From 9 to 10 June in the framework of the advocacy for the introduction of mandatory social medical insurance (further - SMIF), organized by MHSD of RK, 7744 paramedic in West Kazakhstan oblast (further - WKO) were trained on the basic principles of the SMIF.
June 9, Deputy akim of WKO, Marat Tokranov, head of the Department of healthcare of WKO Kamidulla Irmenov, acting head of the territorial Department of the Committee on payment of medical service of the MHSD of RK Ainagul Davletchin and head of the Department of S. D. Asfendiyarov Kazakh National medical University, Professor Kuralbay Kurakbayev, held a seminar for the leaders of all 52 medical organizations in the region. During the event, the chief doctors of hospitals and clinics received clarification on all matters related to the implementation of the SMIF.
Today, the leaders of medical organizations spoke about the principles of the SMIF to their employees.
In total outreach activities covered by the 1700 doctors and 6 million mid-level medical workers, as well as 44 employees of the Department of healthcare oblast.
As previously reported, meetings with medical workers is the first stage of large-scale awareness-raising work of MHSD of RK will carry out in this year.
In the future, about principles of SMIF, the stages of implementation of medical insurance and its advantages tell in detail to employers and wider population.
We remind, that in Kazakhstan will introduce medical insurance system, developed 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 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): rendering of medical care in socially significant diseases, emergencies, emergency medical service, sanitary aviation and vaccination.
In order to ensure the universal right on health care by 2020 to uninsured citizens under the GVFMC will be provided outpatient care with outpatient drug provision.
In the framework of the 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 of 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 1 January 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% in 2018, 6% in 2023, since 2024 - 7%.
The overall rate of employers ' contributions will amount to 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 from 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 awarded the order of "Maternal glory" I and II degree;
- participants and invalids of the second world war;
- 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 child under the age of 3 years;
- disabled pregnant women and disabled person who actually raises child up to the age of 3 years;
- person serving a sentence in prisons, with the exception of minimum security institutions;
- persons held in temporary detention facilities and pretrial detention centers.
It should be noted that volume of medical care provided within the SMIF will not depend on the amount of the contribution in SMIF. It is sufficient that these payments were made regularly. 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 introduction of SMIF will significantly increase 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 will allow the person to be examined and if necessary, to receive treatment, not allocating cash from your budget.