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Compulsory social health insurance (CSHI) Printable version

Last update: 24.12.2019

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Health is the greatest value for all people.

Compulsory health insurance became one of the main implementations of 2017 in Kazakhstan. If earlier health insurance for many years operated in the category as voluntary, the introduction of compulsory health insurance in Kazakhstan bears a tremendous change.

The system of compulsory health insurance will help Kazakhstan keep pace with the times, as well as stimulate further development of the insurance market.  After all, it is not a secret for anyone that the developed countries of the world practice health insurance, and is a major part of life.

The state guarantees free medical care:

  1. First aid and sanitary aviation;
  2. Out-patient and polyclinic care for socially significant diseases, diseases that are dangerous to others, according to the list determined by the authorized body, as well as persons who do not have the right to medical care in the system of compulsory social health insurance in accordance with the Law of the Republic of Kazakhstan "On compulsory social health insurance ", which includes: primary; consultative and diagnostic assistance by the referral of a specialist in primary health care and specialized specialists;
  3. Inpatient care: planned inpatient care only for socially significant diseases, diseases that pose a danger to others, according to the list determined by the authorized body, by the referral of a specialist in primary health care or a medical organization within the planned number of hospitalization cases determined by the authorized body; for emergency indications - regardless of the referral;
  4. Inpatient-substituting care for socially significant diseases, diseases that are dangerous for others, according to the list determined by the authorized body, by the referral of a specialist in primary health care or a medical organization;
  5. Prophylactic immunization.

The CSHI will include :

  1. Out-patient and polyclinic care (except for medical care for socially significant diseases, diseases that are dangerous to others, according to the list determined by the authorized body), including: primary health care, consultative and diagnostic assistance by the referral of a specialist in primary health care and specialized specialists;
  2. Outpatient drug provision by prescription;
  3. Inpatient care (with the exception of medical care for socially significant diseases, diseases that are dangerous to others, according to the list determined by the authorized body): scheduled inpatient care for a specialist in primary health care or a medical organization within the planned number of hospitalization cases, including high-tech medical services, for emergency indications - regardless of whether there is a referral of a specialist in primary health care and or medical organization;
  4. Hospital-assisted care (with the exception of medical care for socially significant diseases, diseases that are dangerous to others, according to the list determined by the authorized body) - by the referral of a specialist primary health care or medical organization.

After the introduction of compulsory health insurance, the population of the country often began to wonder: "When to pay?", "For whom to pay?", "How much to pay?", "How to pay?", "For what to pay?". 

From this article you can get answers to frequently asked questions by categories of payers.

Employers

Individual entrepreneura (Ie, private practitioners)

Members of peasant farms (who is not the employee of the pf)

Owner of peasant farm you are owner of peasant farm

An Individual who works under a civil legal contract

For hired workers 

Individuals who do not have a permanent income and are not included in the list of preferential categories of citizens who receive insurance from the state 

It should also be noted that in accordance with the Resolution of the Government of the Republic of Kazakhstan dated 01 July 2016 No. 389 , the Non-Profit Joint Stock Company "Social Health Insurance Fund" was established , which goals are to provide universal coverage of citizens with quality medical care, support for the quality of medical care, development of the Fund as a strategic purchaser of medical care.

A source: "Social Health Insurance Fund"

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