1. An agreement for the provision and payment of medical care under compulsory medical insurance is concluded between a medical organization included in the register of medical organizations that participate in the implementation of the territorial program of compulsory health insurance and which, by the decision of the commission for the development of the territorial program of compulsory medical insurance, establishes the volume of medical care to be paid at the expense of compulsory medical insurance, and by the medical insurance organization participating in the implementation of the territorial program of compulsory medical insurance, in the manner established by this Federal Law.

2. Under the contract for the provision and payment of medical care under compulsory medical insurance medical organization undertakes to provide medical care to the insured person under the territorial program of compulsory medical insurance, and the insurance medical organization undertakes to pay for medical care provided in accordance with the territorial program of compulsory medical insurance.

3. The contract for the provision and payment of medical care under compulsory medical insurance must contain provisions providing for the following obligations of the insurance medical organization:

1) obtaining from medical organizations the information necessary to monitor compliance with the requirements for the provision of medical care to insured persons, information on the mode of operation, types of medical care provided and other information in the amount and manner established by the contract for the provision and payment of medical care on a mandatory health insurance, ensuring their confidentiality and safety, as well as verifying their reliability;

2) monitoring the volumes, terms, quality and conditions for the provision of medical care in medical organizations in accordance with the procedure for organizing and monitoring the volumes, terms, quality and conditions for the provision of medical care established by the Federal Fund;

3) organization of the provision of medical care to the insured person in another medical organization in case the medical organization loses the right to exercise medical activities.

4. The contract for the provision and payment of medical care under compulsory medical insurance must contain provisions providing for the following obligations of the medical organization:

1) providing information about the insured person and the medical care provided to him, necessary to control the volume, timing and quality of the medical care provided, the mode of operation of this organization, the types of medical care provided;

2) submission of invoices (register of invoices) for the medical care provided;

3) reporting on the use of compulsory medical insurance funds, on the medical care provided to the insured person and other reporting in the manner established by the Federal Fund;

4) fulfillment of other obligations provided for by this Federal Law and the contract for the provision and payment of medical care under compulsory medical insurance.

5. Insurance medical organizations are not entitled to refuse to conclude an agreement for the provision and payment of medical care under compulsory medical insurance of a medical organization selected by the insured person and included in the register of medical organizations participating in the implementation of the territorial program of compulsory medical insurance.

6. Payment for medical care provided to the insured person, on the basis of the registers of accounts and invoices for payment of medical care provided by the medical organization within the scope of medical care established by the decision of the commission for the development of the territorial program of compulsory medical insurance, is carried out at the rates for payment of medical care and in in accordance with the procedure for paying for medical care under compulsory medical insurance, established by the rules of compulsory medical insurance.

7. For non-payment or late payment for medical care provided under a contract for the provision and payment of medical care under compulsory medical insurance, an insurance medical organization at the expense of own funds pays a penalty to the medical organization in the amount of one three hundredth of the refinancing rate Central Bank Russian Federation effective on the day of the delay, from the amounts not transferred for each day of delay.

8. For failure to provide, untimely provision or provision of medical care of inadequate quality under the contract for the provision and payment of medical care under compulsory medical insurance, the medical organization pays a fine in the manner and amount that are established specified contract in accordance with this Federal Law.

9. For misuse by a medical organization of funds transferred to it under a contract for the provision and payment of medical care under compulsory medical insurance, the medical organization shall pay to the budget of the territorial fund a fine in the amount of 10 percent of the amount of misuse of funds and a fine in the amount of one three hundredth the refinancing rate of the Central Bank of the Russian Federation, effective on the day the sanctions are presented, from the amount of misuse of these funds for each day of delay. Funds used for other purposes, the medical organization returns to the budget of the territorial fund within 10 working days from the date of presentation territorial fund the corresponding requirement.

10. In the event of suspension or termination of a license, liquidation of an insurance medical organization or loss of the right to carry out medical activities by a medical organization, the contract for the provision and payment of medical care under compulsory medical insurance is considered terminated from the moment the license is suspended or revoked from the insurance medical organization or the loss of medical organization of the right to carry out medical activities.

11. Form standard contract for the provision and payment of medical care under compulsory medical insurance is approved by the authorized federal body executive power in agreement with the federal executive body exercising functions in accordance with the regulatory legal regulation in the field of insurance business.

The provisions of Article 39 of Law No. 326-FZ are used in the following articles:

• Rights and obligations of insurance medical organizations

  The rights and obligations of insurance medical organizations are determined in accordance with the agreements provided for in Articles 38 and 39 of this Federal Law.

Citizens of Russia are guaranteed free medical care by the state. A policy is issued to people - a document embodying support state system healthcare in case of illness.

And what does it really mean? What types of services in the clinic are required to provide without additional payment, and for which you have to pay yourself? Under what circumstances is a free medical examination carried out? Let's look at all the questions in detail.

About free medicine

The 41st article of the Constitution of the Russian Federation lists guarantees to citizens of the country from the state. In particular, it says:

“Everyone has the right to health care and medical care. Medical assistance in state and municipal health care institutions is provided to citizens free of charge at the expense of the relevant budget, insurance premiums, and other revenues.

Thus, the list of free medical services should be determined by the relevant government bodies i.e. the healthcare system. This happens on two levels:

• federal;
• regional.

Important! The budget fund for the development of medical institutions is formed from several sources. One of them is tax revenues from citizens.

What types of services are guaranteed by the state

By virtue of the current legislative acts, patients are guaranteed the right to the following types medical care:

• emergency ( ambulance), including special
• outpatient treatment, including examination;
• hospital services:
  • gynecological, pregnancy and childbirth;
  • with exacerbation of ailments, ordinary and chronic;
  • in cases of acute poisoning, in case of injury, when intensive care is required, associated with round-the-clock supervision;
• planned assistance in stationary conditions:
  • high-tech, including the use of complex, unique methods;
  • medical care for citizens with incurable ailments.

Important! If the disease does not fall under one of the options, you will have to pay for medical services.

Medicines are issued at the expense of the budget to people suffering from the following types of diseases:

• shortening life;
• rare;
• leading to disability.

Attention! A complete and detailed list of drugs is approved by a government decree.

Do you need on the subject? and our lawyers will contact you shortly.

New in legislation since 2017

The government decree of December 19, 2016 N 1403 provides a more detailed breakdown of medical services provided free of charge. In particular, primary health care is deciphered. It is divided into subspecies. Namely, the primary

• pre-medical (primary);
• ambulance;
• specialized;
• palliative.

Attention! As part of the program, palliative care has been added to the list of free medical care.

In addition, the text of the document contains a list of medical professionals who are subject to the obligation to treat patients without charging money.

These include:

• paramedics;
• obstetricians;
• other health workers with secondary specialized education;
• general practitioners of all profiles, including doctors of family medicine and pediatricians;
• doctors-specialists of medical organizations providing specialized, including high-tech, medical care.

Attention! The document contains a list of diseases that doctors are required to treat free of charge.

Medical policy

A document guaranteeing the provision of assistance to patients is called a compulsory medical insurance policy (CHI). This paper confirms that the bearer is insured by the state, that is, all the professionals listed above are required to provide services to him.

Important! Not only citizens of the Russian Federation have the right to issue a compulsory medical insurance policy. It is issued (for a small fee) to foreigners permanently residing in the country.

The MHI policy has the following semantic content:

• the citizen is guaranteed medical support;
• medical organizations perceive it as a client identifier (for it, the hospital will transfer funds from the Compulsory Medical Insurance Fund).

Important! The described document is issued only by licensed insurance companies. They are allowed to be changed, but not more than once a year (until November 1 of the current period).

How to get an OMS policy

The document is issued by the relevant companies operating within the framework of the legislation of the Russian Federation. Their rating is regularly printed on official websites, allowing citizens to make their choice.

To be issued a CHI policy, you must provide a minimum number of documents.

Namely:

• for children under 14:
  • birth certificate;
  • parent's (guardian's) passport;
  • SNILS (if any);
• for citizens over 14 years old:
  • passport;
  • SNILS (if available).

Important! For citizens of the Russian Federation, the policy is valid indefinitely. Only foreigners are provided with a temporary document:

• refugees;
• temporarily residing in the country.

Rules for replacing the compulsory medical insurance policy

In some situations, the document is supposed to be changed to a new one. These include the following:

• when moving to a region where the insurer does not work;
• in case of filling out the paper with errors or inaccuracies;
• in case of loss or damage to the document;
• when it fell into disrepair (dilapidated) and it is impossible to make out the text;
• in the event of a change in personal data (marriage, for example);
• in the case of a planned update of the sample form.

Attention! New policy OMS is issued without paying a fee.

What is included in the free service under the MHI policy

Clause 6 of Article 35 of Federal Law No. 326-FZ provides a complete list of free services under a medical policy provided to document holders. They are provided in:

• polyclinic;
• dispensaries;
• hospital;
• Ambulance.

Download for viewing and printing:

What can OMS policy holders expect?

In particular, patients are entitled to free medical care and treatment in the following situations:

Dentists, like other professionals, are required to work with patients without pay.

They provide the following types of assistance:

• treatment of caries, pulpitis and other diseases (enamel, inflammation of the body and roots of the tooth, gums, connective tissues);
• surgical intervention;
• dislocations of the jaws;
• preventive actions;
• research and diagnostics.

Important! Services for children are provided free of charge:

• to correct an overbite;
• enamel strengthening;
• treatment of other lesions not related to carious.

How to apply the CHI policy

In order to organize the treatment of patients, they are attached to the clinic. Choice medical institution given at the choice of the client.

It is defined:

• convenience of visiting;
• location (near the house);
• other factors.

Important! It is allowed to change the medical institution no more than once a year. The exception is a change of residence.

How to "attach" to the clinic

You can do this with the help of an insurer (choose an institution when receiving a policy) or on your own.

To attach to the clinic, you should go to the institution and write an application there. Copies of the following documents are attached to the paper:

• identity cards:
  • passports for citizens over 14 years old;
  • birth certificates of a child under 14 years of age and passports of a legal representative;
• compulsory medical insurance policy (original is also required);
• SNILS.

Important! Citizens registered in another region can legally refuse to attach to a polyclinic if the institution is overcrowded (the maximum norm of patients has been exceeded).

In case of refusal, it should be requested in writing. You can complain about a medical institution to the Ministry of Health of the Russian Federation or Roszdravnadzor.

Visit to the doctor

In order to get help from a specialist, you must register with him through the registry. This department issues admission vouchers. Terms and rules of registration, patient care are established on regional level. They can be found in the same registry.

In addition, the insurer must provide this information to customers (you need to call the number indicated on the policy form).

For example, in the capital there are such rules for providing patients with medical services:

• referral to an initial appointment with a therapist, pediatrician - on the day of treatment;
• coupon to specialist doctors - up to 7 working days;
• carrying out laboratory and other types of examination - also up to 7 days (in some cases up to 20).

Important! If the polyclinic is unable to meet the needs of the patient, he should be referred to the nearest institution where the necessary services are provided under the CHI program.

Ambulance

All people in the country can use emergency medical services (the presence of a CHI policy is optional).

There are regulations governing the activities of ambulance crews. They are:

• the ambulance service responds to emergency calls within 20 minutes in case of a threat to people's lives:
  • accidents;
  • wounds and injuries;
  • exacerbation of the disease;
  • poisoning, burns and so on.
• emergency care arrives within two hours if there is no threat to life.

Important! The dispatcher decides which team will go on the call based on the information of the client.

How to call an ambulance

There are several options for seeking emergency medical care. They are:

1. From a landline, dial 03.
2. By mobile connection:
   • 103;

Important! The last number is universal - 112. This is the coordination center for all emergency services: hide, fire, emergency and others. This number works on all devices if there is a network connection:

• with zero balance;
• with the absence or blocking of the SIM card.

Ambulance Response Rules

The service operator determines if the call is justified. An ambulance will arrive if:

• the patient has signs of an acute illness (regardless of its location);
• there was a catastrophe, a mass disaster;
• received information about the accident: injuries, burns, frostbite, and so on;
• violation of the activity of the main body systems, life-threatening;
• if childbirth or termination of pregnancy has begun;
• the disorder of the neuropsychiatric patient threatens the lives of other people.

Important! For children under the age of one year, the service leaves for any reason.

Calls due to such factors are considered unreasonable:

• the patient's alcoholism;
• non-critical deterioration of the patient's condition of the clinic;
• dental diseases;
• carrying out procedures in the order of planned treatment (dressings, injections, etc.);
• organization of workflow (issuance of sick leave, certificates, drawing up an act of death);
• the need to transport the patient to another place (clinic, home).

Attention! The ambulance only provides emergency care. If necessary, can deliver the patient to a hospital.

Where to file medical complaints

In the event of conflict situations, rude treatment, insufficient level of services provided, you can complain to the doctor:

• chief physician (in writing);
• to the insurance company (by phone and in writing);
• to the Ministry of Health (in writing, via the Internet);
• Prosecutor's office (also).

Attention! The term for consideration of the complaint is 30 working days. Based on the results of the check, the patient is required to send a reasoned response in writing.

If necessary, the attending doctor can be changed to another specialist. To do this, write an application addressed to the head physician of the hospital. However, the change of specialists is allowed to be carried out no more than once a year (except in cases of relocation).

Dear readers!

We describe typical ways to resolve legal issues, but each case is unique and requires individual legal assistance.

For a prompt resolution of your problem, we recommend contacting qualified lawyers of our site.

Last changes

On May 28, 2019, new CHI rules came into force, which provide for the introduction in Russia of policies of a single sample (paper or electronic format). At the same time, there is no need to replace the previously issued policy. In addition, if it is technically possible to uniquely identify the insured person in single register insured persons, then instead of a compulsory medical insurance policy, a passport is allowed (order of the Ministry of Health of Russia dated February 28, 2019 No. 108n “On Approval of the Rules for Compulsory Medical Insurance“).

The new Rules provide for stricter control over the observance of the rights of the insured, as well as close electronic interaction between the territorial MHIF, insurance organizations and medical organizations:

• polyclinics every year until January 31 will have to report to the TFOMS (through a single portal) the number of those attached, the number of people under dispensary observation, schedules of professional examinations / medical examinations with a quarterly / monthly breakdown by therapeutic areas; work schedules);
• polyclinics every day on working days before 9 am must report (through the TFOMS portal) on insured persons who have passed a medical examination, as well as on persons undergoing medical examination;
• medical organizations, medical insurance organization (HIO) and TFOMS will exchange information every day in electronic form on the TFOMS portal: hospitals must update data on the implementation of the volume of medical care, free beds, admitted / non-admitted patients by 9 am; polyclinics update information on hospital referrals issued yesterday until 9 am; medical organizations providing specialized, including high-tech, medical care, post information about patients who have had a telemedicine consultation, and the CMO is obliged to monitor the implementation of the recommendations received from the doctors of the NMIC, and has the right to conduct an in-person examination within the next 2 working days ;
• regardless of the mentioned interaction, every day no later than 10 am, the CMO informs hospitals about patients referred to such hospitals the day before, and also every day no later than 10 am informs medical organizations about the number of free beds in the context of profiles / departments, about patients whose hospitalization did not take place;
• On the basis of the database from the TFOMS portal, the HMO checks during the working day whether the patients were correctly referred to specialized medical organizations. If hospitalization took place out of time, not according to the profile, the HMO must file a complaint with the head physician of the violating medical organization and the regional Ministry of Health, and, if necessary, take measures and transfer the patient;
• insurance representatives of HIOs received a wide range of responsibilities - working with citizens' complaints, organizing examinations of the quality of medical care, informing and accompanying them when providing them with medical care, inviting them to medical examination, monitoring its passage, forming lists of "persons for medical examination" and lists of citizens who fell under dispensary observation;
• patients will be able to see when and what medical services were provided to them, and at what cost: in personal account on the portal of public services or through the TFOMS - by means of authorization in the ESIA;
• for oncological patients, the HMO undertakes to create (on the TFOMS portal) an individual history of insurance events (based on registers-accounts) throughout all stages of medical care.

Updated CHI rules directly impose on HIOs the obligation to carry out pre-trial protection of the rights of insured persons. When they file complaints about poor-quality medical care or charging for services under the compulsory medical insurance program, the CMO registers written appeals, conducts a medical and economic examination and an examination of the quality of medical care.

Our experts monitor all changes in legislation in order to provide you with reliable information.

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The compulsory medical insurance program was created to provide free medical care to citizens of the Russian Federation, to protect and prevent their health. Under this program, insured persons have the right to receive a certain set of medical services. What is a medical service? Who has the right to provide medical services and what regulation regulates this right? What assistance can be provided under the CHI program? We will answer these questions in this article.

What is a medical service?

According to Article 2 of the Federal Law No. 323 of November 21, 2011 “On the Fundamentals of Health Protection in the Russian Federation”, a medical service is a specific medical intervention or a set of such interventions that are aimed at diagnosis and treatment, medical rehabilitation and prevention. According to paragraph 1, article 5 of the same law, activities that are an integral part of medical services must be carried out on the basis of recognition, protection and observance of the rights of citizens, in accordance with regulations international law and generally accepted principles.

In general, the medical service consists of certain medical actions- medical care. The object of civil rights is a medical service, respectively, it has a commodity form with a certain value and can be a subject of sale. A feature of the medical service is its professional variety, moreover, the performers are subject to high requirements in terms of qualifications, for example, only a certified doctor of the relevant specialization has access to medical practice.

Who is eligible to provide medical services under the CHI program?

As part of the state guarantee for the provision of free medical care, the Russian Federation has a compulsory medical insurance program, which is regulated by Federal Law No. 326 of November 29. 2011 "On CHI in the Russian Federation". Within the framework of this law, two programs for the provision of medical services have been developed: basic and territorial. Participate in the implementation of the basic and territorial programs compulsory medical insurance medical organizations with any form of ownership are eligible, while they must meet certain criteria. Medical organizations that meet the following requirements are entitled to participate in the compulsory medical insurance program:

• Must be accredited and have relevant documents for the provision of medical care;
• Provide an appropriate material and technical, personnel and medicinal base for the provision of medical care of the proper quality;
• Have technical and software tools for maintaining personalized records of the medical care provided to the insured, protecting personal data and exchanging information in the information field;
• Comply with the sanitary-epidemiological and medical-protective regime;
• To be ready to provide medical assistance in the conditions of liquidation of emergency consequences;
• Be prepared to take anti-epidemic measures and submit extraordinary reports in accordance with normative documents federal and territorial Department of Health and management of Rospotrebnadzor;
• Be ready to provide emergency medical care;
• Comply with the procedure for hospitalization of planned and emergency patients in accordance with the requirements of the Department of Health;
• Have information tools (including on the Internet) to inform the insured persons about the working hours of the medical organization, the conditions and types of services provided, etc.

Requirements for medical organizations that have the right to provide medical services in CHI system, are regulated by Federal Law No. 323 of November 21, 2011 on health protection in the Russian Federation and Federal Law No. 326 of November 29, 2010 on compulsory medical insurance in the Russian Federation. Control over compliance with these requirements by medical organizations, regardless of the form of ownership, is carried out by the territorial Department of Health and the Compulsory Medical Insurance Fund.

Medical services provided under the MHI policy

The implementation of medical care within the framework of compulsory medical insurance is carried out by health care facilities and licensed clinics included in a special register. Private clinics not included in a special register cannot provide free services under compulsory health insurance. According to compulsory medical insurance, patients can receive medical care under the basic and territorial insurance programs. The list of diseases included in the CHI policy is enshrined in paragraph 6 of Article 35 of the Federal Law on CHI.

The basic program is valid in all regions of the Russian Federation, the patient has the right to free medical care, regardless of the region in which the insured event occurred. As part of the basic CHI program, patients receive:

• Primary care;
• Prevention of severe forms of diseases;
• Provision of health care at home;
• Ambulance;
• , including ;

In addition, the basic program implies the possibility of conducting,. However, these services will be provided free of charge only on the recommendation and referral of the attending (or duty) doctor, otherwise they will have to be paid for according to the price list established by the medical institution. Rating: 2.6/5 (3 votes)

, insured, at the expense of compulsory medical insurance, are provided with:

primary health care, including primary pre-medical, primary medical and primary specialized;

specialized medical care, including high-tech;

emergency medical care, including specialized ambulance;

palliative care in medical organizations.

Primary Health Care is the basis of the system of medical care and includes measures for the prevention, diagnosis, treatment of diseases and conditions, medical rehabilitation, monitoring the course of pregnancy, the formation healthy lifestyle life and sanitary and hygienic education of the population. Primary health care is provided free of charge on an outpatient basis and in a day hospital, in planned and emergency forms.

Primary pre-medical health care turns out to be paramedics, obstetricians and other medical workers with a secondary medical education.

Primary medical care turns out to be general practitioners, district general practitioners, pediatricians, district pediatricians and doctors general practice(family doctors).

Primary specialized health care is provided by specialist doctors, including medical specialists of medical organizations providing specialized medical care, including high-tech.

Specialized medical care is provided free of charge in inpatient and day hospital conditions by specialist doctors and includes the prevention, diagnosis and treatment of diseases and conditions (including during pregnancy, childbirth and the postpartum period) that require the use of special methods and complex medical technologies, and also includes medical rehabilitation.

High-tech medical care is part of specialized medical care and includes the use of new complex and (or) unique methods of treatment, as well as resource-intensive methods of treatment with scientifically proven effectiveness, including cellular technologies, robotic technology, information technologies and genetic engineering methods developed on the basis of the achievements of medical science and related branches of science and technology. High-tech medical care is provided by medical organizations in accordance with the list of types of high-tech medical care defined in Appendix 10 to this Territorial Program.

Emergency, including a specialized ambulance, is provided to citizens in an emergency or emergency form in case of diseases, accidents, injuries, poisonings and other conditions requiring urgent medical intervention outside a medical organization (at the place where an ambulance team is called, including a specialized ambulance, and also in vehicle with the use of medical equipment - during medical evacuation). Emergency medical care, including specialized ambulance, is also provided on an outpatient and inpatient basis by mobile advisory ambulance teams if it is impossible to provide this type of medical care in the relevant medical organization. When providing emergency medical care, including specialized ambulance, if necessary, medical evacuation is carried out, which is the transportation of citizens in order to save lives and preserve health (including people who are being treated in medical organizations that lack the ability to provide the necessary medical care). assistance in life-threatening conditions, women during pregnancy, childbirth, the postpartum period and newborns, persons affected by road traffic accidents, emergencies and natural disasters). Emergency medical care, including specialized ambulance, is provided free of charge by medical organizations of the state healthcare system. Medical evacuation is carried out by mobile ambulance teams with medical assistance during transportation, including the use of medical equipment.

Palliative care in outpatient and inpatient settings is provided by medical professionals who have been trained to provide such care, and is a set of medical interventions aimed at relieving pain and alleviating other severe manifestations of the disease, in order to improve the quality of life of terminally ill citizens. Palliative care is provided free of charge in medical organizations of the state healthcare system of the city of Moscow - hospices and palliative care departments of medical organizations.

Within the framework of the Territorial Program, medical care is provided in the following forms:

emergency - medical care provided in case of sudden acute illnesses, exacerbation of chronic diseases, conditions that threaten the patient's life;

emergency - medical care provided in case of sudden acute diseases, exacerbation of chronic diseases, conditions without obvious signs of a threat to the patient's life;

planned - medical care provided during preventive measures, for diseases and conditions that are not accompanied by a threat to the patient's life, that do not require emergency and urgent forms of medical care, the delay of which for a certain time will not entail a deterioration in the patient's condition, a threat to his life and health .

Medical assistance may be provided under the following conditions:

outside a medical organization (at the place where an ambulance brigade is called, including a specialized ambulance, as well as in a vehicle during medical evacuation);

on an outpatient basis, including at home when a medical worker is called (round-the-clock medical supervision and treatment are not provided);

in a day hospital (medical supervision and treatment during the daytime is provided, but round-the-clock medical supervision and treatment is not required);

in stationary conditions (24-hour medical supervision and treatment are provided).

Medical care in hospital in an emergency form
turns out to be urgent.

• The waiting period for specialized medical care (with the exception of high-tech) in a hospital in a planned form (scheduled hospitalization), including for persons in hospital social service organizations, is no more than 14 working days from the date the attending physician issues a referral for hospitalization of the patient, and for a patient with an oncological disease (a condition with signs of an oncological disease), specialized medical care (with the exception of high-tech) due to the presence of the specified disease (condition) in a hospital in a planned form - no more than 7 working days from the date of the oncological consultation and determination treatment tactics.
• Planned hospitalization is provided if there is a referral for hospitalization of the patient.
• Medical care for urgent indications on an outpatient basis is provided by district general practitioners, general practitioners (family doctors), district pediatricians, obstetrician-gynecologists and is carried out on the day the patient contacts the medical organization.
• The waiting period for primary health care in an emergency form is no more than two hours from the moment the patient contacts the medical organization.
• The provision of primary health care in a planned form is carried out by prior appointment of patients, including in electronic form.
• The waiting period for an appointment with district general practitioners, general practitioners (family doctors), district pediatricians should not exceed 24 hours from the moment the patient contacts the medical organization.
• The waiting period for the reception (consultation) of medical specialists in the provision of primary specialized health care in a planned form (with the exception of a suspected oncological disease) is no more than 10 calendar days from the date of the patient's application to the medical organization.
• The waiting period for the reception (consultation) of medical specialists in case of suspected oncological disease is no more than three working days from the date of the patient's application to the medical organization.
• The waiting period for diagnostic instrumental examinations (X-ray examinations, including mammography, functional diagnostics, ultrasound examinations) and laboratory examinations in the provision of primary health care in a planned form (with the exception of examinations for suspected cancer) is no more than 10 calendar days from the date of study assignment.
• The waiting period for computed tomography (including single-photon emission computed tomography), magnetic resonance imaging and angiography in the provision of primary health care in a planned form (with the exception of studies for suspected cancer) is no more than 14 working days from the date of appointment of the study.
• The waiting period for diagnostic instrumental and laboratory tests in case of a suspected oncological disease is no more than 7 working days from the date of the appointment of the study.
• The period for establishing a dispensary observation of an oncologist for a patient with a diagnosed oncological disease is no more than three working days from the day he was diagnosed with an oncological disease.
• The time of arrival to the patient of ambulance teams when providing emergency medical care in an emergency form should not exceed 20 minutes from the moment the ambulance team is called to provide such medical care.
• The waiting periods for the provision of high-tech medical care in a hospital in a planned form are established by the federal executive body that performs the functions of developing and implementing public policy and legal regulation in the healthcare sector.
• In medical organizations providing specialized, including high-tech, medical care in inpatient conditions, a "waiting list" for the provision of specialized medical care in a planned form is maintained and citizens are informed in an accessible form, including using the Internet information and telecommunication network, about waiting periods for the provision of specialized, including high-tech, medical care, taking into account the requirements of the legislation of the Russian Federation on personal data.

In order to provide medical care to a patient who is being treated in a hospital, if it is necessary to conduct diagnostic tests for him, if it is not possible to conduct them in a medical organization providing medical care in a hospital, free transport services are provided with simultaneous accompaniment of the patient by an employee of a medical organization.

One of the parents, another family member or other legal representative is granted the right to free joint stay with the child in a medical organization when providing medical care to him in a hospital during the entire period of treatment, regardless of the age of the child. When jointly staying in a medical organization of the state healthcare system of the city of Moscow or a medical organization participating in the implementation of the Territorial Compulsory Medical Insurance Program, in stationary conditions with a child until he reaches the age of four years, and with a child older than this age - if there are medical indications, a fee for creating conditions for stay in stationary conditions, including for the provision of a bed and meals, from these persons is not charged.

When providing medical care in a hospital for medical and (or) epidemiological indications, patients are placed in small wards (boxes) free of charge.

When providing medical care to citizens who have the right to receive state social assistance, the organization of drug provision for which is provided for by the legislation of the Russian Federation, and certain categories citizens entitled to receive social support measures in accordance with the legal acts of the city of Moscow are provided with medicines, medical devices, as well as specialized medical nutrition products for disabled children in the manner prescribed by the legislation of the Russian Federation and legal acts of the city of Moscow.

Within the framework of the Territorial Program, dispensary observation is carried out, which is a dynamic observation, including the necessary examination, of the health of persons suffering from chronic diseases, functional disorders, and other conditions, in order to timely identify, prevent complications, exacerbate diseases, other pathological conditions, their prevention and implementation of medical rehabilitation of these persons.

The procedure for dispensary observation and the list of studies included in it are approved by the Moscow City Health Department in accordance with the procedure and list approved by the federal executive body responsible for the development and implementation of state policy and regulatory health regulation.

Within the framework of the Territorial Program for the provision of primary specialized health care, patients who applied to medical organizations (structural divisions) participating in the implementation of the Territorial Program and not providing relevant medical services are routed by referral to other medical organizations (structural divisions) participating in implementation of the Territorial Program, to receive such medical services.

To receive medical care, citizens have the right to choose a doctor, including a general practitioner (family doctor) and an attending physician (subject to the consent of the doctor), as well as to choose a medical organization in accordance with the legislation of the Russian Federation.