As part of the awareness-raising efforts to introduce compulsory social health insurance in Almaty, training will cover 21,800 health workers.
Today, representatives of the Almaty akimat, director of the territorial department of the Medical Services Payment Committee of the Ministry of Health and Social Development Tleukhan Abildaev, head of the health department Valikhan Akhmetov, director of the administrative department of the Kazakh National Medical University Vasily Devyatko and head of the Kazakh National Medical University, professor Kuralbai Kurakbaev conducted a seminar For the heads of 95 medical organizations of the city.
During the event, the main doctors of hospitals and polyclinics received explanations on all issues related to the introduction of compulsory social health insurance. In the coming days, the heads of the medical organizations will tell about the principles of compulsory social health insurance for their employees.
A total of 8,500 doctors and 13,300 paramedical personnel of the city will be covered with information and explanatory work.
As previously reported, meetings with health workers are the first stage of large-scale outreach, which the Ministry of Health and Social Development will be carrying out this year. In the future, the principles of the mandatory social health insurance system, the stages of introduction of health insurance and its benefits will be told in detail to employers and the general public.
Recall that in Kazakhstan will be introduced a system of medical insurance, developed in the light of international best practices, based on the joint responsibility of the state, the employer and each person. At the same time, the state will make contributions for the economically inactive population. Employers – for hired workers. Employees and self-employed citizens registered with the tax authorities – for themselves.
The state retains the right to provide citizens with a guaranteed volume of free medical care: medical care for socially significant diseases, emergency conditions, emergency medical care, sanitary aviation and vaccination.
In order to ensure the universal right to health protection until 2020, uninsured citizens will receive out-patient and out-patient care with outpatient drug support within the guaranteed volume of free medical care.
In the framework of compulsory social health insurance, outpatient and out-patient care will be provided with outpatient drug support to insured citizens, inpatient medical care, high-tech medical services, hospital-substituting technologies, and long-term nursing care.
In addition, citizens, with the participation in voluntary insurance, can receive medical services that are not provided by the system of compulsory social health insurance, on the basis of an agreement concluded with private insurance companies.
The current legislation stipulates that employers and self-employed citizens will start deductions to the Social Health Insurance Fund from January 1, 2017, the state from July 1, 2017.
The rate of state contributions for citizens of special categories will be 7% of the average monthly salary. At the same time, the size of the rate will be gradually increased: 4% in 2017, 5% from 2018, 6% in 2023, and from 2024 – 7%.
The total amount of the contribution rate of employers will be 5% of income, with deductions starting from 2% in 2017, 3% in 2018, 4% in 2019 and from 2020 -5%.
The rate of contributions of self-employed citizens (individual entrepreneurs, private notaries, private bailiffs, lawyers, professional mediators, individuals receiving income under civil law contracts) will be 7% of income. At the same time, 2% in 2017, 3% in 2018, 5% in 2019 and from 2020 – 7%.
Employees will begin to make deductions from 2019 – 1% of income, from 2020 – 2%.
From the payment of contributions to the Fund of Social Health Insurance, 15 categories of citizens are released, 12 of them are socially vulnerable groups of the population, as well as servicemen, employees of special state and law enforcement bodies.
The socially vulnerable segments of the population include:
– children;
– mothers with many children, awarded with pendants “Altyn Alka”, “Kumis alka” and received the title “Mother Heroine”, as well as awarded the “Mother’s Glory” orders of I and II degrees;
– participants and invalids of the Great Patriotic War;
– People with disabilities;
– persons registered as unemployed;
– persons who study and are brought up in boarding organizations;
– persons studying in full-time education in technical and professional organizations, post-secondary, higher education, as well as post-graduate education in the form of residency;
– persons on leave in connection with the birth of a child, the adoption of a newborn child, the care of a child until he reaches the age of 3;
– unemployed pregnant women, as well as non-working persons, actually raising a child before reaching the age of 3 years;
– pensioners;
– persons serving sentence on the verdict of the court in the institutions of penal correctional systems, with the exception of minimum security institutions;
– persons held in temporary detention facilities and pre-trial detention centers.
It should be noted that the amount of medical assistance provided under compulsory social health insurance will not depend on the amount of the contribution to the Social Health Insurance Fund. It is enough that these deductions are made regularly.
In accordance with the practice already in place in Kazakhstan, it is proposed to monitor the receipts to the Social Health Insurance Fund for the State Revenue Committee of the Ministry of Finance.
According to experts’ forecasts, as a result of the introduction of compulsory social health insurance, the level of medical care in the country will significantly increase, and there will also be an opportunity to increase salaries for doctors. Hospitals will be able to purchase high-quality equipment and expensive medicines. Obligatory social medical insurance will allow a person to undergo a survey and, if necessary, receive treatment without allocating cash for this purpose from his budget.
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