Citizens of Russia have the right to receive free medical care throughout the country, regardless of the place of registration and residence. This right is granted by the Federal Law "On Compulsory Medical Insurance in Russian Federation”, and is guaranteed by his compulsory medical insurance policy. How to apply for a policy, what documents will be required and where it can be done in the Moscow region, read the material on the site.

Why do you need an OMS policy

Source: , press service of "RESO-MED"

If you have a policy, a citizen can apply for help at a polyclinic, hospital, city treatment centers and a number of other medical organizations participating in the compulsory health insurance. If a resident of the Moscow region received a policy in the region, then he will also be able to receive additional medical services who are not included in the state basic program - seek medical assistance for the treatment of tuberculosis, sexually transmitted diseases, mental and behavioral disorders, including those associated with the use of psychoactive substances.

A complete list of services to which an insured citizen is entitled can be found in the Decree of the Government of the Moscow Region “On the Moscow Regional Program of State Guarantees for Free Provision of Medical Assistance to Citizens”. Such resolutions are published annually. You can see the documents.

How to get an OMS policy

Source: Photobank of the Moscow Region, Boris Chubatyuk

Obtaining an OMS policy is quite simple. To do this, you need to collect documents, select insurance company and apply. The policy is made for 1 month, for this time the applicant is issued a temporary policy, according to which all guaranteed services can be received.

Required documents

To obtain a compulsory medical insurance policy, an adult resident of the Moscow Region will need to present a passport, an insurance certificate of compulsory pension insurance (SNILS). To apply for a policy for a child under 14, you must submit a child's birth certificate, a passport of one of the parents (or legal representative, guardian) and SNILS. Foreign citizens must present an identity document with a mark on a temporary residence permit in the Russian Federation.

Choosing an insurance company

After collecting all required documents you need to decide on the insurance medical organization (CMO). It is better to choose it at the place of residence, since in this case the policy makes it possible to receive services not only under the basic federal, but also under the territorial compulsory medical insurance program.

Every year, several HMOs participate in the implementation of the Moscow Regional Compulsory Medical Insurance Program. FROM detailed information information about insurance companies can be found on the website of the MHIF in the register of insurance companies section.

Where to apply

You can apply for an OMF policy directly at the insurance company itself, the clinic to which the citizen is attached, and at the office of the MFC. In the latter, the service is provided only for children under 1.5 years old.

The procedure for applying for a compulsory medical insurance policy at an insurance company and a polyclinic can be clarified on the websites of institutions or by calling the numbers indicated in the register. As a rule, an application form will be provided on the spot. The employee will make a copy of the passport (main page and registration page) and SNILS.

Issuance of the policy

After submitting the application, a temporary medical policy is issued. It guarantees the right to free medical care in the event of an insured event.

The policy itself is prepared within 30 working days from the date of application and issuance of a temporary document.

Policy replacement

Any resident of the Russian Federation who officially has citizenship falls under the program compulsory insurance health and can receive medical services in the presence of a compulsory medical insurance policy. Today, both old and new documents are considered valid, however, replacing the CHI policy with a new document is a necessary procedure that should be carried out so that there are no problems with obtaining medical assistance in the future. What is the procedure and procedure for replacing the CHI policy with a new one? How and where can a document be replaced? What is the complete list of required documents for this procedure? We will answer these questions in this article.

Types of insurance documents

In 2017, Russian citizens use several types of compulsory medical insurance policy, namely a paper form of the established form of size A5, a plastic card that contains basic information on the front side (the card is issued together with a paper policy), as well as an electronic universal card that contains all data about the owner and is read using electron-magnetic scanners. Such a card is more convenient to store and keep with you, it is accepted in several states.

Compared to a paper document, a policy issued in the form of a standard plastic card or UEC has a number of advantages: it is more durable, durable, compact in size, so you can take it with you and always keep it in your wallet or passport. A paper document is more relevant in regions of the country where there is no equipment for reading data from a plastic card, and employees of a medical institution are forced to transfer information to the database manually.

How long is the policy valid?

Compulsory medical insurance policies in the hands of citizens of the Russian Federation have different validity periods. Paper forms are issued for 1-5 years, and the exact date of expiration of relevance can be found on the sheet itself. Modern electronic cards and UEC do not have an expiration date and are issued for an unlimited period of time. Replacement of such a document will be required only in case of a change in passport data, loss or severe damage to the card. Issued old-style policies are considered valid even after the expiration date, however, in order to avoid problems, it is better to get a new one.

Replacement procedure

If the insured person does not plan to change the insurance company, then the replacement procedure is extremely simple. To do this, you should contact the insurance company that issued the old-style policy, providing the policy itself, an identity card and a pension certificate. According to the law, the change of the document is free of charge. If the need to replace the document coincided with a change in any data, you must also take with you papers confirming this fact (for example, a certificate of change of name / surname). The insurance company will need to fill out an application and submit it together with the old policy, instead receiving a temporary certificate, the validity of which varies from 1 to 1.5 months. When new map will be ready, you will need to visit the company again and obtain a permanent type compulsory medical insurance policy.

If you intend to change the insurance company, you should choose a suitable organization and apply there with the same set of documents. It is worth paying attention to the fact that the change of the insurance company is possible once a year and is carried out until November 1. Therefore, you must apply for a replacement no later than this date. To obtain a new sample document, you will need to perform the following steps:

1. Choose the right insurance company. At the same time, you can focus on both personal factors (proximity to the office of the organization, opening hours, etc.), and preferences in choosing a clinic where the service will be carried out - you can find out about this at the information stand or the official website of the institution.
2. Prepare a package of documents: if the policy needs to be changed for an adult, you will need to take an old document, passport, SNILS; when replacing a policy by a person under the age of 14, you will need to take a birth certificate instead of a passport.
3. Visit the insurance company and fill out an application for a replacement document.
4. Get a temporary certificate. You can find out about the readiness of a permanent policy by calling or using the online service of the insurance company.

It is worth noting that, although clinics and hospitals may have preferences in choosing an insurance company, they are obliged to provide assistance to the holder of any policy, regardless of which organization issued the documents to him. Denial of service based on the wrong choice of insurance company will be illegal.

Do I need to change the new policy?

The insurance policy of the new model is termless, but in some cases (replacement of full name, place of permanent residence, correction of incorrectly specified data, etc., as well as damage or loss), it will need to be replaced. To do this, you must contact the old or new insurance company and fill out a questionnaire indicating the reason for issuing a new policy (certificates or other legal documents confirming this reason must be attached to the application). If the insurance policy has been lost, the account number in the company is attached to the application, but if the document is in hand, it is handed over along with the questionnaire. At the end of the verification period and after the issuance of the policy, the client must personally come to the insurance company and, having made sure that the specified data is correct, receive a ready-made card.

Initially, a new type of policy is issued to children and adolescents under the age of 14, as well as to persons who arrived in the Russian Federation from another state for permanent residence. In the first case, the relatives of the insured person submit documents to the company - they need to provide a birth certificate, SNILS, a passport or other identification of the parent who submits the documents. The passport of the person who applies for a minor (guardian, parent) must contain information about this person. In the second case, you will need to present a refugee document and an identity card. If an official pension program is supported in the country where the citizen came from, it is also necessary to present SNILS or its equivalent.

The abbreviation CHI means comprehensive protection of the interests of the population in the field of medicine. It is a mandatory document for every citizen. In the event of unforeseen situations, its owner has the right to use the services of a doctor.

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Classification

The MHI policy is widespread.

There are currently three types of such document:

• in A5 format;
• in the form of a small plastic card indicating all the information about its owner in electronic form;
• in the form of an electronic card; it is best known as an abbreviated concept of UEC; the document is distributed in several countries, it contains all the data about its owner.

All listed forms of poles are valid today. Each region has its own rules and regulations regarding the type of this document. If we consider each type, we can see that the plastic format of the policy is more convenient to carry than the paper version.

It is also more convenient to store it at home, without worrying about its appearance. In some regions a plastic card issued together with a paper document, and they can replace each other in case of loss.

A policy in paper form is used mainly in those regions where there are no modern technologies. Employees of the institution, as a rule, rewrite all the data manually.

Also, the document is classified according to the validity period.

There are two types of insurance certificates:

• temporary; issued to a person for a certain period of time, after which it must be replaced;
• perpetual; issued according to a certain sample relative to the state standard; the document does not have a specific validity period and can be replaced only if such a decision was made by its owner.

Validity

There is no specific period of validity of the policy, since it was issued at different times in different regions. For example, electronic cards have appeared in the country only since 2011. Paper documents are issued with a certain period of validity, usually it reaches from one to five years.

As for the policy of the new sample, then, as a rule, it has an indefinite character. Currently, it is issued to those who receive it for the first time. For example, this includes newborns and the uninsured.

Many people do not know how long their testimony is valid. In fact, the deadline is quite simple to find out - it is indicated on the front side of the document. It is worth noting that the perpetual option is the most profitable, as it greatly simplifies the life of its owner.

There are also several specific conditions under which you will need to replace the policy before its expiration date:

• as a rule, girls after marriage change their last name, respectively, it is necessary to change all documents, including medical ones;
• in some cases, the policy is changed when the passport is replaced, for example, upon reaching a certain age, its loss or damage.

The presence of an expired policy is not a reason for doctors to refuse medical care, however, this may make it difficult to process some documents.

Features of the medical certificate of the new sample

In 2014, a new type of policy appeared. It is an electronic map. Every citizen of the country must receive this document without fail.

This also applies to foreign citizens who plan to reside in the territory of the Russian Federation for a long time.

The policy has an indefinite validity period. It is worth noting that once a year, representatives of the company have the right to change the insurance organization or its name. Changes will be made to the electronic document.

There are several main benefits:

• upon receipt of such a document, all the rights of citizens of the Russian Federation in the field of the medical field are expanded, for example, a resident of one region can use the free help of a doctor anywhere in the country, regardless of where he is registered;
• the owner of a new policy, in addition to government agencies, can use the help of specialists in private clinics;
• the electronic system makes it easier for receptionists in polyclinics to work, thereby reducing queues;
• if a person has changed his place of work or residence, then the necessary data in the document is changed, while receiving new policy no need;
• absolutely any citizen of the Russian Federation can receive an electronic card, and it does not matter if he has a permanent place of work or not.

How to replace a new certificate

The policy of the new sample, as mentioned earlier, has an indefinite validity. However, under certain conditions it must be replaced.

To replace it, you must perform several mandatory procedures:

• First of all, you should contact the insurance company. Its choice depends on the wishes of the consumer. However, it is worth choosing the organization that has a good reputation, as the policy is an important document for every person.
• It is necessary to fill out a document of a certain form, which will clearly describe for what reason the person wants to replace the policy. It is necessary to carefully fill in each item, since in case of an error in medical organization may be denied assistance.
• An employee of the organization must present an identity document, in most cases - this is a passport.
• It is also required to present the old document, if not, then the number of the personal account in the insurance organization;
• After a person has handed over all the necessary copies, a temporary policy is issued to him. It has a validity period of several weeks. According to it, a person can also receive medical care in any region.
• After a certain time has passed, a person needs to come to the same organization in order to receive a new policy. After issuing it, he must carefully check all the data. If all the information is entered correctly, then it is necessary to sign for its receipt in the accounting sheet.

Required documents for obtaining

A policy of a new sample is issued to persons of different age categories. First of all, it is issued to those people who have not received it before. That is, for people under the age of 14.

To receive it, his relatives must present several documents to the insurance company:

• birth certificate of the person for whom the new policy will be issued;
• a document confirming the identity of the person who is responsible for the minor child; we are talking about the passport of the mother or father of the baby, it is worth considering that the person must be entered in this document;
• before applying for a new policy for a baby, you must obtain SNILS, which must also be included in the list of documents required for submission.

In the event that an electronic card needs to be received by a person who is over 14 years old, then he needs to present only two binding documents, namely:

• the passport;
• SNILS.

It is not uncommon for a situation where a new policy needs to be obtained by a person who, for some reason, was forced to leave the country.

To obtain it, you must submit the following documents:

• refugee certificate;
• a document that confirms the identity;
• if the first paragraph is missing, then you can file a complaint about the termination of the application.

They also need to present several documents:

• a document proving his identity;
• certificate of registration;
• if there is such legislation in their country, then SNILS.

Conditions for mandatory replacement

There are some conditions on the basis of which it is required to replace the policy before it expires:

• change in the name, surname or patronymic of the person for whom the document was issued;
• change of registration data;
• change in information about the date or place of birth;
• when specifying incorrect information in the document;
• in some cases, the policy may be replaced when changing jobs.

A new document is a necessary condition for those citizens who wish to receive free medical care in the country.

Every resident of the Russian Federation falls under state program compulsory health insurance (CHI). However, he can only exercise his right to free medical care if he has insurance contract. A few years ago, the form of filling out and the type of this insurance changed somewhat. How is the CHI policy replaced with a new model policy today?

Do I need to change the CHI policy to a new policy: the latest news in 2020

Recently, the Moscow Compulsory Medical Insurance Fund announced that it was suspending the issuance of new-style policies until January 2020. Because of this, a rumor appeared that everyone urgently needs to change the old-style compulsory medical insurance policy to a new one before November 1, 2018, otherwise there will be problems with the provision of medical services.

On October 26, an explanation came from the MHIF, namely, it says that all policies are issued indefinitely and medical care can be obtained without any restrictions. Until November 1, it will be possible to declare a change in the insurance company servicing your CHI policy if the quality of its services does not suit you. This can be done once a year. Therefore, dear readers, it is not worth urgently changing the policy.

The text of the press release is below:

Do I need to change the compulsory medical insurance when changing my residence permit?

Art. 51 p. 2 federal law"On Compulsory Medical Insurance in the Russian Federation" regulates that all policies issued on the territory of the Russian Federation before 05/01/2011 are valid until they are replaced with a single sample format. Thus, the insurance on hand can not be changed until its validity period comes to an end.

However, in some circumstances, the policy is subject to immediate replacement. For example, in the event of a change of residence, personal data or loss of insurance, it can be considered invalid. If outdated information remains in the CHI policy, the citizen may be denied medical care.

It should be noted that there is no need to replace the CHI policy in case of a temporary change of residence, in case of a short-term departure or in case of a long business trip. But in the event of a change in registration, obtaining a new insurance contract is a prerequisite.

Types of insurance documents

Section III of the Rules for Compulsory Medical Insurance contains uniform requirements for registration insurance document, describes its types and the information that must be provided in it. In 2020, citizens have several types in their hands:

• on a blue A5 paper form;
• in the form of a plastic card with a chip that contains information;
• as part of a chipped universal electronic card (UEC).

From 01/01/2017, the issuance of UEC in the territory of the Russian Federation has been suspended. This card is no longer considered a mandatory tool for the provision of state and municipal services. Previously, when it was required to replace the contract, the insured person received new insurance as part of the UEC. This card can be additionally used when contacting government services, as bank card, as well as an electronic wallet and a travel ticket.

At the moment, two types of policies are issued on the territory of the Russian Federation: paper and plastic. If we talk about durability and compactness, then the last option wins. However, given that many medical institutions still do not have special technology to read information from the card, the paper form is more convenient to use.

The policy of the new sample and its features

The phrase "new sample" should be understood as two innovations:

• an updated form for filling out a paper form, which was introduced in 2011;
• electronic plastic card, which has been issued since 2014.

New contracts with the insurer on paper were issued with a validity period until 2014, so today they are no longer valid. Citizens can apply to the insurance organization for a new paper copy or for a chipped electronic card. Plastic cards, which have been issued since 2014 and issued by insurers, do not expire.

Validity

Medical insurance policies differ not only in type, but also in duration. In 2011, Russia began to issue new documents, but the old existing contracts are still valid. Duration of medical insurance:

1. Most of the old insurance contracts were issued for a certain period. The end date is indicated on its front side. When it comes, the citizen receives a new type of contract.
2. Contracts of a new uniform sample are termless. Of course, it is very convenient. However, there are a number of circumstances under which they are subject to mandatory replacement.

It is not worth delaying reissuing expired insurance, although health workers do not have the right to refuse to provide services in an emergency. As soon as the contract ends, you should select the appropriate insurance organization and draw up a new one. This service is provided free of charge.

Replacement procedure

If you have a valid old-style medical insurance, you do not need to replace it. However, in some cases it is required to re-register it. How to change the policy? The procedure is as follows:

• first stage and important aspect– choice of insurer. In this case, you need to be guided by the reputation of insurance companies and the reviews of its customers. When replacing a policy, the insured usually applies to the organization where he received the previous one;
• then you need to visit the office of the insurer and fill out an application in which you should clearly articulate the reason for reissuing. In this case, you need to carefully monitor that there are no errors in it;
• at the reception at the insurer, the client must present an identity card to the employee. As a rule, this is a civil passport;
• the policyholder must present his personal account number;
• after consideration and acceptance of papers, the applicant is issued a temporary certificate, which has the same force. Its validity period is not more than 30 days;
• the policyholder must obtain new insurance within 30 days. At the appointed time, he comes to the insurance organization to receive it. Before picking up the paper, it is better to make sure that all the information is true.

Soon, citizens of the Russian Federation will be able to receive a compulsory medical insurance policy through public services. To date, the issuance of medical insurance online is being tested - a trial version is open to residents of St. Petersburg.

Required documents for obtaining

In order to replace the MHI policy, a citizen must provide the insurer with the following documents and information:

• passport;
• an application for a replacement stating the reason;
• insurance number of an individual personal account (SNILS);
• old insurance, if it has not been lost;
• the birth certificate of the child and the identity card of his legal representative, if the insurance is issued for a minor.

If mandatory medical insurance is issued for a child under the age of 14, then the presentation of SNILS is not prerequisite to receive it. In the event that on behalf of the insured person is not a legal representative, but another person (for example, not a mother or father, but a grandmother, grandfather), a power of attorney will be required. This is regulated by the Rules of Compulsory Medical Insurance.

It is possible to re-register the CHI online. On the EMIAS website you can see the points of issue and replacement medical policies MLAs that accept applications for a contract directly through this electronic resource.

Points for issuing and replacing medical insurance policies in different regions of the country can be found on this site.

Terms of registration

As a rule, the period for issuing insurance does not exceed 10 days. Insurance companies issue a new document within 1-1.5 weeks, depending on the workload.

Clause 50 of the Rules of Compulsory Medical Insurance stipulates that the period for issuing an insurance contract cannot exceed the validity period of a temporary certificate issued at the time of receipt of documents. Thus, the maximum duration of the production of a new document is 30 days.

If the compulsory medical insurance is issued through the MFC, then the time it takes to receive it may increase by a couple of days. This is due to the document being sent by mail.

Conditions for mandatory replacement

Here are the cases in which the renewal of medical insurance is mandatory:

• loss of a valid document (loss, damage, theft);
• change of personal data of the insured person: last name, first name, patronymic;
• in connection with moving to another city or region of the country for the purpose of permanent or temporary (if there is a certificate of temporary registration) residence;
• replacement of a civil passport or other identity document, information about which is provided in the contract;
• when changing the insurance organization providing medical insurance;
• the presence of inaccuracies and errors in the insurance contract.

The above circumstances oblige the insured person to notify the insurer of the changes within 30 days. As a rule, a new medical insurance is made and issued 10 days after the applicant's request. The service of issuing and replacing the MHI policy with a new model policy is free.

Conclusion

So, citizens of the Russian Federation can continue to use old-style CHI insurance until its validity period has come to an end. The document is subject to re-issuance when moving, when changing the last name, first name or patronymic, when changing the passport and in case of loss. Obtaining a new contract with the insurer does not entail any problems and costs: the procedure for reviewing and accepting documents is fast, and medical insurance is issued within 30 days from the date of application.

You can find out more about the new sample below.

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From August 1 in Moscow, the exchange of CHI policies for new ones began plastic cards. Vladimir Zelensky, director of the Moscow City Compulsory Medical Insurance Fund (MGFOMS), told Evgeny Saltykov in an exclusive interview with Vestei.Ru columnist Evgeny Saltykov about why this was required, how long the old policies will be valid and where to get new ones.

- Tell me, why did you need to change policies at all? What is wrong with the existing ones?

There are several reasons why this should have been done and why now. The first is not a very convenient format for the current paper policy. It cannot be folded, because the barcode is located at the folds and cannot be laminated, because the data on the insurance company is entered on the back. In this regard, we have accumulated a fairly large request from society. People change their surnames, passports, but do not report this to the insurance company, because, in such a case, they would have to change the old convenient policy in the form of a green plastic card for a new paper one.

- And why, then, did they initially change comfortable plastic for uncomfortable paper?

The green plastic policy was a purely Moscow-based product that had existed since 1998. After that, in 2011, throughout Russia they began to issue a paper policy of a single federal sample. But out of the 12 million insured under compulsory medical insurance in Moscow, more than 7 million still have old green plastic cards in their hands. During this time, many data has changed, but, as I said, not everyone began to report these changes. Meanwhile, the law on compulsory medical insurance stipulates the obligation of citizens to notify their insurance company within 30 days of changes in their data, such as a change in surname, place of residence or passport. But the citizens of this duty, for the above reasons, neglected. Because of this, we began to face a large number of problems - it became difficult to find people in the registers of insurance companies, and feedback with the insured was difficult. And this, perhaps, was the main reason for the need to replace policies.

- What are the main differences between the old and new CHI policies?

The new policy has a chip that stores all the necessary information about the insured - full name, date of birth, insurance region, insurance company. This information can be read using readers, which will be equipped with all medical facilities. The back of the policy contains additional information, including a photograph and a personal signature. Thus, upon presentation of a new policy, it will not be necessary to provide additional documents to identify a citizen, which is necessary when applying for medical care outside the home region. The presence of a photograph will also be useful in conditions of loss of consciousness - if a person has a policy with him, it will be easy to establish his identity.

- Is the replacement of a new policy a mandatory procedure? How long will the old MHI policies be valid?

The replacement is not mandatory. The law states that old policies are valid as long as they are on hand. Accordingly, both paper policies and green plastic cards continue to be valid, provided that their owners have not changed personal data.

- What is needed in order to change the old CHI policy to a new one?

Go to the insurance company and write a statement. Within 30 working days, you will be issued a new policy.

- Only Muscovites will be able to get it, or will nonresident citizens living in the capital have such an opportunity?

- If a person lives and works in Moscow, but does not have a residence permit or registration here, then he, like the rest, can insure himself in Moscow. Accordingly, attach to the clinic and have access to a doctor's appointment via the Internet or in infomats.

In two years, they plan to issue a Universal Electronic Card (UEC) throughout the country, which will immediately replace both the role of an identifier and a payment card. Maybe it was worth waiting for the launch of this all-Russian project and "sewn up" in the UEC also the CHI policy? Or has the need for a new policy really become urgent?

The current version of the law on CHI provides for two types of policies: paper and electronic. Moreover, the electronic one can be either the one that we are now starting to issue, or in the form of an application on the Universal Electronic Card. For several years of its existence, the UEC has not become a mass product. The problems that we talked about cannot be solved with its help. That is why we decided to launch New Product now.