"The list of free medical care was not shortened; on the contrary, it was only expanded during the previous several years. Unfortunately, it was often done without taking into account the financial aspect. That is why the task is set to look once again at the list of the GVFMC services and select the ones most demanded and needed by the population. In particular, we have a set of 300 services that must necessarily be present in this list of medical care," E. Bakhmutova said at the CCS briefing.
She has noted that now the people of Kazakhstan receive medical care regardless of whether they paid taxes or not, as well as regardless of their labor status. "However, the content of this package raises serious questions, because there is an imbalance between the list of services and financing for these purposes in this package. Now the task is set - the list of services should correlate to the allocated money. According to our preliminary assessment, the lack of money to finance the services declared in the package in full is about 800 billion tenge, so this work will be carried out now," she said.
According to Bakhmutova, starting from 2019 or 2020, two packages of medical services will be provided – free and paid ones. "The first package is the GVFMC, which will be provided to the entire population of Kazakhstan and individuals permanently residing in the territory of the republic. In addition, a list of services will be provided for insured people within the framework of the medical insurance system. The services, which are not covered by the GVFMC and medical insurance for the insured people, are paid. This means that citizens pay for these services from their own pockets or conclude voluntary medical insurance contracts for these services," Bakhmutova said.
"It must be understood by everyone to have motivation for participating in the health insurance system, because additional services will be covered from this list; for this, one needs to be insured either personally, or through formal channels, such as an employer or the state; in the case of people enjoying privileges, the CSHI package will still be available," she added.