By Development
In accordance with the order of software of obligatory medical insurance within the administrative-territorial items of Azerbaijan, all insured individuals will use the Bundle of Providers of Obligatory Well being Insurance coverage from 2021, the State Company on Obligatory Well being Insurance coverage instructed Development.
The bundle of providers is a set of medical providers offered underneath necessary medical insurance within the acceptable kind, quantity, and circumstances,
The bundle of providers serves to enhance the state and well being indicators of the inhabitants, improve the supply and high quality of medical providers, improve the frequency of visits of the inhabitants to medical establishments and supply them with acceptable medical look after the early detection of illnesses by strengthening major well being care (dwelling examination, schooling on sustaining a wholesome way of life, frequently gathering and rechecking knowledge on the well being standing of the inhabitants).
The bundle of necessary medical insurance providers accepted by decree #5 of the Cupboard of Ministers of Azerbaijan dated January 10, 2020, contains 2,550 completely different medical providers, together with first help, emergency medical care, specialised outpatient care, laboratory providers, physiotherapy providers, invasive radiology providers, and institutional remedy.
As well as, the State Company on Obligatory Well being Insurance coverage has developed a challenge to amend the Bundle of Providers. The challenge envisages a rise within the variety of medical providers included within the bundle to three,000.
Institutional remedy of illnesses widespread within the nation with a excessive danger of incapacity and demise might be carried out by the availability of obligatory medical insurance. These providers embody institutional therapeutic providers for greater than 3,500 diagnoses. Thus, the remedy of the insured towards these illnesses, together with myocardial infarction, stroke, coronary coronary heart illness, coronary heart failure and different cardiovascular illnesses, gastrointestinal illnesses, urological illnesses, infectious and parasitic illnesses, in addition to accidents, burns, poisoning might be carried out on the expense of obligatory medical insurance funds. As well as, examination and remedy throughout being pregnant and childbirth are lined by obligatory medical insurance.
The bundle of providers contains greater than 1,100 surgical operations, together with very important ones, that are of nice significance for guaranteeing the well being and materials well-being of the inhabitants. These operations embody cochlear implantation, joint substitute, coronary artery bypass grafting, substitute and restore of coronary heart valves, aneurysm surgical procedure, surgical remedy of congenital coronary heart defects, and minimally invasive cardiac surgical procedure (coronary stents). Costly operations additionally embody a variety of ophthalmic, trauma, urological, and neurosurgical operations.
If medical providers to residents in keeping with a medical indication inside the Service Bundle can’t be offered in medical establishments subordinate to the Administration Union of Medical Territorial Models (TABIB), these providers are offered underneath a contract in different medical establishments on the idea of a referral.
Inpatient and emergency medicines are included within the bundle. Medicines prescribed by a health care provider for outpatient remedy should not included within the Bundle of Providers.
From January 1, 2020, residents registered within the Nakhchivan Autonomous Republic and 23 cities and districts of the nation are already receiving medical providers inside the framework of obligatory medical insurance coverage. These districts are Guba, Gusar, Khachmaz, Shabran, Siyazan, Khyzy, Shamakhi, Ismayilli, Aghsu, Gobustan, Balakan, Zagatala, Gakh, Shaki, Oghuz, Gabala, Goychay, Ujar, Zardab, Kurdamir, Mingachevir, Agdash, and Yevlakh.
On the second stage, from January 1, 2021, necessary medical insurance might be utilized in one other 36 cities and districts of the nation.
On the third stage, from April 1, 2021, residents registered in Baku, Sumgayit, Absheron, Khankandi, Gubadly, Zangilan, and Shusha will have the ability to obtain medical providers inside obligatory medical insurance.
Thus, from 2021, obligatory medical insurance might be carried out all through the nation.
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