In the framework of the advocacy for introduction of mandatory social medical insurance (further - MSMI), organized by MHSD of RK, Atyrau and Zhambyl oblast of training will be covered by 18.1 per thousand of medical workers, including 4.8 thousand doctors and 13.3 thousand of average medical personnel.
Today in the above mentioned regions, special mobile group, composed of Deputy akims of regions, heads of territorial departments of the Committee on payment of medical service of MHSD of RK, departments of healthcare and prominent figures of the healthcare system of Kazakhstan has held seminars for the heads 117 of medical organizations (Atyrau oblast – 50, Zhambyl – 67).
During the event, the chief doctors of hospitals and clinics received clarification on all matters related to the implementation of MSMI. In the coming days, leaders of medical organizations will talk about principles of MSMI to their employees.
A total of advocacy will be covered in Atyrau oblast 1.2 thousand doctors and 4.3 thousand of middle medical staff, in Zhambyl – 3,6 and 9 thousand, respectively.
As previously reported, meetings with medical workers are the first phase of large-scale outreach, which MHSD of RK will hold in this year. In the future, on the principles of MSMI, the stages of implementation of medical insurance and its advantages will be told in detail to employers and wider population.
We remind, that in Kazakhstan will be introduced medical insurance system, developed considering international best practices, based on mutual responsibility of the state, 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 guaranteed volume of free medical care (further – GVFMC): the provision of medical care in socially significant diseases, emergencies, emergency medical service, sanitary aviation and vaccination.
In order to ensure the universal right to health till 2020 the uninsured citizens in the framework of GVFMC will be provided outpatient care with outpatient drug provision. In the framework of MSMI 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 participation in voluntary insurance, can receive medical services, unexpected system of MSMI, 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% in 2018, 6% in 2023, since 2024 - 7%. The overall rate of employers' contributions will amount to 5% of income, while contributions starting with 2% in 2017, 3% in 2018, 4% in 2019 and since 2020 -5%.
The contribution rate 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 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 child under the age of 3 years;
- non-working pregnant women and non-working person who actually raises child up to the age of 3 years;
- persons, serving a sentence in prisons, with exception of minimum security institutions;
- persons held in temporary detention facilities and pretrial detention centers.
It should be noted that the volume of medical care provided within MSMI will not depend on the amount of Deposit in the 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 the SMIF to consolidate the state revenue Committee of the Ministry of Finance of RK. According to experts, the introduction of MSMI will significantly increase the level of medical care in the country, will also be opportunity to increase the salaries of doctors. The hospitals will be able to purchase high quality equipment and expensive medicines. MSMI will allow the person to be examined and if necessary, to receive treatment, not allocating cash from their budget.