In the framework of the awareness-raising work for the introduction of mandatory social medical insurance (further - MSMI), organized by MHSD of RK, in Almaty, the training will cover 21.8 thousand medical workers.
Today representatives of the akimat of Almaty, Director of the territorial Department of Committee on payment of medical services of MHSD of RK, Tleukhan Abildayev, Director of the Department of healthcare Valikhan Akhmetov, Director of the administrative Department of the S. D. Asfendiyarov Kazakh National Medical University, Vasiliy Devyatko and head of chair of KazNMU, Professor Kuralbay Kurakbayev, held a seminar for heads of 95 medical organizations of the city.
During the event, the chief doctors of hospitals and clinics received clarification on all matters related to the implementation of the MSMI. In the coming days, leaders of medical organizations will tell about the principles of the MSMI to their employees.
In total of awareness-raising work will be covered by 8.5 thousand doctors and 13.3 thousand average medical personnel of the city.
As previously reported, meetings with medical workers are the first stage of large-scale awareness-raising work of MHSD of RK will carry out this year. In the future, about the principles of the MSMI system, stages of implementation of medical insurance and its pros in detail, employers and the wider population.
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 provision of medical care in socially significant diseases, emergencies, emergency medical service, sanitary aviation and vaccination.
In order to ensure the universal right to healthcare to 2020 uninsured citizens in the framework of the GVFMC will be provided outpatient care with outpatient drug provision.
In the framework of the 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 the participation of voluntary insurance, can receive medical services, unexpected system of MSMI, on the basis of a 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, 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 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 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;
- disabled pregnant women and disabled person who actually raises a 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 volume of medical care provided in the framework of MSMI 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, the introduction of MSMI 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. MSMI allow person to be examined and if necessary, to receive treatment, not allocating cash from their budget.