ORDER OF THE GOVERNMENT OF THE KYRGYZ REPUBLIC

of September 25, 2012 No. 645

About approval of the Regulations on copayment for the medical services provided by the organizations of health care for the Program of the state guarantees for providing citizens of the Kyrgyz Republic with the medical and sanitary help

According to the Law of the Kyrgyz Republic "About protection of public health in the Kyrgyz Republic", for the purpose of increase in transparency and efficiency of forming and execution of budgets of off-budget funds the Government of the Kyrgyz Republic decides:

1. Approve Regulations on copayment for the medical services provided by the organizations of health care for the Program of the state guarantees for providing citizens of the Kyrgyz Republic with the medical and sanitary help according to appendix.

2. Prohibit to state-financed organizations of health care to perform the additional charges of payments from the population over copayment, except as specified, when actual expenses on provision of medicines of the patient exceed the triple extent of the average cost of hospitalization approved by authorized state body in the field of compulsory medical insurance.

3. Declare invalid the paragraph the fourth Item 1 of the order of the Government of the Kyrgyz Republic "About the Program of the state guarantees for providing citizens of the Kyrgyz Republic with the medical and sanitary help for 2011" of July 1, 2011 No. 350.

4. This resolution becomes effective from the date of official publication.

Approved by the Order of the Government of the Kyrgyz Republic of September 25, 2012 No. 645

Appendix

Regulations on copayment for the medical services provided by the organizations of health care for the Program of the state guarantees for providing citizens of the Kyrgyz Republic with the medical and sanitary help

1. General provisions

1. This Provision regulates legal relationship of the citizens and the organizations of health care working in system of the Single payer (further - the organizations of health care), by provision of medical services over the amount of financing of the Program of the state guarantees for providing citizens of the Kyrgyz Republic with the medical and sanitary help (further - PGG), and also determines procedure for introduction, return, use, accounting and reporting of means of copayment.

2. Citizens take part in payment of cost of the medical services received by them rendered by the organizations of health care over the amount of financing of PGG.

3. Categories of the citizens having the right to free or preferential receipt of the medical and sanitary help are determined by PGG.

2. Copayment at the out-patient level

4. Copayment at the out-patient level is brought for the laboratory and diagnostic testings (except for basic laboratory and diagnostic testings) which are carried out in the centers of family medicine (further - TsSM), groups of family doctors (further - GSV), the centers of all-medical practice (further - TsOVP), consulting and diagnostic departments of hospitals of tertiary level (further - KDO) and out-patient and diagnostic departments of hospitals of wide profile (further - ADO).

5. In TsSM, GSV, ADO, KDO and out-patient departments TsOVP copayment is brought according to the Price list of the prices of medical services (further - the Price list). The price list is developed and affirms authorized state body of the Kyrgyz Republic in the field of health care, in coordination with authorized state body of the Kyrgyz Republic in the field of the antimonopoly policy, and is single for all organizations of health care working in system of the Single payer.

6. The citizens who do not have the rights to privileges, and also not having the direction on laboratory and diagnostic testings bring copayment according to the Price list.

3. Copayment at the stationary level

7. Copayment level for medical services in case of hospitalization in the organizations of health care is developed by authorized state body of the Kyrgyz Republic in the field of health care depending on the amount of financing of public sector of health care and annually affirms the Government of the Kyrgyz Republic after approval of the republican budget.

8. Copayment level at the stationary level is determined proceeding from profile of disease, availability of the direction, type of hospital and subdivided into copayment of the minimum, average or maximum level.

9. Copayment level in case of hospitalization in surgical and gynecologic departments of hospitals without carrying out transaction is equated to the level of copayment of therapeutic profile.

10. In case of hospitalization with carrying out the surgical and gynecologic transactions and manipulations referred to low-cost according to the list approved by authorized state body of the Kyrgyz Republic in the field of health care, the level of copayment is equated to therapeutic profile.

11. To the patients who arrived in hospitals and stationary departments TsOVP according to the emergency indications, the emergency stationary help is provided free of charge before removal from condition, the life-endangering patient.

After rendering the emergency help, including surgery, stabilization of indicators of haemo dynamics and breath, patients bring copayment as persons having the direction according to the approved copayment levels.

12. Planned stationary help is given in the presence of the direction on hospitalization issued by general practitioners, groups of family doctors, the centers of family medicine, the centers of all-medical practice, specialists of departmental health service, military-medical commission, consulting and diagnostic departments of hospitals.

13. In case of hospitalization collection of additional payment for carrying out necessary consultations, laboratory and diagnostic testings, except for expensive laboratory and diagnostic testings and manipulations is not allowed.

14. In case of absence in hospital or TsOVP of the corresponding specialists and/or conditions for carrying out separate types of laboratory and diagnostic testings (except for expensive laboratory and diagnostic testings and manipulations), the specified researches and manipulations are conducted in other organizations of health care having contractual relations with the above-named organizations. Payment for research is made by the organization of health care which directed the patient. At the same time the additional fare or copayment is not levied.

15. In need of conducting expensive laboratory and diagnostic testings to the patient who is on hospitalization, payment for researches is made by the patient according to the Price list (except for disabled people and participants of the Great Patriotic War), or from fund of high-technology (expensive) types of medical care of the Ministry of Health of the Kyrgyz Republic.

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