Frequently Asked Questions
1. Is it possible to get a temporary status for a month in a preferential category by writing an appeal to the Fund through the Qoldau24/7 mobile application?
Yes, by writing an appeal in the "write to us" section, then assigning temporary status for preferential categories
2. Is it possible to check the insurance status in the Qoldau24/7 mobile application?
Yes, in the section "Check the insurance status"
3. What kind of medical care can foreigners who are in Kazakhstan rely on?
a:2:{s:4:"TEXT";s:2651:"All, without exception, foreign citizens can receive medical care if they are diagnosed with a disease that poses a danger to others. Its types and volumes are established by the Order of the Ministry of Health of the Republic of Kazakhstan dated October 9, 2020 No. 121. Medical care will be provided at the expense of GOBMP funds
Foreigners, citizens of the CIS countries, can receive emergency and emergency medical care for sudden acute conditions and diseases that threaten their life or the health of others, accidents, poisoning, injuries, childbirth and emergency conditions during pregnancy. From the moment when the threat to the patient's life or the health of others is eliminated and his transportation is possible, further medical care is provided on a paid basis. In this case, the financing will be at the expense of GOBMP funds. The basis for receiving such medical care will be the Agreement on the provision of medical care to citizens of the member States of the Commonwealth of Independent States, approved by the PPRK dated February 29, 2000 No. 320
Migrant workers and their immediate family members (spouse, children) living together who are citizens of one of the participating countries of the EAEU Treaty
Foreigners, citizens of the CIS countries, can receive emergency and emergency medical care for sudden acute conditions and diseases that threaten their life or the health of others, accidents, poisoning, injuries, childbirth and emergency conditions during pregnancy. From the moment when the threat to the patient's life or the health of others is eliminated and his transportation is possible, further medical care is provided on a paid basis. In this case, the financing will be at the expense of GOBMP funds. The basis for receiving such medical care will be the Agreement on the provision of medical care to citizens of the member States of the Commonwealth of Independent States, approved by the PPRK dated February 29, 2000 No. 320
Migrant workers and their immediate family members (spouse, children) living together who are citizens of one of the participating countries of the EAEU Treaty
4. When providing medical care, the reason for the treatment is "Acute illness (condition)/Exacerbation of a chronic disease" is it possible to select the diagnosis code Z00. 0 for examination.
The reason is "Acute illness (condition)/Exacerbation of a chronic disease" is suspected in an acute state of illness or exacerbation of previously known diseases. In this regard, for this reason, according to order No.KR DSM-37 dated April 27, 2022, the code Z00.0 cannot be used, in this regard, specific disease codes must be supplied.
The heading Z00-Z99 in ICD-10 is intended for those cases where the "diagnosis" or "problem" is not an illness, injury or external cause related to sections A00-Y89, but other circumstances.
This situation can arise mainly in two cases.
a) When a disabled person, who is not necessarily ill at the moment, applies to a healthcare institution for any special purpose, for example, to receive minor assistance or for maintenance in connection with a current condition: as an organ or tissue donor, for preventive vaccination or to discuss a problem that is not itself caused by illness or injury.
b) When there are any circumstances or problems affecting health, but at the moment they are not in themselves an illness or injury. Such factors can be detected during health surveys, during which the individual may be ill or healthy; they can also be recorded as additional circumstances that should be kept in mind when seeking help for any disease or injury.
The heading Z00-Z99 in ICD-10 is intended for those cases where the "diagnosis" or "problem" is not an illness, injury or external cause related to sections A00-Y89, but other circumstances.
This situation can arise mainly in two cases.
a) When a disabled person, who is not necessarily ill at the moment, applies to a healthcare institution for any special purpose, for example, to receive minor assistance or for maintenance in connection with a current condition: as an organ or tissue donor, for preventive vaccination or to discuss a problem that is not itself caused by illness or injury.
b) When there are any circumstances or problems affecting health, but at the moment they are not in themselves an illness or injury. Such factors can be detected during health surveys, during which the individual may be ill or healthy; they can also be recorded as additional circumstances that should be kept in mind when seeking help for any disease or injury.
5. Is it possible to issue a sick leave to those who do not have the status of insurance in the CSHI system?
6. If the patient does not have an insurance status, what should be done?
1. Check the status and periods of debt using available resources
2. If there is a debt, then you need to pay it or eliminate it, but no more than 12 previous months (from the current month of this year to the current month of last year).
The insurance status will be assigned within 3 working days
If a person is self-employed, an independent payer, then the debt can be paid as an independent payer
If there is a debt from an individual entrepreneur (IE), owners of a peasant farm (KH), persons engaged in private practice, an employee or someone who works under a civil law contract (GPH), then you need to check the status of the payments sent, there may have been refunds, then you need to pay the debt and the penalty
If payments were mistakenly paid for another period or payment documents were incorrectly issued, then you can refund the money for these periods. To do this, you need to write an application to the NAO "State Corporation "Government for Citizens", specify the reason for the error and attach documents confirming the payment to the application
7. In what situations do they resort to the help of Air Ambulance?
Emergency medical care with the involvement of medical aviation is provided:
1) if it is impossible to provide medical care due to the lack of medical devices and (or) specialists with appropriate qualifications in a medical organization at the patient's location;
2) if necessary, the delivery of specialists of the secondary and tertiary levels of medical care to the destination;
3) to transport the patient to medical organizations of secondary and tertiary levels of medical care if it is impossible and ineffective to provide medical care at the patient's location;
4) for the transportation of organs (parts of an organ) and (or) tissues (parts of tissue) for subsequent transplantation to an appropriate medical organization.
Medical aviation can be used in cases of:
1) delivery of a patient in serious condition from foreign clinics to domestic clinics;
2) delivery of a patient in need of medical support to medical organizations at the place of residence for continued treatment from medical organizations of the secondary and tertiary levels of medical care.
The rules for the provision of emergency medical care, including with the involvement of medical aviation, are developed and approved by the authorized body.
paragraph 2,3,4, article 121 of the Code:
8. Who pays for the patient's travel (round trip) to receive medical care for receiving medical treatment?
Local representative and executive bodies of regions, cities of republican significance and the capital decide to provide free or preferential travel to citizens of the Republic of Kazakhstan outside the settlement of permanent residence to receive high-tech medical services within the guaranteed volume of free medical care and (or) medical care in the system of compulsory social health insurance;
take measures to provide transport in case of traveling nature of medical care to the population within the guaranteed volume of free medical care and (or) in the system of compulsory social health insurance or reimbursement of transportation costs when leaving for medical care in rural areas
9. In the case of an independent departure of a patient for treatment abroad, is it possible to reimburse costs at the expense of budgetary funds?
No, according to the order of the Minister of Health of the Republic of Kazakhstan dated May 26, 2021 No.KR DSM – 45 "On approval of the rules for sending citizens of the Republic of Kazakhstan for treatment abroad and (or) attracting foreign specialists for treatment in domestic medical organizations within the framework of the GOBMP", persons traveling for treatment to foreign medical organizations at the expense of of their own funds, they are not entitled to reimbursement of costs from the state budget.
10. Where to go if there are no prescribed medications?
You can call the SK-Pharmacy contact center for free medication 1439 (from mobile and landline numbers);
you can also contact the Social Health Insurance Fund at number 1414 (from mobile and landline numbers).
you can also contact the Social Health Insurance Fund at number 1414 (from mobile and landline numbers).
11. How do I get free medicines on an outpatient basis?
It is necessary to be attached to a polyclinic, a paramedic-obstetric center or a medical outpatient clinic (Family Health Center);
2) The patient must be registered at a dispensary for a socially significant, chronic or socially dangerous disease;
3) to get a free prescription, you need to contact your local therapist.
2) The patient must be registered at a dispensary for a socially significant, chronic or socially dangerous disease;
3) to get a free prescription, you need to contact your local therapist.
12. What is the regionalization of emergency cardiac care?
Regionalization is the division of medical organizations into appropriate levels of emergency cardiological care (cardiological, cardiac surgery) for patients with acute coronary syndrome and (or) acute myocardial infarction, depending on the complexity of the medical technology provided, as well as the distribution of cardiac surgery by complexity categories. Order of the Acting Minister of Health of the Republic of Kazakhstan dated December 31, 2021 No.KR DSM-139
13. The procedure for discharge from the maternity ward?
On the day of discharge of maternity patients from the hospital, an examination, assessment of the condition, consultation on the method of exclusive breastfeeding, on the prevention of complications and alarming signs is carried out, the patient is given an extract from the medical card to the attached polyclinic, an extract from the history of childbirth and information about the maternity hospital for active visits to the actual place of residence in electronic format to the email address of the PHC organization or in the form of a telephone or written notification. If the maternity hospital has changed its place of residence, it must be attached to the actual place of residence.
14. Can a pregnant woman receive iron supplements at the clinic for free?
Pregnant women who are registered with Iron deficiency anemia can receive iron preparations as part of free and preferential drug provision at the outpatient level.
(Order No. KR DSM – 75 "On approval of the List of medicines and medical devices for free and (or) preferential outpatient care for certain categories of citizens of the Republic of Kazakhstan with certain diseases (conditions)"
(Order No. KR DSM – 75 "On approval of the List of medicines and medical devices for free and (or) preferential outpatient care for certain categories of citizens of the Republic of Kazakhstan with certain diseases (conditions)"
15. A convicted person is a stateless person, is attached to a medical organization and has the social status "Convicted" in the EPS (electronic health passport), but is displayed as uninsured in the KIIS (Comprehensive Medical Information System). What should I do?
To solve the problem of displaying the status of a convicted person, it is necessary to contact the KuIS (Committee on the Penal Enforcement System)Ministry of Internal Affairs of the Republic of Kazakhstan.
16. There is a problem with the Qoldau 24\7 app. The code sent to the email does not match.
По данному вопросу вы можете обратиться в чат поддержки по электронному адресу qoldau@fms.kz