136 thousand childbirth paid for by means of compulsory health insurance for the first 6 months of 2020
Over two-thirds of obstetric care cases in Kazakhstan as of July 1 were financed from the social health insurance package in the amount of 14.1 billion tenge.
So, in the first half of the year, 19 billion 244 million tenge were allocated to pay for obstetrics. More than 70% of this amount was paid from the funds of the compulsory health insurance package, 26% by financing the free volume of guaranteed medical care (guaranteed medical care).
In the first half of the year, in the country’s medical organizations, a total of 185 thousand deliveries were received within the framework of the guaranteed volume of medical care and compulsory medical insurance, of which 34 thousand were with complications.
The cost of childbirth for medical organizations, depending on the severity and concomitant diseases, ranges from 85 to 100 thousand tenge. For surgical intervention, the tariff, depending on the severity of concomitant diseases, ranges from 153 to 230 thousand tenge.
The Fund also undertakes to pay for operations after a complicated childbirth, the cost of which is 579 thousand tenge per one treated case.
Medical care for a healthy newborn is included in the delivery costs.
If a child needs additional medical care, it is also provided free of charge, since children under 18 are protected by the state and are included in 15 preferential categories, contributions for which are paid by the state.
The same preferential categories include pregnant women, women on maternity leave, caring for children under 3 years old.
The provision of routine medical care in Kazakhstan will resume from August 1. First of all, planned hospitalization in specialized clinics of the republican level will be restored, with a phased connection of other hospitals that are not involved in measures to combat CVI.
At the same time, during the quarantine, some medical organizations continued to work as usual, providing emergency and urgent care to patients with cancer, patients on hemodialysis, as well as women in labor.
The Health Insurance Fund reminds us that if questions arise about determining the status of insurance, refusal to provide medical care in medical organizations, patients can contact the 1406 contact center with complaints and suggestions, and also leave them in the Qoldau24 \ 7 mobile application.
NJSC “Social Health Insurance Fund”