In this paper, we determine the advantages and disadvantages of implementing the NHI system. The Kingdom of Saudi Arabias (KSA) health-care system is funded by oil earnings and is free at the point of delivery. Because of rising expenditures and rising oil market volatility, this system is being increasingly stressed. Based on face-to-face interviews, the goal of this work is to examine qualitatively the advantages, challenges, and variables related to the implementation of the National Health Insurance (NHI) system in Saudi Arabia. Interviews were performed to gather qualitative data on the advantages, challenges, and issues connected with the implementation of the NHI system in the Kingdom of Saudi Arabia. For the qualitative data analysis, an Atlas.ti.8 version was chosen. The implementation of the National Health Insurance- NHI, TAKAFUL type following the formation of high levels of citizen awareness, the installation of an administrative control center, and the building of a robust healthcare infrastructure is the researchs ultimate proposal. Based on the nature of Saudi residents and their level of satisfaction with present public healthcare facilities, this is a viable alternative scheme