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 is plastic compulsory medical insurance policy 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 wishes to change 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.
In terms of size, a plastic CHI corresponds to a 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 and foreign citizens temporarily staying in the country are entitled to receive medical insurance. 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, 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 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 clinic, 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 insurance policy. health insurance. Thanks to this tool, the 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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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 a new policy in paper form, then a unique insurance certificate number 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 CHI does not have a date after which it expires, yet there are certain circumstances as a result of which it is necessary to without fail replace this document:
To obtain it, you need to contact the 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 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.
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.
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 CHI Fund in the information and telecommunications network "Internet" (provided that the insured person or his legal representative passes the identification and authentication procedure in accordance with the legislation of the 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 federal law"On Refugees", a paper policy is issued 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.
The procedure for replacing the OMS policy with a new model policy started several years ago. Get a policy oms new a 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 a new OMS policy look like in paper form? 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 policies (not only old, but also new), acting as an identity card, certificate of pension insurance, etc., opening up access to many state and municipal services in any region of the Russian Federation without payment.
Now any polyclinic providing emergency care or long-term treatment, as well as local doctors who come to the house for the purpose of examination, will definitely be asked to present a passport and a medical policy. This is a document issued by an insurance company for receiving medical services free of charge.
To make it convenient, comfortable and practical, it was decided to improve the existing document. Further in the article, we will learn in more detail what a plastic card of a new type of compulsory medical insurance policy is, the place of its receipt and who has the right to use such an innovation.
The issue of compulsory health insurance has always been relevant and in order to receive free assistance, it was necessary to issue an insurance policy. Control over this was previously assigned to employers, student organizations, school and preschool institutions.
In 2011, the introduction system compulsory insurance citizens began to transform, and in order to unite and regulate the process of issuing forms, they decided to issue a single perpetual compulsory medical insurance policy on blue paper. 
It is issued on a sheet equal to A5 format and is valid throughout Russia, regardless of place of residence and registration. But, the operation of paper insurance, unprotected from mechanical damage, is impractical.
But since 2015, medicine has been able to change the approach and found a solution to this problem. Now policyholders have begun to issue an electronic compulsory medical insurance policy. It looks like a plastic card equipped with a chip, which contains all the information about its owner.
The essence of such a decision is simple, to everyone who, on mandatory terms, insurance companies issued policies that have a limited validity period, at the end of it, they have the right to apply there in order to receive a new insurance with an electronic carrier.
The new compulsory medical insurance policy has the format of an ordinary plastic card, similar to a bank card, which we use daily to manage our own funds.
Its single sample is decorated with the colors of the Russian tricolor, and on the front side there is the following information:
On the back side, all personal information is indicated. Here is placed a photo, full name, date of birth and gender. You will be asked to sign. Looking at this form, you will definitely notice a hologram confirming the authenticity of the insurance.
There is also a phone number of the fund that issued the document. The term of the MHI policy is 5 years. That is, after this time, you will have another card exchange.
New medicine with such insurance allows you to receive free treatment, determining the list of services available to the consumer. This means that by contacting polyclinics, medical institutions, hospitals in our country, we have the right to service, assistance, as well as the provision of certain medicines.
Not all regions are ready to accept modern system and take advantage of it. So, the lack of complete data about your company can seriously complicate treatment and provoke additional difficulties. But, the policy of the new sample has a number of differences from the old one.
The compulsory medical insurance system covers the entire territory of the Russian Federation, therefore, all citizens can protect their lives. This means that the able-bodied population, pensioners, students and schoolchildren, and even just born babies and the unemployed can count on protecting their health.
There are several ways to get a card:
CHI allows you to choose an insurance company yourself. So, if you are not satisfied with the quality of the services provided, then the replacement of the insurance agent is possible once a year.
There are many companies working in the field of insurance of citizens, here are some of them:
This list can be endless, but they are all suitable for protection. The rating of their popularity varies depending on the requests of insured citizens, but these are huge companies and it will be more convenient to get a new policy here.
The CHI policy of the new sample, as you already understood, looks like a plastic card. But not important appearance insurance, and how it is issued and a list of documents required in the future.
You will be asked to present:
In 2018, you can protect yourself and get a card within 30 days. During this time, the policyholder is given a temporary certificate that replaces the card, but it also indicates the number and series, as well as personal data.
So, if in the allotted time to prepare the card you have to get help or treatment, stay in a hospital, buy drugs, consult a doctor, then feel free to use temporary insurance.
During the application, write down the phone number to contact the operator. The CHI policy is usually changed quickly, no more than 11 days. But try to control the whole process yourself and do not wait for someone to call you, for these purposes, take the operator's number.
We told how to replace the CHI by last name with a new plastic format, but how to use such a document? The opportunities that a plastic card provides have not yet been fully implemented in many regions, and therefore there is a possibility that you will not receive proper treatment and required services for free. The table shows some of the pros and cons of both types of protection.
| Type of insurance | Advantages | Flaws |
| old pattern | The right to make changes to the form | Inconvenience to use |
| Habitual in use for medical professionals | Opportunity to receive services from third parties | |
| New pattern | Mobility, durability, ease of use | Lack of device in honey. policy reading agency |
| High level of protection | When changing data, it is obligatory to obtain a new policy | |
| No outside use | Not every insurer is able to issue a new policy |
Both insurances have the same legal effect and are not subject to any differences in medical care.
CHI points allow you to get a policy. And this is allowed both during the initial treatment and for other reasons.:
The places where you can get a CHI policy in Moscow are mainly related to the addresses of insurance companies.
In the Moscow region, it is easier to issue and find out if the compulsory medical insurance policy is ready at the MFC branches, at addresses such as:
For an insurance organization where cards are issued, there is no difference between citizens and their status. And this means that an unemployed or retired person, a student at school or an ordinary worker has the right to use the services under the CHI policy on an equal footing. Therefore, the appearance of the map is the same. Only insurance issued for a child under 14 years of age is eligible for an exception.
In the case of a child card, the photo of the child is not placed. On the front side of the card are the series and number of the CHI policy in the form of a 16-digit code. Due to the chip on which the information is stored, the devices quickly recognize the data and determine the owner of the insurance. So, having lost a card after replacing it from paper to plastic, it is possible to restore all data and the card itself through the number.
Early replacement is made only in case of change of information or in case of loss. How to restore the CHI policy in this case? Report the incident to your insurance organization, take your passport and write an application. There you will quickly be helped to restore the document.
The new format of insurance has limitations, which means that its usefulness will be extended for no more than 5 years. You can determine the expiration date of your card by looking at its back. When the specified period begins to come to an end, a replacement is required.
The replacement process will not take much time, since the list of documents will not change. All you need is to write an application and wait for a new card within 1 month.
When paying compulsory medical insurance contributions to the employer, we have the right to independently choose the institution in which we are ready to receive services, the insurer, and even between types of insurance. Each one is capable of determining which one is convenient, and only the order of further actions will depend on your decision.
