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MHSD RK is preparing speakers from the regions to explain the citizens the basic principles of health insurance

OSMS

Today in the Ministry of Health and Social Development of the Republic of Kazakhstan a series of training seminars for members of the regional headquarters in the matter of the introduction of mandatory social health insurance (hereinafter - OSMS) in Kazakhstan has started . From 19th till 26th of September, the head of MHSD RK Tamara Duysenova will personally explain basic principles of OSMS (Compulsory social medical insurance) in a selector mode.

On September 19 the first seminar will be held for the members of the regional headquarters of the West Kazakhstan region (57 people).

On September 21 Tamara Duysenova will explain OSMS principles for the representatives of the East Kazakhstan, Pavlodar, Karaganda and Mangistau regions.

On September 22 a seminar for the members of the regional headquarters of Kyzylorda, South Kazakhstan, Kostanai and North Kazakhstan regions will be held.

On September 23 - for Atyrau and Aktobe regions.

On September 26 -  for Almaty, Zhambyl, Akmola regions, Astana and Almaty cities.

Upon the completion of the training, from October 1, members of the regional headquarters will raise awareness among the population. They are expected to hold meetings with employers, labor collectives of enterprises and organizations, public sector workers, representatives of NGOs and trade union organizations, residents of rural areas.

Recalling, that in Kazakhstan health insurance system, designed to meet best international practice, based on the joint responsibility of the state, the employer and every person will be introduced. The state will provide contributions for the economically inactive population. Employers – for wage workers.

Employees and self-employed citizens registered in the tax authorities - for themselves.

The State reserves the right to provide the citizens with the guaranteed volume of free medical care (hereinafter - SBP): the provision 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 uninsured citizens under the SBP will be provided outpatient care with outpatient drug coverage until 2020.

As part OSMS will be provided: outpatient care with outpatient drug coverage to the insured citizens, inpatient medical care, high-tech medical services, inpatient technology, long-term nursing care.

In addition, the citizens, in case of the participation in voluntary insurance, may receive health services, unforeseen by OSMS system, under a contract concluded with the private insurance companies.

The current legislation provides that employers and self-employed citizens will make contributions to the Social Health Insurance Fund (hereinafter - FSMS) from 1 January 2017, the state - from 1 July 2017.

The rate of the state contributions for specific categories of citizens amounts to 7% of the average wage. At the same bid amount will gradually rise: 4% in 2017, 5% in 2018, 6% in 2023, from 2024 - 7%.

The total size of the rate of employer contributions amount to 5% of income, while contributions starting with 2% in 2017, 3% in 2018, 4% in 2019 and 5% from 2020.

The contribution rate of self-employed people (individual entrepreneurs, private notaries, private bailiffs, lawyers, professional mediators, individuals who receive income under civil law nature) will be 7% of revenue. Thus 2% in 2017, 3% in 2018, 5% in 2019 and from 2020 - 7%. Wage workers will make contributions from 2019 - 1% of revenue, from 2020 - 2%.

15 categories of citizens are granted a remission of contributions to the social health insurance fund, 12 of them - socially vulnerable strata of the population, as well as military personnel, employees of special government and law enforcement agencies.

Socially vulnerable segments of the population include:

- Children;

- Mothers with many children awarded pendants "Altyn Alka", "Kumis alka" and previously received the title "Heroine Mother", and awarded orders "Maternal Glory» I and II degree;

- Participants and invalids of the Great Patriotic War;

- People with disabilities;

- Persons registered as unemployed;

- Persons who are studying and were raised in residential institutions;

- A person enrolled in full-time training in the technical, vocational, post-secondary, higher education and post-graduate education in the form of residency;

- Persons who are on leave due to maternity, adoption (adoption) of a newborn baby, child care until the age of 3 years;

- Unemployed, pregnant women, and unemployed person actually raising a child until the age of 3 years;

- Retired;

- Persons who are serving their sentence in a court penal institutions, except for the minimum security institutions;

- Persons held in detention centers and detention centers.

It should be noted that the volume of care provided in the framework of OSMS will not depend on the amount of contribution to the FSMS. It is enough that those contributions were made on a regular basis.

In accordance with existing practice in Kazakhstan the control of the receipts in the FSMS is offered to be appointed to the State Revenue Committee of the Ministry of Finance.

Experts predict that as a result of OSMS the level of medical care in the country will significantly increase, and there will be an opportunity to increase the salaries of doctors. Hospitals will be able to purchase high quality equipment and expensive drugs. OSMS will allow people to be examined and, if necessary, get treatment, without a necessity to spend cash from their own budget.

Changed on 19 September, 2016 - 14:12
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