 80 days during the last four quarters.

Moreover, the social security system also applies to the spouse or partner and children of the persons covered.

Private health care

The public health care system only covers some services provided by the private health care system. In fact, most opticians and dentists are available in the private sector. Thus, Tunisians do not hesitate to seek private health services so as to enjoy quality health care.


In general, employers are responsible for affiliating their employees to the social security scheme within a month following the signing of the employment contract and once the employee has started working. Otherwise, the employee has to register at the social security scheme by himself to obtain his affiliation number.

 Good to know:

The social security system only applies to expatriates who are working for Tunisian companies operating within the country. As regards assigned employees, they have to refer to their home countries' health and social security systems for more information.


Contributions as at January 1st 2015 (general scheme)





Retirement, disability, survivors

7.76 %

4.73 %

Illness, maternity

5.08 %

3.16 %

Family benefits

2.21 %

0.88 %

Occupational accidents and diseases

between 0.4 and 4 %


Welfare workers - State Special Fund

1.51 %

0.38 %


Between 16.97 and 20.57 %

9.18 %

Supplementary pension for member institutions



 Useful links: – Health care in Tunisia Forum 
Caisse Nationale d'Assurance Maladie
Mutuelle de la santé
April International – Health insurance in Tunsia

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