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Expat Exchange - How to Enroll in the Public Healthcare System in Tajikistan
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How to Enroll in the Public Healthcare System in Tajikistan

By Betsy Burlingame

SJB Global
SJB Global

Summary: A primer on how to enroll in the public healthcare system in Tajikistan.

If you're planning to enroll in the public healthcare system in Tajikistan, this article covers the requirements for foreigners to be able enroll in the public healthcare system, the steps involved and more.

The public healthcare system in Tajikistan is known as the State Agency for Social Insurance and Pensions (SASIP). This system is designed to provide basic healthcare services to all residents of the country. However, it's important to note that the quality of healthcare in Tajikistan is generally considered to be lower than in many Western countries. This is due to a variety of factors, including a lack of funding and resources, outdated medical equipment, and a shortage of trained medical professionals.

While the SASIP is not mandatory for all residents, most people in Tajikistan do use the system due to the high costs of private healthcare. The cost of public healthcare is generally low, but the quality of care can vary greatly depending on the region and the specific healthcare facility.

Eligibility for Foreigners

Foreigners are allowed to enroll in the SASIP, but there are certain requirements that must be met. First, the foreigner must be legally residing in Tajikistan. This means that they must have a valid visa or residence permit. Second, they must be employed in Tajikistan and paying into the social insurance fund. Self-employed foreigners can also enroll in the SASIP, but they must pay their own social insurance contributions.

Steps for Enrolling in the SASIP

  1. Obtain a valid visa or residence permit: This is the first step for any foreigner wishing to reside in Tajikistan. The type of visa or permit required will depend on the individual's circumstances, such as whether they are planning to work or study in the country.
  2. Find employment: In order to enroll in the SASIP, a foreigner must be employed in Tajikistan and paying into the social insurance fund. This can be done through a local employer or by setting up a self-employed business.
  3. Register with the SASIP: Once the above requirements have been met, the foreigner can register with the SASIP. This involves filling out an application form and providing proof of employment and residence.
  4. Pay social insurance contributions: After registering with the SASIP, the foreigner will need to start paying social insurance contributions. The amount of these contributions will depend on the individual's income.

It's important to note that even after enrolling in the SASIP, foreigners may still choose to seek private healthcare due to the variable quality of public healthcare in Tajikistan. Many foreigners choose to take out private health insurance to cover the cost of private healthcare. This can provide access to better quality care and more advanced medical treatments.

Finally, it's worth noting that the healthcare system in Tajikistan is quite different from those in many Western countries. It's therefore recommended that foreigners do their own research and seek advice from a healthcare professional before making any decisions about their healthcare in Tajikistan.

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About the Author

Betsy Burlingame Betsy Burlingame is the Founder and President of Expat Exchange and is one of the Founders of Digital Nomad Exchange. She launched Expat Exchange in 1997 as her Master's thesis project at NYU. Prior to Expat Exchange, Betsy worked at AT&T in International and Mass Market Marketing. She graduated from Ohio Wesleyan University with a BA in International Business and German.

Some of Betsy's articles include 12 Best Places to Live in Portugal, 7 Best Places to Live in Panama and 12 Things to Know Before Moving to the Dominican Republic. Betsy loves to travel and spend time with her family. Connect with Betsy on LinkedIn.


SJB Global
SJB Global

SJB Global
SJB Global

SJB Global
SJB Global

SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
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SJB GlobalSJB Global

SJB Global is a top-rated financial advisory firm specializing in expat financial advice worldwide, offering retirement planning & tax-efficient solutions with a regressive fee model.
Learn More

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