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About 11 million Kazakhstanis to receive CSHI medical services at the expense of state contributions — Aibatyr Zhumagulov

Friday, 15 November 2019, 16:30:01

The state will make contributions for 15 categories of citizens, which in total make up 58% of Kazakhstanis, said Aibatyr Zhumagulov, Chairman of the Board of the Social Insurance Fund, in an exclusive interview with PrimeMinister.kz.

“Our system is called social health insurance. The word 'social' is important here because we have a clear 15 categories of citizens. Today, the state has allocated funds in the republican budget. This is about 11 million citizens. Most of these, of course, are children, students, pensioners, people with disabilities, recipients of targeted social assistance. Money will come from the budget to the Fund, which will finance medical organizations with these funds. The mechanism is debugged,” said Zhumagulov.

According to him, today citizens can see the status of insurance on the Fund's website, as well as in a telegram bot, where you can even ask questions. In addition, for any questions regarding health insurance, Kazakhstanis can contact the Fund's contact center at 1406.

As for the size of contributions, from 2020 the employer has paid a deduction rate from 1.5 to 2% for employees, and the employer will withhold 1% of the employee’s income.

According to the Fund, if a citizen is an individual entrepreneur and a person engaged in private practice, then in 2020 he begins to pay contributions for himself at a rate of 5% of 1.4 wages (minimum wage) monthly. Peasant farms 5% of 1 MW, starting from January 1, 2020, contributions can be made in advance for 3, 6 or 12 months. If an individual works under a civil law agreement, from Jan. 1, 2020, every month during the term of the agreement with the income the service recipient (tax agent) withholds and transfers 1% of the income received under the agreement in 2020, the limit is 10 minimum wage.

If a Kazakhstani is unemployed and is not registered with the employment authorities, then he independently pays from Jan. 1, 2020, 5% of 1 wage in 2020. If an individual conducts entrepreneurial activity exclusively for individuals, then he needs to pay a single aggregate payment and pay 1 MCI — 2,651 tenge for the city, 0.5 MCI – 1,326 tenge for the village per month, which includes all taxes and payments.

“The main goal of introducing the insurance is to increase the availability of medical services. We expect an increase in financing only through our line by 1.5 times. If this year about 1 trillion tenge was collected, then next year we expect financing of medical services up to 1.5 trillion tenge,” the chairman said.

According to the speaker, this makes it possible to finance such medical manipulations as computed and magnetic resonance imaging (CT, MRI) and other types of services for which there is a great demand today.

“We will have the opportunity to increase the funding for these services. I think that we will close most of the services through the health insurance system,” said Zhumagulov.

According to him, about 2 thousand private medical organizations will be connected to the insurance system and the provision of services through medical insurance.

“When we conclude contracts, we do not divide by ownership. For us, the main thing is that the medical organization can provide certain medical services in their regions. Today, as part of the guaranteed volume of free medical care, we monitor the quality of services provided, we do not apply any administrative measures, but we have contractual relations with medical organizations. That is, those or other services for which we pay must meet certain standards. If they deviate from the standards, we have penalties in this regard, which we have the right to apply,” he summed up.

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