This study assesses the quality of National Health Insurance Services at the Gempol Health Center in Pasuruan Regency, highlighting the need to evaluate service effectiveness under resource constraints. The research adopts a descriptive qualitative approach, employing observation, interviews, and documentation for data collection with purposive sampling for informant selection. Analysis involved data collection, reduction, presentation, and conclusion formulation. Findings reveal that while reliability issues are minimal, staffing inadequacies, insufficient physical infrastructure, and patient overcrowding challenge service responsiveness and quality. Despite these issues, guarantees, assurances, and empathy levels are satisfactory. This study underscores the critical need for enhanced resource allocation to improve healthcare service quality at community health centers
