On August 1, 2015, Moscow began issuing electronic policies for mandatory health insurance, which should subsequently replace old-style CHI policies.
An electronic policy is plastic card with an embedded chip containing the personal data of the insured, on the reverse side of which there is a photograph and the personal signature of the owner.
Director of the Moscow City CHI Fund Vladimir Zelensky told the site why it was decided to introduce electronic policy compulsory health insurance, how it is better than old policies and how to get it.
Until August 1, 2015, two types of compulsory medical insurance policies coexisted in Moscow: a green plastic card of the 1998 sample and a blue sheet of A5 format of the 2011 sample. Now there will be three. However, the capital's CHI fund hopes that the electronic policy will gradually replace the rest of the samples, which are clearly inferior to it in terms of convenience and practicality.
The policies of 1998 and 2011 will be valid indefinitely. Under the law, any types of compulsory medical insurance policies are valid until they are completely replaced, Volodymyr Zelenskyy explained.
“When the law on compulsory health insurance in Russia was adopted in 2010, it was obvious that it was necessary to switch to unified compulsory health insurance policies.
At the same time, even policy numbers until 2011 were different in different regions. In 2011, we introduced a policy of a single federal standard, giving the right to receive medical services throughout Russia," he said.
Moscow, for example, was not ready. There are more than 400 medical institutions here, which needed to be provided with the necessary equipment for the introduction of an electronic policy.
So, in 2011, the capital began to issue an A5 paper policy - this was the smallest possible format in order to fit all the necessary information on it.
However new policy turned out to be not very convenient to use: it cannot be folded, because a barcode is located at the fold, and it cannot be laminated either, so Muscovites were in no hurry to replace the convenient plastic cards of 1998 with new paper policies.
Today, out of 12 million citizens insured in Moscow, 7.5 million have a 1998 policy. The rest use a paper policy. The decision to accelerate the introduction of electronic cards was made due to the fact that the health authorities received a large number of relevant requests from citizens.
The MHI electronic policy, which looks like an ordinary plastic card, has a chip - the same as on bank cards. The chip contains the following information about the insured person: date, place of birth, citizenship of the patient, his current insurance company and territory of insurance.
This information facilitates the work of medical institutions: it is easier for them to identify a patient, it is easier to issue an invoice to an insurance medical organization based on the results of the provision of medical services.
"The main innovation of the electronic CHI policy is that the insured person can be identified using a card reader on a computer, even if the computer is not connected to any other network, because all the data is duplicated on a chip," Volodymyr Zelenskyy says.
Disease data will not be recorded on the chip. This is due not only to the limited capacity of the chip, but also to medical ethics. Access to medical data should be strictly protected, but if this data is recorded on a chip, anyone who gets the CHI policy card will have access to it.
For the same reason, the electronic MHI policy is not planned to be combined with the data of the electronic medical record.
To obtain an electronic compulsory medical insurance policy, it is enough to contact one of the 11 insurance companies that participate in the compulsory medical insurance program, their list can be found on the MGFOMS website.
An electronic compulsory medical insurance policy must be made within 30 working days from the date of submission of the application to insurance company. For the period of making an electronic policy, the applicant receives a temporary certificate.
An application form for changing the old policy is possible.
If you decide to change the insurance company, you can do this once during the calendar year, and you must submit an application before November 1.
According to Volodymyr Zelensky, in fact, the only obligation of the insured person is to inform the medical insurance organization about the change in the last name, first name, patronymic, identity document data, place of residence within one month from the moment of these changes.
When applying for an electronic compulsory medical insurance policy, it is still possible to make an appointment with a doctor via the Internet and at polyclinic terminals. By September 1, all EMIAS infomats will be programmed to read electronic policies.
Alena Makarenko
A health insurance policy is issued to every Russian so that he can receive high-quality medical advice in any region.
However, if a person has changed passport data or lost the policy, it must be urgently changed to a new similar document.
We will talk with you in this article about the features of obtaining, replacing and others.
Under the abbreviation CHI understand compulsory health insurance, get this species insurance can be any citizen, regardless of place of work, gender, age and social status.
On the day of application, the insurer issues a temporary certificate to the client medical insurance. A month later, a citizen will receive a policy of a single sample.
Previously, policies were issued for different periods of validity in different regions. Since 2011, the government has initiated a gradual replacement of policies with uniform policies.
Modern CHI policies are plastic card, which is not permanent. Only policies that are issued to foreign citizens have an expiration date.
If the citizen is still using the old policy, which is now allowed, then you can see its validity period on the back of this document.
If the expiration date has expired, the policyholder must replace it. MHI policies are also subject to replacement in such cases:
When changing a surname or name, many official documents must be changed, including a medical policy. Moreover, the policy is subject to exchange, even if at least one letter in the surname, patronymic or name in the passport changes.
If a person moves to live in another region of the Russian Federation, then the policy is also subject to exchange. Inaccuracies and errors made in the policy, the owner of the document may not immediately detect.
If the insured citizen identifies such errors, you should immediately start replacing the policy, as problems may arise when seeking medical help.
In short, in all cases where the data in medical policy do not match the passport data, the policy must be replaced.
If the policy was received before 2007, it should be changed to a CHI policy of a single sample.
The new type of insurance does not have an expiration date and is valid indefinitely, a replacement of the document will be needed only in case of a change in the data about a citizen, damage or theft of the policy.
Replacing the policy with a new version is necessary for the convenience of citizens. The compulsory medical insurance policy of a single sample allows a person to freely receive medical care in any subject of the Russian Federation.
If there is a need to change the health insurance policy, you need to contact the insurance company that issued the policy. You can also contact the clinic at the place of residence or at the place of work.
To change the CHI policy, a citizen submits an old-style policy or plastic policy which is to be replaced. A citizen's passport is also presented.
If the client applied to the insurance company, but it turned out that its activities were terminated, the citizen must choose a new insurer within 2 months.
By law, the insurance company is required to inform its customers about the termination of activities in writing. If you cannot decide on the choice of a new insurance company, the territorial compulsory medical insurance fund will independently transfer your data to another insurance company.
Therefore, in case of cancellation of the insurer's activities, the citizen does not lose the right to receive medical care.
When choosing, before concluding a contract, it is advisable to carefully look at the proposed list of services and make sure that the contract includes all medical services that must be provided by law.
The location of the clinic is also very important, especially for residents of Moscow. If you intend to find a clinic that is close to home, contact the selected clinic, the registry of the medical institution will provide you with a list of insurance companies with which they cooperate.
In special points created by insurance companies in various parts of the city.
It should also be noted that when changing the place of service, it is not necessary to change the CHI insurance policy, since the policy is issued in the name of a citizen. Column with employer data in insurance policy is absent, so a person can change jobs more than once without changing the insurance policy.
There is no need to change the policy in cases of temporary relocation to another region of the Russian Federation. In the event of a move, the previously issued policy is valid throughout Russia. If you have an electronic policy, then this will facilitate your identification in any medical institution.
Refugees who have entered the territory of the Russian Federation have the right to receive compulsory medical insurance. For citizens of the Russian Federation, the compulsory medical insurance policy is issued for an unlimited period, and for refugees it will be valid only for the duration of their stay in Russia.
A person who has received refugee status must apply to the insurance company with a passport and a document confirming his temporary registration.
A compulsory medical insurance policy is an opportunity to receive free qualified assistance at any state medical institution in Russia. You can apply for a compulsory medical insurance policy in person by contacting the selected insurance company, or through online public services. In the article, we will consider how to obtain, change or restore this important document.
Free healthcare for citizens in Russian Federation provided through the allocation budget funds for each person attached to a particular medical institution. To receive free medical care, it is enough to get a compulsory medical insurance policy.
This document is a guarantee that when applying to any state medical institution in the country, a citizen of the Russian Federation will be provided with the necessary medical services free of charge. They treat under the policy of adults, as well as newborns and young children as part of health insurance.
You can apply for a CHI insurance policy for an adult or a child in Moscow during a personal visit to the insurance company, through the MFC or via the Internet.
Adult citizens can take out free medical insurance on their own or get the necessary document at the place of employment. You will need the following papers to get it:
When if insurance is carried out by a foreign citizen, you will need to additionally submit a residence permit.
An application for obtaining a Moscow policy can be filled out online on the Mos.ru website:
Important! The service is available to users who have passed the full registration procedure.(personal identification through gosuslugi.ru, MFC, EIRC or departments of housing subsidies).
The Moscow City Compulsory Medical Insurance Fund allows parents to independently choose an insurance company for their baby. To get a new plastic MHI policy (electronic policy) you need:
You can get an electronic CHI policy on the official website of the Mayor of Moscow. This will require prior go through the registration procedure and check the parental rights of the applicant.
Replacing or obtaining a duplicate policy is a standard procedure carried out for the following reasons:
To replace or restore a document, you will need to contact your insurance company, write an application and submit necessary papers. The document is produced within 1 month, therefore, a temporary policy is issued to the applicant for this line.
If you have not used medical services for a long time and there are doubts about the relevance of insurance, you can use the help of the CHI verification service.
The algorithm of actions is simple:
If the policy has not expired, and it is issued and registered in accordance with all the rules, the system will provide information about the citizen and the insurance company in which he is insured.
After submitting an application for free medical insurance, the applicant can independently choose (- xlsx file), where and how to receive the finished document:
The latter option is the most popular, as there are a large number of pickup points. Finding the address of the nearest one in Moscow is quite simple even for a non-resident applicant, if you have access to the Internet at hand:
To reiterate the importance of this medical document, compose list of free services that are available to insured citizens.
CHI allows insured citizens to receive free services in medical institutions:
The list of services includes:
Important! The list of available services may vary depending on the region of residence, so it is better to check with your insurance company.
If a citizen does not have health insurance, he will be provided emergency medical care free of charge. All other services, including examinations and treatment, will be provided for a fee.
In addition to direct presentation in medical institutions, a document on the availability of medical insurance will be needed in the following situations:
The procedure for replacing the OMS policy with a new model policy started several years ago. Get oms policy a new sample will help a personal appeal to a company specializing in health insurance, or to the MFC. Alternatively, it can be ordered through a trustee. Be sure to indicate the preferred form of the received document, which is available for:
It is required to provide its owner with medical care without payment throughout the territory of the Russian Federation, giving the right to choose a medical institution, calling on polyclinics, hospitals, medical centers to work efficiently and efficiently.
A new policy can be obtained at:
What does the policy look like? oms new sample on paper? The format of the new document is A5, it is not recommended to bend it, and it is strictly forbidden to laminate it. The only thing that can be done is photocopies on both sides, which will help extend the life of the original. On the front side there is information about the owner (name, date, month and year of birth), date of receipt, a unique barcode. On the reverse side, information about the place of residence, the insurance company and its coordinates is printed.
The electronic form is similar to a bank card. All data about who issued it is stored on the CHIP, for this reason, owners of plastic insurance should remember the name of their insurance company in order to provide information at hospitals and clinics. There is also a unique number here. On the reverse side there is a photograph and signature of the owner, the date until which the card is valid. The answer to the question of where to get a new type of OMS plastic policy requires additional preparation related to calling organizations whose activities are related to health insurance. The reason is that not everyone has the technical ability to issue a plastic version.
You can check the authenticity of the paper or plastic version of the policy issued to you on the official resource by entering a unique number in a special search bar. You will need to turn the document face to face, where the OMS policy number of the new sample is printed, regardless of whether it is made on paper or plastic.
The documents for obtaining a new OMS policy are, in principle, the same for everyone:
By submitting an application for a medical insurance document of a single sample, the applicant receives a certificate in his hands that replaces the policy and gives the right to receive medical assistance until the registration procedure is completed. This certificate can be used no longer than thirty working days, after which the original medical insurance document in the form chosen by the applicant must be received in hand.
Regardless of whether you are a citizen of the Russian Federation or not, getting a new OMS policy is quite simple and fast.
First of all, it should be emphasized that all medical insurance documents received on hand, dated January 1, 2011 and earlier, are required to be accepted by any medical institution. Change or not old version is the business of its owner.
It is worth paying attention to the fact that having received a new document in your hands, you will not find an expiration date on it. Therefore, to the question: “Do I need to renew the OMS policy of a new sample?” the answer will be negative with some caveats:
A single OMS policy of a new sample is valid on the territory of all subjects of the Russian Federation, regardless of the residence permit or registration of the owner. For this reason, on any trip within Russia, you must take it with you. A single OMS policy of a new sample gives the right to choose not only a doctor who provides medical services, but also a medical institution.
As in any case initiated by the Russian authorities, upon receipt single policy guaranteeing medical care, there are a number of nuances for which you need to prepare.
You can change the insurance company once during the calendar year and strictly until November 1. The exception is the owner's new registration address.
Insurance is carried out by one organization at a time. Accordingly, a person can be the owner of one policy.
If the plastic format was lost or damaged, then only its paper counterpart can be issued to replace it.
The plans of the government of the country over time to move massively to the universal electronic map, which will replace the policies (not only the old, but also the new sample), performing the functions of an identity card, a certificate pension insurance and so on, opening up access to a variety of state and municipal services in any region of the Russian Federation without payment.
Since 2011, a policy has been used in Russia compulsory medical insurance a single sample - a plastic card, which, unlike previous samples, has a chip with the patient's personal data. The card also contains a photo and a personal signature of the owner, which makes it difficult for unauthorized persons to use it.
As explained in the Moscow City Compulsory Medical Insurance Fund, the new policy is more convenient for health workers if a person goes to a clinic or hospital outside their place of residence.
According to the MHIF, all types of policies previously issued in Russia are termless, whether it is a paper document or an old-style plastic card. Health care under compulsory health insurance programs will be provided for them in full.
There is no time limit for obtaining a new policy. Therefore, before November 1, it is not necessary to change old policies for new ones.
According to the law on compulsory health insurance in the Russian Federation, old policy samples are valid until they are replaced with new ones.
In fact, before November 1, you need to have time to change the insurance company if for some reason it does not suit the citizen. After November 1 until January 2019, this cannot be done. Such a pause in accordance with the law occurs every year. You can change the insurance company once a calendar year.
A person can change the policy if its format is paper. This will be appropriate, since the barcode located on a paper sheet can be erased, the form itself can be wrinkled, and such a policy cannot be laminated. The plastic card is easier to use (the old green plastic card can also be replaced).
Also, the policy can be changed together with the insurance company. If the latter does not suit you, you can choose the best organization.
If a citizen has changed personal data (last name, first name, patronymic, date and place of birth) or gender, he will have to receive a new policy within a month. In the case of a new place of residence, the policy does not change, but changes are made to the data on the insured person.
If a citizen has lost an insurance document or inaccuracies are found in it, he will also be issued a new policy.
The replacement of the policy is free of charge.
To change the policy, you need to contact the insurance company or the MFC.
An application and the following documents are required:
Passport (original + copy),
Photo for subsequent placement on the card,
Old policy.
To obtain a policy for a child, you will need a parent's passport, a birth certificate of the child and his SNILS. At the same time, newborns up to 30 days after birth registration are served under the policy of the mother.
