Insurance medical card. Electronic health insurance policy and everything about it: where and how to get, what it looks like, the benefits. What medical services can be obtained for free under the compulsory medical insurance policy

Updated 06.04.2018

Central point for issuing compulsory medical insurance policies

The central point for issuing compulsory medical insurance policies, which previously worked at the address: Bolotnikovskaya, 53, bldg. 1 works at the address: Profsoyuznaya, 108.

Central Administrative District

Eastern Administrative District

North-Eastern Administrative District

South-Eastern Administrative District

Southern Administrative District

South-Western Administrative District

Western Administrative District

Novomoskovsk administrative district

Points for issuing compulsory medical insurance policies, equipped with intercoms or operator call buttons for issuing compulsory medical insurance policies to persons with disabilities.

Points for issuing compulsory medical insurance policies, adapted for issuing compulsory medical insurance policies to persons with disabilities, equipped with ramps, freight lifts and free passage for wheelchairs.

This section is found by queries:
Where to get a compulsory medical insurance policy in Moscow?
Where to apply for a compulsory medical insurance policy in Moscow?
Where to get health insurance?

Registration electronic policy OMS

SOGAZ-Med invites citizens of the Russian Federation to issue an application for compulsory medical insurance policy in the form of a plastic card with an electronic data carrier (electronic OMS policy) *.

The electronic MHI policy, like the MHI policy on paper, allows you to receive free medical care within the framework of the basic program of state guarantees throughout the territory. Russian Federation... However, the electronic MHI policy has a number of advantages. It is more compact and durable, which is all the more important, given that the compulsory medical insurance policy is issued indefinitely for citizens of the Russian Federation. This form of compulsory medical insurance policy is especially convenient for citizens who often turn to medical institutions or go on business trips across Russia.

The procedure for obtaining an electronic MHI policy also consists of two stages: issuing a temporary certificate and issuing a finished policy within 45 working days. The electronic health insurance policy contains an electronic chip, unique number OMS policy, a photo of the owner, his full name and signature.

When registering an electronic compulsory medical insurance policy in the office of an insurance medical organization, you must take a picture and leave electronic signature on a special tablet. This is done immediately at the time of contact and you do not need to bring your photos. Children under 14 years old electronic compulsory health insurance policies are issued without a photograph, so parents can issue compulsory health insurance policies for children without their presence at the office of the insurance company.

When applying for an electronic MHI policy, you must submit the following documents or their certified copies, as in the case of an MHI policy in the form of a paper form:

For an adult:

Passport;

For a child:

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

Parent's / legal representative's passport;

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

Electronic health insurance policies are issued free of charge to citizens of the Russian Federation and are valid throughout Russia in the amount of the basic program of state guarantees.

* The SOGAZ-Med compulsory medical insurance electronic policy is not available in all regions of the Russian Federation. You can clarify information on the possibility of issuing an electronic compulsory medical insurance policy on the territory of your region by calling the contact center 8-800-100-07-02.

To make changes to the electronic health insurance policy in mandatory PIN code required.

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

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

In case of a change of residence;

In case of termination of the agreement on financial security of the obligatory health insurance.

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

For an adult:

Passport;

Electronic health insurance policy (if any).

For a child:

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

Parent's / legal representative's passport;

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

Electronic health insurance policy (if any) .

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

According to the OMS Rules, policies of a single sample are in effect on the territory of the Russian Federation. The document can be in the form of a paper or electronic policy (EPOMS). What is an electronic health insurance policy? A single-sample policy in the form of a plastic card can only be issued by citizens of the Russian Federation. The document has a built-in chip, which contains information about its owner, the back side contains the signature and photo of the insured person, which excludes the use of your document by another person and guarantees receipt medical care throughout Russia.
You can get EPOMS in our

8-800-200-92-04

24/7 contact center

HOW TO USE
ELECTRONIC POLICY

HOW TO USE
ELECTRONIC POLICY

When there is insured event many people wonder how to use the electronic compulsory medical insurance policy.

There are no differences in the use of the plastic analogue of the OMS and the document on paper. This document also gives the right to use the entire range of medical care free of charge anywhere in Russia, in accordance with the program of state guarantees.

Using an electronic policy, it is possible to make an appointment with a doctor through the terminal or online, without standing in a queue at the reception, while it is convenient to use.

Along with the policy to the insured person, the insurance medical organization provides information on the rights of insured persons in the field of compulsory health insurance, on the procedure for information support at all stages of providing them with medical care in the form of a memo or a brochure.

The compulsory health insurance policy refers to documents, without which a citizen cannot receive a qualified free help... The meaning of issuing such a document is that a citizen of the Russian Federation receives a package of honey. services are free, that is, the state assumes the costs of treatment and health maintenance.

The history of the emergence and development of policies

Insurance medical documents were produced in various variations. Seven years ago, such varieties were considered the norm and had legal significance. The most common types include plastic green card, entered into circulation in 1988. Over time, the situation required streamlining in matters health insurance, therefore, after 2011, a law was passed calling for compulsory medical insurance. According to him, every inhabitant on Russian territory can independently choose their company that provides health insurance services.

Plastic medical policy

A distinctive feature of the documents is uniform form release, valid throughout the country, regardless of which territory a person is attached to, that is, where he is registered.

Reforms in the field of health care have decided since 2011 to issue a policy to all citizens in the form of an A5 document (half of the album sheet), made in blue tones.

Note! The new policy was issued to citizens without the need for replacement, that is, indefinitely.

During the period when a new policy appeared, old copies with current term continued to operate until its expiration.

Over time, the paper policy has shown that its use is not practical. Folding a paper document was prohibited due to the fact that an important barcode used to read patient information is located in the middle of the paper. Multiple folds could damage the number or erase it. It was too inconvenient to carry a document with you in full circulation, and the document was aging prematurely from the slightest dirt, tears and rubbing. It was also forbidden to laminate the policy, since hidden state signs were not read.

According to numerous complaints, it was proposed to produce not paper versions of POMS, but plastic analogs equipped with electronic transmitters - chips. The elimination of the shortcomings made it possible to carry the policy with you always in case of unforeseen situations.

Paper medical insurance policy

Advances in technology have led to the release of more practical compulsory health insurance policies. They represent an electronic card, similar to a bank card, which, in addition to health care can be used as a pension certificate, bank card. The new modernized policy allows you to find out about your owner more information and aims to create a single document containing maximum information about its owner.

Additional Information! Any citizen of the Russian Federation who has reached the age of issue of a passport, that is, fourteen years of age, can get a new policy. In this case, the person must express his desire in person.

Types of medical insurance policies

A citizen of the Russian Federation has the right to independently choose the type of his policy: paper, electronic, universal electronic card. All options entitle their owner to a free medical certificate. on plastic is considered the most profitable.

You can change the policy to a plastic one in any branches of the multifunctional center (MFC) "My Documents".

The new design policy in paper form is a paper with title and back pages. The title contains the following information about the citizen:

• full name, surname and patronymic of the patient;
• gender of the representative (male / female);
• date of birth in DD / MM / YYYY format;
• policy number of sixteen digits;
• policy barcode located at the top of the document;
• the symbol of the Russian Federation is the state emblem;
• holographic security sign;
• expiration date.

Insurance Company

The reverse side contains the following information:

• information about the place of provision of insurance medical services to the person to whom he attached, indicating the contact details of the organization and its address;
• personal signature of the representative of the organization;
• the main seal of the health insurance organization.

Everyone has the right to independently choose an insurance company. Among the most common are MAKS, INGOSTRAKH-M. Many are interested in the question of how to change the insurance Oms company... There are several nuances. So, if the policy was issued in one region, and the actual location of the citizen and, accordingly, the need for medical care arose in another region, then you need to contact the office of any insurance company. You must have a passport, policy and snls with you. On the spot, an employee of the organization changes the data and puts a mark on the paper policy on the back. There is no need to pre-register, service is on a first come, first served basis. By time, the service is provided within 30 minutes.

Note! The change of the organization providing medical insurance to a person can occur no more than 10 times. That is how much is provided by the fields on the back of the policy. Therefore, the question of whether a person can change the insurance company for OMC can be answered in the affirmative.

As for the electronic version of the policy, it looks like a bank card made in three colors. The advantage of this form is the ability to always carry it with you. Thanks to the built-in chip, the readers can easily get all the information about the owner.

The title side contains the following information:

• sixteen-digit policy number;
• state symbols - a coat of arms;
• full name of the insurer;

Note! Personal information about a person cannot be changed.

The reverse side contains the following:

• contact information about the insurance company (telephone number for communication);
• photo of the card holder;
• cardholder's signature;
• contact information about the owner (name, gender, date of birth);
• the validity period of the card;
• holographic sign.

How can a person change an OMC policy to a plastic one? To do this, you need to contact the specialists of the insurance company, inform about your intention and order a compulsory medical insurance policy.

Bodies of the MFC

A universal plastic card, which is one of the multifunctional ones, can be used as a medical policy. However, its capabilities are not limited to this: it is used to open bank account, how social card for travel in transport, like snils and others. It does not take up much space and is designed for daily wear.

Typical data displayed on the map are:

• information chip;
• insurance company logo;
• bank logo;
• document and card number;
• state symbols in the form of a coat of arms;
• payment system;
• protection numbers;
• contact details of the insurance company;
• personal photo of the owner;
• cardholder's signature;
• owner's personal data;

On a note! You can get it at the request of the person, that is, its presentation is not mandatory.

• card validity period (up to what month and year it works);
• policy numbers, bank card and snils;
• magnetic stripe for the ability to withdraw cash, transfers, etc.

Advantages and disadvantages of the new policy

Different types of medical insurance have their own advantages and disadvantages. The main disadvantage of the paper form of a medical policy is considered its fragility and impracticality in general. In this regard, many people prefer to change paper to plastic.

Most of the insured persons notify specialists in advance about the desire to have a plastic card. You can also order it online on the government services website. Similar actions are also carried out when the person has lost the document. You can also replace the paper version when the person is interested in the full protection of their personal data.

Insurance company MAKS

The disadvantages of electronic cards include the fact that such documents are new, and not all insurance companies are ready to provide them. It is undesirable to receive a plastic card if the person is planning to change personal data soon, since any correction of the information is impossible.

Thus, on the territory of the Russian Federation, every citizen has the right to free medical insurance. The gradual improvement of the type of issued OMC poles has led to the fact that nowadays most people have switched to plastic cards of a single sample. Only a few have preserved paper versions.

A newborn child must receive a plastic card without fail if he has a birth certificate. The procedure takes no more than 10 working days. At the same time, a new document is issued to replace the lost or damaged one.

Regardless of whether the policy is paper, universal or plastic, on the territory of the country they are equally valid when receiving free medical care.

The new compulsory medical insurance policy (MHI), in the form of a card with an electronic data carrier, in 2019 is available for obtaining throughout Moscow.

Why do you need a compulsory medical insurance policy

To present medical professionals when you receive free medical care.

The policy is valid throughout the territory of the Russian Federation. Therefore, if you go to travel around the country, it is better to take it with you.

In the absence of a policy, you can only receive emergency assistance.

Who can use the CHI services

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

The "resident" status for foreigners is confirmed by:

• residence permit
• temporary residence permit - compulsory medical insurance is issued for the period of the permit

What services can be obtained under compulsory medical insurance

There is no single list of services that can be provided under the compulsory health insurance program. There are only classes of diseases for which assistance is provided at the expense of the compulsory medical insurance funds.

The range of services will be determined in accordance with the diagnosis, according to the standards approved by the Ministry of Health and Social Development of the Russian Federation.

What services are provided for free

Any treatment or diagnostic procedure that has been prescribed by a doctor must be performed free of charge.

In addition to what the doctor has appointed, he can also "advise", so whether to follow the advice and whether to pay extra money is up to you.

In any case, no one forbids calling the insurance company and clarifying whether such treatment will be paid for.

Do you need to change the old one to the new one?

Paper forms of a single sample, issued earlier, act on an equal basis with new ones electronic cards like the old plastic cards without a chip of the sample of 1998. Replacing the old one with the new one is not required.

What are the benefits of the new compulsory medical insurance policy of 2015

• Compact size - easy to carry
• The presence of a photograph and a sample signature - no need to present a passport in a hospital or clinic
• Support for all functions of infomats - electronic terminals installed at the entrance to medical institutions

Where to get a medical policy

In Moscow, there are about a dozen insurance companies:

• JSC "MSK" UralSib "
• JSC "SG" Spasskie Vorota-M "
• SOGAZ-Med Insurance Company JSC
• OOO VTB Medical insurance
• JSC "MAKS-M"
• LLC "MSK" MEDSTRAKH "
• LLC "Rosgosstrakh-Medicine"
• LLC "SMK RESO-MED" (Moscow branch)
• LLC IC "Ingosstrakh-M"

The choice will depend rather on the location of the offices and the availability of a telephone number where you can get advice around the clock. The availability of a competent support service will help to sort out a disputable situation with a medical institution.

How to get a compulsory medical insurance policy in Moscow

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

The policy will be issued to you in 30 days, but for now you will have a temporary certificate that can be used during this period of time. The insurance company will notify you of readiness.