Frequently Asked Questions
1. Why do I need to pay contributions to the CSHI?
In order to receive medical care under the CSHI, you need to have the status of "INSURED".
The status is given to:
A source:
Article 5 of the Law of the Republic of Kazakhstan dated November 16, 2015 No. 405-V "On compulsory social health insurance" https://adilet.zan.kz/kaz/docs/Z1500000405
The status is given to:
- Employees who regularly pay contributions.
- Independent payers.
- Individual entrepreneurs.
- Persons for whom the state pays, etc.
- The "INSURED" status is assigned only if there is no debt.
- Independent payers can pay contributions for 12 future months without paying off the debt.
- The status is maintained for 3 months from the last paid month, but during this time the debt will be accrued.
A source:
Article 5 of the Law of the Republic of Kazakhstan dated November 16, 2015 No. 405-V "On compulsory social health insurance" https://adilet.zan.kz/kaz/docs/Z1500000405
2. Preferential categories in the CSHI, for which the state pays contributions to the CSHI?
For 15 categories of citizens from socially vulnerable segments of the population of the Republic of Kazakhstan, the state pays contributions to the CSHI.
Who is included in the privileged categories of the population, for which the state pays contributions, can be viewed here.
Who is included in the privileged categories of the population, for which the state pays contributions, can be viewed here.
3. How do I get a temporary status in the CSHI?
If you belong to one of the preferential categories, but your status in the CSHI is “UNINSURED”, then information about assigning you a preferential insurance status is missing from the Fund's database for some reason.
You can contact the Fund and provide supporting documents, the fund will add you to the database for one month as an insured person so that you can receive medical care.
To do this, you can use the Qoldau 24/7 mobile app to send documents confirming your preferential status.
What documents do I need to attach to obtain a temporary status?:
You can contact the Fund and provide supporting documents, the fund will add you to the database for one month as an insured person so that you can receive medical care.
To do this, you can use the Qoldau 24/7 mobile app to send documents confirming your preferential status.
What documents do I need to attach to obtain a temporary status?:
- Children - birth certificate
- Persons registered as unemployed - certificate of registration as unemployed
- Unemployed pregnant women - certificate on form 027
- A non-working person (one of the legal representatives of the child) who brings up a child until he reaches the age of 3 years - a birth certificate of a child under 3 years old
- Persons on leave due to pregnancy and childbirth, adoption of a newborn child, child care until the child reaches the age of 3 years - the child's birth certificate
- Non-working persons caring for a disabled child - a certificate of disability, a child's birth certificate, a certificate of registration as an unemployed person
- Non-working persons caring for a disabled child of the first group since childhood - a certificate of disability and documents confirming the identity of the person caring for a disabled person of the first group since childhood
- Recipients of pension payments, including participants and invalids of the Great Patriotic War - ID card, WWII veteran's certificate
- Unemployed candace - a Candace certificate and a certificate of registration as an unemployed person
- Mothers with many children who were awarded the pendants "Altyn alka", "Kumis alka" or who previously received the title "Mother Heroine", as well as those awarded the orders of "Maternal Glory" of the I-II degree - a document confirming the award
- Disabled people - a certificate of disability
- Persons studying full-time in organizations of secondary, technical and vocational, post-secondary, higher education, as well as postgraduate education - a certificate from the place of study, a student ID
- Non-working recipients of state targeted social assistance - a certificate confirming that the patient belongs to the recipient of the TSA
4. What should I do if I am not insured in the CSHI?
1.Check the debt periods in SaqtandyryBot
2.Pay the contributions to the CSHI, depending on the category of the payer
*If you have any questions, you can call 1414 or write to us in the Qoldau 24/7 app
2.Pay the contributions to the CSHI, depending on the category of the payer
*If you have any questions, you can call 1414 or write to us in the Qoldau 24/7 app
5. Where can I see how much money I have paid for CSHI?
СSHI is not a cumulative system, a person is insured in СSHI if there are payments for the previous 12 months (for independent payers who have paid contributions to СSHI for the next year - until the last paid month).
You can get acquainted with the amounts that were transferred to the CSHI on the e-government portal in the “healthcare” section by signing an EDS request or through the PSC.
“Providing information on participation as a consumer of medical services and on the listed amounts of deductions and (or) contributions in the compulsory social health insurance system”
You can get acquainted with the amounts that were transferred to the CSHI on the e-government portal in the “healthcare” section by signing an EDS request or through the PSC.
“Providing information on participation as a consumer of medical services and on the listed amounts of deductions and (or) contributions in the compulsory social health insurance system”
6. How do I get the insurance status if I have not previously paid contributions to the CSHI?
If you have not paid contributions to the fund, there are several ways to get insured status:
Become an independent payer:
Source:
Paragraph 3-2 of Article 5 of the Law of the Republic of Kazakhstan dated November 16, 2015 No. 405-V "On compulsory social health insurance"
Become an independent payer:
- Pay the contributions 12 months in advance. The amount is 5% of the minimum wage for each month of the current fiscal year. (For example, for 2024 – 4250 tenge per month).
- To pay the debt for the last 12 months: The amount is 5% of the minimum wage for each month of the previous financial year. (For example, for 2023 – 3500 tenge per month, for 2024 – 4250 tenge per month).
Source:
Paragraph 3-2 of Article 5 of the Law of the Republic of Kazakhstan dated November 16, 2015 No. 405-V "On compulsory social health insurance"
7. Where can I view the periods of debt?
You can get acquainted with the debt periods through SaqtandyryBot
8. How do I make deductions for CSHI to seasonal workers who do not have a permanent income?
Contributions are paid for a seasonal employee by his employer.
When the work is completed and there is no income (does not work), he can independently pay contributions to the CSHI as an independent payer or contact the employment department for employment or registration as unemployed.
When the work is completed and there is no income (does not work), he can independently pay contributions to the CSHI as an independent payer or contact the employment department for employment or registration as unemployed.
9. Where can I find out the insurance status in the CSHI?
You can find out the insurance status in the OSMS in any convenient way:
•website of the Social Health Insurance Fund
•Telegram bot (https://t.me/SaqtandyryBot )
•*Goldau 24/7 mobile app
•website of the Social Health Insurance Fund
•Telegram bot (https://t.me/SaqtandyryBot )
•*Goldau 24/7 mobile app