Instead of paper. An electronic document is plastic card the size of a "credit card", which contains a chip and information about the insured person. The main reason for changing the format is the inconvenience of storing a paper document: a traditional A5 policy cannot even be folded in half, because the place of the fold falls exactly on the barcode.
What an electronic MHI policy looks like can be understood by looking at Figures 1 and 2:
Rice. 1. Front side
Front side electronic policy OMS contains:
The reverse side contains the following information:
Rice. 2. Reverse side
The advantages of an electronic compulsory medical insurance policy are numerous: it relieves the owner of the need to carry a passport with him, has a more compact size, and operates throughout Russia. Replacing a paper document with a plastic card is free of charge - all costs are borne by the TFOMS and insurers. The question arises: what is the catch?
There is a drawback: not all clinics are equipped with equipment for reading information from a chip. Of course, the employees of these clinics will not refuse to serve customers with plastic cards, but they will still be asked to show their passport. However, this shortcoming is temporary; as hospitals and polyclinics are equipped with new equipment, the problem will lose its relevance and only advantages will remain from the introduction of plastic cards. Therefore, if a citizen does not yet have a plastic document, he should think about how to make an electronic CHI policy immediately.
Insurers tend to postpone the replacement of paper documents, because they do not have information on where to get a new type of electronic CHI policy. In fact, the procedure for issuing a document is quite simple:
An insurance company is not the only place where you can get an electronic CHI policy. Insurers also have the right to apply to special points for issuing such policies and to employers (if they are officially employed).
To obtain a new type of document, the insured must provide only a passport and SNILS (if there is a "green card"). The situation becomes somewhat more complicated if a person without a residence permit or a foreign citizen applies for CHI: in the first case, you need to attach a certificate of temporary registration to your passport, in the second - a residence permit.
If an adult citizen draws up a policy for a child, a passport of the citizen himself (parent or legal representative) and a passport of the child or his birth certificate (for children under 14 years old) will be required.
The new form of the health insurance policy is designed to simplify the process of making an appointment with a doctor (including through the Internet portal "Gosuslugi") and reduce the queues at the registries of polyclinics. Even if a citizen does not understand how to use the electronic compulsory medical insurance policy and avoids terminals (a common situation for older Russians), he is still recommended to make a plastic card - you can always ask for help from children or grandchildren who are “on the short leg” with the Internet.
The issuance of a new sample of medical policies caused a slight stir among citizens. Despite the fact that electronic cards have been issued for several years, not everyone has yet decided to replace old paper documents with them. Employees of the Ministry of Health of the Russian Federation strongly recommend that citizens take up this issue, and in as soon as possible carry out the replacement. What does it represent plastic policy OMS and what it gives, you will learn further.
There are obvious differences between an old-style document and a new plastic card. However, all innovations have their pros and cons. Let's consider them.
Advantages of an electronic card (EPOMS):
Disadvantages of EPOMS:
On a note! If the insured wants to change the insurance company, he can do this without changing the electronic card. It is enough to enter a personal PIN code, which is issued together with the EPOMS, and the insurance worker will independently update the information on the chip.
To size plastic CHI meets the standard bank card. At one time, insurance was issued as part of a universal electronic card (UEC) - it was both an identity card and payment card, and a medical policy. However, they are currently discontinued. What does EPOMS look like today?
On the front side is:
On the back you can see:
Citizens of the Russian Federation are entitled to receive medical insurance and Foreign citizens temporarily staying in the country. Do you need to change your policy? You can use it until its expiration date. A document on a blank form of a new sample can be obtained at any time.
Today, medical insurance is issued once and for life, but there are cases when it is necessary to change old policy on new:
If the old paper policy is valid, then according to Art. 51 paragraph 2 of the Federal Law "On Compulsory Medical Insurance in the Russian Federation" it has the same force as the new a plastic card. Thus, by presenting an old paper document issued before 2011, the insured person has the right to receive medical care.
The procedure for replacing the old medical insurance on a new plastic card will not take much time. Get paper or plastic document can:
A complete list of organizations that issue new medical insurance can be seen on the website of the Federal Compulsory Health Insurance Fund.
To apply for a plastic health insurance card with a chip, it is enough to have the following documents with you:
Underage citizens come accompanied by a parent or legal representative. The latter must have a passport and a power of attorney. It is enough for the parent to bring their own civil passport with them.
When an appeal comes from a foreigner or a person without a permanent residence permit, you will need to attach the following documents:
At the time of making plastic insurance, the insured person receives a temporary certificate of insurance, which gives him the right to seek medical care on the same conditions.
The electronic plastic card contains information about when and for what purpose the patient visited the polyclinic, when he was in the hospital, what services he used and how much medical care was provided to him. However, not all insurers know how to use such a policy and what it gives them.
In medical institutions, EPOMS should be used in the same way as paper. It is provided to a health worker who, using a special program, reads information from it and enters new data on the provision of medical services to it. In addition, with an electronic card, you can remotely make an appointment with a doctor - through the terminal or through the public services portal.
Along with the card, the insured person receives an envelope with codes. A pin code and a pack code are needed in order to enter some information on the chip. For example, when changing the insurance company, you can simply enter new data on the card without changing it.
You can get a new CHI policy within thirty working days, but, as a rule, the card is ready within a couple of weeks after applying.
The main stages of replacing a paper CHI policy with a plastic one:
A plastic card with a chip is a new type of compulsory health insurance policy. Thanks to this tool, medical staff can at any time find out when the insured visited the clinic and what services were provided to him.
The card is also very convenient for its owner: it is compact, and therefore always with him, you can use it to make an appointment with a doctor without standing in queues, besides, she has high degree protection - it will not work to use someone else's document.
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Since 2014, a program has come into force to replace paper forms of compulsory medical insurance with a plastic analogue. All information about its carrier is stored by an electronic chip. All residents of our country can become its owner. How is the electronic version different? What changes should be expected in connection with the introduction of the new document?
The new format refers to another type of health insurance policy, along with a standard policy or an electronic card. Its owner can receive high-quality medical care in the same way as with a paper document, but already throughout Russia. Carrying out insurance commercial organizations who have certain powers to do so.
The initiative to replace it with plastic cards appeared after the holders of old cards had time to appreciate all its shortcomings. The old form is a blue sheet of A5 format. The form cannot be folded, as there is a barcode at the fold. In addition, this form cannot be laminated, due to the specified information about insurance affiliation.
The privileges of the plastic version are no different from the paper version, but there are a few functional differences between them.
Pros:
In addition to a number of advantages of the electronic CHI policy, not all residents of Russia can use it to make an appointment with a doctor.
To make an appointment with specialists, medical institutions must be equipped with special devices for electronic recording, specially programmed to read chips.
However, now all cardholders can easily make an appointment with a doctor via the Internet without visiting clinics.
Minuses:
Information about the owner and the insurance company is stored on the chip, so cardholders need to know by heart the name of their insurer (CMO) and the place where the card was issued.
The new analogue looks like a plastic card with an embossed chip. Its front side is made in three colors, indicating the name of the insurance company and a unique policy number. The inner side of the card includes data about its owner: full name, date of birth and validity of the policy. The plastic version is usually issued for an indefinite period.
Plastic forms for adults are supplemented with a photograph, this is not provided for children's copies. Unlike the paper format, the electronic version does not require the owner to provide information about the work. This is especially convenient when the cardholder does not have a permanent job.
The plastic sample series is located on the front side of the document and consists of 16 digits, so it is impossible to confuse it with anything else. The document number is indicated on the reverse side of the card. The remaining eleven digits located under the photo of the cardholder are the number of the old copy.
More recently, policies differed from each other in terms of external characteristics, since each insurance company preferred to issue its own forms. They differed in size and color ratio, and if its owner moved to another city, he could have problems getting proper medical care.
You can get a plastic policy:
For temporarily residing citizens, a form is issued that they can use during the entire time of their stay in Russia.
Despite the introduction of electronic policies, this does not mean at all that the operation of the old ones will be stopped. At the moment, only in Moscow there are 12 million people who have compulsory medical insurance insurance, and at least 7.5 million people still have samples of 1998 (green card).
If a person does not have the opportunity to personally visit the insurance company and issue an electronic policy, another person can do this for him, but with a notarized power of attorney.
Not all health insurance providers can provide electronic cards. Therefore, before going to the insurer, it is better to contact him by phone and clarify the information - can he issue a plastic card. You can find out the address and phone number of your insurer at any medical institution.
To change the paper version to a plastic one, a citizen should contact the insurance organization in which he had previously insured with a corresponding statement. Unlike a paper card, a plastic card is not issued in all regions of the country. The standard production time for the electronic version does not exceed 30 days.
In Moscow, only 11 insurance companies, including large insurance companies, can provide the opportunity to replace the old model with a new one. Find out the full list of providers providing this opportunity on the FGFOMS website.
Among the authorized companies that allow you to issue an electronic analogue of the CHI and have certain powers to do so, there are such large representatives as SOGAZ-Med, Ingosstrakh-M, RESO-Med, VTB Medical Insurance, Rossgosstrakh- The medicine". You can apply for a new card at any branch of the insurer.
To obtain it, you must provide the following list of documents:
Cards are issued free of charge for all categories of the population.
Simultaneously with the replacement of the paper form, the citizen has the right to replace the insurer. All citizens of the Russian Federation have the right to do this, with the only condition that he will do this no more than once a year. You can view the full list of insurance organizations operating in Russia, as well as find out the possibilities for providing services in each specific region, on the CHI website. There is also a lot of other useful information.
After the insured person has applied with a corresponding application, he receives a provisional certificate. According to it, a person can receive medical care until receiving a plastic card within 30 days. At this time, the insurance agent transmits all information to the territorial authority. As soon as a response is received, the insurer may notify the recipient of the timing of the issuance of the policy.
The electronic medium is indicated the same as that indicated on paper. Some insurers may take a photo of the cardholder at a branch of the company. Adults can get a plastic card for a child on their own.
Simultaneously with the new plastic card, the citizen receives a convenient instruction that contains a similar scheme of use and information about what kind of medical care he can receive according to the terms of the contract.
To issue a document, some insurers allow users to order a document on their website. An application form is also provided there, by filling out which the user is obliged to print it out and come to the branch of the insurance company with a personal photo if the document is received by an adult.
With insurance companies starting to issue plastic copies in 2014, many are wondering if the old-style documents will still be valid. Old forms are being replaced with electronic ones in a phased manner. That is why there are no exact terms that could limit their validity.
Replacement occurs on a voluntary basis, with the exception of some nuances:
To change the previous policy, its holder must contact his insurance agent requesting a new document. Replacement is made exclusively free of charge. The money for the operation of the program is distributed among the mandatory health insurance funds and authorized health insurance companies. For example, if in some situations from 100 to 120 rubles were spent to issue a paper version, then for a plastic analogue of compulsory medical insurance, costs increase by approximately 30–50%.
If the owner of the document has changed his place of residence, he should notify the insurer of this. If his company does not function in a new place, he will have to choose a new insurance organization. If the whole family has moved, all family members need to change policies. Having a policy, its holder has the right to choose any public medical institution.
A new generation document throughout Russia, so it makes sense to take it with you every time in case an emergency occurs. It has already been appreciated by many users, especially those who often travel on business trips and often seek medical help.
Those who have an old-style document in their hands have nothing to worry about, since companies do not force them to change, since the rules allow using old version document.
Get a policy Replace [restore]
draw your attention to that in the event of a change of residence (another region) or the choice of another insurance company, the policy cannot be replaced, and the insurance company is stamped on the back of the paper form or changes are made to the electronic CHI policy, if there are PIN and PUK codes.
Who will be covered by the compulsory health insurance policy?
To myself To another person
Documents for issuing a compulsory medical insurance policy. Select your population category:
Adult citizens of the Russian Federation (except for military personnel and those equivalent to them)
1. Birth certificate
3. SNILS - certificate of compulsory pension insurance for a child (if any).
1. Identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of issuing a passport)
2. Identity document of the legal representative of the child
3. SNILS - certificate of compulsory pension insurance for a child
1. A certificate of a refugee or a certificate of consideration of an application for recognition as a refugee on the merits, or a certificate from the Federal Migration Service on the acceptance of a complaint against a decision to deprive refugee status or a certificate of temporary asylum in the territory of the Russian Federation
2. Residence permit
1. Passport of a foreign citizen or other document established federal law or recognized in accordance with an international treaty of the Russian Federation as an identity document of a foreign citizen with a mark on a temporary residence permit in the Russian Federation
1. A document recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a stateless person
2. Residence permit
3. SNILS - certificate of compulsory pension insurance (if any)
1. A document recognized in accordance with an international treaty of the Russian Federation as an identity document of a stateless person, with a mark on a temporary residence permit in the Russian Federation
2. SNILS - certificate of compulsory pension insurance (if any)
1. Passport of a foreign citizen or other document established by federal law or recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a foreign citizen
2. SNILS - certificate of compulsory pension insurance
3. Labor contract of a working state - a member of the EAEU
4. A tear-off part of the form of notification of the arrival of a foreign citizen or stateless person at the place of stay or a copy of it indicating the place and duration of stay
1. Passport of a foreign citizen or other document established by federal law or recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a foreign citizen
2. SNILS - certificate of compulsory pension insurance
3. A document confirming the relationship of a person to the category of officials, employees of the EAEU bodies
Power of attorney and identity document of the representative. To issue a CHI policy for minors, a power of attorney from a legal representative is required.
To issue or reissue (replace) the CHI policy, you must personally or through a representative contact. At RESO-Med a large number of points of issue of policies, this makes it possible to choose a convenient location and reduce the time to receive a document. You can choose an office by or by calling the company's Contact Center at 8 800 200-92-04.
CHI policy- a document confirming the right of a citizen to free receipt medical care (services) in the scope of the basic program of compulsory medical insurance throughout the Russian Federation and the territorial program of compulsory medical insurance in the territory of the subject of the Russian Federation in which the CHI policy was issued.
According to 326-FZ, the production of CHI policies of a single sample is organized by the Federal Compulsory Medical Insurance Fund of the Russian Federation, and their issuance to insured persons is carried out by insurance medical organizations (CMOs) in the manner established by the Rules of Compulsory Medical Insurance.
The CHI policy or, as it is often called, the “medical policy” is necessary not only for receiving medical care. Often, a medical policy or a copy of it is asked to be provided when placing a child in Kindergarten or school, when applying for a job, as a rule, organizers of various sports competitions are asked to present the CHI policy.
As for cases of applying for medical assistance, the presentation of a compulsory medical insurance policy is the obligation of the insured person, established by federal law (except in cases of emergency assistance).
Replacing a policy of a new sample or reissuing it is required only when changing the last name, first name, patronymic, date of birth, place of birth, the insured person, establishing the inaccuracy or erroneousness of the information contained in the policy, dilapidation and unsuitability of the policy for further use, loss of the policy. The insured is obliged to notify his insurance company within a month of a change in last name, first name, patronymic, place of residence, data of an identity document.
With an application for the surrender (loss) of the policy, the following documents are presented to military personnel:
1) identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of issuing a passport);
3) policy (submitted only upon delivery of the policy).
With compulsory medical insurance, each citizen can be insured by only one medical insurance organization and have only one MHI policy.
New sample. More recently, a similar document appeared in Russia. But now it is in great demand. What kind of paper is this? How can it be framed? What are the pros and cons of it? All this will be dealt with further. In reality, everything is not as difficult as it seems. After all, many citizens have already become acquainted with the new type of medical policies.
The first step is to understand what kind of document we are talking about. A medical policy is a document that allows you to participate in CHI or VHI programs. Most often in practice, the first option occurs.
Serves to receive free medical care in all medical institutions in Russia. Every citizen should remember this. Recently, this document has been issued in 2 forms. The first one is an old pattern. It is a small blue paper. It contains information about the insured person, as well as information about the insurance company.
The policy must be issued by every citizen of the Russian Federation. Even children are given it at birth. Therefore, it is important to know what this document is.
Sample medical policy new sample will be presented below. What does this document look like? A new policy is the most common piece of plastic. A plastic card that resembles a credit card. It is this version of the policy that began to be found in Russia recently.
The map has information on both sides. Completely duplicates everything that is written on the policy of the old sample. Only now you can carry not paper, which is easy to damage, but a compact and durable card. Very comfortably!
Cards usually differ in their design. A lot depends on which company makes the plastic. The most common policies are black or painted in the colors of the Russian flag.
Interested in a new sample of a medical policy? It is worth paying attention to what specific information is written on a plastic card. Not everyone understands this moment.
The policy card contains:
Accordingly, the information on the new policy is even more diverse than on the old version of the document. At least some insurance companies do. Therefore, you do not need to think about whether it is worth getting a new sample of a medical policy. Such a document will not be superfluous. You can store it together with bank cards.
What are the pros and cons of the document under study? After all, for some reason a new sample of a medical policy was created! What for?
The thing is that such documentation was introduced in Russia to speed up patient care. In fact, using a plastic card is really convenient. Among the advantages are:
But there are also disadvantages. There are fewer of them, and they are not so significant. The disadvantages that a new type of health insurance policy has is that plastic cards are not yet accepted in all medical institutions. As already mentioned, the emergence of new policies has occurred in Russia recently. And not all organizations can accept a document for further processing. The best course of action is to get both a paper policy and a new one.
But only in which organizations is this document issued? This question interests many. It's easy enough to answer. Modern citizens can apply to the following organizations:
Most often, the population turns to insurance companies. This is the most fast option development of events. But what documents can be useful? How is a new medical policy issued?
In fact, everything is extremely simple. But a lot depends on who is the recipient of the document. In practice, people who apply for a policy for the first time receive two variants of it at once. But you can also get a new medical policy separately.
To do this, it is enough to apply to one of the previously listed bodies with a statement of the established form. Apply to it:
That's all you need from an adult. If you have an old-style policy, you can bring it. But this is optional.
In order for children to have a new sample of a medical policy, they need:
Nothing else is required. In fact, everything is not as difficult as it seems. By the way, foreign citizens can also get a policy card. For this you need:
That's all. After a while you can pick up finished document. If there is no old-style policy, then a temporary one will be issued to the citizen. It will allow you to receive medical care free of charge, but only until a certain date.
Now it’s clear what kind of new sample medical policy has. Actually use this document gain popularity. The population notes that a plastic card is more convenient than a paper interpretation.
In addition, the so-called PEC is now being put into circulation in Russia. This is a map that replaces many documents. For example, a passport or a policy. Only valid for 5 years, after which it must be replaced. Usually made at the MFC upon request. This is also a kind of sample of a new type of medical policy. But only the PEC is not in great demand.
