Some factors related to the quality of medical examination and treatment with health insurance at commune health centres are: Gender (OR = 1.98); training level (OR = 3.57); having a the medical examination and treatment process guide (OR = 1.89) and enough 14 steps of the medical examination and treatment process in CHC (OR = 2.07); applying information technology (OR = 1.89); there is a concern of the commune (OR = 6.90) and coordination with the commune departments (OR = 3.95); coordinate with district social insurance (OR = 3.12) in univariate analysis; and factors: the level of training of health workers (OR = 5.67; 1.14 - 28.13); the station has a working doctor (OR = 4.62; 1.94 - 11.09) and coordinates with the departments and sectors of the commune (OR = 5.60; 2.24 - 13.97) in the multivariate analysis.