Secondary and tertiary health care institutions in Lebanon are mostly private and cost is a significant barrier to access. UNHCR has put in place Guidelines for Referral Health Care in Lebanon and standard operating procedures (SOP) to support access to life saving and obstetric care and to manage the costs of care. The costs covered by UNHCR vary according to the type of service provided and the vulnerability status of the refugee.
Additionally, UNHCR contracts a third party administrator (TPA) to manage and audit referral care processes and costs. In December 2017, 997,552 Syrian refugees and 20,500 refugees from other countries were registered with UNHCR.