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LAW OF THE AZERBAIJAN REPUBLIC

of October 28, 1999 No. 725-IQ

About medical insurance

(as amended on 20-11-2020)

This Law establishes organizational, legal and economic basis of medical insurance of the population, governs the relations between subjects of medical insurance.

Chapter I. General provisions

Article 1. Basic concepts

1.0. For the purposes of this Law the following basic concepts are used:

1.0.1. service package - set of the medical services of the corresponding type and amount rendered insured under appropriate conditions at the expense of financial sources of compulsory medical insurance;

1.0.2. it is cancelled;

1.0.3. it is cancelled;

1.0.4. insurance premium - amount of money which the insurer shall pay to the insurer according to the procedure, established by this Law, in exchange for acceptance or distribution of risks;

1.0.5. the insurer - the local legal entity having the corresponding license for implementation of insurance activity according to the Law of the Azerbaijan Republic "About insurance activity", being the agreement party of insurance incurring the obligation on issue of insurance payment in case of the loss occurrence provided by the insurance contract, according to the procedure, the established laws on compulsory medical insurance or the agreement and the body (structure) established by relevant organ of the executive authority in relation to compulsory medical insurance;

1.0.6. the insurer - person paying on its own behalf or on behalf of insured insurance premium in the cases provided by this Law;

1.0.7. insured - physical persons which health is insured in obligatory or voluntary procedure;

1.0.8. insurance payment - the financial resources paid in case of loss occurrence in relation to compulsory medical insurance according to service package and rates, and in relation to voluntary medical insurance according to the agreement of voluntary medical insurance to the medical institution or person who is engaged in pharmaceutical activities, according to the procedure, provided by this Law;

1.0.9. insurance limit - the extreme number of the medical services rendered insured within calendar year in the cases provided by service package within compulsory medical insurance;

1.0.10. insured event - the event or the arisen case which are the basis for implementation of insurance payment based on this Law (including preventive measures);

1.0.11. it is cancelled;

1.0.12. it is cancelled;

1.0.13. the agreement on rendering medical services - the contract between the medical institution and body (structure) established by relevant organ of the executive authority for the purpose of rendering medical services within compulsory medical insurance;

1.0.14. territorial medical subdivision - group the body (structure) established by relevant organ of the executive authority, the medical institutions placed under its authority entering the state health care system on administrative territorial units;

1.0.15. the joint financing amount - the part of the losses which resulted from insured event or damage suffered which is not covered by ensuring compulsory medical insurance and paid insured;

1.0.16. medical institution - the legal entity entering the state or non-state health care system and performing medical activities.

Article 1-1. Medical insurance and its forms

1-1.1. Medical insurance as form of social protection of the population in the sphere of health protection guarantees insured receipt of medical service and the medicinal help in case of loss occurrence.

1-1.2. Medical insurance is performed in obligatory and voluntary form.

1-1.3. Compulsory medical insurance, being part of the national social insurance, provides insured medical care in case of insured event at the expense of financial sources of compulsory medical insurance and within service package.

1-1.4. Voluntary medical insurance provides insured additional medical service and the medicinal help.

Article 2. Legislation of the Azerbaijan Republic on medical insurance

2.1. The legislation of the Azerbaijan Republic on medical insurance consists of the Constitution of the Azerbaijan Republic, this Law, the Civil code of the Azerbaijan Republic, the Law of the Azerbaijan Republic "About insurance activity", other regulatory legal acts and interstate agreements supported by the Azerbaijan Republic.

2.2. The relations in the sphere of medical insurance in the Alyatsky free economic zone are governed according to requirements of the Law of the Azerbaijan Republic "About the Alyatsky free economic zone".

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