Insurance company Medical insurance company UralSib. OMS electronic policy Medical insurance policy uralsib

Every citizen is interested in receiving quality medical care. Especially for this category of citizens, the Uralsib CHI policy was created, without which it is impossible to get free help in a medical facility. Consider how to get it and what is required for this.

About Uralsib

Uralsib is one of the major insurance companies that has been providing mandatory and voluntary products since June 1993. The company includes MSK "Uralsib", whose activities are aimed only at providing forms of mandatory and voluntary health insurance.

Medical Insurance Company Uralsib is an organization that has been providing high-quality voluntary and mandatory medical protection since December 13, 1994. The authorized capital is 156,000,000 rubles.

Yury Fedorovich Demin is the general director of the insurance company.

As of January 01, 2020, the number of insured citizens under the CHI Uralsib amounted to about 2,806,077 people. Every day this number only increases, which is characterized by the stability of the company.

Anyone can apply for a compulsory health insurance form, both at the office of a financial company and at Bank Uralsib. You can find the address of the required office on the official website of the insurer. All you need is to select a region.

CHI services Uralsib

As practice shows, not all citizens know what services are included in the compulsory health insurance policy. That is why, for your convenience, we list full package services that you can use after applying for protection in a large insurance company Uralsib.

Free services for insured persons:

  1. Emergency medical care.
  2. Hospitalization and hospital fees.
  3. Free medicines that are necessary for treatment during your stay in the hospital.
  4. Emergency dental care, which excludes only prosthetics.
  5. Consultation of the necessary doctor.
  6. Vaccination at the request of the client.
  7. Making a sick leave.
  8. Prenatal care and pregnancy.
  9. IVF and abortion.
  10. Surgical intervention.
  11. X-ray and fluorography.

It turns out that under the compulsory medical insurance policy in Uralsib, each insured person can go to the polyclinic with which the company has an agreement for free and use medical care absolutely free. As practice shows, financial organization agreements have been concluded with all state medical institutions.

You can always check the full list of medical institutions by calling the customer support service. Managers of the insurance company Uralsib are ready to provide the necessary information around the clock, completely free of charge.

How to apply for a policy: step by step instructions

It is possible to issue a compulsory medical insurance policy in Uralsib even for a newborn. Consider how the registration procedure takes place at the office of the insurance company and remotely.

Issuing a policy at the office of the insurer includes:

  • You must select the office of the insurance company in your region.
  • Prepare required list documents, which will be discussed later in this article.
  • Write a letter to a company representative.
  • Get temporary policy.
  • After 30 days, apply again to the branch of the insurance company in order to obtain a permanent policy.

Important! As for the temporary document, the insured citizen can use the same services under it as under the permanent document.

For CHI registration via the Internet you will need:



Important! The electronic compulsory medical insurance policy differs from the paper one only in appearance. The first is available in the form of a compact plastic card like a driver's license. The second document is much larger and is printed on a ½ A4 letterhead.

What documents will be needed

You can get a health insurance form only if you have a complete package of documents. Consider what should be prepared when contacting the office of a financial institution.

Package of documents for children under 14:

  • birth certificate;
  • legal representative's passport;
  • SNILS (optional).

Package of documents for persons over 14 years old:

  • passport of a citizen of the Russian Federation;
  • SNILS.

Foreign citizens must present:

  • passport of a foreign citizen;
  • residence permit or permission to stay on the territory of the Russian Federation;
  • statement.

Refugees:

  • identity document;
  • document confirming refugee status.

Representatives:

  • passport;
  • a power of attorney of an approved form;
  • statement.

Important! Non-citizens of the Russian Federation and refugees without the specified documents will not be able to receive a mandatory protection form. In this case, you will need to issue VHI on a paid basis.

If you are applying to the office on behalf of another person, you will need to fill out a power of attorney in the form of an insurer. We offer.

There are times when the form is lost. There is nothing wrong with this, since you can restore it completely free of charge. To do this, when contacting the office, you must fill out an application form for issuing a duplicate. We offer.

Additionally, it is presented for you.

How to check the compulsory medical insurance policy Uralsib online

After submitting a temporary form, the insurer has 30 days to issue a permanent one. You can check the readiness of the CHI policy in Uralsib remotely. To do this, you need to go to the official website of the insurer and click "Check policy".

For information, you should:

  • indicate the number of the temporary document;
  • select the region in which the form was ordered.

As a result of the check, a report will appear. If the form is ready, then you can take the documents and contact the branch of the company.

Additionally, on the official portal of the financial company, you can check the period by which the form was issued. This is true when making a temporary contract.

If it is not possible to check the information via the Internet, then you can always call free phone customer support services, voice personal data, document number and receive information.

Important! It must be taken into account that every citizen of the Russian Federation has the right to change the insurer at any time according to compulsory insurance. This must be done by November 1st.

Features of issuing a policy for persons who do not have Russian citizenship

It must be taken into account that the procedure for issuing a CHI policy in Uralsib for foreign citizens has its own characteristics. Let's consider them in more detail:

  • A foreign citizen can issue a policy only at the office of the company. Unfortunately, it is not possible to apply remotely.
  • A permanent policy is issued only in paper form. The electronic product is not available for foreigners.
  • You can apply for protection only for 1 calendar year.
  • To receive the form, you must prepare a complete package of documents. In this case, the manager of the insurance company accepts only originals.

Additionally, it is worth noting that CHI for foreign citizens, as well as for Russians, is issued completely free of charge.

Every citizen must take out a compulsory health insurance policy (CHI) in order to receive free assistance, undergo examinations and use other opportunities to the extent provided for by the basic program. The compulsory medical insurance policy in URALSIB is drawn up in the manner prescribed by law.

Features of CHI in URALSIB

Medical insurance in URALSIB provides protection of all rights for citizens of the Russian Federation in the field of providing medical care:

  • Independent choice of doctor and insurance medical organization from the list of institutions participating in the CHI program;
  • Receiving treatment, as well as diagnostics and rehabilitation throughout the territory of the Russian Federation;
  • Consultations of specialized specialists;
  • Receiving emergency assistance, medical intervention using available methods and drugs;
  • Getting food while in the hospital;
  • Refusal to interfere;
  • Obtaining information about their rights within the framework of the MHI project and about the state of health;
  • Protecting patient information;
  • Compensation for harm in the provision of poor-quality treatment.

The duties of a citizen include choosing an insurance medical institution by submitting an appropriate application, informing about a change in personal data or place of residence. You have 30 days to do so from the date of the change. When moving, it is necessary to choose an insurance medical organization within a month.

Registration of medical insurance

Registration procedure medical policy quite simple and involves several ways.

Please note that at present, only residents of Moscow, the Moscow Region and the Republic of Bashkortostan can apply for CHI from URALSIB.

The procedure for issuing an OMS policy

The procedure for issuing a compulsory medical insurance policy in URALSIB and insuring a person is as follows:

  • The client submits an application for the choice of a medical organization together with a set of mandatory documents.
  • URALSIB issues a temporary CHI policy, which is valid for 30 days and has all the features of a regular policy.
  • When the electronic compulsory medical insurance policy is ready, the client receives a notification.
  • The client visits the URALSIB office and picks up the original.

The applicant should prepare certain documents for applying to URALSIB: passport and SNILS. Foreigners have the right to present an existing identity card and a temporary residence permit in the country. For children, a birth certificate and a passport of one of the parents (legal representative) will be required.

In the application for choosing an institution, you must enter the following mandatory information: which you fill out must be addressed to URALSIB, and indicate in the body of the document:

  • Name of the medical organization;
  • Reason for applying: selection, replacement;
  • Desired form of the CHI policy: hard copy, plastic card, UEC;
  • Valid insurance number in the CHI system, if any;
  • Signature of familiarization with the rules for the provision of CHI;
  • Personal data, category (citizen/foreigner/refugee, employed/not);
  • Passport;
  • Addresses of registration and place of residence;
  • SNILS number;
  • Contacts;
  • Information about the representative (if any);
  • Date, painting.

When accepting the application, the authorized employee puts a mark in the appropriate field and enters the number of the issued temporary insurance certificate.

Features of the policy replacement procedure in URALSIB

The client has the right to replace the health insurance policy in URALSIB once a year if he wants to receive care at another medical institution. To do this, you must go through the procedure described above with a similar statement.

It is necessary to change the insurance in such situations:

  • The client's personal data has changed;
  • Inaccuracies, errors were found in the policy;
  • Mechanical damage to the card, dilapidation (tears, unusable appearance) of the paper version;
  • Loss of a document.

In this case, a re-issuance or issuance of a duplicate takes place, for which it is necessary to fill out the appropriate application, where you indicate the reason for your request (from those described above). In the form, you must enter similar information and your previous characteristics, if they have been changed.


Online application for the issuance of CHI

  • Select region;
  • Policy format;
  • personal information;
  • SNILS number;
  • Contact Information;
  • Date for a visit to URALSIB.

When filling out the online form for a child, you will need to enter both his data and your own (parent, representative).

By submitting the application form online, you can count on an expedited procedure when visiting the office and receiving a temporary certificate. You can also order a call and notify the employee about the desire to receive the original immediately. This will require you to wait a little longer. After that, the applicant is invited to the URALSIB office, where he will need to fill out a form and submit documents. He will immediately receive the original CHI policy in his hands.


Use the online mode to obtain a policy - all data can be entered in a special form. The process will save you a lot of time.

Conclusion

In URALSIB, compulsory medical insurance is carried out in accordance with Federal Law No. 326 and guarantees the fulfillment of all the rights of citizens in the field of medical care. If an insurance medical institution refuses to accept a compulsory medical insurance policy, these actions are considered illegal and are prosecuted legally.

Electronic policy OMS (EPOMS) is a document in the form of a plastic card, which confirms the right of a citizen to receive free medical care throughout the territory Russian Federation in the amount provided for by the basic program of compulsory medical insurance.

From 05/01/2017, in accordance with the letter Federal Fund of Compulsory Medical Insurance dated April 25, 2017 No. 107/91/2017, the issuance of electronic CHI policies in the Russian Federation was resumed

We invite you to receive an electronic compulsory medical insurance policy at the office of MSK Uralsib, which you can choose link .

An electronic MHI policy can only be issued by citizens of the Russian Federation.

The plastic policy is one of the varieties insurance policy compulsory health insuranceon a par with an ordinary paper policy and a universal electronic card. A chip containing the personal data of the insured is embedded in the policy, and a photograph and a personal signature are applied on the reverse side, which prevents the document from being used by another person.

The term for the production of an electronic policy is 30 working days. For this period, the insured receives a temporary certificate, which gives the right to seek medical assistance.

Together with the electronic policy, the insured person receives a letter with secret PIN and PUK codes. These codes are highly recommended to keep.
In accordance with the law, a citizen insured under compulsory medical insurance has the right to change the insurance company and in order not to issue a document again, the electronic compulsory medical insurance policy allows you to record information about the newly selected insurance medical organization.
The PIN code will be required to confirm that the information is entered with the consent of the policyholder.
The PUK code is required in order to remove the error that occurs when the PIN code is entered incorrectly three times.
If you lose your PIN and PUK code, access to change information on plastic policy Compulsory medical insurance will not be possible, however, the compulsory medical insurance policy will not expire until the moment when changes are required.

All CHI policies are issued and issued free of charge.

Refine the list required documents and get answers to your questions in compulsory medical insurance You can call the 24-hour toll-free " hotline» 8 800 250 70 32 .

Please note that the issuance of EPOMS does not cancel the validity of MHI policies received earlier. In accordance with federal law dated November 29, 2010 No. 326-FZ “On Compulsory Medical Insurance in the Russian Federation”, compulsory medical insurance policies continue to be valid until they are replaced with new ones.

Advantages of an electronic policy:

  • modern, technological a high degree protection. A chip is embedded in the policy to identify the insured, and on the reverse side there is a photo and personal signature of the owner;
  • compact. The dimensions of the policy are the same as bank card. It is convenient to carry with you and take on the road;
  • damage resistant. The policy is made of durable material, does not tear, wrinkle or get dirty.

Medical Insurance Company URALSIB appeared on the insurance market in 1994. It provides its services to Russian citizens, attracting clients to conclude an agreement on compulsory medical insurance.

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Over the years of activity, the company has become one of the leading ones, having gained fame among the population. A developed branch network in the regions of the country, staffed by highly qualified specialists, can be called one of its advantages.

Policy Features

The program for (abbreviated CHI) refers to the system for social protection interests of citizens, which is carried out by the state in the field of public health protection.

It provides guaranteed medical care regardless of gender, age, legal status, place of permanent residence.

When concluding an insurance contract, citizens are issued a CHI policy, which is an official document.

The CHI policy provides an opportunity for Russian citizens to receive free services from healthcare workers:

  • in polyclinics;
  • in trauma centers;
  • in dental clinics at the place of residence;
  • in city and inter-district medical and diagnostic centers;
  • in dispensaries of oncology, skin and venereal diseases.

Moreover, the above institutions should take part in the implementation CHI programs.

Benefits of CHI at Uralsib

Compulsory medical insurance programs implemented by the URALSIB insurance group provide medical care to Russian citizens free of charge in various medical institutions.

The URALSIB insurance group supports customers around the clock, as it has a medical dispatch service.

Medical care is provided by highly qualified doctors who can resolve any problems associated with a violation of the normal functioning of the body.

It exercises control over the quality of the medical care provided, assuming the regulation contentious issues that arise between the insured person and employees of medical institutions.

The insurance group strives to protect the rights of its clients so that they can receive quality medical care in full.

The main advantages of insurance in it are:

  • experience in the insurance services market, which allows solving various issues by highly qualified specialists;
  • the possession of reliability, manifested in the conduct of business in many areas, guaranteeing the fulfillment of the obligations assigned to it;
  • the phenomenon of scale, enclosed in a developed network of branches and representative offices that serve customers at the proper level;
  • equipping the group with the latest technologies that allow organizing interactions with insured persons and medical institutions in a proper way and issuing a CHI policy in a short time.

How to get

The policy is issued according to a certain procedure in accordance with the instructions of Article 46 of the Federal Law of the Russian Federation, which approves the conditions for the acquisition and operation of the CHI policy.

To purchase a policy, the client must personally or with the assistance of a representative submit an application drawn up on a form with a unified form to an insurance medical organization or territorial fund. Its content is an appeal for the election of an insurance medical organization.

The insurance group issues a temporary certificate that has all the features of the CHI policy. The application is accompanied by a list of documents, which include:

  • children under 14 years of age - a birth certificate, an official document of one of his parents;
  • citizens from the age of 14 - a passport, which is an identity card, if it was insured in the field of compulsory pension insurance, then the insurance number for pension insurance;
  • for persons with refugee status - a certificate or business paper on the consideration of the application, the content of which is recognition of him as a refugee. This provision is enshrined in federal law;
  • citizens of foreign states who permanently reside in the country - a passport or any other document confirming his identity, permits for residence in the Russian Federation, if available, an individual personal account number according to the SSOPS;
  • persons who do not have Russian citizenship who live in it permanently - a passport or a document certifying personal data, permit papers for residence, if any;
  • citizens of other countries who live on the territory of the Federation for a limited time - a passport or other official paper, which is established by federal legislative acts or recognized in accordance with the terms of the agreement concluded by the Russian Federation with others, the number of the personal account of the personified account;
  • stateless persons who reside in the country temporarily - a certificate recognized in accordance with international treaty Russian Federation as an official document, where a note allowing residence is made or business paper proving the identity of the applicant, if SNILS is available;
  • to the principal of the insured person - a passport, a power of attorney issued through a notary's office.

The procedure for appealing against actions when issuing insurance

If offenses are committed, any Russian citizen can appeal against decisions, actions or inactions of employees who work in an insurance medical organization, implementing the compulsory medical insurance program.

The insured person may apply to the head of the structural subdivision or to the higher management with a complaint, which may be expressed orally and in writing.

The management of the CMO accepts an application in person, but you must make an appointment in advance. At a personal appointment, the applicant must present a passport.

When expressing a complaint orally, it must be recorded in the log of incoming information. If the facts and circumstances of the basis of the complaint took place, then the answer to it is provided orally at the personal reception of the management.

If the claim was made in writing, then it shall indicate:

  • the name of the CMO, its structural subdivision;
  • surname, name, patronymic of the official to whom the complaint is addressed;
  • personal data of the applicant;
  • Contact details;
  • position, surname, name and patronymic of the employee of the CMO, the decision, action or inaction of which is subject to appeal;
  • the essence of the issue on which the rights of the applicant are violated;
  • intelligence, official documents or their copies directly related to the cause of the claim.

The application is signed and dated. The claim statement is analyzed within 30 days, counted from the date of its submission, after which an answer is given to the applicant. If the decision of the issue did not satisfy the applicant, then he can appeal against it in court.

Rights and obligations of the insured persons

The insured person is granted rights under the rules CHI insurance that allow healthcare workers to receive care without paying for their services.

They are established by current regulations. The volume and conditions of its provision are determined by the Basic CHI Program.

These include the rights:

  • choose an insurance medical organization at will, for which he must submit an application;
  • he can change the CMO once during the year if it does not meet the requirements of the applicant before November of the current year;
  • choose medical institution from those who take part in the implementation of the CHI program in accordance with legislative acts;
  • choose the attending physician at his own discretion, for which he submits an application to the CMO;
  • receive any information regarding the state of his health and methods of treatment from employees of regional funds, HMOs and medical institutions;
  • demand the protection of personal data that were transferred for entry into a personalized account maintained in the MHI system;
  • demand payments from the insurance medical organization for the harm that was caused to him as a result of non-fulfillment or improper fulfillment of the obligations assigned to the health insurance organization for organizing the provision of medical services;
  • demand protection of rights and legitimate interests under the CHI program.

Joint Stock Company "Medical Insurance Company "UralSib" (JSC "MSK "UralSib") has been operating in the field of compulsory and voluntary medical insurance since 1994.

general information

The managing holding company of the joint-stock company is Financial Corporation URALSIB. It would be more correct to say that the history of the insurance company began in 1988, when Avtobank was formed, on which this financial corporation was based.

In 1993, the Oil investment company"NIKoil" and "Industrial Insurance Company", which were later transformed into SG URALSIB.

In 1994, another company was created, then it was called "Podmoskovye-Med". In 2004, the financial corporations "NIKoil" and "Industrial Insurance Company" merged with the company "Podmoskovye-Med" under the common name URALSIB.

It was she who was transformed into the current company JSC "MSK UralSib".

The company's offices are located in Moscow, the Moscow region and the Republic of Bashkortostan. The company is not represented in other regions.

Who owns UralSib now

On October 4, 2016, the SOGAZ company expressed its desire to buy the UralSib insurance group. The petition was received by the Federal Antimonopoly Service.

The deal was supposed to bring an increase in volume. Specific figures on the cost of the transaction were not made public. SOGAZ's petition to the federal antimonopoly service was approved.

In 2016, SOGAZ was one of the largest insurance companies with 18 million insured people in its client base. UralSib served 3 million people in 2016.

In addition to SOGAZ, the desire to buy back shares was expressed by such companies as VTB Insurance”, “AlfaStrakhovanie”, “Ingosstrakh”.

Over time, the companies have disagreements. The price of the company being sold was doubled and SOGAZ refused the deal. All this information is again given without specifying specific figures and comments from the parties about the differences.

In order to increase the share of participation in the medical insurance market, on February 4, 2017, an application for the acquisition of UralSib shares is submitted by the Public Insurance Joint-Stock Company"RESO-Guarantee".

If the issue is resolved positively, RESO-Garantiya, or rather one of its segments, RESO-med, will receive a share of 6.5% on the compulsory health insurance market. This time the deal went through.

Since February 2017, the company has been part of RESO-Garantiya JSC.

The takeover led to a significant increase in RESO-Garantia's client base.

The most likely reason for the sale of UralSib shares and the change of ownership is the size of the authorized capital.

Until 2017 authorized capital insurance companies had to be at least 60 million rubles. From January 1, 2017, this amount will increase to 120 million rubles.

UralSib, having an authorized capital of 78 million rubles, preferred the sale of shares and the change of owners to a complete abandonment of activities and bankruptcy.

CHI programs

Before the sale, MSK UralSib was a small insurance organization and was able to prove itself from the best side.

It was distinguished by the guaranteed fulfillment of all insurance obligations, a highly qualified staff of specialists.

As of February 2012, in the Expert RA rating list, the company occupied the A + position (positive rating) in terms of reliability. Refers to companies with high level reliability, capable of ensuring the fulfillment of all financial obligations on time with a high probability.

In the Russian Federation, the right of every citizen over the age of 21 to undergo a free medical examination at the place of residence once every three years is approved by law. The MSK UralSib company, within the framework of the CHI program, was engaged in the provision of such a service.

It financed a complex of diagnostic and therapeutic measures to monitor the health of the insured and identify diseases at an early stage.

In 2015, MSK UralSib participated in the implementation CHI systems+, as part of the plan for the development of the medical industry until 2030.

The essence of the program is the possibility for those who wish to purchase a package of paid additional services, which should expand the possibilities of the CHI program. The owner of the CHI+ policy will be able to independently choose the services that he is ready to pay for.

Learn more about the OMS+ program

The new policy made it possible to receive paid services in other medical institutions.

Mainly, the purchase of a new CHI+ policy was supposed to save those who use VHI policies from duplicating services and paying for the same procedures in different clinics.

On the website of the Unified Medical Information and Analytical System - https://emias.info was launched pilot project. It was possible to apply for an MHI policy online.

Such a service was supposed to reduce the time it takes to find the right insurance company and expand the client's choice. UralSib MSK was one of the first to participate in the development of a new service.

For the convenience of customers, the company also provided electronic policies,. They are identical paper policies, the difference is only in the convenience of storing and using such a policy - it does not get wet, does not wash, and is more compact in size.

One of the differences between UralSib and other companies involved in compulsory medical insurance is serious work to protect the rights of the insured. In addition to policy support and the conclusion of ordinary contracts with clients, the company entered into contracts with large organizations.

Does the company work

At present, IC continues to operate as a subsidiary of RESO-Garantia. The "old" site is still active. On it you can get background information, contact company representatives.