CMMI (Compulsory Social Health Insurance) is a system that provides access to an expanded scope of medical care beyond the GAVMC. The CMMI package includes consultations with specialized doctors, diagnostic tests, dynamic monitoring for chronic conditions, specialized and high-tech medical care, elective inpatient treatment, medical rehabilitation, dental care for specific categories of citizens, and pharmaceutical provision according to approved lists.
CMMI provides individuals holding the status of "Consumer of Medical Services" (insured) with a wide range of medical services, including:
specialized outpatient medical care;
preventive medical examinations;
appointments and consultations with specialized doctors;
dynamic monitoring of individuals with chronic diseases;
dental care for specific population categories (Order of the Minister of Health of the Republic of Kazakhstan dated September 21, 2020, No. KR DSM-106/2020);
diagnostic services, including laboratory diagnostics;
procedures and interventions;
screening examinations for the early detection of hereditary congenital malformations and developmental abnormalities;
specialized, including high-tech, medical care in hospital-replacing settings;
specialized, including high-tech, inpatient medical care;
medical rehabilitation;
provision of pharmaceuticals, medical devices, specialized medical nutrition products, and immunobiological preparations in cases provided for by law.
GAVMC (Guaranteed Amount of Free Medical Care) is a state-guaranteed healthcare package available to all citizens regardless of their status in the CMMI system. It includes emergency and urgent medical care, primary healthcare, diagnosis and treatment of socially significant, infectious, and other diseases posing a threat to the public, preventive examinations and screenings, medical rehabilitation for specific conditions, palliative care, as well as pharmaceutical provision in cases stipulated by legislation.
