1. The guaranteed volume of free medical care is provided to citizens of the Republic of
Kazakhstan, Candas, refugees, foreigners and stateless persons permanently residing in the
territory of the Republic of Kazakhstan at the expense of budgetary funds, includes preventive
, diagnostic and curative medical services with the greatest proven effectiveness, as well as
drug provision.
The list of the guaranteed scope of free medical care shall be approved by the
Government of the Republic of Kazakhstan.
Foreigners and stateless persons temporarily staying in the Republic of Kazakhstan,
asylum seekers have the right to receive a guaranteed scope of free medical care for diseases
that pose a danger to others, according to the list and in the amount determined by the
authorized authority, unless otherwise provided by the laws of the Republic Kazakhstan or
international treaties ratified by the Republic of Kazakhstan.
2. Medical care included in the guaranteed scope of free medical care shall be rendered by
healthcare professionals admitted to clinical practice in the territory of the Republic of
Kazakhstan.
3. The guaranteed scope of free medical care includes:
1) emergency medical care;
2) primary health care;
3) specialized medical care on an outpatient basis:
in provision of services for prevention and diagnosis of HIV infection and tuberculosis;
in case of injury, poisoning or other emergency conditions;
with socially significant diseases;
in screening examinations for early detection of oncology diseases;
for chronic diseases subject to dynamic observation, according to the list determined by
the authorized authority;
4) specialized medical care in hospital-replacing conditions:
with socially significant diseases;
for chronic diseases subject to dynamic observation, according to the list determined by
the authorized body;
5) specialized medical care in stationary conditions:
when isolating persons who were in contact with a sick infectious or parasitic disease that
poses a danger to others, as well as bacteria carriers, virus carriers and persons with suspected
infectious or parasitic disease posing a danger to others, according to the list determined by
the authorized authority;
in treatment of infectious, parasitic diseases and diseases that pose a danger to others,
according to the list determined by the authorized authority;
in an emergency form for persons who are not consumers of services in the system of
compulsory social health insurance, including carrying out medical and diagnostic measures
in the admission department of a round-the-clock hospital until a diagnosis shall be
established that does not require treatment in a round-the-clock hospital, according to the list
determined by the authorized authority;
in a planned form according to the list of diseases determined by the authorized authority;
6) medical rehabilitation in treatment of the underlying disease, as well as medical
rehabilitation of patients with tuberculosis;
7) palliative medical care according to the list of diseases determined by the authorized
authority;
8) provision of blood products and blood components;
9) pathological diagnostics;
10) preparation of a posthumous donor for removal of organs (part of organ) and (or)
tissues (part of tissue), removal, conservation, procurement, storage, transportation of organs (
part of organ) and (or) tissues (part of tissue) for the purpose of organ transplantation (part of
organ) and (or) tissues (parts of tissue).
4. Provision of medicines, medical devices, specialized medicinal products,
immunobiological drugs within the guaranteed scope of free medical care shall be carried out:
1) in provision of ambulance, as well as specialized care, including high-tech medical
services, in inpatient and inpatient substitution conditions in accordance with the medicinal
formulations of healthcare organizations;
2) in provision of primary health care in accordance with the list of diseases against which
preventive vaccinations shall be carried out;
3) in provision of primary health care and specialized care on an outpatient basis in
accordance with the list of medicines and medical devices for free and (or) preferential
provision of certain categories of citizens of the Republic of Kazakhstan with certain diseases
(conditions).
5. When providing a guaranteed scope of free medical care, healthcare entities use
medicines, medical devices and specialized medical products registered in the Republic of
Kazakhstan. Medicines should be included in the Kazakhstan National Pharmaceutical
Formulary.
It shall be allowed to use medicines and unregistered medical devices that are not
registered in the Republic of Kazakhstan and are not included in the Kazakhstan National
Medicinal Formulary to provide health care for a specific patient or to provide medical care to
a limited contingent of patients with rare (orphan) diseases and (or) conditions in accordance
with the procedure determined by the authorized body.
Footnote. Article 196 as amended by the Law of the Republic of Kazakhstan dated
03.01.2022 № 101-VII (shall be enforced upon expiry of sixty calendar days from the date of
its first official publication); № 74-VIII of 19.04.2024 (shall be enacted sixty calendar days
after the day of its first official publication); dated 25.04.2025 № 185-VIII (to be enacted ten
calendar days after the date of its first official publication).

Article 200. Medical care in compulsory social health insurance system
1. The system of compulsory social health insurance provides:
1) specialized medical care on an outpatient basis, including:
preventive medical examinations in the manner and at the frequency established by the
authorized body, with the exception of preventive examinations and screening studies within
the guaranteed volume of free medical care;
reception and consultation by specialized specialists of patients in the direction of doctors
of primary health care;
dynamic observation by specialized specialists of persons with chronic diseases in the
manner and with the periodic established by the authorized authority;
provision of emergency and planned dental care to certain categories of the population
according to the list determined by the authorized authority;
diagnostic services, including laboratory diagnostics, according to the list determined by
the authorized authority;
procedures and manipulations according to the list determined by the authorized authority
;
2) specialized, including high-tech, medical care in hospital-substituting conditions (
except for cases of treatment of diseases within the guaranteed scope of free medical care);
3) specialized, including high-tech, medical care in stationary conditions in a planned
form (except for cases of treatment of diseases within the guaranteed scope of free medical
care);
4) specialized inpatient care in an emergency form, including the conduct of medical and
diagnostic measures in admission department of a round-the-clock hospital until a diagnosis
shall be established that does not require treatment in a round-the-clock hospital (except for
cases of treatment of diseases within the guaranteed scope of free medical care);
5) medical rehabilitation according to the list of diseases determined by the authorized
authority;
6) postmortem diagnostics;
7) preparation of a posthumous donor for removal of organs (part of organ) and (or)
tissues (part of tissue), removal, conservation, procurement, storage, transportation of organs (
part of organ) and (or) tissues (part of tissue) for the purpose of organ transplantation (parts of
organ) and (or) tissues (parts of tissue).
2. Provision of medicines, medical devices, specialized medicinal products,
immunobiological preparations in provision of medical care in the system of compulsory
social health insurance shall be carried out in provision of:
1) specialized, including high-tech, medical care in inpatient and inpatient-substituting
conditions in accordance with the medicinal forms of healthcare organizations;
2) primary health care and specialized medical care on an outpatient basis in accordance
with the list of medicines, medical devices approved by the authorized authority for certain
categories of citizens with certain diseases (conditions).
3. When providing medical care in the system of compulsory social health insurance,
healthcare subjects use medicines, medical products and immunobiological drugs registered
in the Republic of Kazakhstan, included in the Kazakhstan national drug formulary.
Footnote: Article 200 as amended by the Law of the Republic of Kazakhstan dated
25.04.2025 № 185-VIII (to be enacted ten calendar days after the date of its first official
publication).

1. Primary medical care is a place of the first access to medical care focused on the needs
of the population, including prevention, diagnosis, treatment of diseases and conditions
provided at the level of an individual, family and society, including:
1) diagnosis, treatment and management of the most common diseases;
2) preventive examinations of target population groups (children, adults);
3) early identification and monitoring of behavioral risk factors for diseases and training
in the skills to reduce the identified risk factors;
4) immunization;
5) formation and promotion of a healthy lifestyle;
6) measures to protect reproductive health;
7) observation of pregnant women and new mothers in the postpartum period;
8) sanitary-antiepidemic and sanitary-preventive measures in the foci of infectious
diseases.
2. Healthcare organizations providing primary medical care carry out their activities based
on such principles as:
1) the family service principle;
2) territorial access to primary medical care;
3) free choice of a medical facility that can be accessed within their district in accordance
with subparagraph 2) of paragraph 2 of this article;
4) the patient’s satisfaction with the quality of medical care;
5) equality and fair competition regardless of the form of ownership and departmental
affiliation;
6) primary medical services covering prevention, diagnosis and treatment, which are
available to all patients regardless of their location.
3. Primary medical care is provided by general practitioners (family doctors), district
therapists, pediatricians, paramedics, obstetricians, advanced practice (general practice)
nurses, district nurses, social workers, healthcare psychologists.
4. To receive primary medical care, individuals shall register with healthcare entities
providing primary medical care.
The registration of an individual with a primary medical care facility is the basis for
exercising the right to receive medical care and fulfilling the obligations of healthcare
organizations to provide medical care within the guaranteed volume of free medical care and (
or) in the system of compulsory social health insurance.
The rules for the attachment of individuals to healthcare organizations providing primary
health care shall be approved by the authorized body.
5. Primary medical care facilities set up emergency departments (points) for the provision
of emergency care.
6. Local public health authorities of regions, cities of republican significance and the
capital are responsible for ensuring the accessibility of primary medical care.
Footnote: Article 123 as amended by the Law of the Republic of Kazakhstan dated
25.04.2025 № 185-VIII (to be enacted ten calendar days after the date of its first official
publication).

1. Specialized medical assistance is provided by specialized professionals for diseases
requiring special methods of diagnosis, treatment, medical rehabilitation, including the use of
telemedicine services.
2. Specialized medical assistance is provided in the form of consultative and diagnostic
assistance on an outpatient basis, stationary and inpatient care at the secondary and tertiary
levels of medical assistance.
3. High-tech medical assistance is part of specialized medical assistance provided by
specialized professionals for diseases requiring the use of innovative and (or) unique methods
of diagnosis and treatment with scientifically proven effectiveness and safety and
technologies developed on the basis of the achievements of medical science and related
branches of science and technology.
4. The procedure for determining types of high-tech medical assistance and their list, as
well as the criteria for transferring types of high-tech medical assistance into the list of
specialized medical services, are determined by the authorized body.
5. The rules for providing specialized, including high-tech medical care shall be approved
by the authorized body.
Footnote: Article 124 as amended by the Law of the Republic of Kazakhstan dated
25.04.2025 № 185-VIII (to be enacted ten calendar days after the date of its first official
publication).

Medical care shall be provided in the following scope:
1) the minimum, which is a guaranteed amount of free medical care provided in
accordance with Article 196 of this Code;
2) basic, which is medical care in the system of compulsory social health insurance,
provided in accordance with the Law of the Republic of Kazakhstan "On compulsory social
health insurance";
3) additional scope of medical care, including medical care:
within the framework of voluntary and (or) imputed medical insurance provided at the
expense of contributions of individuals and legal entities;
provided through the provision of paid services and other sources not prohibited by the
legislation of the Republic of Kazakhstan;
provided to military personnel, astronaut candidates, astronauts, employees of special
state and law enforcement agencies, civil defense agencies, members of their families, retirees
of law enforcement agencies, civil defense agencies, persons discharged from military service
, service in special state agencies, as well as certain categories of civil servants and citizens of
the Republic of Kazakhstan in military medical (medical) institutions (organizations) at the
expense of funds provided for by the legislation of the Republic of Kazakhstan;
provided to persons, held in pre-trial detention centers and institutions of the penal (
penitentiary) system, at the expense of funds provided for by the legislation of the Republic of
Kazakhstan;
provided to individuals at the expense of one-time pension payments in accordance with
the legislation of the Republic of Kazakhstan.
The program of guarantees of medical care within the guaranteed volume of free medical
care and medical care in the system of compulsory social health insurance is determined
annually by the Government of the Republic of Kazakhstan for a three-year period.
Footnote. Article 195 as amended by the Law of the Republic of Kazakhstan dated
02.01.2021 № 399-VI (shall be enforced from 01.01.2021); dated 30.12.2021 № 95-VII (shall
be enforced from 01.07.2022); dated 19.04.2023 № 223-VII (for the procedure of entry into
force, see Article 3); dated 24.06.2025 № 196-VIII (shall come into effect upon expiry of ten
calendar days after the date of its first official publication).

1. Citizens of the Republic of Kazakhstan have the right to:
1) a guaranteed volume of free medical care;
2) medicines and medical products within the guaranteed volume of free medical care and
(or) in the system of compulsory social health insurance;
3) free choice of a healthcare provider and healthcare entity;
4) medical nutrition in the event of a patient’s treatment in a hospital;
5) additional medical assistance in excess of the guaranteed volume of free medical care
and (or) in the system of compulsory social health insurance at the expense of their own funds
, funds of organizations, the system of voluntary medical insurance and other sources in
accordance with the legislation of the Republic of Kazakhstan;
6) medical and other services on a paid basis;
7) medical assistance provided outside the Republic of Kazakhstan at the expense of
budgetary funds, given indications, in the manner prescribed by the authorized body;
8) the receipt and submission of relevant documents certifying the fact of temporary
disability, in accordance with the legislation of the Republic of Kazakhstan;
9) free and regular receipt from state bodies, organizations and an attending physician,
within their competence, of reliable information on methods of prevention, diagnosis,
treatment of the disease and medical rehabilitation, clinical trials, factors affecting health,
including the state of the environment, working conditions, life and recreation, healthy diet
and food safety;
10) receive information from state bodies, independent expert organizations and entities in
the field of distribution of medicines and medical products on the safety, efficacy and good
quality of medicines and medical products sold;
11) the protection of information falling under medical confidentiality;
12) compensation for the damage caused to health in the course of providing them with
medical care under the legislation of the Republic of Kazakhstan;
13) protect their rights and legitimate interests in the field of health protection in
accordance with the legislation of the Republic of Kazakhstan;
14) appeal against actions (inaction) of healthcare professionals and pharmaceutical
workers in the manner prescribed by the laws of the Republic of Kazakhstan;
15) petition to higher authorities for the involvement of independent experts and (or)
specialised professionals in case of disagreement with the conclusions of the state medical
expertise;
16) voluntary declaration of will about the opportunity to act as a donor;
17) declaration of will of consent or refusal to remove their tissues (parts of tissue) and (or
) organs (parts of an organ) after death for the purpose of transplantation in the manner
prescribed by this Code;
18) give informed consent or refusal for treatment and other medical interventions,
including preventive vaccinations;
19) co-payment;
20) pain relief in the treatment of chronic incurable diseases;
21) get information in an intelligible form on the state of health, including information on
the results of medical examination, diagnosis and prognosis of the disease, methods of
providing medical care, associated risk, possible types of medical intervention, its
consequences and the results of providing medical assistance;
22) get reliable and timely information on factors that contribute to the preservation of
health or have a negative impact on them, including information on the prevention of diseases
, sanitary-epidemiological welfare, the state of the environment, the potential danger to
human health from the work performed and services provided, rational nutritional standards,
quality and safety of products, goods and services;
23) other rights in accordance with the laws of the Republic of Kazakhstan.
1-1. Persons with disabilities (persons with disabilities) have the right to priority care in
healthcare organizations.
2. Women have the right to decide on their motherhood and free choice of modern
methods of preventing unwanted pregnancy for the purposes of family planning and
protecting their health.
The right of citizens to maternity protection is exercised through:
1) medical examinations, dynamic observation and health improvement of women of
reproductive age;
2) medical treatment of common diseases that directly affect the reproductive health of
women and the health of the child when admitted to a hospital for the care of a sick child.
Footnote. Article 77 as amended by the Law of the Republic of Kazakhstan dated
27.06.2022 № 129-VII (shall be enforced ten calendar days after the date of its first official
publication); dated 06.04.2024 № 71-VIII (shall be put into effect sixty calendar days after
the date of its first official publication); dated 19.04.2024 № 74-VIII (shall take effect ten
calendar days after the date of its first official publication).

1. In addition to the rights provided for in paragraph 1 of Article 77 of this Code, every
child has the right to:
1) modern and effective medical services and means of treating diseases and health
recovery;
2) education in the field of health protection;
3) preventive medical examinations and dynamic observation, treatment, drug provision,
health improvement and vaccination;
4) the provision of medical services during the recovery period and organized recreation
in the manner prescribed by the authorized body;
5) sanitary and hygienic education, training and work under conditions appropriate for his
/her physiological characteristics and state of health, excluding the influence of adverse
factors on him/her;
6) obtain medical documentation on the state of health on a free basis at the place of his/
her registration when becoming a student and being employed;
7) obtain information on the state of health in an intelligible form;
8) obtain information in an intelligible form on a healthy lifestyle and proper nutrition, on
the dangers of smoking, the use of psychoactive substances;
9) obtain information in an intelligible form on the protection of reproductive health;
10) palliative care.
2. Minors aged sixteen and over have the right to informed consent or refusal to
preventive, consultative and diagnostic assistance, except for surgical interventions, artificial
abortion, which are performed with the consent of their parents or legal representatives.
3. When treating children under five years of age in a hospital, as well as sick older
children who, in doctors’ opinion, need additional care, the mother (father) or another person
directly caring for the child is given the opportunity to stay with him/her in the medical
facility and a sheet or certificate of temporary disability in accordance with the legislation of
the Republic of Kazakhstan.
A nursing mother of a child up to one year of age is provided with free meals by a
medical facility for the entire period of childcare.
4. When treating children under five years of age in outpatient and hospital-replacing
conditions, as well as sick older children who, in doctors’ opinion, need additional care, the
mother (father) or another person directly caring for the child is given the opportunity to stay
with him/her and a sheet or certificate of temporary disability in accordance with the
legislation of the Republic of Kazakhstan.
5. When receiving specialized medical assistance, medical rehabilitation, as well as
palliative medical care in stationary conditions, school-age children have the right to continue
education in the manner prescribed by the authorized body together with the authorized body
for education.
Healthcare organizations providing medical assistance to children create conditions for
their games, recreation and education.
6. Children with disabilities, infected with HIV have the right to receive free
medical-pedagogical correctional support in educational institutions, healthcare organizations
in accordance with the legislation of the Republic of Kazakhstan.
Children infected with HIV have the right to stay in children’s homes and other healthcare
organizations and educational institutions.
Children born to mothers infected with HIV have the right to receive free adapted milk
formulas in accordance with established nutritional standards.
6-1. Children with disabilities (children with disabilities) have the right to priority care in
healthcare organizations.
7. The list of medical contraindications for placing children in a children’s home and
educational institutions, organizations for orphans and children left without parental care is
approved by the authorized body.
8. Orphans, children left without parental care, and children who are recipients of special
social services, until they reach the age of three years inclusive, may be kept in state medical
organizations in accordance with the procedure established by the authorized body.
Footnote. Article 78 as amended by the Law of the Republic of Kazakhstan dated
27.06.2022 № 129-VII (shall be enforced ten calendar days after the date of its first official
publication); dated 20.04.2023 № 226-VII (shall be enforced from 01.07.2023).

The Republic of Kazakhstan has a three-tier system of providing medical assistance,
which includes:
1) primary level - the level of medical assistance provided by primary healthcare
specialists in outpatient, hospital-replacing conditions and at home;
2) secondary level - the level of medical assistance provided by specialized professionals
who provide specialized medical assistance in outpatient, hospital-replacing and inpatient
conditions, also pursuant to the referral from specialists providing medical assistance at the
primary level;
3) tertiary level - the level of medical assistance provided by specialized professionals
providing specialized medical assistance with the use of high-tech medical services in
outpatient, hospital-replacing and inpatient conditions, also pursuant to the referral from
specialists of the primary and secondary levels.

Voluntary medical insurance shall be a type of personal insurance that allows you to
receive medical services included in the guaranteed scope of free medical care and (or) the
scope of medical care in compulsory social health insurance system, as well as additional
programs, the costs of which shall be compensated by the insurance organization.
The voluntary health insurance program includes a list of:
medical services under a voluntary insurance contract, which shall be paid by the insured,
indicating the total insured amount or separate insurance amounts for each type of medical
services provided;
health care organizations where the policyholder (insured) receives medical services.
The list of medical services shall be established by the insurance organization in
agreement with the policyholder (insured).

1. Imputed medical insurance is a type of medical insurance for foreigners temporarily
staying in the Republic of Kazakhstan, in accordance with the Law of the Republic of
Kazakhstan "On population migration" and international treaties ratified by the Republic of
Kazakhstan, allowing to receive medical services on the terms defined by the standard
imputed medical insurance contract approved by the authorized body in coordination with the
authorized body for regulation, control and supervision of the financial market and financial
organizations.
2. The object of imputed medical insurance is the property interest of the insured person
associated with the need to receive medical services as a result of the occurrence of an insured
event determined by the standard contract of imputed medical insurance.
3. The insured risk is the probability of deterioration of the health of the insured person,
resulting in the need to apply to medical organizations.
4. An insured event in the case of imputed medical insurance is the deterioration of the
health of the insured person and the associated receipt of medical care in a medical
organization:
1) primary health care;
2) specialized medical care in inpatient conditions in an emergency form.
The minimum list of medical care in case of imputed medical insurance is determined by
the authorized body.
5. The amount of the insurance sum under the imputed medical insurance contract is
determined by the terms of the agreement of the parties and must be at least the amount
determined in monthly calculation indices established by the law on the republican budget for
the relevant financial year, in order to provide:
1) primary health care - at least fifty monthly calculation indices;
2) specialized medical care in inpatient conditions – at least one hundred monthly
calculation indices.
6. Other conditions of imputed medical insurance are determined and established by the
standard contract of imputed medical insurance.
Footnote. Chapter 23 is supplemented with Article 201-1 in accordance with the Law of
the Republic of Kazakhstan dated 19.04.2023 № 223-VII (shall be enforced ten calendar days
after the date of its first official publication).