How to change your insurance policy. How to change compulsory medical insurance company

A compulsory health insurance policy allows a citizen to receive medical care completely free of charge in state and municipal health care institutions. Despite the fact that, to register it, you must contact an insurance company, the main activity of which is the provision of paid insurance services to the population.

If for any reason a citizen is not satisfied with the service provided by the company that issued him the compulsory medical insurance policy, he can independently change his insurer. How to do this, and can there be any obstacles in the way of a person who has expressed a desire to change the insurance company?

The right of a citizen to independently choose or change the compulsory medical insurance company is established by the provisions of the Federal Law of November 29, 2010 No. 326-FZ “On Compulsory Medical Insurance”. The list of insurers from whom a citizen can obtain an insurance policy can be found on the website of the territorial branch of the Compulsory Medical Insurance Fund.

In order to change the insurer, you must contact the selected CMO with a corresponding application. The document must contain the following information:

  • name of the CMO to which the application is submitted;
  • FULL NAME. the applicant;
  • the name of the insurance company from which the applicant previously received insurance services;
  • the text of the application requesting the issuance of a compulsory medical insurance policy;
  • date of application and signature of the applicant.

You can also submit an application to change your insurer at the MFC. It is not necessary to notify the old company of your decision - within three working days after the citizen is insured in the new insurance company, information about this fact will be transferred to the previous insurer by its representatives.

List of documents

Depending on which category the citizen who has expressed a desire to change insurer belongs to, the package of documents required for this may vary:

a) For children under 14 years of age:

  • birth certificate;
  • passport of the child’s legal representative;
  • SNILS.

b) For persons over 14 years of age:

  • passport;
  • SNILS.

c) For foreigners permanently residing in the country:

  • resident card;
  • SNILS.

d) For foreigners temporarily residing in the country:

  • passport of a foreign citizen;
  • SNILS.

e) For persons who do not have a fixed place of residence:

  • identification; in its absence - a petition from the social service to issue the person a compulsory medical insurance policy.

f) For persons with refugee status:

  • a refugee certificate, or a certificate that an application for assignment of the corresponding status is being considered by a government agency, or a certificate of acceptance for consideration of a complaint about the unlawful deprivation of a person’s refugee status, or a certificate of temporary asylum on the territory of Russia.

In the event that it is not the insured person himself who applies for a change, but his representative, in addition to the above documents, he will need to submit:

  1. passport;
  2. a power of attorney to register as an insured person, drawn up in simple written form, and it does not need to be notarized - it is enough to have it certified by the organization where the policyholder studies, works or is undergoing treatment.

Replacement conditions

You can change your insurance company no more than once a year. However, the legislator provides for a number of exceptions to this rule, which provide the citizen with the opportunity to change the insurer before the expiration of this period. These include:

  1. change of place of residence;
  2. change of data on place and date of birth;
  3. change of surname, name or patronymic;
  4. termination of activity of the company to which the current policy was issued.

An application to change insurer must be submitted before November 1 of the current year. Otherwise, service by the selected organization will be provided only from January 1 of the following year, except for the cases listed above.

So, any citizen has the right to choose an insurance organization that will provide him with compulsory health insurance services. The list of insurance companies participating in the compulsory medical insurance program can be found on the website of the compulsory medical insurance fund branch. In order to change the insurer, you must draw up an application with the corresponding requirement and submit it to the Compulsory Medical Insurance Fund or MFC in person or through a representative.

Within three days from the date of insurance, the new insurer will independently transfer information about the insured citizen to his former insurance company. You can change the CMO only once a year; it is possible to exceed the limit established by law only in exceptional cases, the list of which includes a change of place of residence, liquidation of the previous insurance company, etc.

Updated 06/04/2018


Central point for issuing compulsory medical insurance policies

The central point for issuing compulsory medical insurance policies, which previously operated at the address: Bolotnikovskaya, 53, bldg. 1 works at the address: Profsoyuznaya, 108.

Central Administrative District

Address Directions Operating mode
Mon. Tue. Wed. Thurs. Fri. Sat. Sun.

Lesnaya street, 43

(BUSINESS CENTER "Lesnaya, 43"),

4th floor, office 419.

entrance from the street Lesnaya, entrance 1, yellow door under the canopy

Art. m. "Belorusskaya" - ring. exit to the street Lesnaya, walk along Lesnaya Street along the tram tracks for 5-7 minutes (opposite - food mall "Depo. Moscow")

Art. m. "Mendeleevskaya", walk 9 minutes

Eastern administrative district

Address Directions Operating mode
Mon. Tue. Wed. Thurs. Fri. Sat. Sun.

st. Veshnyakovskaya, 17 "B", pavilion "ROS APTEKA"

issuance of electronic compulsory medical insurance policies

Art. m. "Novokosino", bus. 706

to the stop "Reutovskaya st. 22",
Art. m. "Vykhino", bus. 247, 232, 706, troll. 30, 64 to

ost. "Veshnyaki District Administration", Art. m. "Novogireevo", bus. 247, 615, troll. 64 to the stop. "Veshnyaki District Administration"

The point has been closed since June 18, 2019. You can receive previously ordered policies from June 19, 2019 at the address: st. Veshnyakovskaya, 22A, TD "Veshnyakovsky Passage", 2nd floor.
Address Directions Operating mode
Mon. Tue. Wed. Thurs. Fri. Sat. Sun.

st. Novokosinskaya, 17,

issuance of electronic compulsory medical insurance policies

Art. m. "Novokosino", last car from the center, along the underground passage to the left, bus. 14, 21, 79, 502, 723, 1064 to the stop. "Novokosinskaya street, 17", further on foot

(above the entrance door to the room there is a sign "PHARMACY")

North-Eastern Administrative District

South-Eastern Administrative District

Southern Administrative District

Southwestern Administrative District

Address Directions Operating mode
Mon. Tue. Wed. Thurs. Fri. Sat. Sun.

st. Ostrovityanova, 9, bldg. 4

issuance of electronic compulsory medical insurance policies

Art. m. "Konkovo", bus. 145, 295, 712 to the stop. "VNIITs for maternal and child health"; 9th microdistrict of Teply Stan (1 km from Troparevo metro station), bus. S2, 295, 712, 718 to the stop. "Scientific Center for Obstetrics and Gynecology". Passage from Academician Oparin Street behind the barrier 11:00-20:00 9:00-18:00 11:00-20:00 9:00-18:00 9:00-13:00

Western administrative district

Address

Directions

Operating mode

st. Bagritskogo, 3, bldg. 1

issuance of electronic compulsory medical insurance policies

m. Slavyansky Boulevard, bus. 190, 610, 103, 139, 157, 883, 205, 818, 840, 867 to the stop. "st. Bagritsky".

8:00-20:00 8:00-20:00 8:00-20:00

10:00-16:00

Novomoskovsk administrative district

Address Directions Operating mode
Mon. Tue. Wed. Thurs. Fri. Sat. Sun.

issuance of electronic compulsory medical insurance policies

metro station "Dmitry Donskoy Boulevard",

auto 737, 753, 858, 108;

Art. m "Akademika Yangelya Street, bus. 906

to the stop "Turn to the police village"

10:00-16:00

Points for issuing compulsory medical insurance policies, equipped with intercoms or operator call buttons for issuing compulsory medical insurance policies to persons with disabilities.

Points for issuing compulsory medical insurance policies, adapted for issuing compulsory medical insurance policies to persons with disabilities, equipped with ramps, freight elevators and free passage for wheelchairs.

This section is found by queries:
Where to get a compulsory medical insurance policy in Moscow?
Where to apply for a compulsory medical insurance policy in Moscow?
Where can I get health insurance?

The procedure for replacing the compulsory medical insurance policy with a new type policy started several years ago. A personal application to a company specializing in health insurance or to the MFC will help you obtain a new type of compulsory medical insurance policy. Alternatively, it can be ordered through a proxy. The preferred form of the received document must be indicated, which is available for:

  • people with Russian citizenship;
  • people who are citizens of other states but reside in Russia on a permanent or temporary basis;
  • refugees;
  • persons without citizenship.

It is required to provide its owner with medical care without payment throughout the entire territory of the Russian Federation, giving the right to choose a medical institution, calling on clinics, hospitals, and medical centers to work efficiently and quickly.

What does he look like?

A new policy can be obtained from:

  • in the usual form - a paper document with data placed on both sides;
  • compact form of a plastic card;
  • as part of a universal electronic card (a promising option).

What does the new sample compulsory medical insurance policy look like in paper form? The format of the new document is A5, it is not recommended to bend it, and laminating it is strictly prohibited. The only thing that can be done is photocopies on both sides, which will help extend the life of the original. On the front part there is information about the owner (full name, day, month and year of birth), date of receipt, and a unique barcode. On the reverse side is printed information about the place of residence, the insurance company and its coordinates.

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 in hospitals and clinics. A unique number is also located 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 plastic compulsory health insurance 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 with the front side facing you, where the compulsory medical insurance policy number of the new sample is printed, regardless of whether it is made on paper or plastic.

List of documents

The documents for obtaining a new compulsory medical insurance policy are, in principle, the same for everyone:

  • a correctly completed application to an organization whose specialization is health insurance;
  • a certified copy of a document that can clearly prove your identity;
  • a certified copy of SNILS (if available).
  • a certified copy of a document confirming the status of “refugee” (certificate of consideration of an application on this issue), a residence permit, an identity document of a stateless person, which contains a mark confirming the legality of residence on the territory of the Russian Federation for foreign citizens, refugees and stateless people respectively.

Having submitted an application for a uniform medical insurance document, the applicant receives a certificate that replaces the policy and gives the right to receive medical care until the registration procedure is completed. This certificate can be used for no longer than thirty working days, after which the original health insurance document in the form chosen by the applicant must be received in person.

Regardless of whether you are a citizen of the Russian Federation or not, obtaining a new compulsory medical insurance policy is quite simple and quick.

Do I need to renew or order a reissue?

First of all, it should be emphasized that all medical insurance documents received in hand, dated January 1, 2011 and earlier, are required to be accepted by any medical institution. Whether or not to change the old version is up to its owner.

It is worth paying attention to the fact that when you receive a new sample document in your hands, you will not find an expiration date on it. Therefore, to the question: “Is it necessary to renew the compulsory medical insurance policy of the new model?” The answer is no, with some caveats:

  • There are no restrictions on the validity period of this document for citizens of the Russian Federation;
  • for people who have received refugee status, the policy will be valid until the person leaves the country;
  • He will help people who have a permit for temporary stay in the Russian Federation to receive medical care free of charge as long as the permit is valid.

Advantages

The new standard compulsory medical insurance policy is valid on the territory of all constituent entities of the Russian Federation, regardless of the residence permit or registration of the owner. For this reason, you must take it with you on any trip within Russia. The new unified compulsory medical insurance policy gives the right to choose not only the doctor providing medical services, but also the medical institution.

The nuances of obtaining a new sample document

As in any business initiated by the Russian authorities, when obtaining a single policy guaranteeing medical care, there are a number of nuances that need to be prepared for.

You can change your insurance company once during a calendar year and strictly before November 1st. The exception is the new owner's registration address.

Insurance is provided by one organization at a time. Accordingly, a person can be the owner of one policy.

If a plastic format is lost or damaged, then only its paper counterpart can be issued to replace it.

The country’s government plans to eventually move en masse to a universal electronic card, which will replace policies (not only old, but also new ones), performing the functions of an identity card, a certificate of pension insurance, etc., opening access to a variety of state and municipal services in any region Russian Federation without payment.

You can receive the document:

  • Russians;
  • citizens of other states who live on the territory of the Russian Federation;
  • newborn children;
  • stateless persons who live in Russia;
  • refugees.

Types of policies The following are valid on the territory of the Russian Federation:

  • paper policy;
  • electronic;
  • universal electronic card (UEC).

The paper policy is prepared on a blue form (with watermarks) in A5 format. In samples issued after 2011, there is no line with the registration address, but only full name, gender, date of birth, tax identification number and barcode. The authenticity of the document is certified by the seals of the insurance organization. This form cannot be laminated or folded. A special paper envelope with a transparent window is provided to store the document. The electronic policy took the form of a bank card.

How to change your compulsory health insurance policy?

In addition, if you were illegally forced to pay for services (let’s say, there was no time to argue because of a crisis situation), you have the opportunity to appeal this decision and get your money back, although only if you kept the receipt or payment receipt. When do you need to change your compulsory medical insurance policy and how to do it? The compulsory medical insurance policy does not need to be changed if you temporarily leave for another city or even a long business trip, however, if you change your permanent place of residence or want to switch to another insurance company, you will need to get a new policy. To do this, simply contact the desired insurance company, having with you an identification document and the SSOPS, if you have one.

Please note that changing insurance companies is only allowed once per calendar year and occurs on the first of November, so your application must be submitted before that date.

Is it necessary to change the medical policy: assignment of compulsory medical insurance for the owner

  • 1 How is the replacement made?
  • 2 When is a policy change necessary?
  • 3 Results
  • 4 Videos on the topic

The Law “On Compulsory Medical Insurance in the Russian Federation” (2010) and the Compulsory Medical Insurance Rules (2011) establish the right of every citizen of the country and certain certain categories of persons to independently choose an insurance company and obtain a compulsory medical insurance policy. Forms previously received by citizens do not lose legal force and are valid until they are replaced with a uniform document, medical care for them is provided in the full scope of the program. Compulsory medical insurance policies of a single type are personalized and are characterized by high levels of protection against counterfeiting or changes in posted data. The forms are produced centrally by the Federal Compulsory Medical Insurance Fund.

Replacing a health insurance policy

What rights does the compulsory medical insurance policy give us? Do I need to change it and where can I get it? These questions are answered by the head of the department for working with citizens of the Department for organizing the protection of the rights of insured citizens of the territorial fund of compulsory medical insurance of St. Petersburg, candidate of medical sciences, lawyer Gennady Yakovlevich Lopatenkov. Have you changed your passport, do you need a new policy? - Gennady Yakovlevich! Let's start with the fact that some of our readers - patients' policies have expired. And the clinic demands to replace this policy. What to do? — You need to look at a specific policy.
If it was valid as of 01/01/2011, then such a requirement is unlawful, since by virtue of Article 51 of the Law “On Compulsory Health Insurance” the validity of the old-style policy was extended until it was replaced by a uniform policy or a social universal electronic card.

How long are new and old compulsory medical insurance policies valid?

  • citizens of the Russian Federation
  • stateless foreigners
  • refugees

Doctors provide free care to all people, regardless of whether they work or not. What are the deadlines for the validity of compulsory medical insurance certificates:

  • everyone who lives in the country, foreigners and citizens of the Russian Federation, is issued a compulsory medical insurance policy with an unlimited period
  • refugees receive a document for the duration of their stay in the Russian Federation, with confirmation of dates
  • temporarily residing foreigners and persons without citizenship, the validity of the policy is limited to the time allowed for their stay in Russia by the competent authorities

How to obtain a policy with the choice and replacement of medical insurance. Issuance of a medical policy. Medical insurance organizations have taken upon themselves the responsibility of issuing documents to the population indicating this; it is necessary to submit an application, which will be the basis.

When and how to change your old health insurance policy to a new one

Attention

There are several types of policies in circulation: a paper green card of the 2007 model, a blue A5 sheet and special plastic cards. All three forms provide the same rights to the owners. But paper documents cannot be folded so as not to damage important information, and data from the card cannot be read in every medical institution.


Since 2014, UEC has come into circulation - the same plastics, but equipped with a chip, photograph and signature of the owner. The card can be carried in a wallet or passport. The doctor easily identifies the patient. Where can I change my compulsory medical insurance policy to a new sample? To the insurance company, for which you need to provide a copy of your passport and SNILS.


The state does not establish a mandatory exchange procedure.

Do I need to change my compulsory health insurance policy?

New electronic policies, which have been issued by insurance companies since the beginning of 2014, are of unlimited duration and, if the client wishes, can become the same document as the SSOPS, which needs to be received only once in a lifetime. New electronic policies will eventually merge with the SSOPS and become the basis for a universal electronic card (UEC), which, according to the plans of the State Duma, was supposed to be introduced in 2014, but so far a similar process is taking place only in Moscow and the Moscow region. Old-style paper compulsory medical insurance policies issued for an indefinite period will also be replaced with new ones, but medical care under them will not be terminated.
Do you want to know about compulsory health insurance for newborns? Or read THIS article about applying for voluntary health insurance for children.

Replacement of medical insurance policy

Information about them must be on the Internet website of the Territorial Compulsory Medical Insurance Fund at the new place of residence. - Another situation. A citizen has changed his place of work, does anything need to be done? — Since 2011, receiving a compulsory medical insurance policy has nothing to do with the employer and place of work, and accordingly, there is no need to inform anyone about this. — But, let’s say, the patient at the clinic will still be persistently required to change his policy? — If the policy is not valid (this can be determined on the fund’s Internet portal www.spboms.ru), then it must be changed by contacting any compulsory medical insurance company. If the policy is valid and, accordingly, this requirement, based on the above, is illegal, you must contact your insurance company, and it will demand that the clinic stop violating the law, and, if necessary, apply penalties to it.

When do you need to change your compulsory health insurance policy?

Therefore, everyone living on the territory of the Russian Federation must receive a document guaranteeing the right to take advantage of ample opportunities and receive medical services. Don't rely only on emergency help. Anyone who has tried to visit a medical facility without a policy knows that countrywide rules apply; without a document and presenting it at the clinic’s reception, services will not be provided. You cannot consult a doctor or undergo a course of treatment. Determining a diagnosis, opening sick leave, issuing certificates, even routine medical examinations can only be done on the basis of an insurance certificate. All civilized states use a similar procedure. Which from all sides showed itself only from its best side.
Obtaining an insurance certificate in our country is organized at the highest level, without bureaucratic delays.

When should you change your health insurance policy?

However, although the policy entitles you to free treatment, there are a number of items that it does not cover and for which the client will have to pay out of pocket, for example, for outpatient medications. The full list of such items is quite extensive.

  • Consultations with specialists, medical examinations and other inquiries carried out not out of medical necessity or in accordance with legal requirements, but on the private initiative of citizens.
  • Medical services for private events.
  • Treatment, preventive and diagnostic measures carried out anonymously, with the exception of AIDS testing.
  • all diagnostic tests and procedures, as well as manipulations, consultations and other examinations performed at home.

Also, the policy needs to be changed if you change your name or surname, and for this you will need to contact the insurance company in person, again taking with you your passport, a document confirming your unemployed status and SSOPS. Replacement of a compulsory health insurance policy according to the legislation of the Russian Federation should be free of charge. Would you like to learn more about the validity period of your compulsory medical insurance policy? Or read THIS article about applying for a VHI policy for a newborn. What is a new type of policy? The phrase “new model policy” became synonymous with enormous government confusion when a new form for filling out compulsory medical insurance policies was introduced in 2011, and electronic policies in 2014. Both are called new-style policies, but paper policies were valid until 2014 and are currently no longer valid.

The reliability and high-quality work of the selected insurance company largely influences the level of medical service received by the insured. The level of competition in the insurance market is quite high, so it is advisable to approach the choice of an insurance company carefully and responsibly, and make a choice in favor of an organization that will truly guard the interests of the client.

If a client doubts the quality of work of his insurers, then, in accordance with the legislative act “On Compulsory Health Insurance in the Russian Federation,” he has the right to replace the company with which he is insured. Before choosing a new insurer, you should pay attention to the reputation and independent reviews of the company, the quality of the support service, and the availability of a 24-hour hotline.

How often can you change insurance company?

The procedure for replacing an existing insurance organization is possible no more than once a year and must be completed no later than November 1 of the current year. If the application is submitted after November 1, admission to service is possible only after January 1 of the following year, and until the end of the current year, service is provided by the current insurance company. More frequent replacement of the servicing insurance organization is possible in the following cases:

  • Bankruptcy, liquidation or revocation of license;
  • Termination of provision of relevant insurance services;
  • Change of first and/or last name of the insured;
  • Changing or adjusting the passport details of the insured;
  • Change of place of registration (residence) of the insured;
  • Identification of errors in a valid insurance document;
  • Damage or loss of the insurance policy.

These standards are established by Federal Law No. 326-FZ of November 29, 2010 “On Compulsory Health Insurance in the Russian Federation” and the Rules of Compulsory Health Insurance approved by Order of the Ministry of Health and Social Development of the Russian Federation dated February 28, 2011 No. 158n.

Procedure for replacing insurance

To change the insurance company, you will need to submit an application personally or through your authorized representative to the newly selected insurance institution. The representative can be an employer or any citizen who has a notarized power of attorney (in accordance with Article 16 of the Law of the Russian Federation “On Compulsory Health Insurance”). Copies of the following documents must be attached to the application:

  • Civil passport or birth certificate (for citizens under 14 years of age);
  • SNILS (insurance certificate);
  • Identity cards (passports) of the representative, if the application is submitted by an authorized person.

Also, when applying, you must indicate the actual residence address of the insured. This does not apply to persons without fixed abode, who have the same rights to choose and change their insurance company. If a citizen without a fixed place of residence does not have an identity document, he can provide a petition certificate from the social protection service or a corresponding certificate if the citizen is in refugee status. The procedure for obtaining a new compulsory medical insurance policy when changing an insurance company is no different from the procedure for obtaining a primary policy and is carried out according to the following algorithm:

  1. Submitting a package of documents and an application to the selected insurance company.
  2. Based on the application, entry into the insured database and issuance of a temporary certificate valid for 30 days.
  3. Notification of the readiness of the new policy and receipt of it at the company’s office.

In this case, the client does not need to notify the old insurance company about the change. This is usually done by the new company within 3 business days by sending a corresponding notification about the fact of insuring a particular citizen. If the procedure was not completed properly, the citizen remains a client of the company with which he was previously insured. This state of affairs will remain relevant until the new treaty comes into force.