Volume, types, conditions
The current program of state guarantees for the provision of medical and health care to citizens guarantees the volumes, types of medical services in Kyrgyzstan and the terms of their provision by health organizations, regardless of the form of ownership .
In simple terms, we are talking about free or preferential medical care, which, as stated in the SGBP, can be received by several categories of citizens. These are, for example, minor children, participants and invalids of the Great Patriotic War, pensioners and others.
Areas of health care provided under the program include types of support such as emergency, hospitalization, dental, consultation, palliative care, specialist oncology and psychiatry.
The condition for the provision of free and preferential health care under the state guarantee program is the availability of a document certifying the right to benefits (passports, birth certificates for children under 16, birth certificates for a child before receiving a birth certificate, pension certificate, compulsory medical insurance policy), as well as referrals for laboratory diagnostic tests, hospitalization in the hospital, which are prescribed by specialists.
Reaching vulnerable populations
In the fall of 2022, Klara Oskombayeva, first vice president of the Compulsory Medical Insurance Fund (MHIF) of the Kyrgyz Republic, told reporters about the government’s instruction to redirect the current SGBP to cover vulnerable segments of the population with medical services.
– We plan to revise and form various packages of basic services, taking into account categories of the population – for pregnant women, children, socially vulnerable groups – which will be guaranteed by the state and provided free of charge. There are also plans to revise the medical care provided at the outpatient and hospital levels to citizens of EAEU member states, citizens of other states, she explained in an interview with a local news agency.
Another reason for the need for a new program was the entry into force of the Law on Compulsory Medical Insurance in Kyrgyz Republic. “From now on, Kyrgyz citizens and foreigners living in the country are required to take out a compulsory medical insurance policy,” Zhipara Azizbekova recalled in an interview with an RG correspondent.
The project of the new program of state guarantees to provide citizens with health care, according to her, is a joint work of several government agencies. The document was agreed with the medical community and the non-governmental sector of Kyrgyzstan. It is now in the public comment stage.
Only public hospitals
As Zhipara Azizbekova explained, to receive medical services under the new SGBP, three conditions must be met. “You need a compulsory medical insurance policy, registration with family doctors and a referral they give. If, for example, you come for a laboratory diagnostic test, it does not will not happen without a free referral. The patient himself will not decide what kind of analysis he needs. family doctor, “says Zhipara Azizbekova.
As for the socially vulnerable segments of the population, all medical services at all levels will be free for them. “The new SGBP differs from the current one in a large number of sections, which describe in detail the types, volumes and conditions for providing free and preferential medical care. In addition, we paid special attention to foreigners and citizens of the EAEU member states living in the republic.In particular, family members of a citizen of a member state of the Eurasian Economic Union have the right to annually purchase a compulsory medical insurance policy not for 16 391 som – the cost for foreigners – but for 1,722 som, as the Kyrgyz do. But there is one condition: in this family, someone must officially work and pay taxes on the territory of the republic”, explained Zhipara Azizbekova.
– An important point: when we talk about the provision of free or preferential medical care under the SGBP, we are talking about those who work in the Single Payer System. For the time being, these are public health establishments which have signed agreements with the territorial departments of the MHIF. Private traders, unfortunately, do not accept our conditions, – she added.
According to Zhipara Azizbekova, today people mostly complain about having to buy the drugs they need when they ask for medical services in public hospitals. “There are a lot of complaints about this. Not so long ago, the government created the state enterprise Kyrgyzpharmacy, which will negotiate directly with drug manufacturers and supply them to the republic. With the new SGBP and the Law on Compulsory Medical Insurance, this will help find a solution to many problems so that the people of Kyrgyzstan are insured and receive all the medical services they need,” summarized the head of the Fund department. compulsory health insurance.
Help “RG”
According to the new SGBP, citizens of the states of the Eurasian Economic Union (Russia, Kazakhstan, Armenia, Belarus) who work in the republic are insured if they pay contributions for them in accordance with the legislation of the Kyrgyz Republic. “Family members of workers permanently residing with a citizen of the EAEU state working in the Kyrgyz Republic have the right to take out compulsory health insurance policies under conditions equal to those of citizens of Kyrgyzstan… Citizens of the EAEU state and members of their families who are insured under compulsory medical insurance receive medical services in the same volumes and under the same conditions as insured citizens of the Kyrgyz Republic, at the exception: hemodialysis services (provided with full payment); specialized oncology services (services are provided in the chemotherapy department with full payment); specialized cardiac surgery care; medical care, which is provided to patients with tuberculosis,” the draft document says.
Besides
One of the innovations proposed by SGBP in primary health care is the division of medical services into two packages – basic and complementary. The first is provided free of charge to citizens who are insured and assigned to Family Medicine and General Medicine Centers.
The second depends on the laboratory diagnostic tests that must be completed in the direction. For example, ultrasound and x-ray are provided to certain categories of citizens (for example, workers for whom compulsory health insurance contributions are collected) with a 50% discount on the cost of medical services indicated in the list of price.
Additional laboratory and diagnostic studies for uninsured citizens are carried out on a paid basis.
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