The law "on compulsory social health insurance" was adopted on November 16, 2015. In accordance with the law, until January 1, 2020, only employers make contributions for their EMPLOYEES in the amount of 1.5% of the employee's income. Starting from 2020, all other categories will start paying contributions:
Employers will continue to pay deductions for their employees and will start making contributions for employees: 2 % of income at the expense of the employer + 1% of income at the expense of the employee;
persons receiving income under civil contracts in the amount of 1% of income;
Sole proprietors will pay a contribution at the rate of 5% of 1.4 times the minimum wage (2975 tenge);
the state will pay contributions for 15 socially protected categories of citizens in the amount of 1.4 % of the average monthly salary. These categories include: children, pensioners, mothers with many children (Altyn Alka, kumys Alka), non-working pregnant women, non-working persons caring for a child under 3 years of age, persons on maternity leave, disabled people and persons caring for disabled children, registered unemployed, students, persons in isolation and detention, non-working oralmans;
contributions of independent payers are set at 5 percent of the minimum wage (2125 tenge).
In order for self-employed citizens to receive social guarantees provided by the state, a single aggregate payment has been introduced in Kazakhstan since January 2019. ESP payers automatically become participants in the mandatory health insurance, social insurance, and pension systems. Contributions amount to 2,778 tenge in cities of regional significance and 1,389 tenge for rural residents. Payment is made via Kazpost or banks.
From 2020, medical services will be available for uninsured citizens in the framework of guaranteed free medical care in emergency and urgent cases. This will include: primary health care, screening, monitoring of chronic patients, treatment of socially significant diseases, treatment of infectious diseases that pose a danger to others.
The OSMS package will include medical care that improves the quality of life of patients and creates the basis for the health of the future generation, so the list of free medical services for insured citizens will be expanded from 2020.
In accordance with article 5 Of the law "on OSMS" in case of non-payment of deductions or contributions, individuals receive medical care in the OSMS system for no more than 3 months from the date of termination of payment of such deductions, contributions, and the amount of debt must be repaid. In this regard, in order to prevent the problem of obtaining medical care in 2020 for working citizens due to late payment of deductions by employers, it is necessary to monitor the monthly transfer of contributions to the OSMS on the ground.