Healthcare and Insurance in Turkmenistan

1. How does the healthcare system in Turkmenistan operate?


The healthcare system in Turkmenistan operates under a centralized, government-controlled structure. The Ministry of Health and Medical Industry is responsible for overseeing and regulating all aspects of the healthcare system.

There are three levels of care in the country: primary, secondary, and tertiary. Primary care is provided by public health centers and rural health posts, while secondary care is delivered through regional hospitals and specialized clinics. Tertiary care is available at major medical centers in regional cities.

The majority of healthcare services in Turkmenistan are provided by public institutions, with private healthcare facilities being limited. The government funds and operates most hospitals and clinics, and healthcare services are heavily subsidized for citizens.

2. How is the healthcare system funded?

The healthcare system in Turkmenistan is primarily funded by the government through taxes and revenue from natural gas exports. As a result of this centralization, there is no official insurance or social security scheme for healthcare.

Patients are required to pay out-of-pocket fees for certain medications and procedures, although these costs are highly subsidized by the government to make them affordable for most citizens. Healthcare services are also heavily subsidized for vulnerable populations such as children, pregnant women, people with disabilities, and older adults.

3. What services does the healthcare system cover?

The national healthcare system covers a range of preventive, diagnostic, therapeutic, rehabilitation, and emergency services. These include primary care consultations; laboratory tests; diagnostic imaging; prescription medications; surgeries; mental health services; maternal and child health services; prevention programs for infectious diseases; emergency medical transportation; and specialized treatments for chronic diseases.

However, the availability and quality of these services may vary between different regions of the country.

4. Are there any challenges or issues facing the healthcare system?

One significant challenge facing the Turkmenistan healthcare system is a shortage of trained medical personnel. This shortage can lead to delays in appointments or inadequate treatment options for patients.

Another issue is a lack of modern medical equipment and technology, which can result in limited diagnostic capabilities and outdated treatment methods. This hinders the ability of healthcare providers to deliver high-quality care.

In addition, there are concerns over transparency and corruption within the healthcare system, as well as limited access to healthcare services for certain marginalized populations.

5. Are there any recent developments or reforms in the healthcare system?

In recent years, Turkmenistan has made efforts to modernize its healthcare system and improve access to care. This includes investments in new medical facilities, equipment, and technologies.

The government has also introduced reforms such as the introduction of electronic health records, steps towards universal health coverage through a social health insurance scheme, and improvements in maternal and child health services.

However, more needs to be done to address existing challenges and further improve the quality and accessibility of healthcare services in Turkmenistan.

2. What percentage of the population in Turkmenistan has access to healthcare?


According to the World Bank data from 2018, approximately 97% of the population in Turkmenistan has access to healthcare.

3. How are healthcare costs determined and regulated in Turkmenistan?


Healthcare costs in Turkmenistan are determined and regulated by the Ministry of Health and Medical Industry, which oversees healthcare services in the country.

The government sets prices for medical procedures and medicines through a complex system that takes into account factors such as the cost of production, exchange rates, and other factors. Private healthcare providers must also follow these set prices.

In addition, the government provides subsidies for certain health services and prescription medicines to make them more affordable for citizens. The government also establishes a list of essential medications that are covered by these subsidies.

There is no universal healthcare system in Turkmenistan, so individuals are responsible for paying for their own healthcare costs. However, vulnerable populations such as children, pregnant women, and those with disabilities may receive free or discounted care through state-funded programs.

Private health insurance is available in Turkmenistan but is not widely used due to low awareness and limited coverage options. Therefore, most people rely on out-of-pocket payments for their healthcare expenses.

In terms of regulation, the government closely monitors healthcare prices and periodically adjusts them to ensure affordability for citizens. The Ministry of Health also conducts audits to monitor compliance with pricing regulations and quality standards among healthcare providers.

4. Is there a national health insurance program in Turkmenistan?

Yes, Turkmenistan has a national health insurance program called the State Health Insurance Fund. It is administered by the Ministry of Health and Medical Industry and covers primary healthcare services, hospital care, and medication costs for citizens and residents of Turkmenistan. The program is funded by contributions from employees, employers, and the government.

5. What are the different types of healthcare coverage options available in Turkmenistan?

There are three main types of healthcare coverage options available in Turkmenistan:

1. Universal Healthcare: Turkmenistan has a universal healthcare system, which means that all citizens have access to basic healthcare services free of charge. This is funded by the government through taxes and social security contributions.

2. Private Health Insurance: Private health insurance is not widely available in Turkmenistan, but some private companies offer health insurance plans for individuals and families. These plans often cover additional treatments and services that may not be covered by the universal healthcare system.

3. International Health Insurance: For expats or tourists visiting Turkmenistan, international health insurance may be necessary as the country’s universal healthcare system may not cover them. International health insurance plans provide coverage for medical emergencies, hospitalization, and other healthcare services while abroad.

6. Are there any government subsidies or assistance programs for healthcare in Turkmenistan?

There are no specific government subsidies or assistance programs for healthcare in Turkmenistan. The government does provide some basic medical care and medicines to citizens free of charge, but the quality and availability of these services can be limited. The majority of healthcare expenses in Turkmenistan are paid for out-of-pocket by individuals.

However, the government has taken steps to improve access to healthcare in recent years. In 2006, it passed a law providing free annual check-ups and vaccinations for all citizens. In 2015, it launched a health insurance program that aims to cover 80% of the population by 2020.

Additionally, international organizations such as the World Health Organization and UNICEF provide some assistance and funding for specific health initiatives in Turkmenistan.

7. How does Turkmenistan’s healthcare system compare to other countries?


Turkmenistan’s healthcare system is relatively underdeveloped compared to other countries. The country has a lower life expectancy and higher infant mortality rate compared to most developed nations.

The healthcare system in Turkmenistan is primarily government-run and free for citizens, but it lacks adequate resources and infrastructure. There is a shortage of medical professionals, especially in rural areas, leading to longer wait times and lower quality of care.

In terms of resources, Turkmenistan has limited hospitals and medical facilities, and many lack modern equipment and technology. This can lead to inadequate treatment for complex or serious health conditions.

Public health programs in Turkmenistan are also lacking, with limited preventative measures in place to address common health concerns such as obesity, smoking, and chronic diseases.

Overall, the healthcare system in Turkmenistan faces numerous challenges and is not comparable to those in more developed countries.

8. Are there any major issues or challenges facing the healthcare industry in Turkmenistan currently?

There are several major issues and challenges facing the healthcare industry in Turkmenistan currently:

1. Lack of access to quality healthcare: The country’s healthcare system is primarily state-run, and there are significant disparities in access to healthcare services between urban and rural areas. Many people, especially those living in remote regions, have limited access to medical facilities and services.

2. Limited resources for healthcare: Despite recent investments by the government, the healthcare sector in Turkmenistan still suffers from a lack of resources, including medical equipment, supplies, and qualified personnel.

3. High rates of preventable diseases: Turkmenistan has high rates of preventable diseases such as cardiovascular diseases, respiratory illnesses, and gastrointestinal disorders. Poor living conditions, lack of access to clean water and sanitation facilities contribute to these health issues.

4. Brain drain: Turkmenistan faces a severe shortage of trained healthcare professionals due to emigration and low wages for medical staff within the country. This can impact the quality and availability of healthcare services.

5. Inadequate funding for mental health: Mental health remains largely neglected in Turkmenistan, with inadequate funding allocated for mental health services and limited availability of psychological support for patients.

6. Limited information on public health issues: There is a lack of reliable data on public health issues in Turkmenistan due to restrictions on independent research, making it challenging to identify targeted interventions for specific health problems within the population.

7. Underdeveloped primary care system: The majority of healthcare facilities focus on specialized care rather than primary care services. This can lead to delays in diagnosis and treatment for patients with chronic conditions or non-communicable diseases.

8. Insufficient emergency response capabilities: In case of emergencies or natural disasters, Turkmenistan’s healthcare system may not be adequately prepared to respond effectively due to limited resources and infrastructure.

9. Low levels of public awareness about preventive care: While efforts have been made to promote preventive care, there is still a lack of awareness among the general population about the importance of preventive measures in reducing healthcare costs and improving overall health.

9. Is mental health covered under the national health insurance program in Turkmenistan?


There is no information available on the coverage of mental health services under the national health insurance program in Turkmenistan. However, mental health services are often limited and stigmatized in the country, and it is not clear if they would be covered under the national health insurance program.

10. Are certain medical treatments or procedures not covered by insurance in Turkmenistan?


Yes, certain medical treatments and procedures may not be covered by insurance in Turkmenistan. This varies depending on the specific insurance policy and provider. Some common exclusions from coverage may include cosmetic surgeries, procedures deemed experimental or unnecessary, alternative medicine treatments, and some types of dental care. It is important to carefully review your insurance policy to understand any coverage limitations before seeking medical treatment.

11. What is the average cost of a doctor’s visit in Turkmenistan?


The average cost of a doctor’s visit in Turkmenistan is around $10 – $20 USD. However, the cost may vary depending on the specialty and location of the doctor. Private hospitals and clinics may charge higher fees compared to public healthcare facilities.

12. Can individuals choose their own doctors and hospitals under national health insurance in Turkmenistan?


It is difficult to determine whether individuals can choose their own doctors and hospitals under national health insurance in Turkmenistan, as information about the specific regulations and practices of the country’s health care system is limited. However, according to the World Health Organization, referral systems are in place for specialist treatment and patients may be required to go to a designated primary care facility first before being referred to a specialist. This suggests that there may be some limitations on individual choice of doctors and hospitals.

Moreover, reports from international organizations suggest that while healthcare services in Turkmenistan are free for citizens, there are often long waiting lists for certain procedures and limited availability of specialized treatments. This could further restrict individuals’ ability to choose their preferred doctor or hospital.

Ultimately, it is likely that individuals in Turkmenistan have some choice over their medical providers, but this may be constrained by the country’s healthcare policies and infrastructure.

13. Does private health insurance exist alongside public options in Turkmenistan?

Private health insurance does exist in Turkmenistan, alongside public options. However, the majority of the population relies on the publicly-funded healthcare system. Private health insurance is primarily used by expats and higher-income individuals who can afford to pay for more comprehensive coverage.

14. Are there specific age restrictions on accessing free or discounted healthcare services?


There are usually no specific age restrictions on accessing free or discounted healthcare services in most countries. However, some programs and services may have age requirements depending on the specific eligibility criteria set by the provider. For example, certain government-funded programs may only be available to children under a certain age or adults over a certain age. It is best to check with the specific healthcare provider or program for any age restrictions that may apply.

15. How does dental coverage work under national health insurance in Turkmenistan?

Unfortunately, dental coverage is not typically included under national health insurance in Turkmenistan. Dental care is often paid for out-of-pocket or through private insurance plans.

16. Are pharmaceutical drugs covered under national health insurance or separate plans?

It depends on the country and their specific healthcare system. In some countries, pharmaceutical drugs may be covered under national health insurance, while in others they may be covered under separate plans or not covered at all. It is best to research the specific healthcare system and policies of a particular country to determine how pharmaceutical drug coverage is handled.

17. Do foreigners living or traveling to Turkmenistan have access to healthcare services?


Yes, foreigners living or traveling to Turkmenistan have access to healthcare services. The country has a comprehensive healthcare system with both public and private healthcare facilities. However, the quality of healthcare may vary across different regions of the country. It is recommended that travelers have travel health insurance that covers medical treatment in Turkmenistan. In case of emergency, foreigners can also seek medical assistance at the International Medical Center located in Ashgabat, which offers specialized care for expats and foreign visitors.

18.Besides medical care, what other services are covered under national health insurance?


Some other services that may be covered under national health insurance can include:

1. Preventive care: This can include routine checkups, screenings, and vaccinations to prevent illness or detect health conditions early on.

2. Mental health services: National health insurance may cover counseling, therapy, or medication for mental health conditions.

3. Prescription drugs: Some national health insurance plans may cover the cost of prescription medications.

4. Rehabilitation services: This can include physical therapy, occupational therapy, and speech therapy for individuals recovering from injuries or illnesses.

5. Home healthcare: National health insurance may cover the cost of in-home care for individuals who are unable to leave their homes due to medical reasons.

6. Maternity and newborn care: This can include prenatal care, childbirth expenses, and postnatal care for both mother and baby.

7. Dental and vision care: Certain national health insurance plans may cover basic dental and vision services such as exams, cleanings, and glasses or contact lenses.

8. Hospice care: Medicare typically covers hospice care for terminally ill patients with a life expectancy of six months or less.

9. Long-term care: Some national health insurance plans may provide coverage for long-term care services such as nursing home care, assisted living facilities, and home-based healthcare for the elderly or disabled individuals.

10. Alternative medicine: Depending on the country’s healthcare system, some national health insurance plans may offer coverage for alternative treatments such as acupuncture or chiropractic services.

19.How do patients file claims and receive reimbursements for medical expenses under insurance plans?


There are a few steps that patients typically need to follow in order to file claims and receive reimbursements for medical expenses under insurance plans:

1. Confirm coverage: The first step is to ensure that the medical procedure or treatment is covered under the patient’s insurance plan. They can check their policy documents or contact their insurance provider for clarification.

2. Get necessary documentation: Patients will need documentation from the healthcare provider, such as an itemized bill and a detailed explanation of benefits (EOB), to support their claim. It’s important to make sure all information provided is accurate and matches the insurance company’s records.

3. Submit the claim: Most insurance companies have a standardized claims form that needs to be filled out and submitted along with the necessary documentation. This can usually be done online through the patient portal or by mail.

4. Follow up: It’s a good idea to follow up with the insurance company after submitting the claim to ensure it was received and is being processed correctly.

5. Wait for processing: Once the claim is received, it may take some time for it to be reviewed and processed by the insurance company. This timeline can vary depending on the type of procedure, amount of documentation needed, and other factors.

6. Receive reimbursement: If the insurance company approves the claim, they will issue a reimbursement for any eligible expenses according to their coverage policies. This may be sent directly to the patient or paid directly to the healthcare provider, depending on how providers choose to bill for services.

In cases where there is a dispute or denial of coverage, patients should contact their insurance provider for more information on how they can appeal or resolve any issues with their claim.

20.What steps are being taken to improve and strengthen the healthcare system and insurance coverage in Turkmenistan?


1. Modernization of healthcare infrastructure: Turkmenistan is investing heavily in upgrading its healthcare facilities, including the construction of new hospitals and clinics, as well as the renovation and modernization of existing ones.

2. Training and education of medical professionals: The government is focused on training and education programs for doctors, nurses, and other healthcare workers to improve their skills and knowledge.

3. Expansion of medical services: In an effort to improve access to healthcare, new medical services are being introduced, such as mobile clinics in rural areas and telemedicine consultations.

4. Implementation of universal health insurance: The government has launched a universal health insurance scheme that covers all citizens for basic healthcare services. This aims to reduce out-of-pocket expenses for individuals and increase access to quality healthcare.

5. Improving pharmaceutical supply: The government is working on improving the availability and affordability of medicines by streamlining the procurement process, reducing taxes on imported medications, and promoting locally manufactured drugs.

6. Public awareness campaigns: To promote preventive care and healthy lifestyle choices, public awareness campaigns are being organized throughout the country.

7. Collaboration with international organizations: Turkmenistan is working closely with international organizations such as WHO and UNICEF to improve its healthcare system through technical assistance, training programs, and capacity building initiatives.

8. Investment in research and development: The government has allocated funds for research projects aimed at finding solutions to prevalent health issues in the country.

9. Improving maternal and child health: Special attention is given to improving maternal and child health through various initiatives such as expanding vaccination programs, increasing prenatal care services, and promoting healthy nutrition during pregnancy.

10. Continuous monitoring and evaluation: The Ministry of Health regularly monitors the performance indicators of the healthcare system to identify areas for improvement and ensure efficient use of resources.