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Historical Overview


The Medical Benefits Scheme (MBS) was established under the Medical Benefits Act, Cap. 271, of the Laws of Antigua and Barbuda. The purpose of the MBS is to provide financial and other assistance towards the cost of medical services in Antigua and Barbuda. Initially, the MBS was designed to assist beneficiaries, particularly those suffering from certain chronic disease. In 1998, the Act was amended to expand the scope to include providing financial assistance towards the following activities:

  • The cost of medical benefits to such class of persons in such circumstances and subject to such conditions as may be prescribed by regulation;
  • The construction and maintenance of hospitals and other medical and health care facilities approved by Cabinet;
  • The supply of medical, surgical and dental supplies and laboratory equipment to hospitals and other medical and health care clinics and centres, and
  • The management and administration of hospitals and health care facilities.


The Scheme is currently funded by 3.5% contributions deducted from the earnings of insured persons and matched by an equal amount by the employers.

For purposes of determining deductions of contributions, the following must be taken into consideration:
  • Overtime payment
  • Cost of living bonus
  • Additional payments for dependants
  • Supplements for long service industry or efficiency
  • Commission or profit on sales
  • Gratuities paid by the employer
  • Payment for night or shift work
  • Production bonus
  • Danger or dirt money or similar payments
  • Service charges
  • Any employee's liabilities (including tax) paid on his/her behalf by the employer
  • Holiday pay or other amounts set aside out of the employed person's remuneration throughout the year or part of the year to be paid to him/her periodically.



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