Today, in all regions of Kazakhstan launched a large-scale campaign to explain the basic principles of the system of mandatory social medical insurance (further – SMIF) among medical workers of the Republic. Special mobile group, which will include prominent figures of the healthcare system and the heads of territorial departments of the Committee on payment for medical service of MHSD of RK, will hold meetings and seminars, and answer any questions related to the implementation of the SMIF.
About advantages of SMIF physicians and nurses are popular to tell the Chairman of the National scientific medical center Abai Baygenzhin, General Director, National scientific centre of surgery named after A. N. Syzganov Bolat Baimakhanov, Director of National center of tuberculosis problems Zhumagali Ismailov, Director of administrative Department of S. Asfendiyarov KazNMU Vasily Devyatko, General Director of the Republican center for healthcare development Tleukhan Abildaev, managing Director of LLP "SK Pharmacy" Serikbol Musinov, Director of the Republican center of air ambulance Nurzhan Otarbayev, Chairman of the Board of SO "Republican Medical Chamber" Maksut Kulzhanov, Chairman of Trade union of healthcare workers of RK Mereke Butina, the rector of JSC "Astana Medical University" Mazhit Shaidarov and etc.
Meetings with workers will be the first stage of large-scale awareness-raising work of MHSD of RK will hold in this year. In the future, about the principles of the SMIF system, stages of implementation of medical insurance and will told to employers and wide segment of the population about its advantages in detail.
We remind, that in Kazakhstan will introduce a medical insurance system, tailored to international best practices, based on mutual responsibility of the state, the employer and each individual. The government will provide contributions for economically inactive population. Employers provide for employees. Employees and self-employed persons registered in tax bodies – for themselves.
The state reserves the right to provide citizens with a guaranteed volume of free medical care (further – GVFMC): the rendering of medical care in socially significant diseases, emergencies, emergency medical care, sanitary aviation and vaccination.
In order to ensure the universal right to health care by 2020 uninsured citizens in the framework of GVFMC will be provided outpatient care with outpatient drug provision. In the framework of SMIF will be provided: outpatient care with outpatient drug provision to insured citizens, inpatient medical care, high-tech medical services, hospital-replacing technologies, long-term nursing care.
In addition, citizens, with the participation in voluntary insurance, can receive medical services, unexpected system of SMIF, on the basis of contract, concluded with private insurance companies.
The state, employers and self-employed citizens will begin to make contributions to the social medical insurance Fund (further – SMIF) since January 1, 2017.
The state contribution rate for special categories of citizens will be 7% of the average wage. The rate will gradually increase: 4% in 2017, 5% since 2018, 6% in 2023, since 2024 - 7%. The overall dimension of employers' contributions will amount 5% of income, while contributions starting from 2% in 2017, 3% in 2018, 4% in 2019 and since 2020 -5%.
The contribution rate of self-employed people (individual entrepreneurs, private notaries, private bailiffs, lawyers, professional mediators, individuals who receive income under contracts of civil-legal nature) will be 7% of income. In this case, 2% in 2017, 3% in 2018, 5% in 2019 and since 2020 - 7%.
Employees will begin to make deductions since 2019 - 1% of income, since 2020 - 2%.
From paying contributions to the social medical insurance Fund are exempted 15 categories of citizens, 12 of whom are socially vulnerable layers of the population, as well as military personnel, employees of special state and law enforcement agencies.
To socially vulnerable strata of the population include:
- mothers with many children, awarded pendants "Altyn Alka", "Kumis Alka" and got before the rank "Mother–heroine", and also awarded by order "Maternal glory" I and II degree;
- participants and invalids of GPW;
- persons registered as unemployed;
- persons studying and living in residential institutions;
- persons enrolled in full-time education in the organizations of technical and professional, postsecondary, higher education, and postgraduate education in the form of residency;
- persons who are on leave in connection with childbirth, adoption of newborn child, to care for a child under the age of 3 years;
- non-working pregnant women and non-working persons who actually raise a child to the age of 3 years;
- a person serving a sentence in prisons, with the exception of minimum security institutions;
- persons held in temporary detention centers and pretrial detention centers.
It should be noted that the volume of medical care rendered in the framework of SMIF will not depend on the amount of the contribution in SMIF. It is sufficient that these payments were made regularly.
In accordance with the already existing in the Kazakhstan practice, it is proposed the control of receipts in SMIF to consolidate the state revenue Committee of the Ministry of Finance of RK.
According to experts, in the result of the introduction of SMIF significantly improve the level of medical care in the country, will also be opportunity to increase the salaries of doctors. The hospital will be able to purchase high quality equipment and expensive medicines. SMIF allow the person to be examined and if necessary, to receive treatment, not allocating cash from its budget.