Background: In many developing countries, health funding is marked by high levels of out-ofpocketrnspendingrnonrnsevererndiseases,rnleadingrntornpotentiallyrncatastrophicrnhealthrncarernexpendituresrnforrnitsrnrnpeople.rnrnAgeing and the rising burden of non-communicable diseases are key challenges for lowincomerncountriesrninrnparticularrnbecausernofrntheirrneffectrnonrntherneconomyrnandrnonrnmeasuresrnofrngrowthrnandrnrncompetitiveness.rnrnIn order to achieve universal health care coverage, cost-sharing betweenrnbeneficiaries and governments through offering financial security and pooling funds to enable crosssubsidizationrnbetweenrnthernrichrnandrnthernpoorrnandrnbetweenrnthernhealthyrnandrnthernsickrnisrnessential.rnInrnorderrnrntornrnthis, Ethiopia is presently launching social health insurance, but implementation has beenrnpostponed due to insufficient awareness of the recipient's demand and ability to join the newlyrnproposed insurance scheme. This study aimed to assess the willingness to pay for SHI among inrnpublic service pensioners in Addis Ababa. rnMethods: An institutional based quantitative cross-sectional study was conducted to determinernwillingness to pay for social health insurance and associated factors among public service pensioners,rnwho are living in Addis Ababa and take monthly pension salary at Ethiopian postal service enterprise.rnA sample was allocated to each cashier payroll list of pensioners and a respondent was selected byrnsystematic sampling method in every krnth rninterval. Structured interviewer administered questionnairernwas used to collect data. Data was entered in to Epi-data manager and analyzed by using SPSSrnversion 20 statistical software. Descriptive statistics, bivariate and Multivariate logistic regressionrnanalysis was applied. rnResult: 398 participants participated in this study. Out of the total sample 307(77.1%) will join thernnew stated social health insurance and 91 (22.9%) are not. The participants' monthly income, numberrnof dependent family members in the household, history of chronic illness in the family, hearing aboutrnhealth insurance and believe health insurance is beneficial are founded to be significantly associatedrnwith WTP for SHI. rnConclusion: The prevalence in this study is higher because of the study participants are not activelyrnworking at the time with their age and they are facing different chronic illness. Therefore; therngovernment should be implement social health program for formal sectors parallel to CBHI andrncreating awareness and education about the benefits of health insurance is essential.