Compulsory health insurance policy for a year. How to change an old-style oms policy to a new one

Policy Mandatory health insurance is a system that allows you to get the majority for free medical services in any region. It works as follows: every month, everyone who works in the Russian Federation makes contributions to the Compulsory Medical Insurance Fund. These funds go to insurance medical organizations operating in CHI system. And already they pay for the work of employees of polyclinics, hospitals, dispensaries and other medical organizations - according to the number of patients served and the services provided to them.

In order to receive medical services free of charge, you must confirm that you are in the CHI system. This can be done by presenting compulsory medical insurance policy.

"> compulsory health insurance (CHI) - a document confirming your right to free medical care in state medical institutions throughout Russia.

2. How to apply for an OMS policy?

To apply for an OMS policy, you will need:

passport or temporary identity card if you are changing it;
insurance number of an individual personal account (SNILS).

If you are taking out a policy for a child, you will need:

application (to be completed at the reception);
birth certificate of the child;
a document confirming that you can represent the interests of the child: your passport, an act of the guardianship and guardianship authority on the appointment of a guardian or trustee, a court decision, and so on;
SNILS child(for children under 14 years old - subject to availability, for children over 14 years old - mandatory).

If the documents will be submitted by your representative, for registration you will additionally need:

representative's passport or temporary identity card, if he changes it;
power of attorney for insurance in the selected organization.

MHI policy can also be issued To apply for a policy OMS to a foreigner will need:

application (to be completed at the reception);
passport of a foreign citizen or other document recognized in Russian Federation identity card of a foreign citizen in accordance with international treaty;
a residence permit for permanent residents of Russia or a mark on a temporary residence permit in the Russian Federation in a foreign citizen's passport or other identification document for temporary residents of Russia;
SNILS (if available).

">foreign citizens, To apply for a CHI policy, a stateless person will need:

application (to be completed at the reception);
a document recognized in the Russian Federation as identification of a stateless person in accordance with an international treaty, or a document issued in the Russian Federation to a stateless person who does not have identification documents;
a residence permit for permanent residents of Russia or a mark on a temporary residence permit in the Russian Federation in an identity document for temporary residents of Russia;
SNILS (if available).

">stateless persons And To apply for a CHI policy, a refugee will need:

application (to be completed at the reception);
one of the following documents: a refugee certificate, a certificate of consideration of an application for recognition as a refugee, a copy of the complaint against the decision to deprive the refugee status to the Federal Migration Service with a note of acceptance for consideration, a certificate of temporary asylum on the territory of the Russian Federation.

">refugees.

You can submit documents to an insurance medical organization from the register of the Moscow City Compulsory Medical Insurance Fund. Citizens of the Russian Federation registered in Moscow (both adults and children) who have never previously received a CHI policy can apply for a policy both at an insurance company and at any center of public services, regardless of the area of registration.

Please note: Before the child's birth is registered and for 30 days thereafter, the child's health insurance is provided by the same insurance company that insured the child's mother or other legal representative. After this period, one of the parents or other legal representative may choose another insurance company for the child.

The compulsory medical insurance policy will be ready within 30 working days after the registration of the application and the documents submitted by you. At this time, on the day of the application, you will be given a temporary policy, which you can use as usual.

3. How to change or restore the CHI policy?

If you are satisfied with your insurance company, you need to change the CHI policy or issue a duplicate of it in cases where:

you changed your place of residence, full name or other data in your identity document - within a month;
you have discovered an inaccuracy in the personal data specified in the document;
you have an old-style MHI policy (green sheet of A4 format or plastic card), and you want a new document (blue sheet of A5 format or three-color plastic card);
you have damaged or lost the CHI policy.

To replace or obtain a duplicate policy, you will need the same documents as for initial clearance. If your personal data, place of residence has changed, or inaccuracies are found in the issued CHI policy, you will also need documents confirming this.

You need to contact your insurance company. IN

when a duplicate policy is needed - provided that the previous policy was a new model and issued in Moscow;

when you need to replace the old-style MHI policy with a new-style policy - provided that old policy was issued in Moscow and after that your personal data did not change;

when you need to replace the CHI policy due to a change in personal data: last name, first name, address of residence - provided that you have a new policy and it was issued in Moscow.

">some cases you can also apply to any center in the city, regardless of the place of registration.

If you want to change the insurer, you need to apply for a new policy in the organization you like. But pay attention to general rule You can change the insurance company no more than once a year. If you have changed your place of residence or your insurance company has ceased operations - as often as possible. At the same time, from November 1 to December 31, applications for changing the insurance company are not accepted.

Within 30 days after the registration of the application and documents submitted by you, you will be issued a CHI policy of a new sample (old-style policies are no longer issued). During this time, you will be given a temporary policy, which you can use as usual.

4. Can I apply for an OMS policy online?

Documents for issuing (replacing, restoring) a CHI policy online can be submitted by adult users of the Official website of the Mayor of Moscow website, who have a full (confirmed) account, who have personal account specified by SNILS.

To apply for (replace, restore) an MHI policy online, you will need:

scanned copy of an identity document;
Black and white photo 320x400 pixels, up to 5 MB in format: JPG, JPEG, JPE.">photo(when ordering a CHI policy in the form plastic card With electronic media)
Scanned copy of the signature in black and white, size 160x736 pixels, up to 5 MB in size: JPG, JPEG, JPE. The size of a handwritten signature should not exceed 10x46 mm.">Scanned copy of the signature(when ordering a CHI policy in the form of a plastic card with an electronic carrier);
CHI policy number (if any).

After you submit the documents, a temporary certificate will be available for you to download in your personal account. The CHI policy itself will be ready within 30 days after registration of the submitted documents. You can get it at the point of issue of insurance policies of your choice. medical organization or at the center of public services (depending on which method of receipt you indicate when submitting documents).

5. How can I check if my CHI policy is valid?

6. What medical services can be obtained free of charge under the CHI policy?

Under the CHI policy throughout Russia (regardless of where it is issued), you can receive free Medical services are provided in medical organizations participating in the implementation of territorial CHI programs, in the amount established by the basic program of compulsory medical insurance.

Replacing the CHI policy with a new policy: urgently or not urgently, is it possible to use the old document, in what cases is re-issuance required and what needs to be done

All Russians are entitled to free medical services subject to a special insurance contract. The guarantee of this right is compulsory health insurance, but in order to use the help of doctors for free, the patient must have a policy.

Some time ago, the program changed, and now the CHI policy is being replaced with a new model policy. Next, we will clarify the most important issues regarding this process, and tell you what is required of each of us.

Is it necessary to replace the MHI policy with a new model policy?

The news that appeared in October that the service of issuing and replacing the CHI policy with a new policy will be suspended until 2019 caused a great stir among ordinary citizens.

People were afraid of problems with getting medical help and rushed to urgently change outdated papers and cards.

However, the MHIF explained that the policies are valid without time limits and with old cards you can easily use the free services of polyclinics and other medical institutions.

The replacement of old samples is carried out in a planned manner, but so far it is voluntary. A person can continue to be treated under the old contract, or he can renew it and receive a new type of medical insurance, but from January 2019 it will not be available.

As it became known from the explanation of the MHIF, only those who are dissatisfied with the work of their insurance company and would like to change it were offered to replace the compulsory medical insurance policy until November 1. This can be done annually, but not more than once.

Anyone wishing to use the services of another company is invited to study the list of insurers, which can be found on specialized websites, and choose a more reliable option with a good reputation among insurers.

Clarification of the MHIF on replacing the old compulsory health insurance policy with a new one

Change of registration

Since many are interested in whether it is necessary to change the MHI policy to a new type policy after changing the place of registration, we will clarify this issue as well. According to the current legislation, issued before 2011 insurance documents will be valid for an unlimited period of time - until the immediate replacement.

However, if personal information is changed, they will be considered invalid. If you have changed your last name, first name, place of residence, you will also have to reissue the insurance contract, otherwise you may be denied medical services.

As a rule, doctors do not refuse help, especially when it comes to emergency situations. However, the law must be respected, and the insurance must be amended.

This does not apply to cases when a person temporarily changes his place of residence, leaving for a long vacation, business trip. Mandatory re-registration is required only when moving to another house and changing the permanent residence permit.

Types of documents confirming insurance

Currently, any insured citizen may have one of the following insurance documents:

paper policy - a blue A5 form;
plastic card - contains a chip with information about the owner;
UEC - information about insurance is included in the universal card.

Until 2017, the UEC was considered mandatory and made it possible to receive various public services. It could be used as a bank card, travel ticket, medical insurance. Those who have received such a card may continue to use it as proof of compulsory medical insurance.

Since 2017, universal cards are no longer issued, so there are only 2 options for a medical policy that Russians can get. Of these, preference is given to the traditional paper version, since some clinics have not yet developed a special technique for scanning electronic cards.

Although many note that the plastic version is much more convenient and durable.

What changed

The replacement of the MHI policy with a new model policy is understood as only one innovation. The form used since 2011 will be updated. Most insurers issued them for a period up to 2014. Now the validity period has already ended, so it's time to change them, which is planned by the MHIF.

As for plastic cards, they have been issued for 4 years already, starting from 2014. They are unlimited and cannot be changed. If the owners have not changed their personal data, then it is not necessary to change the card.

Validity periods

Since there are different types of insurance documents, many again may have questions about whether it is necessary to change the CHI policy to a new model policy and whether it should be done immediately. We have already answered these questions But still, we will clarify the periods of validity of insurance:

Old insurance contracts were drawn up with a specific period. The form shows the end date of the contract. After finishing insurance period it is necessary to draw up another policy, although medical services will still be provided in the same volume and without reissuance.
Contracts of the new sample do not have an expiration date. An exception can only be the situation when it is necessary to replace personal data in the contract (moving, marriage, and others).

It is in the interests of every citizen to choose a suitable insurer and sign a new contract with him if the previous one has ended or any information about the identity of the insured has changed. Replacement insurance policy Compulsory medical insurance for a policy of a new sample is free of charge.

Replacement process

If your medical insurance still valid, there is no point in rushing to exchange it. However, if it is necessary to re-register, for example, if there is a desire to change the provider insurance services company, you need to know how to do it.

Follow our instructions and the whole process will not take you much time:

Choose an insurer. Read reviews and learn more about the company's reputation. If the previous experience suits you, you can contact the company that concluded the first contract with you.
Write an application, indicate the reason for the re-registration.
Present your passport.
For the first 30 days, you can receive services on a temporary certificate, which you will receive from your insurer. It is equivalent to a policy, accepted by all medical institutions.
Get ready-made insurance in a month, check on the spot all the information indicated there.

In the near future, it is planned to provide Russians with the opportunity to issue CHI on the portal of public services. While this feature is being tested in St. Petersburg, it will soon be available to residents of other cities.

Documents for registration

To replace the policy, you will need:

your national passport,
statement,
SNILS,
old form or card, if they have survived,
birth certificate, if the insurance is for a child, and the passport of an adult applicant.

When applying for compulsory medical insurance for a child under 14 years old, SNILS is not required. If this is not a close relative, then a power of attorney in his name from the legal representative of the child is required.

Processing time

The finished policy can be received within 10-15 days. If you take out insurance at the MFC, be prepared for an increase in the period of receipt, since it will be sent by mail.

But even with a high workload of the insurer and mail, this period will not exceed 30 days - the period when a person can use a temporary certificate to receive medical services.

Need for replacement

Renewal of medical insurance will be necessary for those who:

lost, spoiled a valid document;
changed the name, patronymic, surname;
changed the place of permanent residence;
changed passport;
decided to change the insurer;
Found a typo in the documentation.

You must notify the insurer of these changes within 1 month. You will be issued a free CHI policy of a new sample, the replacement period is 10 days.

Let's summarize all of the above. So, you can still use your old health insurance until it runs out. If it has an expiration date on it, then it is in your best interest to update it to avoid misunderstandings with medical professionals.

In case of any change in your data, you are obliged to notify the insurer and issue new policy. This is done free of charge within 10-30 days. For the period while the document is being prepared, you will be issued a temporary certificate.

It has the same validity and is unconditionally accepted by any institution as medical insurance for obtaining free services.

How to get a policy for a child

Where to get a policy

Important (!)

On policies of a single sample.

What does an OMS policy of a single sample look like?

with an indefinite duration.

The procedure for obtaining a policy

SNILS (if available).

4) for :

resident card;

SNILS (if available).

5) for :

resident card;

SNILS (if available).

6) for :

SNILS (if available).

7) for :

SNILS (if available);

8) for :

9) for :

10) for

11) for

change of name, patronymic,

change of residence.

present your passport.

Where to get a policy:

ATTENTION!

CHI policy of a new sample

What you need to know about the CHI policy of the new sample

The procedure for obtaining (issuing) a CHI policy of a new sample

Documents required to obtain a compulsory health insurance policy

When do I need to replace (renew) the policy

How to get a policy for a child

Where to get a policy

What medical assistance can be obtained for free

What you need to know about the CHI policy of the new sample

From January 1, 2011, in accordance with the Law "On Compulsory Medical Insurance in the Russian Federation" dated November 29, 2010 No. 326-FZ (hereinafter - Law No. 326-FZ), each citizen can independently choose an insurance company and receive a CHI policy.

Compulsory medical insurance policies issued to persons insured under compulsory medical insurance before the date of entry into force of Law No. 326-FZ on compulsory medical insurance are valid until they are replaced by compulsory medical insurance policies of a single sample.

Important (!)

All CHI policies issued to citizens before May 1, 2011 continue to remain valid until they are replaced on policies of a single sample.

What is a plastic compulsory medical insurance policy?

Under these "old" policies, you are required to provide the necessary medical care under compulsory medical insurance programs.

There are no deadlines for replacing old policies with new policies by law. When to make this replacement - you decide on your own, and there should be no unrest in this matter (we will have time, we will not have time). Therefore, there is no need to rush to obtain a compulsory medical insurance policy of a single sample.

The exchange will be carried out gradually over several years until 2014.

CHI policies of a single sample are produced centrally by the Federal Compulsory Medical Insurance Fund, they are personalized, with high protection parameters against forgery and changes or distortions of the data that are posted on it. For citizens of the Russian Federation and permanent residents of Russia foreign citizens, as well as stateless persons, policies of a single sample are issued with an indefinite duration.

Insurance companies have begun issuing new electronic compulsory health insurance (CHI) policies.

The electronic compulsory medical insurance policy resembles a regular bank card, is equipped with a similar chip, contains the personal data of the insured (full name, date of birth, place of residence, insurance company, etc.). On the reverse side - a photo and a personal signature of the owner.

To obtain an electronic compulsory medical insurance policy, you need to apply to your insurance company. It will be made in 30 business days. The circulation of electronic policies does not cancel the validity of old-style policies that are valid until the owner replaces them, for example, in connection with a change in surname, place of residence or a change in insurance company.

The procedure for obtaining a policy

To obtain a compulsory medical insurance policy of a single sample, you must contact the insurance company. At the same time, you must first decide which medical insurance organization (HIO) to apply to, because Law No. 326-FZ gives you the right to choose a HMO. Thus, the first legal action what you have to do is choose an insurance company.

The choice of an insurance company is confirmed by filling out an application, the form of which will be provided to you by the insurance company. When applying to an insurance medical organization, you must present a document proving your identity (passport), as well as the insurance number of an individual personal account (if any), assigned to you in pension fund RF (SNILS).

If necessary, the insurer's specialist will help you fill out an application, and after it is completed, he is obliged to verify the accuracy of the data entered into it on the basis of the documents you submitted. It is necessary to draw up an application very carefully, corrections in it are not allowed. The accuracy of your personal data specified in the application is confirmed by your signature on the application, as well as the signature of an insurance company specialist.

The choice of an insurance company for children until they have reached the age of majority is made by their legal representatives: parents and guardians who are required to submit their passport, birth certificate of the child and his SNILS (if any) to the SMO.

It is also necessary to know that a citizen can choose or replace an insurance company no more than 1 time during a calendar year. An exception to this rule are situations related to the change of your place of residence or the termination of the activities of the insurance company in which you were previously insured.

On the basis of your application for choosing an insurance company, on the day of your application, you will be issued a temporary certificate confirming the issuance of a policy of a single sample. The temporary certificate has a limited validity period - 30 working days from the date of its issuance. Why is it being issued? Why is it impossible to immediately get a compulsory medical insurance policy of a new uniform sample? There are two main reasons for this.

Each citizen can have only one CHI policy of a single sample. Therefore, before ordering such a personalized policy for you, the insurance company is obliged to check whether you have already received this policy by contacting another insurance company earlier. This verification takes 5-10 days from the date of issuance of a temporary certificate. If it turns out that you have already received a CHI policy of a single sample from some other insurance company, you will be denied a reissuance of the policy. The insurance company that issued you the temporary certificate is obliged to inform you about this.

If you have never received a policy of a single sample, and this is confirmed by the audit, then such a policy will be ordered for you. Territorial Fund include information about you in the application for the issuance of policies, and send the application to the Federal CHI fund. However, for the production and execution of registered policies of a single sample and their subsequent delivery to the regions from Federal Fund OMS takes some time.

According to the calculations of experts, 30 working days is exactly the period that is necessary for all the above procedures. During this period, you will be able to receive medical care in the territorial CHI program at the place of residence or the basic CHI program in any other region of the Russian Federation, presenting the temporary certificate issued to you. Well, after the policy of a single sample, made for you, arrives at the insurance company of your choice, the CMO is obliged to inform you about its delivery and the possibility of receiving it.

The temporary certificate and the CHI policy itself of a single sample are strict reporting forms, therefore, when you receive them from the insurance company, you must sign in a special journal, confirming with your signature that you really received them.

Documents required to obtain a compulsory health insurance policy

The application for the choice (replacement) of an insurance medical organization shall be accompanied by the following documents or their certified copies required for registration as an insured person:

1) for children after state registration birth and up to 14 years who are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen years and older:

identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of a passport);

SNILS (if available).

3) for persons entitled to medical care in accordance with the Federal Law "On Refugees": a certificate of a refugee or a certificate of consideration of an application for recognition as a refugee on the merits, or a copy of the complaint against the decision to deprive the status of a refugee to the Federal Migration Service with a note on its acceptance for consideration.

4) for foreign citizens permanently residing in the Russian Federation:

passport of a foreign citizen or other document established federal law or recognized in accordance with an international treaty of the Russian Federation as an identity document of a foreign citizen;

resident card;

SNILS (if available).

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a stateless person;

resident card;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

passport of a foreign citizen or other document established by federal law or recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a foreign citizen, with a mark on a temporary residence permit in the Russian Federation;

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as a document certifying the identity of a stateless person, with a mark on a temporary residence permit in the Russian Federation;

or a document of the established form, issued in the Russian Federation to a stateless person who does not have a document proving his identity;

SNILS (if available);

8) for representative of the insured person:

9) for legal representative of the insured person:

10) for persons without a fixed place of residence and occupation(including children) in the absence of identity documents, social assistance institutions submit an application for registration as an insured person, containing:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, Contact Information, surname, name, patronymic (if any) of the representative, seal);

name of the territorial fund;

11) for persons not identified during the treatment period, the medical organization submits an application for identification of the insured person, containing:

estimated information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund.

When do I need to replace (renew) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

last name change (for example, if you got married and changed your last name)

change of name, patronymic,

change of residence.

In the latter case, we are talking about moving to a permanent or temporary place of residence (subject to the availability of temporary registration) in another subject of the Russian Federation (region, republic, territory).

It is also necessary to renew the policy when:

change of date of birth, place of birth

establishing inaccuracies or erroneous information contained in your CHI policy.

In the presence of these circumstances, the citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

Compulsory medical insurance of children from the date of birth until the day of state registration of birth is carried out by the insurance company in which their mothers or other legal representatives are insured.

After the day of state registration of the birth of a child (after receiving a birth certificate) and until he reaches the age of majority, compulsory health insurance is provided by an insurance company chosen by one of his parents or another legal representative.

The child's insurance company can be any insurance company operating in the region.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application in the insurance company;

present a birth certificate of the child, his SNILS (if available);

present your passport.

Where to get a policy:

What medical care is available for free

ATTENTION!

Useful links on the topic "CMI policy"

Tags: compulsory medical insurance policy, get a compulsory medical insurance policy, get a new compulsory medical insurance policy, compulsory medical insurance policy

CHI policy of a new sample

What you need to know about the CHI policy of the new sample

The procedure for obtaining (issuing) a CHI policy of a new sample

Documents required to obtain a compulsory health insurance policy

When do I need to replace (renew) the policy

How to get a policy for a child

Where to get a policy

What medical assistance can be obtained for free

What you need to know about the CHI policy of the new sample

Important (!)

All CHI policies issued to citizens before May 1, 2011 continue to remain valid until they are replaced on policies of a single sample.

Under these "old" policies, you are required to provide the necessary medical care under compulsory medical insurance programs.

There are no deadlines for replacing old policies with new policies by law.

What does an OMS policy look like?

When to make this replacement - you decide on your own, and there should be no unrest in this matter (we will have time, we will not have time). Therefore, there is no need to rush to obtain a compulsory medical insurance policy of a single sample.

The exchange will be carried out gradually over several years until 2014.

CHI policies of a single sample are produced centrally by the Federal Compulsory Medical Insurance Fund, they are personalized, with high protection parameters against forgery and changes or distortions of the data that are posted on it. For citizens of the Russian Federation and foreign citizens permanently residing in Russia, as well as stateless persons, policies of a single sample are issued with an indefinite duration.

Insurance companies have begun issuing new electronic compulsory health insurance (CHI) policies.

The electronic MHI policy resembles a regular bank card, is equipped with a similar chip, contains the personal data of the insured (full name, date of birth, place of residence, insurance company, etc.). On the reverse side - a photo and a personal signature of the owner.

The procedure for obtaining a policy

To obtain a compulsory medical insurance policy of a single sample, you must contact the insurance company. At the same time, you must first decide which medical insurance organization (HIO) to apply to, because Law No. 326-FZ gives you the right to choose a HMO. Thus, the first legal action that you must take is choose an insurance company.

The choice of an insurance company is confirmed by filling out an application, the form of which will be provided to you by the insurance company. When applying to an insurance medical organization, you are required to present a document proving your identity (passport), as well as the insurance number of an individual personal account (if any) assigned to you in the Pension Fund of the Russian Federation (SNILS).

If you have never received a policy of a single sample, and this is confirmed by the audit, then such a policy will be ordered for you. The Territorial Fund will include information about you in the application for the issuance of policies, and will send the application to the Federal CHI Fund. However, it takes some time to produce and issue personalized policies of a single sample and their subsequent delivery to the regions from the Federal Compulsory Medical Insurance Fund.

According to the calculations of experts, 30 working days is exactly the period that is necessary for all the above procedures. Throughout this period, you will be able to receive medical care under the territorial CHI program at the place of residence or the basic CHI program in any other region of the Russian Federation, presenting the temporary certificate issued to you. Well, after the policy of a single sample, made for you, arrives at the insurance company of your choice, the CMO is obliged to inform you about its delivery and the possibility of receiving it.

Documents required to obtain a compulsory health insurance policy

1) for children after state registration of birth and up to 14 years who are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen years and older:

identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of a passport);

SNILS (if available).

4) for foreign citizens permanently residing in the Russian Federation:

resident card;

SNILS (if available).

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a stateless person;

resident card;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

or a document of the established form, issued in the Russian Federation to a stateless person who does not have a document proving his identity;

SNILS (if available);

8) for representative of the insured person:

9) for legal representative of the insured person:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund;

11) for persons not identified during the treatment period, the medical organization submits an application for identification of the insured person, containing:

estimated information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund.

When do I need to replace (renew) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

last name change (for example, if you got married and changed your last name)

change of name, patronymic,

change of residence.

It is also necessary to renew the policy when:

change of date of birth, place of birth

establishing inaccuracies or erroneous information contained in your CHI policy.

In the presence of these circumstances, the citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

The child's insurance company can be any insurance company operating in the region.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application in the insurance company;

present a birth certificate of the child, his SNILS (if available);

present your passport.

Where to get a policy:

What medical care is available for free

ATTENTION!

Useful links on the topic "CMI policy"

Tags: compulsory medical insurance policy, get a compulsory medical insurance policy, get a new compulsory medical insurance policy, compulsory medical insurance policy

CHI policy of a new sample

What you need to know about the CHI policy of the new sample

The procedure for obtaining (issuing) a CHI policy of a new sample

Documents required to obtain a compulsory health insurance policy

When do I need to replace (renew) the policy

How to get a policy for a child

Where to get a policy

What medical assistance can be obtained for free

What you need to know about the CHI policy of the new sample

Important (!)

All CHI policies issued to citizens before May 1, 2011 continue to remain valid until they are replaced on policies of a single sample.

Under these "old" policies, you are required to provide the necessary medical care under compulsory medical insurance programs.

The exchange will be carried out gradually over several years until 2014.

CHI policies of a single sample are produced centrally by the Federal Compulsory Medical Insurance Fund, they are personalized, with high protection parameters against forgery and changes or distortions of the data that are posted on it. For citizens of the Russian Federation and foreign citizens permanently residing in Russia, as well as stateless persons, policies of a single sample are issued with an indefinite duration.

From May 1, 2017, new CHI policies began to be issued

Insurance companies have begun issuing new electronic compulsory health insurance (CHI) policies.

The procedure for obtaining a policy

To obtain a compulsory medical insurance policy of a single sample, you must contact the insurance company. At the same time, you must first decide which medical insurance organization (HIO) to apply to, because Law No. 326-FZ gives you the right to choose a HMO. Thus, the first legal action that you must take is choose an insurance company.

The choice of an insurance company is confirmed by filling out an application, the form of which will be provided to you by the insurance company. When applying to an insurance medical organization, you are required to present a document proving your identity (passport), as well as the insurance number of an individual personal account (if any) assigned to you in the Pension Fund of the Russian Federation (SNILS).

Documents required to obtain a compulsory health insurance policy

1) for children after state registration of birth and up to 14 years who are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen years and older:

identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of a passport);

SNILS (if available).

4) for foreign citizens permanently residing in the Russian Federation:

resident card;

SNILS (if available).

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a stateless person;

resident card;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

or a document of the established form, issued in the Russian Federation to a stateless person who does not have a document proving his identity;

SNILS (if available);

8) for representative of the insured person:

9) for legal representative of the insured person:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund;

11) for persons not identified during the treatment period, the medical organization submits an application for identification of the insured person, containing:

estimated information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund.

When do I need to replace (renew) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

last name change (for example, if you got married and changed your last name)

change of name, patronymic,

change of residence.

It is also necessary to renew the policy when:

change of date of birth, place of birth

establishing inaccuracies or erroneous information contained in your CHI policy.

In the presence of these circumstances, the citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

The child's insurance company can be any insurance company operating in the region.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application in the insurance company;

present a birth certificate of the child, his SNILS (if available);

present your passport.

Where to get a policy:

What medical care is available for free

ATTENTION!

Useful links on the topic "CMI policy"

Tags: compulsory medical insurance policy, get a compulsory medical insurance policy, get a new compulsory medical insurance policy, compulsory medical insurance policy

CHI policy of a new sample

What you need to know about the CHI policy of the new sample

The procedure for obtaining (issuing) a CHI policy of a new sample

Documents required to obtain a compulsory health insurance policy

When do I need to replace (renew) the policy

How to get a policy for a child

Where to get a policy

What medical assistance can be obtained for free

What you need to know about the CHI policy of the new sample

Important (!)

All CHI policies issued to citizens before May 1, 2011 continue to remain valid until they are replaced on policies of a single sample.

Under these "old" policies, you are required to provide the necessary medical care under compulsory medical insurance programs.

The exchange will be carried out gradually over several years until 2014.

CHI policies of a single sample are produced centrally by the Federal Compulsory Medical Insurance Fund, they are personalized, with high protection parameters against forgery and changes or distortions of the data that are posted on it. For citizens of the Russian Federation and foreign citizens permanently residing in Russia, as well as stateless persons, policies of a single sample are issued with an indefinite duration.

Insurance companies have begun issuing new electronic compulsory health insurance (CHI) policies.

The procedure for obtaining a policy

To obtain a compulsory medical insurance policy of a single sample, you must contact the insurance company. At the same time, you must first decide which medical insurance organization (HIO) to apply to, because Law No. 326-FZ gives you the right to choose a HMO. Thus, the first legal action that you must take is choose an insurance company.

The choice of an insurance company is confirmed by filling out an application, the form of which will be provided to you by the insurance company. When applying to an insurance medical organization, you are required to present a document proving your identity (passport), as well as the insurance number of an individual personal account (if any) assigned to you in the Pension Fund of the Russian Federation (SNILS).

Documents required to obtain a compulsory health insurance policy

1) for children after state registration of birth and up to 14 years who are citizens of the Russian Federation:

2) for citizens of the Russian Federation aged fourteen years and older:

identity document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of a passport);

SNILS (if available).

4) for foreign citizens permanently residing in the Russian Federation:

resident card;

SNILS (if available).

Medical policy of a new sample: its types and design features

5) for stateless persons permanently residing in the Russian Federation:

a document recognized in accordance with an international treaty of the Russian Federation as a document proving the identity of a stateless person;

resident card;

SNILS (if available).

6) for foreign citizens temporarily residing in the Russian Federation:

SNILS (if available).

7) for stateless persons temporarily residing in the Russian Federation:

or a document of the established form, issued in the Russian Federation to a stateless person who does not have a document proving his identity;

SNILS (if available);

8) for representative of the insured person:

9) for legal representative of the insured person:

information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund;

11) for persons not identified during the treatment period, the medical organization submits an application for identification of the insured person, containing:

estimated information about the insured person (last name, first name, patronymic (if any), gender, date of birth, place of birth, citizenship, place of residence);

information about the applicant organization (name, contact information, last name, first name, patronymic (if any) of the representative, seal);

name of the territorial fund.

When do I need to replace (renew) the policy

The law defines the following circumstances, in the presence of which it is necessary to replace the policy:

last name change (for example, if you got married and changed your last name)

change of name, patronymic,

change of residence.

It is also necessary to renew the policy when:

change of date of birth, place of birth

establishing inaccuracies or erroneous information contained in your CHI policy.

In the presence of these circumstances, the citizen must notify his insurance company of the change within 30 days.

How to get a policy for a child

The child's insurance company can be any insurance company operating in the region.

To obtain a compulsory medical insurance policy for a child, you must:

fill out an application in the insurance company;

present a birth certificate of the child, his SNILS (if available);

present your passport.

Where to get a policy:

What medical care is available for free

ATTENTION!

Useful links on the topic "CMI policy"

Tags: compulsory medical insurance policy, get a compulsory medical insurance policy, get a new compulsory medical insurance policy, compulsory medical insurance policy

Registration of an electronic compulsory medical insurance policy

SOGAZ-Med invites citizens of the Russian Federation to apply for a CHI policy in the form of a plastic card with an electronic carrier (electronic policy).*

The electronic compulsory medical insurance policy in the form of a plastic card with electronic media, as well as the compulsory medical insurance policy on a paper form, allows you to receive free medical care under the program state guarantees throughout the Russian Federation. However, a plastic card (“electronic” CHI policy) has a number of advantages.

Compulsory Medical Insurance Policy

It is more compact and durable, which is all the more important, given that the CHI policy is issued indefinitely. This form of compulsory medical insurance policy is especially convenient for citizens who often apply to medical institutions or go on business trips around Russia.

The procedure for obtaining an "electronic" MHI policy also consists of two stages: issuing a temporary certificate and issuing a finished policy within 30 working days. A plastic compulsory medical insurance policy contains an electronic chip, a unique compulsory medical insurance policy number, a photo of the owner, his full name and signature. When applying for a compulsory medical insurance policy, you must take a picture and leave an electronic signature on a special tablet. This is done directly at the insurance office. medical company at the time of application, and you do not need to bring your photos. For children under 14 years old, plastic compulsory medical insurance policies are issued without a photograph, so parents can apply for compulsory medical insurance policies for children without their presence at the office of the insurance company.

When applying for an electronic compulsory medical insurance policy, it is necessary to present documents, as well as when applying for a compulsory medical insurance policy in the form of a paper form:

For an adult:

- passport;

For a child:

- SNILS of the child (for children under 14 years old - if available).

Electronic CHI policies are issued free of charge and are valid throughout Russia within the scope of the basic program of state guarantees.

* Registration of an electronic policy for CHI SOGAZ-Med is not available in all regions of the Russian Federation. To clarify the possibility of issuing an electronic policy on the territory of your region, you can call the contact center 8-800-100-07-02.

To make changes to the electronic compulsory medical insurance policy, a pin code is required.

Changes to the electronic CHI policy are made when replacing the medical insurance organization (IMO), in which the citizen was previously insured, for the following reasons:

- in accordance with the right to replace the QS once during the calendar year no later than November 1;

- in case of change of place of residence;

— in case of termination of the agreement on financial provision of compulsory medical insurance.

To replace the CMO, the following documents must be submitted to the newly selected CMO:

For an adult:

- passport;

— Electronic compulsory medical insurance policy (if available).

For a child:

— birth certificate/passport (for children over 14 years old);

- passport of the parent / legal representative;

- SNILS of the child (for children under 14 years old - if available);

— Electronic compulsory medical insurance policy (if available) .

When providing an electronic compulsory medical insurance policy a pin code is required (issued in an envelope along with electronic policy OMS).

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

Types of insurance documents

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

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

How long is the policy valid?

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

Replacement procedure

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

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

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

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

Do I need to change the new policy?

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

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

The conditions for the validity of compulsory medical insurance policies are fixed by the provisions listed in the "Rules of Compulsory Medical Insurance", put into effect by Order of the Ministry of Social Development of the Russian Federation No. 158n dated February 28, 2011. These Rules for the provision of medical care are periodically amended. So, the wording of the provisions was updated in 2017. What is the essence of the changes that took place in 2017? What caused these changes and what can they entail? We will answer these questions in this article.

What govern the rules of the OMS?

Most citizens throughout their lives are faced with diseases of varying severity. These can be disorders as a result of infections, exacerbation of chronic diseases, injuries, pregnancy and childbirth. In all these cases, for the further normal functioning of the human body and for the purpose of partial or complete recovery, it is necessary to provide medical care.

The state guarantees the receipt of timely and qualified medical services within the framework of a functioning system of compulsory medical insurance. Thus, CHI is an opportunity for citizens to receive timely medical care. The range of services within the framework of the program is quite diverse, it consists of the following items:

Ambulance and emergency medical care;
Undergoing outpatient treatment;
stay in a hospital;
Providing diagnostic and preventive services;
Providing medicines to privileged categories of citizens;
Vaccination;
Other medical services operating in within the CHI.

Medical assistance is provided within the framework of compulsory medical insurance on a gratuitous basis. The sources of financing are employers and subjects of the Russian Federation. Contributions to the MHI fund are made periodically within the established tariffs.

Who is the insured person?

take advantage CHI services maybe quite a wide range of people. First of all, this includes citizens of the country, including the unemployed, persons of retirement age, children and others. The insured also include foreign citizens temporarily or permanently residing on the territory of the Russian Federation, refugees and stateless persons. As insured in the CHI system in accordance with Art. 10 of Law No. 326-FZ of November 29, 2010, self-employed citizens are also considered, as well as members of peasant farms, persons undergoing full-time education, persons with disabilities, guardians of persons with disabilities, and others.

Highly qualified foreign specialists and members of their families are not recognized as insured. Employers don't pay for them. insurance premiums in the FOMS (compulsory health insurance fund). But these categories of persons have the right to receive medical assistance in the country, having a voluntary medical insurance policy (VMI).

Rights and obligations of participants in insurance relations

In the medical insurance system, 3 types of participants remain in 2017. These are insurers, policyholders and insured persons. Citizens and other persons who are entitled to receive medical care under the CHI actions. To confirm the status, an insurance medical policy is issued that allows you to receive required list free services throughout the Russian Federation.

Act as insurers Insurance companies. Their responsibilities include paying for medical services, protecting the rights in terms of receiving timely and high-quality medical services. The insurers are, as a rule, the employers of the insured persons, the constituent entities of the Russian Federation. Their main task is the timely transfer of contributions to the FFOMS.

Changes in compulsory medical insurance affecting certain categories of the population

Since 2017, there have been some changes in the CHI system. In the previous CHI rules adjustments were made on the basis of the Order of the Ministry of Health of Russia dated October 27, 2016 No. 803n. Adopted amendments affect foreign citizens and stateless persons. The policies they receive can only be submitted in paper form with a validity period until the end of the current period (year). At the same time, the condition is preserved that the final term of the document cannot be longer than the expiration of the temporary residence permit. Innovations also affect citizens whose states are members of the EAEU (Armenia, Belarus, Kyrgyzstan, Kazakhstan). For citizens of Russia, compulsory medical insurance policies remain indefinite.

Format of CHI policies in 2017

Starting from 2017, a new format of CHI policies began to operate in the Russian Federation. Their size has significantly decreased, the composition began to include a Russian chip that allows you to read information. It was planned that the required technical equipment would be introduced on the territory of all subjects of the Russian Federation by the end of 2017. The new document format allows the owner information to be read electronically. Therefore, problems with obtaining information about the patient should not arise. In the event that the owners of new policies present them in regions where there is insufficient technical equipment, customer data can be found by the policy number from the general CHI database.

For those citizens who still have old-style policies in their hands, problems should also not arise. So far, there are no plans to limit the validity of the previous forms of documents. At the same time, if desired, it is possible to change the document of the old paper sample to a more modern one.

The advantages of the new model policies are clear. First of all, it is a more compact format. Holders of a small card with a chip will no longer have to risk damaging the document due to its deformation. All information can be read electronically thanks to the embedded chip. The technology of manufacturing policies of a new sample contributes to their greater persistence. It will become almost impossible to spoil the document by accident. In addition, the policy contains the following information about the owner:

Passport data;
Photo of the owner;
Owner's electronic signature;
The name of the insurance company.

The current rules of compulsory medical insurance for citizens of the Russian Federation will remain unchanged. But there will be an opportunity to get a more modern document or exchange an old policy for a new one. The provisions of the MHI will also allow insured persons to receive the necessary services within the framework of the current legislation. Minor innovations will affect only stateless persons and foreigners. For them, it is not yet possible to issue a new policy, and the validity of the document is now limited to a calendar year.

Conclusion

The compulsory medical insurance rules, which were updated in 2017, affected foreign citizens and stateless persons, who from this year are issued only paper policies valid until the end of the year. In addition, since 2017, CHI policies have been issued to citizens arriving for work from the EAEU countries. Russian citizens can, from the specified year, exchange their policies for a new document - plastic card with a chip.