Where you can change the pole. Sample of the medical policy of the new sample. Medical insurance policy. Types of documents confirming insurance

Federal Fund Mandatory medical insurance In connection with the unlawful actions of some insurers hurried to clarify what is the difference between the OMS policy and a plastic card which citizens received in the insurance company.

Confused confused yes not confused

Separate companies since the beginning of 2016 began to issue "plastic" customers with which people come to the clinic and require the provision of free medical care. The confusion occurred due to the fact that today equal strength has both a paper variant of a medical board in the form of a pale-blue leaflet A5 format and the policy of a new sample - a plastic card. According to these documents, you can get free medical services, and it is from electronic polis and confused patients received from the insurer.

Cards received by citizens when insuring private companies are just a document that confirms the case of insurance, but are not a medical board in which it is enshrined at the federal level.

The right to receive medical care in state medical institutions gives exclusively the policy, the type of which is regulated by the uniform requirements of the rules of the OMS. The issuance of additional "plastic" of an unidentified sample with information on the fact of insurance and personal data of a citizen, legislatively does not give the right to receive medical services, which means that it is pointless to present it in the clinic or hospital.

The Polis of OMS on a plastic card or in the paper form of an old sample provides the right to receive free medical care throughout the country within the framework of FZ-326 of November 29, 2010

Do I need to change polis?

Already a year in Moscow, plastic policies of the OMS are issued. They are similar to the familiar bank card, have a chip and contain personal data of the insured person (name, year of birth, the name of the insurance company, etc.). On the back of the owner and his personal signature is posted. The history of the disease on such a medical call is not stored. For this, additional electronic medapates will be introduced.

Recall that the OMS system has earned in 1998. Then citizens received green laminated cards with barcode. The main problem was the opportunity to easily fake such a document. In 2011, paper analogs were introduced. Their manufacturing was cheaper by the state, but patients who regularly attend doctors, the paper came into disrepair very quickly, despite the fact that many tried to paint them into a file or a beacon-made dairy package. Finally, progress reached the phom, which decided to gradually replace the paper policies to electronic.

Today with equal success in medical institutions and paper, and electronic medical copies, so panicing and in urgent order It makes no sense to run out "plastic". In addition, the final translation of documents in electronic view scheduled for 2030.

But those who want to use a convenient format can get a card in their insurance company. Within a month, it should be made from the application. It is valid, like a paper version, throughout the country.

For reference. IN oMS program Today 11 insurance companies participate, while changing the insurer every citizen has the right once a year until November 1.

It is planned that in a short time, order a plastic policy card will be possible through the state service portal, but so far this feature Unavailable.

The policy of compulsory health insurance (OMS) of a new sample, in the form of a card with electronic information carrier, in 2019 is available to obtain throughout Moscow.

Why do you need an OMS policy

To present medical workers, when receiving free medical care.

Polis acts throughout Russian Federation. Therefore, if you go travel around the country, it is better to capture it with you.

In the absence of the policy you can only get urgent help.

Who can use the services of the OMS

All citizens of the Russian Federation, as well as foreign citizens and stateless persons living in the Russian Federation.

The status of "living" for foreigners is confirmed:

view of the residence
temporary residence permit - OMS is executed for permission

What services can be obtained by OMS

A single list of services that can be provided under the Mandatory Medical Insurance Program is not. There are only classes of diseases for which assistance is given at the expense of OMS.

A set of services will be determined in accordance with the diagnosis according to the standards that approve the Ministry of Health of the Russian Federation.

What services are free

Any treatment or diagnostic procedures that were prescribed by a doctor, everything must be fulfilled free.

In addition to the fact that the doctor appointed, he can also "advise", so whether to follow the advice and pay the money additionally, to solve you.

In any case, no one forbids calling insurance company And clarify whether such treatment will be paid.

Whether it takes to change the old on the new

Paper blanks of a single sample, issued earlier, act along with new electronic cards, like old plastic cards without a 1998 sample chip. Replacing the old new ones is not required.

What is the benefit of the OMC policy of the new Sample 2015

Compact sizes - convenience in carrying
Availability of a photo and sample signature - no passport is required in a hospital or clinic
Support for all functions of infoatov - electronic terminalsinstalled at the entrance to medical institutions

Where to get a medical policy

In Moscow, there is about a dozen insurance companies:

JSC "MSK" URALSIB "
JSC "SG" SPASSKY GART-M "
JSC "Insurance Company" Sogaz-Med "
Ltd VTB medical insurance
Max-M JSC
LLC "MSK" Medstrakh "
LLC "Rosgosstrakh-Medicine"
LLC "SMK RESO-Honey" (Moscow Branch)
LLC IC "Ingosstrakh-M"

The choice will depend on the location of the offices and the availability of the phone number where you can get advice around the clock. The presence of a competent support service will help to understand the controversial situation with the medical institution.

How to get a policy of OMS in Moscow

You need to apply, to the selected insurance company, fill it out, most likely do not have to, for you, the operator will do. With you you need to have a passport and insurance certificate Mandatory pension insurance (SNILS) - if available. For children under 14 years old - birth certificate.

Polis will be issued in 30 days, but for now you will have a temporary testimony that can be used during this period of time. Insurance company will notify you about readiness.

A document confirming the presence of medical insurance in a patient allows him to take advantage of the medical staff provided for by the state, paying which will be the insurance company. Not every person today is known that all the variations of the policy of the new sample existing in the country are equivalent. And the presence of a document of one form or the absence of another cannot cause refusal to maintain in the selected institution. What do they differ among themselves and which of the species has more advantages? Reply to these questions in this article.

When and why did the issument of the policy of the OMS of the new sample start?

Until 2011 in the territory of the Russian Federation there were several formats of OMS policies. The most common variety was a green plastic card, which appeared back in 1998. In connection with the current situation, the question arose about the streamlining of relations in the field of medical insurance. In early 2011 entered into force new law RF "On compulsory health insurance in the Russian Federation", adopted on November 29, 2010. He provided all citizens without exception the opportunity to choose in their preference insurance hormourization for further permanent service. Also normative act He marked the beginning of the issuance of insurance policies of a single state sample, which would operate throughout the country, regardless of the registration of their owners.

As a result legislative changes From May 1, 2011, the release of a new format policies began: an alternative to green plastic card was a blue-colored paper document printed on an A5 format. He received the status of an indefinite (issued the owner for life). Older options received by citizens until May 1, 2011, the validity of which has not yet expired, were also recognized by applicable.

Over the next four years, the paper format managed to demonstrate its impracticality. It turned out to be uncomfortable during transportation due to large parameters - to bend the document in half was forbidden, since in the very center there was a barcode that could have been stealing. Problems arose and preserved forms - rubbing, crumpled, pollution, because their lamination is also unacceptable. In order to eliminate these disadvantages from August 1, 2015, it became possible to obtain plastic polis OMS with electronic chip. Compact sizes and durable material allow a person to have an electronic policy always with you.

Along with the above option, a universal electronic card (UEC) appeared, which, in addition to the insurance function, performs the role of a bank card, pension certificate, etc. Its development is associated with attempts to integrate the maximum information about the owner in one device and simplify the person's access to various electronic services. A card is issued to all citizens of Russia who have reached the age of 14, on personal appeal.

What does a new sample OMS look like?

All the options discussed above, the release of which began after May 1, 2011 - paper, electronic policy and UECs are valid today and equivalent. They guarantee the same set of free medical servicesprovided for in legislation and will be maintained until the population transition to a single sample will be maintained.

Paper policy of a new sample

The blue paper document A5 format is a watermark form, which in size corresponds to half the standard sheet from the album. It is two-way - on each of them contains a list of the necessary data on the owner. On the front side of the paper policy of the new sample presents:

State coat of arms of the Russian Federation;
Surname, name, patronymic of the insured, its floor and date of birth;
Document number consisting of 16 digits;
Unique barcode;
Hologram;
The validity period of the form.

From August 1, 2012, forms began to be issued, the barcode on which was moved from the center closer to the top to avoid erasing the image as a result of leaf beggars. Look both options like this:

Data on the insurance medical institution to which the owner is attached (name, address, telephone);
Signature of the responsible employee of the medical staff;
Printing a medical institution.

On the back, the possibility of changing a citizen of the honeycomb, to which it can attach - up to 10 times. To do this, it is necessary to provide a blank to the clinic and secure changes. When a change is changed, new data on the insurance company, its contact data is recorded on the turning side.

Paper version of the policy can not be laminated and preferably not bend. For such a document, the owner is not required.

The electronic policy of the OMS is made in the form of a three-color plastic map of the standard size (reminds usual banking), it is easily placed in a wallet, a purse. It contains a chip on which information about the owner is stored. On the front side of the electronic policy of the new sample are presented:

Number of the document from 16 digits;
Image of the state coat of arms of the Russian Federation;
The name of the insurance company issued an electronic policy;
OMS system logo;

On the back of the policy presented the following information:

Phone of the OMS Foundation, which issued an electronic policy;
Photo of the insured person (except children under 14 years of age);
Signature owner;
Personal data (surname, name, patronymic, date of birth, floor);
Month and year when the card action expires (issued for five years);
Hologram, indicating that the electronic policy is genuine.

If you change any personal data, a person needs to appeal to employees of its insurance organization to order a new electronic policy of the OMS. The information contained on the chip cannot be adjusted.

The UEC is a multifunctional plastic card, in the structure of which is integrated by the OMS policy. Using it, you can open a bank account, provide it as direct ticket in public transport or how to reduce. It contains maximum information about the owner and relieves it from the need to wear many cards in the wallet. Its receipt is not compulsory and is carried out at the request of a person. On the front side of the EEC card presented:

Electronic Chip S. personal information;
The logo of the organization that issued a map;
Logo of the banking institution chosen for service;
Card number;
Image of state coat of arms;
Name payment system;
Protective numbers.

On the back of the policy presented the following information:

Telephone organization that issued a map;
Photo;
Signature owner;
Personal data (surname, name, patronymic, floor, date of birth);
Month and year when the card expires;
room polis Oms;
SNILS number;
Bank card number.

On the turn on the EEC causes a magnetic strip. This allows you to use it in terminals and ATMs for cash withdrawal, the implementation of non-cash payments, the transfer of funds, etc.

Advantages and disadvantages of the sediment

Each form insurance Polisa.which today in the country today is distinguished by their positive and negative features. Based on the relation "Plus" and "minuses" of documents, a citizen decides whether to hurry to change the paper version to one of the electronic and which of them is preferred. The main disadvantage of the paper option is its impracticality to use. But it is compensated by the convenient opportunity to make changes to the form in the event of attaching a person to another medical institution.

The electronic policy of OMS distinguish the main advantages - compactness, mobility, strength and wear resistance of a plastic card. It is characterized by a high level of protection - the presence of chip, photo and signatures prevents the possibility of using a document by another person. Its significant drawback is that far from all medical organizations are equipped with special equipment to read information from chip. Therefore, holders of such documents may encounter doctors to prevent additional passport. In addition, not all branches of insurance companies are capable of issuing an electronic policy. Additional inconveniences may arise from the owners and in the event of a change of personal data - it will entail the need to replace the card itself.

The UEC is characterized in general as a similar set of "pluses" and "minuses" as the previous electronic version. In arsenal advantages, it is advantageously distinguished by multifunctionality against other forms of insurance documents. But modern level Infrastructure development indicates the presence of a minor number of institutions equipped with equipment capable of working with applications embedded in it.

Conclusion

The transition of the population of the Russian Federation into a single electronic medical policy of the new sample will be phased. Therefore, citizens do not need to strive immediately, as soon as possible to exchange their document. Issuance of plastic cards in obligatory Already produced for newborns, as well as in the case of the necessary replacement of a damaged, damaged lost policy. All varieties provide absolutely equal guarantees today.

Registration of the electronic policy of the OMS

Sogaz-honey invites citizens of the Russian Federation to issue an application for issuing an OMS policy in the form of a plastic card with electronic information carrier (electronic omx policy) *.

The electronic policy of the OMC is as well as the Polis of OMS on a paper form, allows you to get free medical care As part of the basic program of state guarantees throughout the Russian Federation. However, the electronic policy of the OMS has a number of advantages. It is more compact and wear-resistant, it is all the more important, given that the Policy of the OMS is issued indefinitely for citizens of the Russian Federation. This form of the OMS policy is especially convenient for citizens who are often visiting medical institutions or traveling in Russian.

The procedure for obtaining an electronic policy of the OMS also consists of two stages: registration of temporary testimony and the issuance of a finished policy within 45 business days. The electronic policy of the OMS contains an electronic chip, unique number Polis Oms, a photo of the owner, his name and signature.

When making an electronic policy of the OMS in the office of the insurance medical organization It is necessary to take a picture and leave electronic signature on a special tablet. This is done directly at the time of treatment and your photos do not need to be brought. Children up to 14 years old, the electronic policies of the OMS are drawn up without a photo, so parents can arrange the policy of the OMS for children without their presence in the office of the insurance company.

When applying for the design of an electronic policy of the OMS, it is necessary to present the following documents or their certified copies, as in the design of the CHAM policy in the form of a paper form:

For adult:

Passport;

For a child:

Birth certificate / passport (for children from 14 years);

Parental passport / legitimate representative;

Redus the child (for children under 14 years old - if any).

OMS electronic policies are issued free of charge Citizens of the Russian Federation and operate throughout Russia in the scope of the basic program of state guarantees.

* The design of the electronic policy of OMS SOGAZ-Honey is not available in all regions of the Russian Federation. You can clarify information about the possibility of making an electronic policy of the OMS on the territory of your region by phone of the contact center 8-800-100-07-02.

To make changes to the electronic policy of the OMS, a PIN code is required.

Changes to the electronic policy of the OMS are entered upon replacing the insurance medical organization (SMO), in which a citizen was previously insured, for the following reasons:

In accordance with the right to replace the CL, once during the calendar year, no later than November 1;

In case of change of residence;

In case of termination of the Treaty on financial support for compulsory medical insurance.

For replacement, the following documents must be submitted to the newly selected SMO:

For adult:

Passport;

Electronic policy of OMS (if available).

For a child:

Birth certificate / passport (for children from 14 years);

Parental passport / legitimate representative;

Reduce child (for children under 14 years old - if any);

Electronic Policy OMS (if available) .

When granting an electronic policy of the OMS mandatory requires a PIN code (issued in an envelope together with the electronic policy of the OMS).

Each resident of the Russian Federation falls under state program Mandatory health insurance (OMS). However, it can take advantage of his right to free medical care only in the presence of insurance contract. A few years ago, the form of filling and the type of this insurance has changed somewhat. How today is the omx policy replacement on the policy of a new sample?

Do I need to change the policy of the OMS to the policy of the new sample: the latest news 2020

Recently, the Moscow Foundation of the OMS announced that he suspends the issuance of the policies of the new sample until January 2020. Because of this, hearing appeared, which is necessary for all until November 1, 2018 to change policy urgently OMS old Sample on a new one will be the provision of medical services.

On October 26, an explanation came from the FOM, namely, it says that all policies are issued indefinitely and medical service You can get on them without any restrictions. Until November 1, it will be possible to declare a change in the insurance company for servicing your OMS policy, if the quality of its services does not suit you. This can be done once a year. Therefore, dear readers, it is not necessary to change the policy.

Text press release below:

Do I need to change OMS when changing registration

Art. 51 p. 2 Federal Law "On compulsory medical insurance in the Russian Federation" regulates that all policies issued in the territory of the Russian Federation until 01.05.2011 are valid until their replacement for a single sample format. Thus, the insurance existing in the hands can not be changed before its validity period does not suit the end.

However, in some circumstances, the policy is subject to an urgent replacement. For example, in case of changing the place of residence, personal data or loss of insurance, it can be considered invalid. If the OMS policy will remain outdated, the citizen can receive a refusal to provide medical care.

It is worth noting that in replacing the CHAM policy with a temporary change of the place of residence, with not long-term departure or with a long business trip there is no need. But in case of a change in the registration, obtaining a new insurance contract is a prerequisite.

Types of insurance documents

Section III of the Mandatory Medical Insurance Rules contains uniform requirements for registration. insurance document, describes its types and information that must be provided in it. In 2020, there are several of their species in the hands of citizens:

on a blue paper format A5 format;
in the form of a plastic card with a chip, which contains information;
as part of chipped universal electronic card (UEK).

From 01.01.2017 the issuance of the UEC in the territory of the Russian Federation is suspended. This card is no longer considered a mandatory tool for providing state and municipal services. Previously, when it was necessary to replace the contract, the insured person received new insurance As part of the UEC. This card can be additionally used when contacting the civil service, as bank cardas well as an electronic wallet and a travel ticket.

IN this moment Two types of policies are issued on the territory of the Russian Federation: paper and plastic. If we talk about durability and compactness, then wins the last option. However, considering that many medical institutions still do not have special equipment to read information from the card, paper View More convenient to use.

Polis of a new sample and its features

Under the phrase " new sample»You should understand two innovations:

the updated form of filling the paper form, which was introduced in 2011;
electronic plastic card, which is issued since 2014.

New paper-based insurer contracts were issued with a validity of 2014, so today they are already invalid. Citizens can contact insurance organization Behind a new paper instance or composed by an electronic card. Plastic cards that are manufactured from 2014 and are issued by insurers, do not have the validity period.

Validity

Insurance medical policies differ not only in appearance, but also for a term of action. In 2011, in Russia, they began to issue documents of a new sample, but the old existing treaties are still at the same time. The period of action of the medstrashovka:

Most old insurance contracts were issued for a certain period. The end date is indicated on its face. When she comes, a citizen receives a new sample agreement.
Contracts of a new single sample perpetual. Of course, it is very convenient. At the same time, there are a number of circumstances under which they are subject to mandatory replacement.

It is not worth pulling with renewal of overdue insurance, even though health workers are not entitled to refuse to provide services in an emergency situation. Once the contract shall ends, you should choose the appropriate insurance organization and issue a new one. This service is free.

Procedure for replacement

If there is an active medstrashka of the old sample, it is not necessary to replace it. However, in some cases it is required to re-refline it. How to change polis? The procedure is as follows:

first stage and very important aspect - Selection of the insurer. In this case, you need to be guided by the reputation of insurance companies and the reviews of its customers. When the policy is replaced, the policyholder usually appeals to the organization where he received the previous one;
then you need to visit the office of the insuranceian and fill out a statement in which it is necessary to clearly formulate the cause of reissue. At the same time, it is necessary to carefully ensure that there are no errors in it;
at the reception at the insurer, the client must make an employee identity card. As a rule, this is a civil passport;
the insured must present the number of his personal account;
after consideration and reception of papers, the applicant is issued a temporary testimony that has the same force. Its validity period is not more than 30 days;
the insured must receive new insurance in 30 days. At the appointed time, he comes to the insurance organization for receipt. Before picking up paper, it is better to make sure that all information is true.

Soon citizens of the Russian Federation will be able to receive an OMS policy through civil servants. To date, the extradition of the medstrashki online is tested - the trial version is open to residents of St. Petersburg.

Required documents for obtaining

In order to replace the Polis of OMS, a citizen must provide the insurer the following documents And information:

passport;
application for replacement indicating the reason;
insurance number of an individual personal account (SNILS);
old insurance, in the event that it was not lost;
certificate of the birth of a child and the identity card of his legal representative, if the insurance is issued on a minor.

If required medical insurance drawn up on a child under the age of 14, then the presentation of SNILS is not mandatory condition To get it. In the event that, on behalf of the insured person, it is not a legal representative, but another person (for example, not a mother or father, and grandparents) will need a power of attorney. This is governed by the rules of compulsory health insurance.

There is an opportunity to reissuate the OMS in online mode. On the EMIAS website you can see the items of issuance and replacement of medical policies, which accept applications for receiving a contract directly through this electronic resource.

Points of issuance and replacement of medical policies of OMS in different regions of the country can be found on this site.

Terms of registration

As a rule, the term of issuing insurance does not exceed 10 days. Insurance companies issue a new document within 1-1.5 weeks depending on the workload.

P. 50 of the Mandatory Medical Insurance Rules provides that the term for issuing an insurance contract may not exceed the term of the temporary certificate issued during the reception of documents. Thus, the maximum duration of manufacturing a new document is 30 days.

If the OMS is drawn up through MFC, then the timing of it can increase for a couple of days. This is due to sending a document by mail.

Conditions for mandatory replacement

So in what cases, the renewal of the medical staff is required:

loss of the current document (loss, damage, theft);
changing personal data of the insured person: surnames, name, patronymic;
in connection with the move to another city or region of the country for the purpose of permanent or temporary (in the presence of a temporary registration certificate) of residence;
replacing a civil passport or other identity of the document, the redundant to which is provided in the contract;
when changing an insurance organization providing medical insurance;
the presence of inaccuracies and errors in the insurance contract.

The above circumstances oblige the insured person to notify the insurer about the changes within 30 days. As a rule, the new medstrash is done and issued 10 days after the applicant's appeal. The service of issuance and replacement of the CHA policy on the policy of the new sample is free.

Conclusion

So, citizens of the Russian Federation can continue to use insurance OMS. The old sample, until her deadline approached the end. The document is subject to renewal when moving, when changing the surname, name or patronymic, when changing the passport and in the loss. Obtaining a new contract with the insurer does not entail any problems and costs: the procedure for consideration and acceptance of documents is quickly, and the medstrashovka is issued within 30 days from the date of application.

You can learn more about the new sample below.

We are waiting for your questions.

Please rate the post and deliver like, if it was useful.