Sociological research and population surveys 
Find out the insurance status/ CSHI Calculator 
The rights of the population 
Frequently Asked Questions Frequently Asked Questions
1. Introduction
All pregnant women should be insured in the СSHI system, since most of the medical care related to pregnancy and childbirth is included in the СSHI.
Pregnant women who work are insured in the СSHI at the expense of deductions and contributions from their employers.
Individual entrepreneurs - pregnant women are insured through regular contributions to the MSHI.
Pregnant women who do not work are insured in the CSHI at the expense of state contributions.
Pregnant women who work are insured in the СSHI at the expense of deductions and contributions from their employers.
Individual entrepreneurs - pregnant women are insured through regular contributions to the MSHI.
Pregnant women who do not work are insured in the CSHI at the expense of state contributions.
2. At what time do I need to register for pregnancy?
A pregnant woman must register for pregnancy at the place of attachment within 12 (twelve) weeks of pregnancy.
If a pregnant woman has an "UNINSURED" status in the CSHI, she can register with a local doctor
Source:
Paragraph 4 of Article 81 of the Code
If a pregnant woman has an "UNINSURED" status in the CSHI, she can register with a local doctor
Source:
Paragraph 4 of Article 81 of the Code
3. Who can be included in the preferential category of "Unemployed pregnant woman"?
The preferential category of “unemployed pregnant woman" includes women who are registered for pregnancy, who do not have a job or business activity. This is confirmed by the absence of mandatory pension contributions and social contributions for the previous calendar month.
The system automatically checks whether the contributions have been paid, in the absence of contributions for the previous month, a woman is given a preferential category
Source:
Order of the Minister of Health of the Republic of Kazakhstan dated December 29, 2020 No. KR DSM-333/2020 “On approval of the rules for keeping records of consumers of medical services and granting the right to receive medical care in the compulsory social health insurance system”
https://adilet.zan.kz/eng/docs/V2000021977#:~:text=Paragraph%203.%20The%20procedure%20for%20recordke...
The system automatically checks whether the contributions have been paid, in the absence of contributions for the previous month, a woman is given a preferential category
Source:
Order of the Minister of Health of the Republic of Kazakhstan dated December 29, 2020 No. KR DSM-333/2020 “On approval of the rules for keeping records of consumers of medical services and granting the right to receive medical care in the compulsory social health insurance system”
https://adilet.zan.kz/eng/docs/V2000021977#:~:text=Paragraph%203.%20The%20procedure%20for%20recordke...
4. Which clinic should I register for pregnancy?
To register for pregnancy, a woman needs to contact her clinic. It is important to know that a pregnant woman should be assigned to a polyclinic at her place of residence.
To register for pregnancy, a woman can contact:
1) an obstetrician-gynecologist at the attachment clinic. To be admitted to a gynecologist, a pregnant woman must be insured in the OSMS;
2) to the local doctor or midwife. When visiting these specialists, the insurance status in the CSHI does not matter.
Order of the Minister of Health of the Republic of Kazakhstan dated August 26, 2021 No. KR DSM-92 “On approval of the standard for the organization of obstetric and gynecological care in the Republic of Kazakhstan”
To register for pregnancy, a woman can contact:
1) an obstetrician-gynecologist at the attachment clinic. To be admitted to a gynecologist, a pregnant woman must be insured in the OSMS;
2) to the local doctor or midwife. When visiting these specialists, the insurance status in the CSHI does not matter.
Order of the Minister of Health of the Republic of Kazakhstan dated August 26, 2021 No. KR DSM-92 “On approval of the standard for the organization of obstetric and gynecological care in the Republic of Kazakhstan”
5. In what cases is the preferential insurance status in the "Unemployed pregnant woman" СSHI canceled?
Cancellation of preferential status:
The preferential status is restored if the specified payments for the previous calendar month are missing.
A source:
Paragraph 3 of the Order of the Ministry of Health of December 29, 2020 No. KR DSM-333/2020 “On approval of the rules for keeping records of consumers of medical services and granting the right to receive medical care in the compulsory social health insurance system”
- Preferential status is assigned only to unemployed pregnant women.
- If payments such as mandatory pension contributions and social contributions begin to arrive, the woman automatically loses the preferential insurance status
The preferential status is restored if the specified payments for the previous calendar month are missing.
A source:
Paragraph 3 of the Order of the Ministry of Health of December 29, 2020 No. KR DSM-333/2020 “On approval of the rules for keeping records of consumers of medical services and granting the right to receive medical care in the compulsory social health insurance system”
6. A pregnant woman is an individual entrepreneur (sole proprietor), but does not receive income, will she enter the preferential category under the CSHI?
Until an individual entrepreneur (sole proprietor) officially suspends his activities with the tax authorities, he is considered valid, and, accordingly, mandatory payments must be made to the CSHI, even if the sole proprietor submits a “zero declaration”.
To be included in the preferential category, a pregnant woman, an individual entrepreneur (IE)
who does not receive income, must apply to the tax authorities with an application for suspension of her activities.
After the activity is suspended, it will be able to enter the preferential category.
To be included in the preferential category, a pregnant woman, an individual entrepreneur (IE)
who does not receive income, must apply to the tax authorities with an application for suspension of her activities.
After the activity is suspended, it will be able to enter the preferential category.
7. Is the preferential category canceled if a woman returns to work before her child turns three?
Women who are on parental leave before the age of 3 are included in the preferential category.
Going to work (or starting to earn income from an individual entrepreneur or other activity) means the end of this vacation.
In this case, the employer is obliged to continue payments on compulsory social health insurance (OSMS) for this employee.
It is important to note that there is often a misconception when an employer stops payments to the CSHI, thinking that the employee is still in the preferential category.
Going to work (or starting to earn income from an individual entrepreneur or other activity) means the end of this vacation.
In this case, the employer is obliged to continue payments on compulsory social health insurance (OSMS) for this employee.
It is important to note that there is often a misconception when an employer stops payments to the CSHI, thinking that the employee is still in the preferential category.
