Mandatory policies health insurance(hereinafter - CHI) issued to persons insured under CHI before January 1, 2011, are valid until they are replaced with CHI policies of a single sample.
To obtain or exchange a CHI policy, you need to personally or through your representative (by proxy) contact the medical insurance organization.
Compulsory medical insurance for children from the date of birth until the expiration of thirty days from the date of state registration birth is carried out by an insurance medical organization in which their mothers or other legal representatives are insured. After thirty days from the date of state registration of the birth of a child and until he reaches the age of majority or until he acquires legal capacity in full, compulsory medical insurance is carried out by an insurance medical organization chosen by one of his parents or another legal representative.
The MHI policy is issued on the basis of with the relevant documents attached.
Reissuance of the CHI policy is carried out in the following cases:
1) change of surname, name, patronymic;
2) changes in the date of birth and sex of the insured person;
3) establishing the inaccuracy or erroneousness of the information contained in the policy;
4) the need to extend the validity of the policy for refugees, foreign citizens and stateless persons (permanently and temporarily residing on the territory of the Russian Federation), workers of foreign citizens of the EAEU member states temporarily staying in the Russian Federation, while maintaining their right to compulsory medical insurance in the next calendar year.
Reissuance of the CHI policy is carried out upon and upon presentation of documents confirming the changes.
Issuance of a duplicate of the CHI policy carried out in the following cases:
1) dilapidation and unsuitability of the policy for further use (loss of parts of the document, breaks, partial or complete fading of the text, mechanical damage to the electronic policy, and others);
2) loss of the policy.
Issuance of a duplicate of the MHI policy is carried out according to
Applications may be submitted:
In writing - when submitting an application directly to an insurance medical organization (another organization);
In electronic form (for users who have the right to submit applications in electronic form) - through the official website of the Territorial Compulsory Medical Insurance Fund in the information and telecommunication network "Internet" (provided that the insured person or his legal representative passes the identification and authentication procedure in accordance with the law Russian Federation), or through the Unified Portal of State and Municipal Services (functions).
Compulsory medical insurance policies (hereinafter referred to as CHI) issued to persons insured under CHI before January 1, 2011 are valid until they are replaced with CHI policies of a single sample.
Citizens of the Russian Federation are issued a CHI policy of a single sample without limitation of validity period.
Foreign citizens and stateless persons permanently residing in the Russian Federation are issued a paper policy valid until the end of the calendar year.
Persons entitled to receive medical care in accordance with the Federal Law "On Refugees" are issued a paper policy with a validity period until the end of the calendar year, but not more than the period of stay established in the documents specified in list of documents for obtaining a compulsory medical insurance policy.
Foreign citizens and stateless persons temporarily residing on the territory of the Russian Federation are issued a paper policy valid until the end of the calendar year, but not more than the validity period of the temporary residence permit.
The workers of the EAEU member states temporarily staying in the Russian Federation are issued a paper policy valid until the end of the calendar year, but not more than the term of the employment contract concluded with the worker of the EAEU member state.
Foreign citizens temporarily residing in the Russian Federation, belonging to the category of members of the Board of the Commission, officials and employees of the EAEU bodies, are issued a paper policy valid until the end of the calendar year, but not more than the term they exercise their respective powers.
In SOGAZ-Med, to serve people with handicapped, including disabled people, individual services are organized for filling out applications, issuing temporary certificates and issuing compulsory medical insurance policies at home, in accordance with clause 70 of the Rules for Compulsory Medical Insurance, approved by Order of the Ministry of Health of Russia dated February 28, 2019 No. 108n.
Health insurance plays a very important role in the life of any person. If we compare it with other types of insurance, we see that not every person concludes them. Health insurance, which is mandatory, is necessary for every adult and child.
Its presence guarantees that in case of illness or accident, timely and qualified medical care will be provided, which will be paid for by the state. In 2014, a law was passed that provides for the replacement of previously used insurance with new documents. The use of new documents can sometimes raise certain questions. Let's talk about them in more detail.
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It has been operating since the beginning of 2014. First of all, we note that it is necessary to replace the old insurance with a new one, but even without such a replacement, its use is permissible. When contacted, she guarantees the provision of the necessary medical care. The legislation did not establish a deadline for the exchange, after which the use of old-style documents is impossible. However, despite this, the new option has some very important advantages.
One of them is that it is the same for all regions of the Russian Federation. What exactly does this mean?
Previously, the compulsory medical insurance policy was valid only where it was issued and had no legal force in the rest of Russia. Now this situation has completely changed. Having received it in one region, you can use it throughout the state.
Another important advantage is that new insurance can be issued not only in paper form, but also in the form of a plastic card or in the form of additional service, which is included in the Universal Electronic Card(UEC).
MHI policy on paper:
The question may arise as to how a medical institution can read data from a plastic card or from a UEC? After all, not every clinic may have the equipment suitable for this. In order to answer this question, let's show how the new document looks in each of these cases.
If this is a plastic card, then in size it exactly corresponds to a regular bank plastic card. There is a front and back side.
The front side shows the name of the insurance company that issued it, a unique number and a computer chip that contains all the necessary information. The reverse side contains personal data, including a photo, last name, first name, patronymic, signature sample and some other data.
This is what the front looks like:
Now let's look at the reverse side:
Upon receipt of the UEC card, it is also easy to read the necessary data. They are on the back of the card.
As we can see, all the necessary data (including the insurance number) can be easily read without resorting to special equipment.
This is what the front side of the UEC card looks like:
And this is the reverse side:
If you received new policy in paper form, then the unique number of the insurance certificate will be indicated at the bottom of it on the front side.
The figure on the left shows the front of the document, on the right is its reverse side. The number, which in the right figure is indicated by sixteen zeros, in the real document contains the number of the insurance policy.
Now there are policies that were issued at different times. Of course, it is more convenient and practical to use a new type of document, because it is valid throughout the country, unlike those that were issued before. However, at the moment, they are all valid, despite the fact that the expiration date that was once indicated there has already passed. The latter circumstance cannot be the reason for the denial of medical care.
As for the new policy, it has an unlimited validity period.
However, time limits still exist in some cases. They refer to those people who are temporarily staying in our state and the period of such a stay has expired. In this case, we can talk about those who received only a temporary residence permit in Russia (which has expired) or those who have refugee status, which has already expired.
Although in the new insurance policy The compulsory medical insurance does not have a date after which its validity is terminated, yet there are certain circumstances, as a result of which it is necessary to replace this document without fail:
To obtain it, please contact insurance company with a document that can verify the identity of the applicant. If the execution of this document may take some time, then the company issues a temporary insurance policy.
Its duration is limited and usually does not exceed one month. If registration does not end in a month, then temporary insurance is extended.
Here is a list of them:
The insurance company that issues this policy does not directly affect the quality of medical services received. But she can control how they are delivered. The issued document is the same throughout the country. Therefore, they usually choose the company that they have previously contacted and were satisfied with or, if there is none, the one that is more conveniently located.
But let's not forget about the important circumstance that in case of violation of the patient's rights when receiving medical care, it is possible to contact the insurance company that issued the insurance certificate. Then it is likely that such treatment will allow the patient to solve his medical problems. The possibility of such treatment is important to consider when choosing the insurance medical company which makes sense to refer to.
When receiving it for a child, you need to present a birth certificate as an identity document. The rest of the procedure for obtaining a policy is standard.
Each of us can get sick or injured. In this case, the state provides for the possibility of free medical care upon presentation of this document. The volume of such assistance, as well as the list of its types, is determined by the current state programs.
They are of two main types:
In the latter case, services are provided in accordance with the region in which the insurance policy was issued.
We are talking about providing such types of assistance as:
It has the same legal force as a policy in paper form and is issued simultaneously with a paper document. In my own way appearance it resembles the usual bank card. The difference is that the necessary information is indicated here, not only in in electronic format but also visually.
There is a photo, signature sample, certificate number and other necessary personal data. In addition, it is not uncommon for a paper document to be folded several times for ease of storage. This can lead to its abrasion and the inability to read the necessary information. The plastic version is devoid of such a drawback. It is convenient and practical both when using it and when storing it.
The new CHI policy is valid throughout the country and has an unlimited validity period. In addition, the procedure for obtaining is not particularly difficult for the applicant. Although the replacement of the old policy is not strictly mandatory, nevertheless, obtaining a new document will allow you to feel more confident when receiving medical care.
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 on the back of the paper form the seal of the insurance company is affixed or changes are made to electronic policy CHI, with 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 mandatory pension insurance per 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 foreign citizen or another document established by 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 is 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.
CHI policy or, as it is often called, " medical policy is needed for more than just 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 compulsory medical insurance policy.
Policy Compulsory health insurance is a system that allows you to receive most medical services free of charge in any region. It works as follows: every month, everyone who works in the Russian Federation makes contributions to the Compulsory Medical Insurance Fund. These funds go to insurance medical organizations operating in the CHI system. And already they pay for the work of employees of polyclinics, hospitals, dispensaries and other medical organizations - according to the number of patients served and the services provided to them.
In order to receive medical services free of charge, you must confirm that you are in the CHI system. This can be done by presenting the CHI policy.
"\u003e compulsory medical insurance (OMI) - a document confirming your right to free medical care in public medical institutions throughout Russia.
To apply for an OMS policy, you will need:
If you are taking out a policy for a child, you will need:
If the documents will be submitted by your representative, for registration you will additionally need:
MHI policy can also be issued To apply for a CHI policy, a foreigner will need:
You can submit documents to an insurance medical organization from the register of the Moscow City Compulsory Medical Insurance Fund. Citizens of the Russian Federation registered in Moscow (both adults and children) who have never previously received a CHI policy can apply for a policy both at an insurance company and at any center of public services, regardless of the area of registration.
Please note: before the child's birth is registered and for 30 days thereafter, the child's health insurance is provided by the same insurance company that insured the child's mother or other legal representative. After this period, one of the parents or other legal representative may choose another insurance company for the child.
The compulsory medical insurance policy will be ready within 30 working days after the registration of the application and the documents submitted by you. At this time, on the day of the application, you will be given a temporary policy, which you can use as usual.
If you are satisfied with your insurance company, you need to change the CHI policy or issue a duplicate of it in cases where:
To replace or obtain a duplicate policy, you will need the same documents as for the initial registration. If your personal data, place of residence has changed, or inaccuracies are found in the issued CHI policy, you will also need documents confirming this.
You need to contact your insurance company. AT
If you want to change the insurer, you need to apply for a new policy in the organization you like. But pay attention to general rule You can change the insurance company no more than once a year. If you have changed your place of residence or your insurance company has ceased operations - as often as possible. At the same time, from November 1 to December 31, applications for changing the insurance company are not accepted.
Within 30 days after the registration of the application and documents submitted by you, you will be issued a CHI policy of a new sample (old-style policies are no longer issued). During this time, you will be given a temporary policy, which you can use as usual.
Adult users of the Official website of the Mayor of Moscow, who have a full (confirmed) account and who have SNILS in their personal account, can submit documents for registration (replacement, restoration) of the CHI policy online.
To apply for (replace, restore) an MHI policy online, you will need:
After you submit the documents, a temporary certificate will be available for you to download in your personal account. The CHI policy itself will be ready within 30 days after registration of the submitted documents. You can get it at the point of issue of policies of the medical insurance organization or at the center of public services (depending on which method of receipt you indicate when submitting documents).
Under the CHI policy throughout Russia (regardless of where it is issued), you can receive free Medical services are provided in medical organizations participating in the implementation of territorial compulsory medical insurance programs, in the amount established by the basic program of compulsory medical insurance.
A few years ago, a new model of compulsory medical insurance policies began to be issued on the territory of the Russian Federation. Now, instead of paper media, you can get a mobile and convenient plastic card. What an electronic compulsory medical insurance policy looks like and what it is, you will learn further.
The electronic compulsory medical insurance policy (EPOMS) has the form of a plastic card. It is the same size as Bank card. It is compact and easily fits in a wallet along with other cards, business cards.
On the front of the card you can see:
To the right of the chip is an imprint of the insurance organization with its name, the name of the branch, its contact details.
Example:
The reverse side of the document looks like this:
Example:
Each innovation has its pros and cons. An electronic compulsory health insurance policy began to be issued in order to improve the health insurance system. Its holders face the advantages as well as the disadvantages of this document.
Advantages:
Flaws:
Owners medical insurance often postpone the replacement of paper media for EPOMS until later, as they fear that this procedure may be delayed for a long time. In fact, it is not problematic to issue a plastic policy. How to get EPOMS?
You can apply for a replacement:
The list of insurers that deal with medical insurance includes large and reliable organizations such as SOGAZ-Med, RESO-Med, Rosgosstrakh-Medicina, Ingosstrakh-M.
To replace an old-style agreement with a new plastic card, you must follow the following instructions:
Together with the card, a pin code and a pack code are issued. What are they needed for? The pin code is required to confirm that the information is entered with the knowledge of the user, and the pack code is needed to unlock the card in case of an incorrectly entered pin code three times. EPOMS activation occurs on first use.
To obtain EPOMS, you need to collect the following papers:
If the card is issued for a minor, he must be accompanied by a parent with his passport or a legal representative with a passport and a power of attorney, which is dictated by the Rules of Compulsory Medical Insurance. For children under 14 years of age, the presence of SNILS is not a prerequisite.
It is advisable to replace medical insurance contracts received before 2011 with new documents, but this is not a prerequisite. Insurance is considered valid until its term has expired - this is stated in Art. 51 p. 2 federal law"On Compulsory Medical Insurance in the Russian Federation". Therefore, health workers do not have the right to refuse to provide medical care when they see an old-style document, since it is valid.
Sooner or later, the document will need to be replaced, because earlier medical insurance was issued with a validity period. Thus, it is advisable to make a replacement as early as possible, because using the electronic MHI policy, you can make an appointment with a doctor remotely, moreover, it is unlimited.
An electronic health insurance card is an extremely convenient and useful thing. Thanks to her, you can forget about the queues in clinics by making an appointment online. In February 2017 issuance plastic cards was suspended, but already on May 1 of the same year it was resumed - now every citizen can replace his old paper medical insurance contract with a compact electronic compulsory medical insurance policy with a Russian-made micron chip.
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