Free Medical Care

Guaranteed Volume of Free Medical Care

NRCMCH provides medical services for population in a frame of budget program (subprogram) 036 «Provision of guaranteed volume of free medical care (hereinafter – GVFMC)». NRCMCH anually participates in a tender for provision of free medical care. According to that NRCMCH has concluded a contract with Astana Department of Committee of Payment for Medical Services, MoH RK for provision of specialized medical care, and amount of patients is limited to 11 010 cases, including services replacing in-patient medical care.

In addition, NRCMCH has concluded an agreement with Astana Department of Committee of Payment for Medical Services, MoH RK fro provision of highly specialized medical care, and number of patients is limited to 1 080 cases.

Among services of highly specialized medical care level there are:

1. Thoracoplastics;
2. Apply of external fixation device on other bones;
3. Open reposition of bone fragments of other exacted bone with internal fixation by extramedullary implant;
   
4. Arthroscopic resection of meniscus;
5. Arthroscopic plastics of capsullar-ligamentous structures of joints;
6. Arthroscopic recovery of ligaments of knee joint;
7. Spinal fusion
8. Reposition or transplantation of tendon (except hand)
9. Reposition or transplantation of muscle (except hand)
10. Videothoracoscopic lobectomy with minithoracotomic access
11. Recovery operations on diaphragm
12. Intrathoracal anastomosis of esophagus with interposition of small bowel
13. Anastomosis of hepatic duct into biliary tract in children (Kasai portoenterostomy with Roux-en-Y operation)
14. Laparoscopic restrictive procedure on stomach
15. Removal or restruction of larynx's injuries or tissues, videolaparoscopic operation in neoplasms
16. Recovery (reconstructive-plastic) operations on trachea
17. Cochlear implantation (electromagnetic hearing device)
18. Removal of tumors of facial bones with defect plastics
19. Prosthesis of lower jaw
20. Endoscopic microlaryngosurgery of throat
21. Recovery of urethra (plastics by buccal flap)
22. Surgical interventions in infravesical obstruction
23. Complex nephroectomy (laparoscopic retroperitoneal)
24. Bone marrow transplantation
25. High dose chemotherapy of acute leukemia (ALL-BFM, AМL-BFM)
26. In-vitro fertilization in infertility
27. Endovascular embolization of pelvic organ vessels, uterine arteries
28. Total extraperitoneal reposition of pubic-cervical and pelvic fascia by synthetic mesh prosthesis
29. Laparoscopic complex hysterectomy
30. Laparoscopic conservative myomectomy or hysteroresection of submucous nodes
31. Laparoscopic promontofixation of uterus by mesh prosthesis
32. Laparoscopic radical abdominal hysteroectomy
33. Laparoscopic vaginal hysteroectomy
34. Destruction of chorionretinal injury by laser photocoagulation of retina (laser treatment of retinipathy in pre-term newborns)
35. Kidney transplantation
36. Radical mastectomy with single-step reconstruction
37. Modified extraperitoneal posterior exenteration.
38. and others
    

According to a Decree of the Government about guaranteed volume of free medical care:

1. Guaranteed volume of free medical care is provided to the citizens of the Republic of Kazakhstan and repartiated Kazakhs by means of budget funds and includes preventive, diagnostic and medical services on basis of EBM.

2. GVFMC includes as follows:

1) emergency medical care and ambulance aviation;

2) out-patient medical care, including primary medical care (hereinafter - PMC) and consulting-diagnostic care (hereinafter - CDC) on referral of specialist of PMC and profile specialists;

3) in-patient medical care on referral of PMC specialist or medical organization in a frame of elective number of cases for hospitalization (limited volume), defined by authoritated body in healthcare field (hereinafter - authority), on emergency indicators - not depending on availability of referreal;

4) medical care replacing in-patient medical care on referreal of PMC specialist or medical organization;

5) rehabilitation treatment;

6) palliative care and nursing care for categories of population defined by government of the Republic of Kazakhstan.

National Research Center for Maternal and Child Health (hereinafter - NRCMCH) provides highly specialized free medical care according to the decree of the Government of the Republic of Kazakhstan dated 15th December 2009, № 2136 «About approval of list of guaranteed volume of free medical care».

Hospitalization of patients into NRCMCH is done according to an Order of Minister of healh of the Republic of Kazakhstan dated 12 June of 2008, № 342 «About approval of list of highly specialized medical care».

According to the order: «highly specialized medical care is a medical care which is provided by medical organizations for citizens in diseases, requiring special complex methods of diagnostics and treatment, and also use of unique medical technologies».

In order to get a hospitalization on basis of state coverage citizens must address their attending doctors at a place of residence, then the referral is done by Regional commission on highly specialized medical care, which issues a code of hospitalization through a web-portal named «Bureau of hospitalization».

List of documents a patient should have for hospitalization:

1. An original of the referral of Regional commission on highly specialized medical care, Code of «Bureau of hospitalization»;
2. Identification document (ID/passport/certificate of birth);
3. Detailed extract from medical cards, including results of lab and clinical tests/certificate of epidemic environment.

Additional information is available if you contact by following telephone numbers: 8 (7172) 70 14 30 (Ob&Gyn admission unit), 70 14 20 (pediatric admission unit).