Does OMS pay for the birth of a healthy child? OMS program for various courses of pregnancy

Last update: 04/18/2019

Many couples put off having children until later because of financial condition families. During pregnancy, childbirth and the postpartum period additional expenses for medical care, medicines, medical services. Not everyone knows what is free for pregnant women, and in general, that you can undergo some kind of examination and receive some medications for free.

Normative base

In connection with the decrease in life expectancy and a significant decrease in the birth rate in 2006, the All-Russian project "Health" was launched. An innovation was the introduction of birth certificates, stimulating the improvement of the quality of medical care in antenatal clinics and maternity hospitals.

Articles Art. 41 of the Constitution of the Russian Federation and art. 20 Fundamentals of the Russian legislation on health protection provide that all medical care in state and municipal medical institutions should be provided free of charge. Any by-laws must comply with the Constitution of the Russian Federation.

The issue of providing medicines is regulated by orders of the Ministry of Health and normative documents subjects of the federation. The main document is Order No. 748 dated 06.10.2008 “On drug provision for pregnant women”, which allows you to get a number of drugs absolutely free of charge or at a 50% discount.

Paid services in medical institutions are not prohibited by law, but at the same time they should not replace the free medical care due to pregnant women.

It should be

The Health project involves a certain sequence of receiving medical care, medicines and vitamins for pregnant women for free. To do this, each future woman in labor is issued a birth certificate, which is funded from local budgets subjects of the federation.

The general order is as follows:

It is necessary to try to be registered in the district antenatal clinic in the first 12 weeks of pregnancy. For early registration, there are incentive payments in the amount of 500-1000 rub. (depending on the region of the Russian Federation, a surcharge is set for residents of the North depending on the category of the district);
Regularly undergo examinations and take tests prescribed by the gynecologist in charge of you;
At the 30th week (in the case of a multiple pregnancy - at the 28th week), the pregnant woman is issued a birth certificate, which is used to pay for medicines, childbirth, and pediatrician services for examining the baby in the first year of his life.

How much can I get for early registration?

According to the Procedure for the appointment and payment of state benefits to citizens with children, every woman who will be registered with the district antenatal clinic in the first 12 weeks. pregnancy, getting lump sum. This is done to encourage women to start visiting a doctor as early as possible, which will identify abnormalities in the development of the fetus in the early stages of its development and take the necessary measures.

To receive benefits, you need not only to register on time, but also:

be a state-paid student;
be employed, then the employer makes payments to the FSS
contribute funds to your social insurance policy on your own.

Thus, one must either have official work or be a student educational institution or be a female entrepreneur. Also, women who were fired for valid reasons (moving, caring for a seriously ill family member, due to illness, etc.) no more than a month ago have the right to receive a payment.

A certificate can be obtained at the registry office of the antenatal clinic at the place of registration of the pregnant woman.
Then the certificate must be provided to the employer, at the place of study or go to the Social Insurance Fund at the place of registration to draw up a social contract.
The payment will be made simultaneously with the payment of the maternity benefit.

The procedure for receiving incentive payments is regulated by the Law “On State Benefits for Citizens with Children” of May 19, 1995 and the Order of the Ministry of Health and Social Development of Russia “On Approval of the Procedure and Conditions for the Appointment and Payment of State Benefits to Citizens with Children” of December 23, 2009

Why do you need a birth certificate?

The birth certificate was created in order to improve the quality of medical care in maternity hospitals and maternity clinics, since the money is received directly by those medical institutions that a woman applies to.

The certificate consists of three separate coupons for certain amounts:

3000 rubles - to pay for services in the antenatal clinic;
6,000 rubles - to pay for services in maternity hospitals and perinatal centers;
2000 rubles - to pay for the services of a children's clinic for examination and monitoring of a child until he reaches one year.

20-35% of the total amount a woman can spend on medicines prescribed by a doctor.

What free services are due to pregnant women in 2016?

Doctors Services

First of all, pregnant women are guaranteed to receive full medical support from a supervising gynecologist.
In addition, it is provided free service and other specialists, including a therapist, an otolaryngologist, an ophthalmologist and a dentist. A gynecologist issues a referral to doctors of other specializations.
It is also provided that all medical or physiotherapy procedures are provided free of charge.
A woman can get free help in a hospital, regardless of the method of treatment: independently, in the direction of a doctor or being delivered by an ambulance.

General Research

Women's consultations provide free examination:

Ultrasound three times for the entire duration of pregnancy (10-14 weeks, 20-24 weeks, 32-34 weeks) or more often in the direction of a gynecologist;
fluorography for all relatives of a pregnant woman living with her.

You do not have to pay not only for the study itself, but also for consumables used during work (for example, alcohol, syringes, cotton wool).

Laboratory research

Orders of the Ministry of Health and other regulations free tests for pregnant women are provided, including:

General clinical tests: a smear for flora, a general blood and urine test, samples according to Nechiporenko and Zimnitsky, a coagulogram (bleeding time, platelets, blood clotting time).
Biochemical: bilirubin, fibrinogen, total protein, urea, blood sugar, creatinine, prothrombin index.
Serological: blood group, blood test for syphilis, hepatitis, Rh factor, determination of antibody titer if Rh-negative.
Titer of antibodies to infections affecting the development of the fetus
Cytological: oncocytology
Additional (according to indications): bacteriological studies, colpocytology, serum iron, external hysterography, cardiotachography, etc.

Manipulations and physiotherapy

Physiotherapy (according to indications): electrosleep, electrophoresis and others
Manipulations (as prescribed by a doctor: intravenous injections, intramuscular injections and others.

Some medications and vitamins are free

The list of medicines provided to pregnant women free of charge is provided for by Order No. 748 dated 06.10.2008 “On drug provision for pregnant women”. It contains a small list of drugs and multivitamin complexes that will help a woman bear and give birth to a healthy baby (taken according to indications).

To receive a free medical product or purchase it at a 50% discount, you must:

Be registered in the district antenatal clinic;
After the examination, get a prescription from the doctor and a list of pharmacy points where it can be purchased.

The list includes only vitamins, drugs for anemia and iodine deficiency with a list of drug trade names:

Multivitamins (revit, gendevit, complivit, vitrum Prenatal, zitrum Centuri, Megadin Pronatal, multi-tabs, supradin, teravit, ferravit, elevit prental);

Iron preparations(maltover, fenyuls, ferretab complex) - with low hemoglobin;

Folic acid(folacin) - in the first 3 months of pregnancy;

Vitamin E (vitrum, zitrum vitamin E, tocopherocaps, alpha-tocopherol acetate);

Potassium iodide (iodomarine, iodine balance, potassium iodide, microiodide).

Get medicine for preferential terms in the first pharmacy that comes across is impossible, since for this the health authorities must conclude an appropriate agreement with the pharmacy. Check with your gynecologist where exactly you can use the benefit.

Can I get benefits by being seen in a private clinic?

The draft stipulates that a woman can receive benefits only if she is registered with the state/municipal antenatal clinic. But some women are observed and give birth in private clinics. However, a birth certificate and free medicines are issued only if you register with a state institution.

In this case, in order for a woman to receive the necessary drugs and vitamins absolutely free of charge or at a minimal cost, she should simply be observed at the same time both at the state antenatal clinic at the place of residence and at a private doctor.

Benefits at work

In addition to medical benefits, pregnant women are also entitled to benefits at work. Many of them are known to most workers:

prohibition of dismissal of a pregnant woman at the initiative of the owner (Article 261 of the Labor Code of the Russian Federation);
reduction in production rates (Article 254 of the Labor Code of the Russian Federation);
prohibition of overtime, night work, business trips (Article 259 of the Labor Code of the Russian Federation);
prohibition of working with harmful factors with the obligatory preservation of previous earnings (Article 254 of the Labor Code of the Russian Federation);
availability of paid maternity leave (Article 255 of the Labor Code of the Russian Federation);
leave until the child reaches three years of age (Article 256 of the Labor Code of the Russian Federation);
the ability to establish a part-time job or a week (Article 93 of the Labor Code of the Russian Federation).

But there are a number of benefits that not all pregnant women know about. For example, a pregnant employee has the right to use her annual leave at a time convenient for you (even violating the vacation schedule) or tying it to the beginning or end of maternity leave (Article 260 of the Labor Code of the Russian Federation). Also, an employee can use leave before six months of work at the enterprise in the first working year (Article 122 of the Labor Code of the Russian Federation).

And one more norm can be very helpful for pregnant women. According to part 3 of Art. 254 of the Labor Code of the Russian Federation, for the duration of the outpatient examination, pregnant women retain their average salary. This means that, firstly, the boss cannot prohibit going to the antenatal clinic during working hours, and secondly, he is obliged to pay for the time of the examination in the amount of the average salary. You just need to remember to take a certificate that you really were in a medical institution

Requirements for working conditions for women during pregnancy

According to SanPiN 2.2.0.555-96

How to exercise your rights

So, the legislation provides for some benefits for pregnant women, you just need to know your rights and insist on providing benefits. In case of violation of your rights, do not hesitate to argue and write complaints to various authorities.

As a rule, immediately after the threat to write a statement to the Department of Health, the Labor Inspectorate or the Prosecutor's Office, the whole problem disappears instantly, and the issue is settled very quickly.
First you should go to the head doctor or head of the antenatal clinic. It is quite possible that the conflict will be settled fairly quickly.
If the issue cannot be resolved, then it is worth writing a complaint to the regional department of health, to the Social Insurance Fund, the Ministry of Health, the prosecutor's office.
You can also call hotline or send a request to an email address using the online form.

It is advisable to include all recipients in the request. This reduces the chances of unsubscribing, since the management of the body sees that the request was sent not only to him. As a rule, after such requests, the attitude towards the patient instantly changes, and everyone sharply “remembers” about the benefits.

If you have questions about the topic of the article, please feel free to ask them in the comments. We will definitely answer all your questions within a few days.

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System compulsory insurance gives citizens the right to a certain list of free types medical services and procedures. This list also includes the management of pregnancy, which is carried out by medical institutions selected for participation in the program. So why get registered during pregnancy? What is included in the management of pregnancy under compulsory medical insurance? What is the full list of tests that should be given free of charge at the antenatal clinic? What services and what medical care is provided free of charge? What is an approximate plan for managing pregnancy according to CHI? We will answer these questions in this article.

Why get medical records during pregnancy?

The provision of services under the CHI policy becomes available to citizens upon the occurrence of insured event, which includes the pregnancy of a woman. In order to officially record any insured event and pay for the provided medical care, the state provides for a procedure for the proper execution of documents in medical institutions.

Pregnancy management also belongs to the list of compulsory types of services of the CHI policy, therefore, the possibility of obtaining free types of medical care depends on the confirmation of the fact of pregnancy. In order to receive the guaranteed list of services in full, a pregnant woman must contact a medical institution (antenatal clinic) for registration, while she has the right to.

Not only the proper management of pregnancy and care for the health of the woman and the unborn child, but also the possibility of obtaining additional payments depend on the timing of registration. When registering in a antenatal clinic up to 12 weeks of pregnancy, a lump-sum allowance is paid, which, as of 2017, is 543 rubles 67 kopecks.

What is included in the pregnancy procedure?

Operating CHI rules allow citizens to independently choose a medical institution in which services will be provided. As part of the registration and monitoring of a pregnant woman, the following conditions must be met:

The presence of the selected medical institution in the list of institutions participating in the CHI program;
Making an application to the antenatal clinic at the place of permanent residence;
Contacting insurance company asking for a replacement medical institution to the selected one.

After these actions, a pregnant woman will be able to receive the types of medical care she needs in any institution that is part of the CHI program. Pregnancy management within the list CHI services includes:

Consultations and supervision by the treating specialist;
Therapeutic and preventive procedures;
Regular and extraordinary inspections;
Physical and psychological prenatal preparation;
Passing mandatory and additional tests.

All types of medical care and services included in the mandatory list of CHI are provided free of charge. Payment for the assistance provided is carried out at the expense of the Fund health insurance. As part of the management of pregnancy, the doctor may prescribe mandatory and additional tests that are included in the mandatory list of CHI and are performed free of charge:

General clinical tests;
Blood test for biochemistry;
Research and analysis for the presence of infectious diseases;
Determination of antibodies to measles and rubella viruses;
Determination of blood group and Rh factor;
Tests for the presence of syphilis, HIV infection;
Study of blood coagulability;
Analyzes for various types of hormones.

The list of necessary tests and studies is determined by the attending physician. But at the same time, every pregnant woman is obliged to undergo a medical examination, which is a list of procedures and consultations of narrow specialists, carried out free of charge under the CHI policy. Information about the features of medical examination for pregnant women can be found in the article on. As part of the provision of medical care under compulsory medical insurance, a woman has the right to file complaints about poor-quality services.

Approximate pregnancy management plan for CHI

Pregnancy management after a woman is registered in a consultation is carried out in accordance with an exemplary program approved by orders of the Ministry of Health of the Russian Federation of December 28, 2000 No. 457 and of February 10, 2003 No. 2003. The specified regulatory documents approved the mandatory and recommended parameters and standards for the provision of services in the process of observation and treatment of a pregnant woman. The contents of this program include:

Observation (examination) by an obstetrician-gynecologist, and in some cases by a specially trained midwife, with a frequency of 6-8 times for the entire period (with standard conditions course of pregnancy);
Examination by specialist doctors (therapist, ophthalmologist, dentist, etc.) at the first visit, and later - if there are indications and a special referral by a gynecologist;
Laboratory studies (analyzes, examinations, etc.);
Ultrasound examination, which is performed 3 times during pregnancy;
Physical and psychological preparation for childbirth.

The composition of the program, as well as the frequency of individual procedures and activities, depend on the conditions of the course of pregnancy, as well as the availability additional species territorial the list of CHI. The attending specialist is obliged to use the recommended provisions of the program to determine the necessary measures and types of procedures, however, their actual indicators may differ significantly from the normative ones. Based on the results of the procedures performed and the types of services provided, the medical institution will receive reimbursement at the expense of the MHIF at current rates.

On the eve of International Mother's Day (celebrated on November 26), the Ministry of Health of Russia published useful information about pregnancy and childbirth.

Every woman who has citizenship Russian Federation provided with free medical care during pregnancy, during and after childbirth. Help is available in medical organizations within the framework of the program of state guarantees of free provision of medical care to citizens.

What is the deadline to register?

You should contact the antenatal clinic at the gestational age of 6-8 weeks. For registration, you need to present a passport and a policy of compulsory medical insurance.

Itrimester. 1-13 weeks

Obstetrician appointment:

General inspection
Assessment of the condition of the vagina and cervix
Measurement of weight, height, blood pressure and pelvic size
Recommendations for nutrition and regimen
Smear on the flora (allows you to identify possible infections)
Issuance of referrals for tests:

General urine analysis,
General blood analysis,
Coagulogram
Blood chemistry
Screening to determine the risks of fetal chromosomal abnormalities (Down syndrome)
Analysis for blood type and Rh factor
Analysis for HIV, hepatitis B and C, syphilis
Blood test for TORCH infection

Issuance of referrals to other specialists:

Therapist,
Endocrinologist,
Ophthalmologist,
Otolaryngologist,

IItrimester. 14-27 weeks

Obstetrician appointment:
Planned ultrasound
General blood analysis
General urine analysis
Registration of the Exchange card (22-23 weeks).

IIItrimester. 28-40 week

Obstetrician appointment:
Measurement of the height of the position of the fundus of the uterus and the volume of the abdomen
Planned ultrasound
General blood analysis
General urine analysis
Cardiotocography (CTG) - a study of the cardiovascular system of the embryo and its motor activity
Decor maternity leave(30th week).

From the 36th week until the birth, the doctor conducts a scheduled examination weekly.

I, II, IIItrimesters: general physical examination of the respiratory, circulatory, digestive, urinary system, mammary glands (examination, palpation, tapping, listening).

What is an exchange card?

The exchange card, which is compiled in the second trimester, contains three parts:

Information about the pregnant woman (personal data, blood type, Rh factor, results of examinations, tests, screenings, ultrasound, etc.). It is filled in by the doctor of the antenatal clinic.
Information of the maternity hospital about the puerperal (information about how the birth went and the period after them, about the presence of any complications, etc.). The doctor fills in before the woman is discharged from the maternity hospital (give the coupon to the doctor of the antenatal clinic).
Information from the parental home about the newborn (height, weight, Apgar score, etc.). This part of the card must be pinched to the pediatrician at the first visit.

Who and when issues a birth certificate?

Medical care under the basic compulsory medical insurance program in Russia is provided free of charge. It includes childbirth, the postpartum period, and hospitalization in a gynecological hospital if necessary (up to 22 weeks of pregnancy) or in the pregnancy pathology department of a maternity hospital (after 22 weeks).

In addition to the MHI policy, pregnancy management is additionally financed by the state - in the form of birth certificates, which are issued to a woman after 30 weeks of pregnancy (Order of the Ministry of Health and Social Development of the Russian Federation dated November 28, 2005 “701 (as amended on October 25, 2006) “On the birth certificate”). In case of multiple pregnancy, the certificate is issued to the woman after 28 weeks.

A birth certificate is used to pay for services rendered to a woman in a antenatal clinic, a maternity hospital, a perinatal center, as well as the services of a children's clinic for dispensary observation of a child in the first year of life. You can get it at the antenatal clinic, where you are registered.

Pregnancy and childbirth under compulsory health insurance

Pregnancy is a wonderful period in the life of every woman. Expectant mothers approach this issue with all responsibility and want to know in advance when to go to the doctor, when to do an ultrasound scan, how long to go on maternity leave and, finally, what to take to the hospital for themselves and their baby. Information about the management of pregnancy can be found in various sources, and sometimes there is even too much of it. To help expectant mothers, SOGAZ-Med specialists have collected the most up-to-date information about examinations during pregnancy, necessary procedures and documents for mother and child.

It is important

Employees of SOGAZ-Med remind that the policy of compulsory medical insurance (CHI) is valid throughout the Russian Federation. Medical assistance within the framework of the basic CHI program, which includes pregnancy monitoring, delivery, and examinations in the postpartum period, as well as (if necessary) hospitalization in a gynecological hospital (up to 22 weeks of pregnancy) or in the pregnancy pathology department of a maternity hospital (after 22 weeks ), throughout Russia is free. If a woman goes to a maternity hospital outside the registration area, and she has medical indications for hospitalization (for example, a threatened abortion, childbirth, etc.), then the refusal to provide her with medical care is unlawful, as well as the requirement to pay for any medical services.

In addition to funding from the compulsory medical insurance system, the management of pregnancy and childbirth is additionally supported by the state through the Birth Certificate program. A birth certificate is a document on the basis of which settlements are made with the medical institution that provided the woman and her child with appropriate healthcare services. The certificate is issued in the antenatal clinic where the pregnant woman is observed. If a pregnant woman is observed in private clinic, but wants to receive a birth certificate for compulsory medical insurance, she needs to go to the antenatal clinic, to which she is attached for up to 32 weeks and ask for a document on the basis of an exchange card issued by a private clinic. Remember, you cannot pay for a private clinic or cash out a birth certificate!

Examinations during pregnancy

The gestational age is determined by 3 trimesters.

In the 1st trimester up to 12 weeks, at the first visit of the pregnant woman, the obstetrician-gynecologist collects an anamnesis, conducts a general examination of organs and systems; anthropometry (measurement of height, body weight, determination of body mass index); measuring the size of the pelvis; gynecological examination. In addition, a woman undergoes examinations and consultations of narrow specialists: a therapist, dentist, otolaryngologist, ophthalmologist and other doctors - according to indications. And he takes a clinical and biochemical blood test, a coagulogram, a blood test for HIV, syphilis and hepatitis, TORCH infections, a vaginal smear and a general urine test. In addition, the doctor fills out the necessary documents, gives recommendations on nutrition and taking vitamins.

At a period of 10-12 weeks, prenatal screening is carried out - this is a mass examination of pregnant women, which is carried out in order to identify the "risk group". This group includes expectant mothers who have a high probability of having a child with a hereditary disease, or congenital malformations. Prenatal screening makes it possible to suspect Down syndrome, Edwards syndrome and neural tube defects in the fetus already in early pregnancy. The examination also includes biochemical (blood test) screenings. These studies are safe, that is, they do not affect the health of the expectant mother, the course of pregnancy and the development of the baby, and they can be carried out by all pregnant women.

In the 2nd trimester, parents, if desired, can already find out the sex of the child. Also at this time, the risk of a threatened abortion is reduced, in most cases toxicosis disappears (if it was in the 1st trimester) and the expectant mother can enjoy her position and the emerging tummy. For a period of 13–24 weeks, a urine test is performed before each visit to the doctor (1 time in 3 weeks).

The second screening during pregnancy is carried out at 18–21 weeks in a medical organization that performs prenatal diagnostics to exclude congenital anomalies in the development of the fetus. Like the first screening, it consists of two stages - ultrasound and blood tests.

In the 3rd trimester at 24-28 weeks, an oral glucose tolerance test (OGTT) or a glucose tolerance test is performed, which allows you to detect carbohydrate metabolism disorders during pregnancy, that is, to check how well the body regulates sugar levels. This test determines the presence gestational diabetes mellitus (GDM)- Pregnancy-related high levels of glucose (sugar) in the blood.

At a gestational age of 30-34 weeks, ultrasound is performed at the place of observation of the pregnant woman. At this time, a study of blood circulation in the placenta and in the baby is carried out. At the 30th week of pregnancy, a certificate of incapacity for work is issued for maternity leave.

After 32 weeks, regular fetal cardiotocography (CTG) recordings begin. This is a modern technique for assessing the condition of the fetus by the nature of its heartbeat.

Starting from the 36th week, a doctor's examination is carried out every 7 days. At 40-41 weeks, planned hospitalization for delivery is carried out. If medically indicated, pregnant women are offered earlier antenatal hospitalization. By this time, the mother should have a “bag to the hospital” ready with certain documents and things for herself and the child.

What documents and things to take to the hospital

Passport, compulsory medical insurance policy, birth certificate, exchange card from the antenatal clinic, SNILS. Mom will need personal hygiene items (soap, toothpaste and brush, etc.), rubber slippers, clothes (robe, socks, etc.). For a newborn, you need to prepare: hats (1-2 pcs each, flannel and cotton), vests / bodysuits (1-2 pcs each, flannel and cotton), sliders (2-3 pcs), diapers for newborns, booties and “scratches”, regular and disposable diapers (from 3 pcs.), diaper cream, wet wipes.

Before being discharged from the maternity hospital, the mother will undergo a pelvic ultrasound and will be advised on the benefits and recommended duration of breastfeeding.

What documents to take from the hospital

When discharged from the maternity hospital, the mother or next of kin should receive the following documents: a page from the mother's birth certificate, the child's exchange card, a vaccination card (if the maternity hospital was vaccinated against viral hepatitis B and tuberculosis), a certificate for the registry office about the birth of the child.

One of the first concerns of parents will be paperwork for a newborn child. SOGAZ-Med reminds that compulsory medical insurance policy is a document that entitles a child to receive free of charge all basic types of medical care in medical organizations operating in CHI system. A newborn child from the date of birth until the expiration of 30 days from the date state registration birth receives all the necessary medical care under the MHI policy of the mother or other legal representative.

To apply for a compulsory medical insurance policy, you must contact the insurance company. The SOGAZ-Med insurance policy can be issued by visiting one of the company's offices, or by leaving an application on the website.

The following documents are required to apply for a compulsory medical insurance policy for a child:

Birth certificate of the child;

SNILS of the child (if any);

Document proving the identity of the legal representative of the child.

For questions about the procedure for obtaining medical care within the CHI system, insured SOGAZ-Med can contact the insurance representative by calling the round-the-clock contact center 8-800-100-07-02 (Call within Russia is free) or clarify information on the website.

Company information

The insurance company "SOGAZ-Med" has been operating since 1998. The number of insured people is more than 19 million people. Regional network - more than 660 divisions in 40 constituent entities of the Russian Federation. SOGAZ-Med carries out CHI activities: it controls the quality of service for the insured when receiving medical care in the CHI system, ensures the protection of the rights of insured citizens, restores violated rights of citizens in pre-trial and judicial procedures. In 2018, the rating agency "Expert RA" confirmed the rating of reliability and quality of services of the insurance company "SOGAZ-Med" at the level of "A ++" (the highest level of reliability and quality of services in the framework of the CHI program according to the applied scale). For several years now, SOGAZ-Med has been awarded this high level of assessment.

Nowadays, people often move, and sometimes they have to be observed during pregnancy and give birth in a place other than where they are registered. Is it possible to give birth for free in another city? How to change antenatal clinic? And what other opportunities does the compulsory health insurance policy provide for a pregnant woman? We answer the most popular questions.

If I have a compulsory medical insurance policy and I live in the city of Moscow, can I give birth for free in the city of St. Petersburg or in another city in Russia?

The compulsory medical insurance policy is valid throughout the Russian Federation. If a person who has a compulsory medical insurance policy needs medical care in another subject of our country, they must provide it within the framework of the so-called basic compulsory medical insurance program, which is the same throughout the Russian Federation. The subjects of the Russian Federation have the right to expand the basic program for persons permanently registered on their territory. This extension is called territorial program OMS.

Medical assistance within the framework of the basic CHI program, which includes both childbirth and the postpartum period, and, if necessary, hospitalization in a gynecological hospital (up to 22 weeks of pregnancy) or in the pregnancy pathology department of a maternity hospital (after 22 weeks), is provided throughout Russia for free. That is, if a woman goes to a maternity hospital outside the territory where she was issued a compulsory medical insurance policy, and she has medical indications for hospitalization (for example, pregnancy, childbirth, and others), then the refusal to provide her with medical care is unlawful, as well as the requirement to pay for any or services.

Is it possible to choose an antenatal clinic under the CHI policy?

A pregnant woman has the right to choose any antenatal clinic, and not necessarily at the place of permanent registration, it is possible in another city. To do this, you need to come to the head of the consultation, in which she would like to register for pregnancy, and write a statement about this addressed to the head. The manager signs this application, and with it the pregnant woman goes to the office of the insurance company in which she is insured under compulsory medical insurance. In an insurance company future mother re-registered for a new antenatal clinic. At the same time, the policy itself does not change, and a new women's consultation is introduced in the annex to the CHI policy.

The head of the consultation theoretically has the right to refuse to attach a woman to her consultation in the event that all the doctors of the consultation have a workload that significantly exceeds what is required by law, that is, they have much more pregnant women on their register than they should be.

What services under the CHI policy can be obtained free of charge in commercial clinics?

If a commercial clinic works only for cash or is included in the voluntary medical insurance system, then under the CHI policy it will not be possible to receive services in it for free. However, every year the number of private clinics that operate in the CHI system is increasing. Therefore, before visiting a commercial clinic, check whether it has entered the compulsory medical insurance system, whether they do the examination that you need under the compulsory medical insurance system, whether a particular doctor accepts it, etc. If you receive a positive response, then in this private clinic you will receive medical services free of charge. As a rule, antenatal clinic doctors should be aware of such opportunities in private clinics and, if necessary, refer patients there under the CHI policy.

Questions and answers

Comment on the article "Pregnancy and compulsory medical insurance policy: what is supposed to be free?"

They asked me to pay for an additional examination under the MHI policy. I called my insurance company, which issued the CHI policy (ROSNO MS). I told them what and how, they promised to solve my problem. And they decided. Examined for free. So the policy really works and the insurance company is ready to defend its interests.

25.09.2015 17:50:46,

Total 3 messages .