MSHI Coverage of the population (number of people)
16 466 657
Receipts of contributions and deductions (MSHI payments, in tenge)
248 358 754 516
Requests received
24 041

Frequently asked questions

Here you can find answers to the most frequently asked questions about the compulsory social health insurance system.


Labor migrants and family members of labor migrants from the countries participating in the Treaty of the Eurasian Economic Union (hereinafter – EAEU)

In connection with the amendments to the Labor Code and the Code on the Health of the People and the Health Care System, the rules for attaching to polyclinics and the rules for providing medical care to immigrants have changed.

The changes relate to foreign citizens temporarily residing in the Republic of Kazakhstan – migrant workers and members of their families (children and spouses), from the EAEU countries (Russian Federation, Belarus, Kyrgyzstan, Armenia).

According to the amendments, migrant workers and family members of migrant workers from the EAEU countries are attached to the polyclinic on the basis of a Voluntary health insurance (VHI) or an imputed medical insurance contract (IMI) for primary health care and emergency inpatient care.

Attachment is carried out for the duration of the contract, after which they are automatically detached from the medical organization.

In order to attach to the polyclinic, you must submit an application to the name of its head in any form in Kazakh or Russian.

The application must be accompanied by an identity document (or a foreign passport), a VHI or IMI contract and the consent of family members, if the application is submitted by their legal representative.

You can attach to medical organizations – suppliers of the Social Health Insurance Fund, which provide primary health care.

It is important to note that the EAEU treaty provides not only the rights, but also the obligations of foreigners in the field of healthcare, which include timely passage of preventive screenings for early detection of diseases, timely registration of women for pregnancy (up to 12 weeks), dynamic monitoring of chronic and socially significant diseases, etc.

You also need to know that foreigners temporarily residing in Kazakhstan cannot receive medical care within the guaranteed volume of free medical care, which is provided only to permanent residents of the republic, with the exception of medical care for diseases that pose a danger to others.

It should be noted that the services included in the guaranteed volume of free medical care for migrant workers and family members of migrant workers from the EAEU countries are provided under the VMI or IMI agreement.

Information on the territorial division of the polyclinic can be obtained from the local public health authorities of the regions, cities of republican significance and the capital.

According to paragraph 3 of Article 2 of the Law on Compulsory Medical Insurance, foreigners and their family members temporarily staying in the territory of the Republic of Kazakhstan in accordance with the terms of an international treaty ratified by the Republic of Kazakhstan enjoy the rights and obligations in the system of compulsory social health insurance on an equal basis with citizens of the Republic of Kazakhstan, unless otherwise provided by laws or international treaties.

At the same time, the family members of a migrant worker are a spouse (spouse) and children living together. This paragraph applies to migrant workers from the EAEU countries (Russian Federation, Belarus, Armenia, Kyrgyzstan).

In accordance with paragraph 3 of Article 98 of the EAEU Treaty, social insurance of workers of the Member States and members of their families is carried out under the same conditions and in the same manner as citizens of the State of employment.

The Fund reverses the debt on migrant workers on the basis of the following documents: an application, a copy of an employment contract, a copy of a temporary residence permit (TRP), where the purpose of stay is indicated as «work».

To a family member of a migrant worker, the debt is reversed when the following documents are provided: application, marriage certificate, spouse's employment contract, TRP (where there should be a record of family members of a migrant worker).

At the same time, a non-working family member of a migrant worker participates in the compulsory social health insurance system as an independent payer. The status of insurance is assigned to a migrant worker in the presence of payments to the compulsory social health insurance from the employer from the month of employment, to a family member of a migrant worker – in the presence of payments as an independent payer.

Foreigners and stateless persons permanently residing (having a residence permit) on the territory of Kazakhstan can receive medical services in full – these are emergency medical care, PHC, day and night hospital, palliative care, rehabilitation, drug provision, etc.

According to paragraph 1 of Article 196 of the Code «On the Health of the People and the Healthcare System», foreigners and stateless persons temporarily staying in the Republic of Kazakhstan, asylum seekers have the right to receive a guaranteed volume of free medical care (hereinafter - GVFMC) for diseases that pose a danger to others, according to the list and in the amount, determined by the authorized body, unless otherwise provided by the laws of the Republic of Kazakhstan or international treaties ratified by the Republic of Kazakhstan.

Immigrants are provided with free medical care for acute diseases that pose a danger to others, in accordance with the list of diseases (according to the order of the Minister of Health and Social Development of the Republic of Kazakhstan dated October 9, 2020 No. KR DSM-121/2020 (registered with the Ministry of Justice of the Republic of Kazakhstan on October 12, 2020 No. 21407).

With a list of diseases that pose a danger for others and the volume of medical care approved by the Order, you can find the link https://adilet.zan.kz/rus/docs/V2000021407.

Also, according to the EAEU Treaty (Annex No. 30 to the Treaty), workers of the member States and family members can receive free medical care in emergency and urgent forms in the same manner and on the same conditions as citizens of the state of employment.

If a foreigner is a migrant worker or a family member of a migrant worker from the EAEU country (Russia, Belarus, Kyrgyzstan and Armenia), then having the status of insurance, he can receive medical services in the compulsory social health insurance system.

Independent payers pay contributions to the compulsory medical insurance in the amount of 5% of the minimum wage (in 2023 to 3500 tenge, from 2024 to 4250 tenge).

You can pay fees in any second-tier bank and their mobile applications, Kazpost JSC and payment terminals.

Details for payment of contributions to the compulsory health insurance for independent payers:

IBAN: KZ92009MEDS368609103

Business identification number 160440007161

Bank identification code GCVPKZ2A

Payment destination code – 122

You can check your insurance status in the compulsory social health insurance system using the following tools:

• Qoldau 24/7 mobile app;

• fms.kz official website;

• @SaqtandyrýBot on Telegram;

• Unified contact center 1414;

• The Damned mobile app;

• in mobile applications of second-tier banks (Bank CenterCredit, Kaspi.kz , Halyk), in the public services section.

You can also check the insurance status in the compulsory social health insurance system and get information about payments made on the egov e-government portal.kz in the section «Healthcare» through the state service «Provision of information on participation as a consumer of medical services and on the listed amounts of deductions and (or) contributions in the system of compulsory social health insurance».

Status of insurance in the system of compulsory social health insurance

The insurance status is assigned to a preferential category of citizens for whom the state pays contributions to the compulsory social health insurance:

1) children;

2) persons registered as unemployed;

3) unemployed pregnant women;

4) a non-working person (one of the child's legal representatives) raising a child (children) until he (they) reach the age of three years;

5) persons who are on leave due to pregnancy and childbirth, adoption of a newborn child (children), taking care of a child (children) until they (they) reach the age of three years;

6) non-working persons caring for a child with a disability;

6-1) unemployed persons caring for a person with a disability of the first group;

7) recipients of pension payments, including veterans of the Great Patriotic War;

8) persons serving sentences under a court sentence in institutions of the penal enforcement (penitentiary) system (with the exception of minimum security institutions);

9) persons held in pre-trial detention centers, as well as non-working persons to whom a preventive measure in the form of house arrest has been applied;

10) unemployed Qandas;

11) numerous mothers awarded with the pendants «Altyn Alqa», «Kumis Alqa» or receiving the early name «Mother Heroine», as well as awarded with the orders of «Maternal Glory» of the I and II degrees;

12) persons with disabilities;

13) persons studying full-time in organizations of secondary, technical and vocational, post-secondary, higher education, as well as postgraduate education;

14) unemployed recipients of state targeted social assistance.

To include the data of students studying at foreign universities in the preferential category «student», the Ministry of Science and Higher Education of the Republic of Kazakhstan has developed a service for their registration on the e-government portal https://egov.kz/cms/ru/services/university_degree/6-51pass_mon.

The student must submit an application by means of an electronic digital signature on the egov e-government egov.kz in the section «Registration of students studying abroad» with the attachment of a supporting document (certificate from the place of study).

The Foundation, upon the request of an individual, sends a request to the Ministry of Science and Higher Education of the Republic of Kazakhstan or the Ministry of Education of the Republic of Kazakhstan, upon receipt of confirmation of the fact of his training in an educational organization, cancels the debt for the period of his training.

At the same time, an individual attaches a copy of the diploma with appendices to the application. The status of insurance is assigned in the presence of current payments of the compulsory social health insurance.

According to subparagraph 2) of paragraph 7 of Article 28 of the Law of the Republic of Kazakhstan «On compulsory social health insurance», military personnel are exempt from paying contributions to the compulsory social health insurance.

During the period of service in the ranks of the Armed Forces of the Republic of Kazakhstan, the data of military personnel are entered into the IS «Specialized Accounting of Persons» (hereinafter – IS «SAP») and in the IS of the Fund they are assigned the status of insurance in the compulsory social health insurance system.

If the data of a serviceman during his service is not included in the IS " SAP", and he is not insured, then they submit an application to the Fund for the reversal (cancellation) of the debt for the period of military service with a copy of the military ID attached. The status of insurance is assigned in the presence of current payments of the compulsory social health insurance.

The Fund establishes a logical connection between two individual identification numbers (hereinafter – IIN) of the applicant at the request of an individual. At the same time, an individual must apply for the establishment of a logical connection between two IIN, indicating the excluded IIN and the current IIN with their copies attached. The status of insurance after the establishment of a logical connection under the current IIN is assigned if there are payments of the compulsory social health insurance for the last 12 months.

According to the Law on Compulsory Medical Insurance, article 2, paragraph 2, foreigners and stateless persons permanently residing in the territory of the Republic of Kazakhstan, as well as Qandas, enjoy rights and bear obligations in the system of compulsory social health insurance on an equal basis with citizens of the Republic of Kazakhstan, unless otherwise provided by this Law.

The Fund reverses (cancels) the arrears of payments on the compulsory social health insurance to foreign citizens with a residence permit of a foreigner in the Republic of Kazakhstan (hereinafter – the residence permit) in the presence of an application for reversal indicating the period of reversal before the month they receive a residence permit, a copy of the residence permit certificate.

For example, a foreigner received a residence permit in August 2023, in which case the Fund will reversal (cancellation) of the debt for the period from July 2022 to July 2023, the applicant must pay contributions from August 2023. The status of insurance is assigned if there is a current payment of the compulsory social health insurance.

You can check your insurance status in the compulsory social health insurance system using the following tools:

• Qoldau 24/7 mobile app;

• fms.kz official website;

• @SaqtandyrýBot on Telegram;

• Unified contact center 1414;

• The Damned mobile app;

• in mobile applications of second-tier banks (Bank CenterCredit, Kaspi.kz , Halyk), in the public services section.

You can also check the insurance status in the compulsory social health insurance system and get information about payments made on the egov e-government portal.kz in the section «Healthcare» through the state service «Provision of information on participation as a consumer of medical services and on the listed amounts of deductions and (or) contributions in the system of compulsory social health insurance».

Attachment to the polyclinic

If you have an electronic digital signature, you can attach to the polyclinic on the e-government portal www.egov.kz. To do this, in the «healthcare» section, you need to select the service «Attachment to a medical organization providing primary health care». As soon as all the fields are filled in, information about the patient will automatically be sent to the polyclinic. If all the actions were done correctly, the applicant will receive a notification of attachment or a reasoned refusal, confirmed by an electronic digital signature of the medical institution.

Since the basic principle of primary health care is territorial accessibility, it will be more convenient for patients to receive first-level medical care within walking distance (15-20 minutes walk). The advantage here will be the possibility of receiving medical care at home.

The provision of primary health care is based on the principle of family supervision. Since the family doctor is familiar with the lifestyle of the whole family, as well as with the behavioral or hereditary characteristics of each of its members, it will be much easier for the doctor to form a commitment to a healthy lifestyle of members of this family, to prevent possible and treat existing diseases. With this approach, when providing medical care, its quality will also increase significantly.

In the case of submitting an application for attachment through the e-government portal, attachment (reasoned refusal of attachment) is carried out within 1 working day.

Since the attachment is carried out by your individual identification number (IN), you can only attach to one polyclinic, at the same time, the detachment from the former polyclinic will be automatically.

If you did not apply for an attachment during the campaign to attach the population to organizations providing primary health care (from September 15 to November 15), then your attachment will not change, and you will receive medical care in your clinic.

If you applied for an attachment during the public attachment campaign to organizations providing primary health care (from September 15 to November 15), then you will be able to receive medical care in the new polyclinic starting from January 1 next year.

Citizens of the Republic of Kazakhstan, foreigners and stateless persons permanently residing in the territory of the Republic of Kazakhstan and having a residence permit can attach.

This category of citizens has the right to receive a guaranteed volume of free medical care and medical services in the compulsory health insurance system.

Migrant workers and their family members temporarily staying in the territory of the Republic of Kazakhstan – citizens of the EAEU member states (Russia, Belarus, Kyrgyzstan, Armenia) can also attach to the polyclinic. To do this, they need to have a voluntary or imputed health insurance contract (policy) to cover primary health care and inpatient care.

Attachment to the PHC organization is carried out for the duration of the VHI and (or) IMI agreement.

Preferential category

The insurance status is assigned to a preferential category of citizens for whom the state pays contributions to the compulsory social health insurance:

1) children;

2) persons registered as unemployed;

3) unemployed pregnant women;

4) a non-working person (one of the child's legal representatives) raising a child (children) until he (they) reach the age of three years;

5) persons who are on leave due to pregnancy and childbirth, adoption of a newborn child (children), taking care of a child (children) until they (they) reach the age of three years;

6) non-working persons caring for a child with a disability;

6-1) unemployed persons caring for a person with a disability of the first group;

7) recipients of pension payments, including veterans of the Great Patriotic War;

8) persons serving sentences under a court sentence in institutions of the penal enforcement (penitentiary) system (with the exception of minimum security institutions);

9) persons held in pre-trial detention centers, as well as non-working persons to whom a preventive measure in the form of house arrest has been applied;

10) unemployed Qandas;

11) numerous mothers awarded with the pendants «Altyn Alqa», «Kumis Alqa» or receiving the early name «Mother Heroine», as well as awarded with the orders of «Maternal Glory» of the I and II degrees;

12) persons with disabilities;

13) persons studying full-time in organizations of secondary, technical and vocational, post-secondary, higher education, as well as postgraduate education;

14) unemployed recipients of state targeted social assistance.

The employer does not pay contributions for 5 preferential categories, this is:

1) children;

2) recipients of pension payments;

3) disabled people;

4) full-time students;

5) numerous mothers awarded with the pendants «Altyn Alqa», «Kumis Alqa» or receiving the early name «Mother Heroine», as well as awarded with the orders of «Maternal Glory» of the I and II degrees.

This preferential category is assigned only to unemployed pregnant women. As soon as a pregnant woman goes to work, she will be excluded from the preferential category and the status will be insured by receiving contributions from the place of work.

 

Since the preferential category includes persons who are on maternity leave, then, accordingly, when going to work, maternity leave is considered over, and the employer needs to make payments to the compulsory social health insurance for this employee. It should be noted that it is a fairly common misconception when an employer does not transfer payments to the compulsory social health insurance, mistakenly believing that the employee is still in the preferential category.

 

5. Will the «Afghan warriors», «People living at the Semipalatinsk nuclear test site», «People affected by radiation in Chernobyl» enter the preferential category?

No, they are not included in the preferential category.

If this person receives a pension or disability allowance not in the Republic of Kazakhstan, then he is not included in the preferential category. In this case, the status will be assigned after the payment of contributions to the compulsory social health insurance.

Payments for compulsory social health insurance

Information, including on the status of insurance, can be obtained on the Fund's website www.fms.kz or on the telegram channel by the link https://t.me/SaqtandyryBot, via the Qoldau 24/7 mobile app, as well as by calling the Unified Contact Center at 1414. Information on the insurance status is also available for users of the Damumed mobile application.

You need to pay contributions as an independent payer for a year in advance. The current month and the 12 following months are paid. The amount of the contribution from 2023 is 3500 tenge per month (from 2024 to 4250 tenge). Payment can be made through the cash desks of second-tier banks, Kazpost JSC or mobile banking applications, as well as payment terminals. The payment processing period is three banking days.

If an individual entrepreneur has suspended his activities and the entrepreneur has no other earnings, then he will pay contributions to the MSHI as an independent platform (in 2023 to 3500 tenge, from 2024 to 4250 tenge).

Independent payers pay contributions to compulsory social health insurance in the amount of 5% of the minimum wage. In 2023, this amount is equal to 3500 tenge per month (from 2024 to 4250 tenge).

If you have been working or paying contributions yourself for the past 12 months and there is no payment for just a few months, then it is better for you to get the status by paying for the missed months for the past period. But it must be borne in mind that in order to maintain the status, monthly payments will be required.

If a person ceases to pay mandatory payments to the compulsory social health insurance (a break between payments), then his insurance status will change to "not insured".

However, for categories of payers, the conditional insurance status remains for 3 months after the last payment. These are employees, independent payers, individual entrepreneurs, owners of farms, persons engaged in private practice and those who work under civil contracts.

At this time, you can receive medical services, but you will need to pay contributions for these missed periods.

No, he is exempt from paying contributions

The fee for an individual with whom a civil contract has been concluded is 2% of the contract amount. Deduction from income and transfer is made by the tax agent. Since the object of taxation is no more than 10 minimum wage, the maximum possible contribution will be 14 000 tenge (from 2024, 17 000 tenge).

For this category of payers, the same mechanism of payment of contributions is in effect, as for individual entrepreneurs, in the amount of 5% of the 1.4 minimum wage. In 2023, the contribution amount is 4900 tenge per month (from 2024 to 5950 tenge).

According to the Law, payers of contributions and contributions have the right to request and receive free of charge from the Fund the necessary information about the amounts of contributions or contributions listed.

For seasonal workers, if there is income, his employer pays contributions, during the period when there is no income, he can independently make contributions to the Social Health Insurance Fund through second-tier banks or Kazpost branches in the amount of 5% of the minimum wage.

Medical care for patients

In the polyclinic, you can get medical services for the diagnosis and treatment of diseases, prevention, rehabilitation, immunization, adherence to a healthy lifestyle, active, patronage, dynamic (dispensary) monitoring of patients with chronic diseases, drug provision, family planning, monitoring of pregnant women, maternity hospitals and newborns.

An uninsured patient can receive services that are included in the list of guaranteed volume of free medical care, but they cannot receive medical services in the compulsory social health insurance package.

In cases of socially significant diseases, consultative and diagnostic assistance, as well as treatment is carried out within the framework of the guaranteed volume of free medical care.

What is included in the guaranteed volume of free medical care package:

• emergency medical care;

• primary health care - reception of a district doctor, diagnosis and treatment of diseases, prevention, rehabilitation, immunization, adherence to a healthy lifestyle, active, patronage, dynamic (dispensary) observation of patients with chronic diseases;

• medical care in a day hospital and a round-the-clock hospital for the treatment of chronic diseases and socially significant diseases;

• medical rehabilitation for tuberculosis;

• palliative care;

• transplantation;

• treatment abroad;

• drug provision.

Children of foreigners who have a residence permit in the Republic of Kazakhstan have all rights on an equal basis with citizens of the Republic of Kazakhstan. They can enter the preferential category and receive medical care in full.

How can a child get a residence permit?

• According to the approved Rules on the issuance of a residence permit in the Republic of Kazakhstan, paragraph 20 «A residence permit of a foreigner in the Republic of Kazakhstan is issued to foreigners permanently residing in the territory of the Republic of Kazakhstan from the age of sixteen for a period of ten years, but not higher than the validity period of the passport of their country of citizenship».

• The standard of public services provides for the inclusion of information about children under the age of 16 when applying from parents for a residence permit.

If the child was born after receiving the parents' residence permit, then it is necessary to submit an application for «linking» the child to the parent's/parents' residence permit to the Migration Service.

An average medical worker can only provide pre-medical medical care:

• reception and medical examination to determine the patient's health status, detect diseases and complications of pregnancy;     

• entering data into the information system «Register of Pregnant women and women of fertile age» for health monitoring;

• emergency and emergency pre-medical care for women, including pregnant and maternity women;   

• dynamic monitoring of pregnant women with chronic diseases together with district doctors and specialized specialists;   

• monitoring of the fulfillment of the appointments of the obstetrician-gynecologist;   

• management of physiological pregnancy and patronage of pregnant and maternity women;  

• medical services at home for pregnant women, maternity women, gynecological patients and women included in the social risk group;   

• screening and preventive medical examinations of women for early detection of precancerous and cancerous diseases of the female genital organs and other localizations (skin, mammary glands);   

• family planning and reproductive health counseling.

To receive high-tech medical care, the patient needs to have:

• Conclusion of a profile specialist (advisory sheet)

• Positive conclusion of the high-tech medical care Commission at the regional health management

Documents for the commission are provided by a specialist of the polyclinic at the place of attachment of the patient.

If the patient is on inpatient treatment, the documents for consideration by the commission are provided by the attending physician together with the head of the department (or deputy head) by e-mail.

Package of documents provided to the high-tech medical care Commission:

• a copy of the patient's identity document

• referral to a medical organization for hospitalization in a hospital and (or) in a day hospital

• extract of the medical card of an outpatient patient or the medical card of an inpatient

• results of research and consultations of specialized specialists.

High-tech medical care is provided in a day and round-the-clock hospital. The Commission reviews the documents within 2 working days.

The date of hospitalization is determined by the clinic within 2 working days from the date of receipt of the patient's documents.

The polyclinic, after receiving the date of hospitalization, must inform the patient about the date (within 1 day):

• orally

• via SMS notification

• through an electronic notification in the user's account in the Portal «Bureau of Hospitalization» in the medical information system.

The polyclinic should inform the patient about the possibility of an alternative choice of a medical organization according to the appropriate profile of medical services (the Order can be found at the link https://adilet.zan.kz/rus/docs/V2000021746).

 

In acute conditions or exacerbation of chronic diseases, if you have no signs of sudden and pronounced organ disorders, you can call a local doctor or an ambulance of the 4th category of urgency (up to 1 hour of waiting) by calling the registry.  

A call to the home of a medical worker can be made by phone through the registry, a district nurse or a paramedic  

Indications for calling a district nurse or paramedic:  

• increase in body temperature above 38°C;  

• increased blood pressure without feeling ill;  

• conditions, diseases, injuries (without loss of consciousness, without signs of bleeding, without a sharp sudden deterioration of the condition) that require medical care and consultation at home.  

Indications for calling a district doctor:  

• conditions assessed by the polyclinic registry when receiving a call, a district nurse or a paramedic who served the call as requiring a medical examination at home;

• deterioration of the condition after vaccination.

Early detection of tuberculosis is carried out by medical workers of all specialties of clinics when patients apply for a professional examination, immunization, medical care.

For early detection of tuberculosis is carried out:

1. Sputum smear studies in patients with signs of tuberculosis

2. Fluorography

3. Tuberculin Mantoux Skin test, a test with tuberculosis allergen for children.

In polyclinics, patients with cough complaints are served out

of turn and provided with medical disposable masks.

In cases where there are clinical symptoms of tuberculosis, the patient is referred for examination according to the Protocol of diagnosis and treatment of tuberculosis.

If a patient has contact with a tuberculosis patient and there are suspicions of the disease, such a patient is referred to a phthisiologist's consultation to clarify the diagnosis.

If the results of the studies are positive, the patient should be referred to the centers of phthisiopulmonology.

The population from risk groups who need to undergo an annual fluorographic examination:

1. Contact with a tuberculosis patient, regardless of bacterial excretion;

2. Persons registered at the dispensary with chronic obstructive pulmonary diseases, diabetes mellitus, alcoholism, drug addiction, HIV/AIDS and receiving immunosuppressive therapy;

3. Persons with residual phenomena in the lungs of any etiology;

4. Persons released from places of deprivation of liberty.

Patients with HIV infection who are observed in AIDS centers periodically undergo tests, including immunochromatographic analysis (IHA) or enzyme immunoassay (ELISA) to detect hepatitis C virus RNA. If the result is positive, a PCR (qualitative) analysis is performed.

In case of a positive result of the tests, the patient from the AIDS center is sent to the polyclinic at the place of attachment for registration at the dispensary - for further dynamic observation of his chronic disease - chronic viral hepatitis C.

When contacting the polyclinic, the patient should have positive PCR (qualitative) results for Chronic viral hepatitis C and an extract from the outpatient card.

Based on these results, even in the absence of the patient's insurance status, a general practitioner can put him on the dispensary register for further medical care and provision of medicinal assistance for a guaranteed amount of free medical care.

If additional examinations are required for dynamic observation, then for this the patient needs the status of insurance in the compulsory social health insurance system.

Hospitalization of the patient to the hospital for round–the-clock observation is carried out as planned - in the direction of the polyclinic:

• for the treatment of the disease, including surgery;

• to receive medical rehabilitation;

• to receive palliative care;

In an emergency – regardless of whether there is a referral from the polyclinic. Emergency hospitalization is carried out around the clock, including weekends and holidays.

In order to receive medical care for chronic diseases, it is necessary that the patient has a diagnosis. The volume of medical services and their frequency are approved by the Order of the Ministry of Health of the Republic of Kazakhstan No. 149. In this order, chronic diseases are divided into 3 groups, these are:

1. Chronic diseases that are observed in the attachment clinic within the guaranteed volume of free medical care. This includes chronic infectious diseases, diseases of the blood and hematopoietic organs, diseases of the circulatory system, respiratory organs, digestive organs, musculoskeletal system and connective tissue, endocrine system, eating disorders and metabolic disorders, diseases of the nervous system, genitourinary system, as well as certain conditions in the perinatal period and congenital anomalies (malformations), deformities and chromosomal disorders in children.

2. Chronic diseases that are observed by specialized specialists within the guaranteed volume of free medical care. These are 37 groups of diseases, including infectious diseases, malignant and benign neoplasms, endocrine and neurological diseases, traumatological profile, etc.

3. Chronic diseases that are observed by specialized specialists within the guaranteed volume of free medical care in the system of compulsory social health insurance. These are 80 groups of diseases, including the consequences of infectious and parasitic diseases, diseases of the blood and hematopoietic organs, diseases of the endocrine system, eating disorders and metabolic disorders, diseases of the genitourinary system, diseases of the nervous system, eye diseases, diseases of the hearing organs.

Medicines and medical devices can be received by patients if they have diseases defined in the order of the Ministry of Health of the Republic of Kazakhstan No. 75 dated August 5, 2021. These are patients with chronic diseases who are registered at the dispensary, as well as patients who have certain diseases or conditions.

To receive medicines, the patient needs to contact his local doctor (nurse). Medications are given according to the frequency of their intake. The district doctor / nurse prescribes a prescription for medicines, then the patient independently goes to the pharmacy of the polyclinic. To receive medicines, you need to present a document certifying the identity of the patient.

Medicines can also be obtained by patients who do not have the status of insurance in the compulsory social health insurance system. These are medicines purchased at the expense of the guaranteed volume of free medical care.

Patients who are registered at the dispensary in specialized centers receive the necessary medications at the place of observation.

To receive medical rehabilitation services, you need to contact your local doctor. After collecting the anamnesis and clarifying the details, the district doctor will issue a referral to a rehabilitologist or send the patient's documents for consideration by a multidisciplinary group (MDG).

In the polyclinic, you can get rehabilitation at the outpatient level, in cases where round-the-clock monitoring and treatment are not required. It depends on the equipment of the polyclinic, the patient's condition and his disease.

At the outpatient level, only the third stage of rehabilitation is possible, if the patient's condition allows, this can only be determined by a doctor or MDG.

The main volume of medical rehabilitation services can be obtained in the package of compulsory social health insurance. The guaranteed volume of free medical care includes medical services for the rehabilitation of patients with tuberculosis.

Preventive vaccinations are included in the guaranteed amount of free medical care. The category of the population that is included in the target groups for receiving vaccinations and the frequency of their implementation are established by Order of the Ministry of Health of the Republic of Kazakhstan No. 612 dated September 24, 2020.

Citizens of Kazakhstan, permanent residents of foreigners and stateless persons can receive vaccinations within the guaranteed amount of free medical care (confirmed by the presence of a residence permit).

The patient can receive emergency medical care, which is included in the 4th category of urgency, for those diseases and conditions in which there is no threat to life and health.

The patient can independently visit the medical organization by contacting the pre-medical office or the filter office.

If the patient cannot come to the polyclinic, then he can call a doctor at home or an ambulance team.

To call a doctor at home, you need to make an application by phone, through the e-government portal or through a medical information system.

To call an ambulance team, you need to call the short number 103 and the dispatcher will transfer the call to the nearest medical organization.

Emergency and emergency medical care is provided to patients at their location (on the territory) regardless of the patient's attachment.

Dental care

1. Which categories of the population can receive dental medical care in the guaranteed amount of free medical care and compulsory social health insurance?

Not all citizens can use dental care in compulsory social health insurance. The categories of the most vulnerable groups of the population are approved in the order of the Minister of Health No. 106:

Emergency dental care can be received:

1. Children under 18;

2. Pregnant women;

3. Veterans of the Great Patriotic War;

4. Disabled people of groups 1, 2, 3;

5. Mothers with many children, awarded with pendants «Altyn alqa», «Kumis alqa»;

6. Recipients of targeted social assistance;

7. Seniors by age;

8. Patients with infectious, socially significant diseases and diseases that pose a danger to others;

9. Non-working persons caring for a disabled child;

10. Non-working persons caring for a disabled person of the first group since childhood.

Planned dental care can be obtained:

1. Children under 18;

2. Pregnant women.

Patients can receive emergency dental care even without the referral of a district doctor. A prerequisite is that the dental clinic is included in the database of suppliers of the Social Health Insurance Fund.