About 227,000 dental services were paid for by the Social Health Insurance Fund for East Kazakhstan region

For 8 months of this year, the Social Health Insurance Fund paid 5.1 billion tenge for the provision of more than 2.8 million dental services to the population.

This includes about 650,000 services for children under 18 and pregnant women on a planned basis, 2.1 million emergency dental services for certain categories of the population, as well as 1,707 orthodontic services for children.

Recall that planned dental care in the compulsory health insurance system is provided to children under 18 years of age and pregnant women.

Children under the age of 18, pregnant women, participants in the Great Patriotic War, disabled people of groups 1, 2, 3, mothers of many children, awarded pendants "Altyn alka", "Kumis alka", recipients of targeted social assistance, pensioners can receive emergency dental care in the compulsory health insurance system. by age, patients with socially significant diseases, non-working persons caring for a disabled child, non-working persons caring for a disabled person of the first group from childhood.

Orthodontic care is provided to children under 18 years of age with congenital pathology of the maxillofacial area using a device to eliminate dentoalveolar anomalies.

Also from this year, the Social Health Insurance Fund under the CSHI package provides support for children from socially vulnerable families - recipients of targeted social assistance. Children aged 6 to 12 years will be provided with orthodontic care for various types of dentoalveolar anomalies (bite defects, jaw micrognathia). More than 9 thousand children will receive this assistance, 415 million tenge are provided for this by the end of this year.

“For dental care, the patient can apply both to the clinic and to the dental clinic. At the same time, it is important that the clinic providing dental services is a potential supplier of the Fund and is in the register of potential suppliers,” the Social Medical Insurance Fund notes.

As of September 1, 2020, 626 providers provide dental services nationwide. Among them are 346 public and 280 private clinics. This year, the number of providers of the Fund has increased compared to 2019, so last year 522 providers provided dental care, including 315 state-owned and 207 private ones.

“The provision of emergency and planned dental care is carried out on the basis of a free choice by the patient (in the case of a child - a parent or legal representative) and does not require a referral from a local doctor at the place of attachment of the patient. The fact of the provision of services and the volume of dental care are recorded in the information system, which is the basis for concluding a co-execution agreement between the PHC organization and dental clinics, which is automatically formed in the information system," the Fund explained.

Payment for the services rendered is carried out through the organization of primary health care (polyclinic) at the place of attachment of the patient.

Please note that the services rendered are entered into the information system upon their provision.

In case of refusal to provide medical assistance, you must contact the Social Health Insurance Fund through the Qoldau 24/7 mobile application, which can be installed in the Play Market and App Store.