If the employer does not make regular contributions for the compulsory health insurance, can a student receive medical assistance abroad, how to pay contributions to unemployed citizens and individual entrepreneurs. We remind you that the Fund maintains feedback with recipients of OSHI and guaranteed health care services through several communication channels — this is the Qoldau 24/7 mobile application, the @SaqtandyryBot telegram bot and the 1406 contact center.
— Revealed a coronavirus infection. Attached to the clinic in Pavlodar, but now I live in Nur-Sultan. How to be in this situation, where to go?
— In the presence of an infectious, parasitic or viral disease that poses a danger to others, the patient can count on medical assistance, regardless of attachment — at the place of actual residence. In this case, it is necessary to contact the clinic closest to the house, which is the supplier of the Fund.
— Officially employed, recently went on a long leave without pay, for this period the employer will not pay contributions for me. How long will it take for my status to become “not insured”, and what should I do in order not to lose it?
— The status in the OSHI system will be maintained for 3 months after the last installment. In order for it to remain relevant further, it will be necessary to pay the fee as an independent payer for the missed period, monthly 2,125 tenge, destination code — 122.
— The employer did not pay the deductions and contributions for the CSHI on time, can I make the payment on my own so as not to lose my status in the CSHI? And after the employer makes the payment, apply for a refund or redistribute the money for the next month?
— Timely payment for compulsory health insurance is the responsibility of the employer. In the event that he violates the established deadlines, a penalty will be imposed on him. To maintain your status with compulsory health insurance, you can pay the premium as a self-payer. After your employer makes contributions and contributions, you can make a refund of your funds through the Government for Citizens State Corporation. To do this, you need to write an application for a refund, provide receipts or receipts for payment. Application consideration period is 2 weeks
— Can a foreign citizen without a residence permit register for pregnancy?
— Foreign citizens temporarily staying in the territory of Kazakhstan, in accordance with Article 35 of the Law of the Republic of Kazakhstan «On migration of the population», are required to have a policy of voluntary medical insurance. A foreign citizen can register for pregnancy either if available, or on a paid basis.
— Unemployed, “not insured” status. From what period do you need to pay premiums to get insurance?
— If you are officially registered with the Employment Center as unemployed, then the state makes the contributions to health insurance for you. If there is no official status of an unemployed person, then in order to receive services for compulsory health insurance, you must regularly make contributions as a self-payer, from the moment you lost your job.
— The daughter is a student in Russia. To study at a university and live in the Russian Federation, medical insurance is required. The educational institution suggested that a daughter can get an insurance policy in Kazakhstan, are we talking about compulsory health insurance?
— In this case, you need to purchase an insurance policy within the framework of voluntary health insurance, which is provided by private insurance companies. Services in the compulsory health insurance system are available only on the territory of Kazakhstan
— Can I be simultaneously attached to several clinics?
— No. As soon as you attach to a new organization, detachment from the old clinic will occur automatically. The reason is simple — the FSMS produces per capita financing of medical organizations and cannot pay several clinics for one person.
— I work as a teacher, while I have a peasant farm. How to pay for compulsory health insurance?
— Contributions must be paid from all sources of income. In the first case, the employer will pay the contributions and deductions for you, in the second case you must do it yourself. According to tax legislation, peasant farms in 2021 are obliged to pay 2,975 tenge monthly — 5% of 1.4 of the minimum wage.
— Student, I work two jobs at the same time. Can I refuse to withhold contributions to the compulsory health insurance? Or pay them only for one of the jobs?
— If you are a full-time student, then you belong to the privileged category of citizens, then the employer should not make deductions for you and deduct from your salary for compulsory health insurance. If you study in absentia, then payment must be from all sources of income, while the maximum income from which deductions and contributions are withheld should not exceed 10 minimum wages.
When paying contributions from an amount of income equal to 10 times the minimum wage, payment of contributions from other incomes of an individual is not required if there is a document confirming the payment of such contributions.
Such a document is a certificate of the amount of income received, calculated and paid contributions, issued by the employer and (or) tax agent.
— What kind of medical assistance can foreigners expect in Kazakhstan?
— According to paragraph 2 of Article 2 of the Law of the Republic of Kazakhstan «On compulsory social health insurance», they enjoy the rights and bear obligations in the system of compulsory social health insurance on an equal basis with the citizens of the Republic of Kazakhstan, unless otherwise provided by this Law:
• foreigners and stateless persons permanently residing in the territory of Kazakhstan;
• kandasy.
According to paragraph 3 of Article 98 of the Treaty on the Eurasian Economic Union, social insurance of workers from the EAEU countries, as well as their family members, is carried out on the same conditions and in the same manner as citizens of Kazakhstan. Their employers must make monthly contributions and deductions for them.
At the same time, the provision of consultative and diagnostic assistance in the compulsory health insurance system is carried out in the direction of a PHC specialist, and this service is included in the guaranteed volume of medical care. Thus, according to the Law of the Republic of Kazakhstan «On migration of the population» (Articles 35, 41 and 43-1), immigrants arriving in Kazakhstan to carry out labor activities are required to have voluntary health insurance to be attached to the PHC organization.
Foreigners from far abroad, temporarily staying in the territory of the Republic of Kazakhstan and not falling under the Law on Compulsory Health Insurance, have the right, in the presence of diseases that pose a danger to others, to claim a guaranteed amount of medical care. In all other cases, medical services are available to them only with a voluntary health insurance policy.