There should be no refusals to provide citizens with guaranteed free medical care – FSMS
The guaranteed volume of free medical care is provided to all citizens, regardless of the status of participation in the compulsory health insurance system, there should be no refusals to provide medical services under the guaranteed volume of medical care.
The Social Health Insurance Fund explained what kind of medical assistance Kazakhstanis can have on free of charge.
“A guaranteed volume of free medical care is provided to absolutely everyone, regardless of whether they have an insurance status. Complaints of patients about the refusal of medical care due to lack of medical insurance have become more frequent in the Medical Insurance Fund. At the same time, it is important to note that medical care, which is part of the guaranteed volume of medical care, should be provided to any patient who needs it, free of charge and without failure, ”the SHIF press service reports.
The state continues to provide the population with the necessary package of basic medical services, such as:
– EMERGENCY AND EMERGENCY MEDICAL CARE (hospitalization if necessary);
– SERVICE IN POLYCLINICS (reception and consultation with a therapist, including narrow specialists in the presence of socially significant and chronic diseases, laboratory services, diagnostics, treatment, vaccination, screenings, patronage of children under 1-year-old, pregnancy management);
-DIAGNOSTICS and TREATMENT at:
socially significant diseases (tuberculosis, HIV, mental disorders, malignant neoplasms);
major chronic diseases (diabetes, arterial hypertension, viral hepatitis, rheumatoid arthritis, etc.);
acute infectious diseases dangerous to others.
Also, categories of citizens registered with dispensaries for certain diseases and conditions can receive medicines free of charge.
As for the services in the compulsory health insurance package, according to the “Code on Health and the Healthcare System of the Republic of Kazakhstan”, insured citizens are entitled to the following types of medical care:
– specialized medical care on an outpatient basis, including:
preventive medical examinations;
reception and consultation of doctors of a narrow profile in the direction of the district doctor;
dynamic observation by specialized specialists of persons with chronic diseases;
provision of dental care in a planned form to pregnant women and children under 18 years old, as well as in an emergency form – to children under 18 years old, pregnant women, participants of the Second World War, disabled people, mothers with many children, recipients of TSA (targeted social assistance), pensioners, patients with infectious diseases and socially significant diseases;
diagnostic services, including laboratory diagnostics, ultrasound, X-ray, CT, MRI;
– specialized, including high-tech, inpatient medical care (home hospital, day hospital, round-the-clock hospital);
– medical rehabilitation.
At the same time, the SHIF reminded that the state pays contributions for almost 11 million Kazakhstanis from 15 socially vulnerable categories. Thus, they receive medical care in the compulsory social health insurance package.
“All services in the compulsory health insurance package are provided to the insured patient in the direction of the local doctor and free of charge. If the polyclinic to which the patient is attached cannot provide any service due to its absence, then it must refer the patient to a medical organization with which a co-execution agreement has been concluded for this type of medical care, ” explained in the Foundation.
In case of refusal to provide or referral on a paid basis of medical services, citizens are encouraged to leave an appeal through the 24/7 Qoldau mobile application. The Social Health Insurance Fund, as the advocate of patients’ rights, will consider the appeal and take the necessary measures.