Objective(s): To assess challenges of determining basic health insurance package in Iran.
Methods: We interviewed a purposeful sample of 20 participants from 7 main stakeholders in Iranian health insurance system in 2009. We asked about main challenges of determining basic health insurance package in Iran and used the framework method for the analysis.
Results: Agreement on general principle, determining criteria to define basic health insurance package, organization, financing, payment system, regulations, benefits range, composition and manner of population coverage, coordination, behavior, policy making, surveillance and control had been introduced as main challenges of determining basic health insurance package in Iran.
Conclusion: Determining an appropriate health insurance package in Iran needs a systematic view and a long term plan. The plan should aim to respond to the above concerns.

Keywords: Health insurance, Basic package, Iran

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