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The agreement between the Government of the Republic of Kazakhstan, the Government of the Kyrgyz Republic the Government of the Republic of Tajikistan and the Government of the Republic of Uzbekistan about delivery of health care to citizens of the State Parties of the Agreement on creation of common economic space

of June 26, 1998

The governments of the State Parties of the insisted Agreement which further are referred to as the Party proceeding from importance of cooperation of the states; wishing to promote further development and deepening of interaction in the field of delivery of health care to the population, agreed as follows:

Article 1

For the purposes of this agreement the stated below terms mean:

"the state of permanent residence" - the state of nationality of the patient in which he constantly lives;

"the state of temporary stay" - the state providing medical services to the patient who is not the citizen of this state;

"ambulance and emergency medical service" - complex of the medical services rendered in case of the sharp violations of physical or mental health of the patient threatening his life or health of people around;

"planned medical care" - complex of the medical services provided in case of the violations of physical and mental health of the patient which are not posing direct threat of his life or to health of people around.

Article 2

Ambulance and emergency medical service in case of sudden sharp conditions and diseases, life-threatening the patient or to health of people around, accidents, poisonings, injuries, childbirth and medical emergencies during pregnancy appears to citizens freely, free of charge and in full in the territory of the state of temporary stay, treatment and prevention facilities (further - MPI) irrespective of forms of business, departmental accessory and forms of their property.

Since the moment when the threat of life of the patient or to health of people around is eliminated and its transportation is possible, for further delivery of health care the payment according to the procedure, established by the legislation of the state of temporary stay is levied.

The possibility of safe transportation of the patient is determined by kliniko-commission of experts of the MPI providing medical care which bears legal responsibility for correctness of the conclusion about transportability.

Article 3

Rendering planned medical care to citizens in the territory of the state of temporary stay is performed on paid basis with carrying out settlement on contract prices or the existing price lists.

The basis for provision of this or that type of planned medical care is availability of the relevant medical documents and the warranty obligation of competent authority of health care of the sending party about payment of actual cost of medical care.

In the absence of the specified documents planned medical care is provided after implementation of advance payment in the amount of at least estimated cost of treatment with carrying out the subsequent settlement upon between MPI and the patient or legal (physical) entity presenting him.

In some cases, by agreement of the Parties, to the citizens having the most serious illness, planned advisory and medical and diagnostic medical care can be provided on other conditions.

Article 4

To the persons who are constantly living in the state of temporary stay based on the residence permit and being citizens of other State Parties, medical care is provided according to Articles 2, of 3, and the 7th this agreement.

Article 5

To the military personnel, the worker and the employee of armed forces who is part of the narrow contingents of peacekeeping forces, and also members of their families necessary medical care is provided to these categories of citizens in MPI of the state of temporary stay according to the existing international treaties on medico-social guarantees.

Article 6

Planned medical care, working under the contract (employment contract) in the state of temporary stay, is performed at the expense of means of the employer according to the procedure and the amounts provided by the contract or at the expense of personal means of citizens.

Payment of treatment of the occupational diseases or industrial injuries connected with labor activity of citizens in the state of temporary stay is performed at the expense of means of the employer according to the procedure and on conditions, stipulated by the legislation this state.

Article 7

Examination of disability in case of diseases and injuries is performed in the territory of the state of temporary stay according to the procedure, established by the legislation of this state.

The document issued to MPI of the state of temporary stay and certifying temporary disability of citizens in case of diseases and injuries is the leaf of temporary disability recognized by all Parties which in subsequent is replaced with MPI of the state of permanent residence with the document (leaf) certifying temporary disability, the sample accepted in this state.

In case of permanent disability of MPI of the state of temporary stay processes the document (messenger leaf) recognized by all Parties for the direction in bodies of examination of working capacity of the state of nationality or temporary stay.

Article 8

Privileges on medical and to provision of medicines of citizens, are provided by the state of permanent residence according to the procedure and on the conditions determined by the national legal system.

Article 9

The documents necessary for the direction to other State Parties are drawn up in Russian.

Article 10

This agreement pours into force from the date of its signing, and for the states which legislation requires accomplishment of the interstate procedures necessary for its entry into force, from the date of delivery of the adequate notice to depositary. This agreement is effective within five years and is automatically prolonged for the subsequent five-year periods if the Parties do not make other decision.

Article 11

In the mutual written consent of the Parties changes and additions which are drawn up by the separate protocols which are its integral part can be made to this agreement.

Article 12

All matters of argument which can arise in connection with interpretation or application of this agreement will be permitted by consultations or negotiations.

Article 13

Each Party can leave this agreement, having sent the written notice of it to depositary not later than 6 months to exit, having settled the obligations which arose during operation of the Agreement.

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