Every citizen of the Russian Federation has the right to free medical service at a clinic participating in the CHI program. However, this does not mean that you can apply to any medical institution with this or that question and you will be accepted there without any problems. Free medical care is provided in the clinic, to which the citizen is attached at the place of residence. Often, entire houses and even streets are attached to a medical organization. Therefore, when moving, it becomes necessary to find out which clinic is attached to the house at the address.

The medical organization closest to your home is not always yours. However, this does not mean that it cannot become one. Once a year (when moving more often) is allowed regardless of its location. As for the definition medical institution, to which you are currently attached, then you can get this information in several ways, for example, at the registration address or under the MHI policy. As part of this review, we will not only tell you how to find out which clinic the house at the address belongs to, but we will consider other ways to obtain this information.

• Important

• Each citizen can change the place of attachment to the polyclinic for free once a year (more often when moving).

How to find out which clinic is attached to the house at the address

If you have never changed your place of residence, enrolling in a polyclinic is not a mandatory procedure. As a rule, in such cases, the city system automatically assigns you to the clinic at the place of registration. In small towns, everything is much simpler, which cannot be said about large ones. settlements where there may be several clinics. Of course, you can contact the nearest medical institution from your home and clarify whether you are registered with them, but this option takes a lot of time. There are ways that allow you to find out for sure which clinic is attached to the house at the address.

If you changed your place of residence and registered at a new address, then the relevant information should be built in medical organization to which the house is attached. Thus, without any action on your part, all family members registered at the new address become clients of the clinic, to which the whole house is attached. It is not necessary to be attached to the hospital, for which the whole house is listed. By law, you can choose any medical organization that is part of CHI program, including those outside the place of residence. To do this, just contact the reception of the hospital where you want to be served.

You can find out which clinic the house is attached to at the address in the following ways:

• Through a single portal public services;
• Through the website of your city's health department;
• By calling the nearest clinics (numbers can be found on the Internet).

You can also use a more banal method. Just ask other residents of the house which clinic they are served in. Although, if you are looking for a 100% way to obtain data about the medical organization to which you are attached, then you need to look for this information not at your home address, but according to your passport data and compulsory medical insurance policy. How to do this, read below.

How to find out under the policy which clinic is attached

As a rule, whole houses and even streets are attached to a medical facility. That is why many set themselves the task of finding out at the address of the house to which clinic they are attached. It is possible, but there is no 100% guarantee that you will be registered in the clinic, to which the whole house is attached. If you want to know exactly which clinic you belong to, then you should specify this information by the number of the CHI policy. This can be done in several ways, including via the Internet.

You can get information about attaching to a medical organization in the following ways:

• By calling free number V insurance company which issued compulsory medical insurance policy(the number is indicated on the medical policy);
• Through the State Services portal (relevant for all regions);
• With the help of the EMIAS centralized database (only for residents of Moscow);
• On the site gorzdrav.spb.ru (for residents of St. Petersburg);
• On the website uslugi.mosreg.ru/zdrav/ (for residents of the Moscow region);
• Through the website of your local health department.

Perhaps the most convenient and easiest way to find out which clinic is attached to the house at the address is through the public services portal. True, for this you must have an account in public services. In principle, it is very easy, besides, this resource will be very useful for you in solving other issues. You can also get information about attaching to a medical organization through the health website for your area. Perhaps it makes sense to consider all these methods separately.

How to find out which clinic you belong to through public services

It is currently the most affordable and fast way obtaining information about attachment to a medical organization. To get access to the necessary information, it is enough to indicate the number of the CHI policy. The only drawback of this method is that you can find out which clinic you are attached to through public services only by the number of the CHI policy of a single sample (16 digits). Number medical policy the old sample is not processed. If you have plastic policy, then there will be no problem. The main thing is that you have. If you don't have one, please follow the link below. step by step instructions and create it.

To get information about attaching to a polyclinic, follow these steps:

1. Go to the site gosuslugi.ru and log in;



2. Go to the "Services" section;



3. Select the "My health" section;



4. Select the service "Information on attachment to a medical organization";



5. Click on the "Get Service" button;



6. Enter the CHI policy number and click "Search";



7. On the next page, the name and address of the clinic to which you are linked will appear.



As you can see, everything is extremely simple and very fast. The problem can only be the fact that the policy of compulsory health insurance should be a new type of life. If you have an old paper policy, you will have to use another method.


How to find a clinic at the address of residence in Moscow



If you need to find out which clinic is attached to a house at an address in Moscow, then you will have several options. We will consider the most convenient and fastest. We are talking about the use of the centralized EMIAS database. It allows you to produce over the Internet. You can check whether you are attached to a polyclinic and which one specifically, by the number of the CHI policy. That is, it is not necessary to indicate the address of the house. The system has enough data from your medical policy.

To find your clinic in Moscow, follow these steps:

1. Follow the link https://mosgorzdrav.ru/ru-RU/citizens/emias.html;
2. Enter your full name, date of birth, MHI policy number and click "Check Attachment";
3. On the next page, information about attaching to the clinic will appear.

You don't need to register anywhere. Again, access to this information is only possible if you have a compulsory health insurance policy with a 16-digit number. In principle, you can get a new sample online through the mos.ru website.


How to find a clinic at the address of residence in St. Petersburg



In all large cities, the possibility of obtaining information about attaching to a polyclinic has been implemented, St. Petersburg is no exception. In principle, you can find out which clinic the house is attached to at the address in St. Petersburg using one of the methods given at the beginning of the article, but there is a more convenient option. You can use the official portal for making an appointment with a doctor in St. Petersburg. The instruction is given below.

To find out which clinic you belong to in St. Petersburg, follow these steps:

1. Follow the link https://gorzdrav.spb.ru/signup/check/;
2. Indicate the area in which you live;
3. Choose a medical institution;
4. Enter your personal details and policy number.

To receive planned non-urgent medical care, each citizen must be attached to a polyclinic.

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Otherwise, admission will be denied. The proposed article will consider the main features of the procedure for attaching citizens to the clinics of the capital.

What you need to know

Every citizen Russian Federation, as well as representatives of other states residing on the territory of our country, have the right to receive qualified medical care.

To be able to visit a doctor, it is necessary to go through the procedure of attachment to the clinic. Otherwise, the registry of the medical institution will refuse to issue a referral to the citizen.

It is worth considering in detail the main features and subtleties of the described procedure in Moscow clinics. Detailed analysis can be found in the information below.

The legislative framework

In accordance with the provisions of the law of the federal level, under the number 326-FZ, "On Compulsory Medical Insurance", every citizen of the Russian Federation who has compulsory medical insurance policies has the right to choose the state clinic to which he will be attached.

According to the rules prescribed in the mentioned legislative act, it is allowed to change the medical institution more often than once a calendar year.

The exception is when a person is attached to another medical institution for the following reasons:

• change of residence (on the scale of settlements);
• change of place of residence;
• reaching the age of majority (children's polyclinic changes to an adult one);
• change of address of registration or residence within the territory of one locality.

Registration at the clinic does not require renewal. It operates without delay, with the exception of children's medical institutions.

Children, upon reaching the age of majority, are discharged from children's clinics and registered as adults.

Why is it necessary

What justifies the need for mandatory registration in state medical institutions? Firstly, the implementation of the reception of only attached citizens can significantly relieve the polyclinic and its staff.

For the citizens themselves, this translates into a reduction in waiting time in queues, the speed of performing laboratory tests, etc. Secondly, the obligation to register is conditional on the distribution Money between medical institutions.

Photo: actions for attaching to the clinic

State polyclinics are financed by the budget of the Russian Federation. The availability of information on the number of citizens attached to a particular medical institution makes it possible to determine the amount of money needed to allocate to support the work of a polyclinic, modernize equipment, etc.

Of course, there are private medical organizations. However, the budget of not every citizen allows him to use the services of commercial medical centers.

Also, it is in state medical institutions that certificates of incapacity for work, various certificates required for obtaining state social assistance and benefits, etc. are issued.

How to join the clinic

The main condition, the observance of which is necessary for attaching to the clinic, is the availability of a compulsory medical insurance policy.

This document can be issued independently by contacting any insurance company providing such services, or obtained through an employing organization.

The standard set of documents for obtaining an MHI policy is presented below:

• passport or any other document identifying the identity of the applicant;
• SNILS card;
• birth certificate (if the policy is issued for a child under the age of 14);
• residence permit (for representatives of other states).

The procedure for registering at the clinic is as follows:

Contacting the registry of a medical institution for advice on the hours of accepting applications for attachment	This can be done by phone call to the information center of the polyclinic or through a personal appeal
Next, the applicant will need to visit the clinic and provide the required set of documents	And it is not necessary to do it personally. The application may be submitted by an authorized person. However, he must have one of the following documents: for representatives - a power of attorney; for parents of children - a birth certificate; for adoptive parents - a court decision on adoption; for guardians and custodians - an appropriate certificate together with the decision of the guardianship and guardianship authorities on the appointment
Waiting for a decision on the submitted application	In most cases, a verdict on attachment to a medical institution is issued within five working days

List of documents

The application is filled in according to the standard form. The application form is available. To compile it, you must use a specialized form of the form, which can be obtained directly from the clinic itself.

A sample application is provided below:

Photo: sample application for attachment to a medical institution

Can it be done online

It is not necessary to visit the clinic in person to apply for attachments. This can be done through the Internet portal of public services in Moscow www.mos.ru.

The algorithm of actions is presented below:

Photo: applying for attachment to a polyclinic through the Internet portal of public services in Moscow (step 3)

What to do if you live in another city

How to attach to a polyclinic in Moscow for non-residents? According to the legislation of our state, every citizen of the Russian Federation who has a permanent place of registration and a policy of compulsory medical insurance can receive medical care, regardless of whether he applies to a medical institution at the place of registration or stay.

A one-time visit to the clinic does not require mandatory temporary registration. However, if a citizen plans to stay in Moscow for a long period of time, then he will need to attach his compulsory medical insurance policy to the Moscow territorial fund, and it is impossible to do this without a temporary residence permit.

The need to attach an existing policy is due to differences between the regional recruitment program medical services with a similar system in Moscow. To receive a set of services that is relevant for the capital, you need to attach a policy to the fund.

Otherwise, the registration procedure at the clinic is no different from the standard algorithm. Accordingly, a citizen with a residence permit near Moscow will be able to attach himself to the capital's clinic without any problems.

The only difference from people with Moscow registration is that such a person will not be able to call a doctor at home at the place of registration.

Where to go if there is no registration

The legislation of the Russian Federation clearly regulates the issues of providing medical care. According to the regulated rules, persons who do not have Russian registration will be denied admission to the polyclinic.

For those citizens who arrived in Moscow for a short period, medical assistance will be provided only if they have a residence permit in any region of Russia.

If the period of stay exceeds the period of ninety days, then in order to receive medical care, temporary registration will be additionally required. In all other cases, you can get medical care without registration only in commercial medical centers.

However, this does not apply to urgent medical care. If a citizen needs emergency or planned assistance, then he has the full right to visit any clinic, regardless of its location.

At the same time, in such a situation, it is enough to have a passport with you. An OMS policy is not required. Quite often, employees of polyclinics and ambulance workers refuse to provide emergency or planned assistance to a citizen who does not have a CHI policy with him.

It is important to understand that such a refusal is unlawful, since the employees of the clinic themselves can find out the policy number using the FFOMS database.

In the event of an unlawful refusal, a citizen can file a complaint with one of the following institutions:

• territorial branch of the compulsory medical insurance fund;
• the insurance company in which the CHI policy was issued.

Thus, the procedure for attaching to Moscow polyclinics for citizens with and without registration in the capitals differs only in that the latter must have a temporary residence permit.

Attachment to the clinic is carried out on the basis of the submitted application within five working days. Documentation can be downloaded electronically online through the Moscow internet portal mos.ru. Persons without registration can only receive assistance in commercial medical centers.

Video: how to attach to the hospital

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Muscovites who decided to join a polyclinic or change a medical institution were advised to do so by December 1, 2014. the site has collected information about where you will need to apply and what documents will be needed for this. We add that those who are already attached to the clinic do not have to re-register, but if they do not, they will be able to make an appointment with a doctor only at the registry - remote appointment services will not be available to them. At the same time, it will be possible to attach on any day and after December 1.

Why you need to join the clinic

From next month, the City Compulsory Medical Insurance Fund begins to draw up a budget for 2015, for which all patients are planned to be entered into a single electronic database. Therefore, residents of the capital need to come to their clinic before December 1, take a questionnaire at the registry office and fill it out, indicating, among other things, the pension account number and passport data.

If the patient does not have time to fill out the paperwork before December 1, he will still be served, however, it will be possible to make an appointment with a doctor only through the registry. Muscovites will be able to use the services of remote recording - via the Internet, terminals or by phone immediately after they are attached to the clinic. This can be done on any day and after December 1st.

According to the law "On Compulsory Medical Insurance", all insured citizens can choose the medical organization in which they will be treated.

The city, on the other hand, needs to know the exact number of patients assigned to a particular clinic in order to accurately calculate funding, the necessary equipment and the number of specialists.

"Out of 11 million insured Muscovites, only 6 million regularly go to polyclinics. The rest remain so-called "silent people" for the CHI system. They are simply attached to polyclinics on a territorial basis. However, people often change their place of residence and do not inform their insurance company, " - said Vladimir Zelensky, director of the Moscow City Compulsory Medical Insurance Fund.

In addition, funding is arranged in such a way that the clinic receives a certain amount of money per year for each citizen. If the clinic does not have the necessary specialists and equipment, then the patient is redirected to the medical institution where they are. That is why it is more useful and convenient to immediately attach yourself to a polyclinic that satisfies all needs.

“Non-residents can also be attached to polyclinics and receive assistance, but the technical calculation scheme will be different,” Volodymyr Zelensky added, “if a polyclinic receives funding for Muscovites based on the number of attached people, then the region where the person is insured will pay for non-residents. everyone is the same."

Zelensky also said that polyclinics usually do not have an overabundance of patients, because there is an opportunity to “maneuver” between sites. The flow of patients is controlled by electronic records. “So it’s immediately clear the waiting time for the doctor. state guarantee this period is equal to a week," the director of the MGFOMS specified.

In addition, he said that in the case of attachment not at the place of residence, ambulance and the local doctor will still go to the patient from the nearest clinic.

How to join the clinic e

If you do not yet have a new model CHI policy, then before you make it, it is better to clarify the list of organizations - insurers in the clinic. It is usually posted next to the front desk. But in order to attach to a medical institution, you need to have the following documents with you:

• an application addressed to the head physician of the organization (the form must be issued at the reception);
• CHI insurance policy + copy;
• copy of the passport;

List of documents to be attached to the child's clinic:

• a copy of the birth certificate of the child (it is better to have the original with you);
• a copy of the passport of the parent applying (with the original);
• insurance policy CHI child and its copy;
• photocopy of registration in Moscow;
• statement.

Any citizen can also attach to electronic system EMIAS, which allows you to remotely make an appointment with a doctor. You can attach your policy to EMIAS at the clinic reception.

Concerning voluntary medical insurance(VHI), then it has its own advantages. Firstly, it is an opportunity to independently form your own insurance program, determine the volume and types of services and also choose a medical institution where you will be treated.

In addition, by this policy you can call the doctor at home at any time you need, whether it is a weekend or a holiday. In turn, the insurer will refer to the best specialists in their field.

Commercial medical institutions operating in the field of VHI are investing in the development of their medical facilities by purchasing the latest imported equipment and attracting the best doctors. Thus, having a VHI policy, you can get a set of additional CHI medical services.

Innovations

Starting in 2015, Muscovites will be able to change their polyclinic once a month. The site was informed by Deputy Mayor for Social Development Leonid Pechatnikov. According to him, in this case, the chief doctors will better monitor the quality of services provided in medical institutions.

“Across Russia, you can change a polyclinic once a year,” Pechatnikov explained. “In Moscow, we plan to remove this restriction and allow residents to attach themselves to medical institutions at least once a month. The main thing is that they notify the health department of the transfer so that funding is also moved to a new clinic. Thus, residents of the capital will be able to quickly respond to any changes in the clinic, including the reduction of specialists trusted by patients.

The opportunity for Muscovites to frequently change polyclinics will be the key to objective decisions by chief physicians in the event of a possible reduction in staff. "If the chief doctor cuts good specialists, then patients will be able to simply detach themselves from this polyclinic and go to another one. Together with the departure of patients, the institution's funding will be reduced," the deputy mayor said.

As Aleksey Khripun, head of the health department, explained, the city authorities are considering the issue of amending the federal law"On the Fundamentals of Protecting the Health of Citizens in the Russian Federation", which will allow you to join a new clinic more often than once a year.

Today, this possibility is not provided by law. When the project will be ready, the official could not specify. Now, according to Khripun, Muscovites can go to a polyclinic to which they are not assigned only in one case: if they cannot provide him with some kind of assistance in their medical institution. "But these are isolated cases - most polyclinics have approximately the same equipment and a set of services provided," Khripun added.

Yulia Bulavskaya, deputy director of the Moscow Compulsory Medical Insurance Fund, said that the draft amendments to the federal law had not been discussed with the fund. "In my opinion, it will be difficult for polyclinics to plan their economic activities if patients can change polyclinics once a month," Bulavskaya said. At the same time, she added that accruals for per capita financing go to polyclinics just on a monthly basis. So technically redistribute financial resources from one clinic to another once a month is possible.

Vera Shastina, a member of the Moscow City Duma health commission, believes that lifting the restriction on changing clinics will help patients. "If a Muscovite has the opportunity to attach himself to different clinics, then by trial and error he will find a suitable attending physician," the deputy noted.

In addition, next year the authorities plan to distribute CHI system to all types of urban polyclinics. 398 medical institutions have already declared their participation, half of which are private and departmental polyclinics, said Vladimir Zelensky, director of the Moscow Compulsory Medical Insurance Fund.

"This year we had 367 institutions, there will be almost 400. The increase is serious, because the system becomes more profitable when there is a certain number of patients. In addition, tariffs increase from year to year," Zelensky said.

The receipt by citizens of Russia of free medical care is regulated by the order of the Ministry of Health and Social Development No. 406n and the Federal Law "On the Protection of the Health of Citizens". These legislative acts clearly articulate the possibility for a Russian citizen to receive free medical care in a polyclinic or other medical institution in any region of the country, regardless of the place of registration.

This means that the patient has the right to be attached to a polyclinic in any city or region, regardless of the place of residence. The only restriction enshrined in law is that the choice or replacement of a medical institution can be made no more than once a year. However, this restriction does not apply in the event of a change of place of permanent residence. Persons with out-of-town registration and wishing to be served at the selected polyclinic institution must update the "attachment" procedure annually.

The order of attachment to the clinic

To attach to the selected clinic, you must write an application addressed to the head physician, as well as provide the registry with a passport or birth certificate (for persons under 14 years old), SNILS and a medical insurance policy. In the application for attachment, a citizen must indicate the following information:

• Surname, name, patronymic;
• Passport data;
• Address of the actual residence;
• Health insurance policy number;
• Details of the previous clinic.

The medical institution has 2 days to review the received application, which consists in verifying the information provided. In case of passing the check, the management of the polyclinic notifies the applicant of acceptance for medical care. The document flow for deregistration in one medical institution and registration in another will take about 1 more week. Thus, the minimum period required for the full procedure of attachment to the new clinic is 12 days.

If a patient needs immediate medical attention, a doctor in a state polyclinic is obliged to accept him, regardless of the patient's place of residence and whether he is attached to this medical institution or not. A scheduled or emergency examination is possible if a citizen has a compulsory medical insurance policy.

Refusal to attach to a medical institution

If all of the above conditions are met, they have no right to refuse to attach a patient to a polyclinic, or to provide emergency / planned medical care. However, there are cases of illegal refusals or demands that the patient provide additional documents. In cases of violations of the law by medical institutions, one should contact the insurance company, the territorial MHIF or the Department of Health. Phones can be used hotline or trust services, which are organized by territorial branches of compulsory health insurance funds. The coordinates and numbers of the relevant organizations can be found on the official websites of the TFOMS and various reference resources on the Internet.