family psychology 

Compulsory health insurance card. How to change an old-style oms policy to a new one. What does an electronic compulsory medical insurance policy look like?

Instead of paper. An electronic document is a plastic card the size of a credit card, which contains a chip and information about the insured person. The main reason for changing the format is the inconvenience of storing a paper document: a traditional A5 policy cannot even be folded in half, because the place of the fold falls exactly on the barcode.

CHI of a new format: appearance

What an electronic MHI policy looks like can be understood by looking at Figures 1 and 2:

Rice. 1. Front side

The front side of the MHI electronic policy contains:

  • Identification number consisting of 16 characters.
  • Coat of arms of Russia and the official logo of the CHI system.
  • Chip. The miniature chip encodes the insured's personal data, information about the company where he is insured, and information about the territory where free medical services will be provided to him.

The reverse side contains the following information:

Rice. 2. Reverse side

  • Name and signature of the insured.
  • A photo.
  • The serial number of the document (under the photo).
  • A holographic sign confirming that the document is genuine.
  • Date of Birth.
  • Validity period of the electronic MHI policy.
  • Contact number of the Territorial CHI Fund.

Are there any disadvantages of the new document format?

The advantages of an electronic compulsory medical insurance policy are many: it relieves the owner of the need to carry a passport with him, has a more compact size, and operates throughout Russia. Replacing a paper document with a plastic card is free of charge - all costs are borne by the TFOMS and insurers. The question arises: what is the catch?

There is a drawback: not all clinics are equipped with equipment for reading information from a chip. Of course, the employees of these clinics will not refuse to serve customers with plastic cards, but they will still be asked to show their passport. However, this shortcoming is temporary; as hospitals and polyclinics are equipped with new equipment, the problem will lose its relevance and only advantages will remain from the introduction of plastic cards. Therefore, if a citizen does not yet have a plastic document, he should think about how to make an electronic CHI policy immediately.

Where and how to apply?

Insurers tend to postpone the replacement of paper documents, because they do not have information where to get a new type of electronic CHI policy. In fact, the procedure for issuing a document is quite simple:

  • Contact your current insurer or any other eligible health insurance provider. Such insurers include large companies RESO-Med, SOGAZ-Med, Ingosstrakh-M. The full list of insurers, which includes 11 organizations, is published on the official website of the MGFOMS.
  • Provide a package of required documents and write an application for a replacement. A free application form is unacceptable - there are special forms that are provided by insurance employees. Please note that if you wish to change insurers, the change must be submitted by November 1st.
  • Get a temporary certificate - this will certify your right to free medical care during the waiting period for the main document. The maximum term for the production of a plastic card is 30 days from the date of application.

An insurance company is not the only place where you can get an electronic CHI policy. Insurers also have the right to apply to special points for issuing such policies and to employers (if they are officially employed).

What documents will be needed?

To obtain a new type of document, the insured must provide only a passport and SNILS (if there is a "green card"). The situation becomes somewhat more complicated if a person without a residence permit or a foreign citizen applies for CHI: in the first case, you need to attach a certificate of temporary registration to your passport, in the second - a residence permit.

If an adult citizen draws up a policy for a child, a passport of the citizen himself (parent or legal representative) and a passport of the child or his birth certificate (for children under 14 years old) will be required.

The new form of the health insurance policy is designed to simplify the process of making an appointment with a doctor (including through the Internet portal "Gosuslugi") and reduce the queues at the registries of polyclinics. Even if a citizen does not understand how to use the electronic compulsory medical insurance policy and avoids terminals (a common situation for older Russians), he is still recommended to make a plastic card - you can always ask for help from children or grandchildren who are “on the short leg” with the Internet.

Why do you need a compulsory health insurance policy?

A compulsory medical insurance policy or a compulsory medical insurance policy is a documentary confirmation of a person's right to receive qualified medical care.

When providing services under the compulsory medical insurance policy, the insurance company, and not the citizen, pays for the costs of medicine. These costs include the travel of ambulance crews, outpatient treatment and treatment in a hospital stay.

The CHI policy is issued on a mandatory basis to all citizens of Russia. And also to non-residents who have been in the country for a long time and have not expressed a desire to leave it soon.

Documents required to obtain a compulsory medical insurance policy

In order to obtain a compulsory medical insurance policy, a citizen must apply to a division of an insurance company authorized to deal with compulsory medical insurance.

When applying for a CHI policy, the company will require the following list of documents:

    • identity document. First of all, this is a citizen's passport (for persons who are already 14 years old) or the passport of a parent who draws up a compulsory medical insurance policy for a child under the age of 14 years. In addition to a passport, equivalent identification documents are accepted, such as a military ID or driver's license.
    • birth certificate in case of issuing a compulsory medical insurance policy for children under the age of 14 years
    • SNILS or insurance certificate of state pension insurance
    • persons with refugee status will additionally need to present a certificate of assignment of such status or a temporary certificate issued for the period of consideration of the application for assignment of refugee status.
So it will be useful to find out how you can replace the insurance company for CHI - details on .

What are OMS policies?

Today in Russia there are the following forms of compulsory medical insurance policy.

    • Paper MHI policy. There are old-style policies that were issued before 2011 and do not have a barcode, and new-style CHI policies with a barcode.
    • Electronic compulsory medical insurance policy. Unlike modern electronic documents like air tickets, it is quite a tangible object and is a plastic credit card format card.

Paper MHI policy

The compulsory medical insurance policy in paper form is an A5 sheet. The form of the policy is protected by watermarks and a holographic sticker, which complicates its forgery.

The photo above shows a paper MHI policy of a new type. In the process of updating the paper form, information about the address of the insured disappeared from the policy.

Now information about a person insured in the CHI system includes:

Full name, gender and date of birth of the insured person

16 digit control number

A barcode that duplicates textual information.

A valid compulsory medical insurance policy must be certified by the seal of the insurance company that issued the policy.

For several years of active use of the paper MHI policy, the shortcomings of its format have been revealed.

With the usual folding of a policy for an investment, for example, in a passport, the barcode that falls directly on the fold line begins to be erased from frequent use. As a result, the policy becomes unusable and will have to be replaced.

Therefore, transparent plastic covers are now being produced for compulsory medical insurance policies, in which it is recommended to pack your policy in order to avoid damaging information.

Important! It is strictly forbidden to laminate the CHI policy - medical institutions do not accept laminated policies as confirmation of the fact of insurance under the CHI system.

Electronic compulsory medical insurance policy or plastic compulsory medical insurance policy

As mentioned earlier, an electronic compulsory health insurance policy is essentially a plastic card with a chip.

The information printed on the plastic CHI policy differs significantly from the paper counterpart.

So on the electronic / plastic policy are indicated:

    • Full name, gender, date of birth, photo and signature of the insured person
    • term of the policy
    • 16 digit control number

Sample electronic policy of compulsory medical insurance:

The electronic chip duplicates all information on the policy in digital format.

With all the advantages of a plastic CHI policy over a paper one, there are still difficulties with its distribution in a number of regions. Not all insurance companies are able to issue CHI plastic cards everywhere. And not all medical institutions have the necessary equipment to read information from an electronic card chip.

However, these difficulties are temporary. Until the moment when all citizens switch to an electronic compulsory medical insurance policy, it can be assumed that there is not much time left.

Read more about how you can get an electronic CHI policy or replace a paper CHI policy in the article. —

How to replace the compulsory health insurance policy with a new one?

In situations where it is required to replace the MHI policy with a new one, the replacement procedure is as follows.

It is necessary to contact the insurance organization that provides compulsory health insurance.

Submit an application for replacement of the MHI policy. Attach documents according to the list given in the article earlier.

After that, the employees of the insurance company must issue a temporary certificate, which acts as a compulsory medical insurance policy for the period of registration. The temporary certificate has a limited validity period.

A temporary certificate is a full-fledged document confirming the right of citizens to receive medical care. It can and should be presented to medical institutions, and there it should be accepted without question.

The term for issuing an MHI policy is on average about 30 days. After this period, you need to visit the insurance company again and get an already issued compulsory health insurance policy.

Conclusion. Once again about what you need to know about the CHI policy

  • The CHI policy is a document confirming the right of citizens to receive medical care.
  • The policy is issued in paper and electronic format.
  • When applying for a CHI policy, it is necessary to provide a certain list of documents to the insurance company.
  • The term for issuing an MHI policy is on average 30 days.
  • For the period of issuing a permanent CHI policy, a temporary certificate is issued, according to which you can also receive medical assistance.

    • * — title photo 360tv.ru

    The compulsory medical insurance policy (CHI) of a new sample, in the form of a card with an electronic information carrier, is available for collection throughout Moscow in 2019.

    Why do you need an OMS policy

    To present to healthcare professionals when receiving free medical care.

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

    If you don't have a policy, you can only get emergency care.

    Who can use CHI services

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

    The status of "resident" for foreigners is confirmed:

    • residence permit
    • temporary residence permit - CHI is issued for the period of the permit

    What services can be obtained under OMS

    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 compulsory medical insurance.

    The set 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 free of charge

    Any treatment or diagnostic procedures that have been prescribed by a physician should all be performed free of charge.

    In addition to what the doctor has prescribed, he can also “advise”, therefore, it is up to you whether to follow the advice and whether to pay extra money.

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

    Is it necessary to change the old one to the new one?

    Paper forms of a single sample issued earlier are valid on a par with new electronic cards, as well as old plastic cards without a chip of the 1998 model. Replacing the old with the new is not required.


    What are the benefits of a new CHI policy in 2015

    • Compact size - easy to carry
    • Availability of a photo and a sample signature - no need to present a passport at 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 Spasskiye Vorota-M
    • JSC Insurance Company SOGAZ-Med
    • LLC VTB Medical insurance
    • JSC "MAKS-M"
    • LLC MSK MEDSTRAKH
    • LLC "Rosgosstrakh-Medicine"
    • SMK RESO-MED LLC (Moscow branch)
    • LLC IC Ingosstrakh-M

    The choice will depend more on the location of the offices and the availability of a telephone number where you can get advice around the clock. Having a competent support service will help you sort out a controversial 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 won’t have to fill it out, the operator will do it for you. You need to have a passport and an insurance certificate of compulsory pension insurance (SNILS) with you - if available. For children under 14, 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.

    Health insurance plays a very important role in the life of any person. If we compare it with other types of insurance, we see that not every person concludes them. Health insurance, which is mandatory, is necessary for every adult and child.

    Its presence guarantees that in case of illness or accident, timely and qualified medical care will be provided, which will be paid for by the state. In 2014, a law was passed that provides for the replacement of previously used insurance with new documents. The use of new documents can sometimes raise certain questions. Let's talk about them in more detail.

    Dear reader! Our articles talk about typical ways to resolve legal issues, but each case is unique.

    If you want to know how to solve exactly your problem - contact the online consultant form on the right or call by phone.

    It's fast and free!

    What you need to know about the new policy

    It has been operating since the beginning of 2014. First of all, we note that it is necessary to replace the old insurance with a new one, but even without such a replacement, its use is permissible. When contacted, she guarantees the provision of the necessary medical care. The legislation did not establish a deadline for the exchange, after which the use of old-style documents is impossible. However, despite this, the new option has some very important advantages.

    One of them is that it is the same for all regions of the Russian Federation. What exactly does this mean?

    Previously, the compulsory medical insurance policy was valid only where it was issued and had no legal force in the rest of Russia. Now this situation has completely changed. Having received it in one region, you can use it throughout the state.

    Another important advantage is that new insurance can be issued not only in paper form, but also in the form of a plastic card or as an additional service included in the Universal Electronic Card (UEC).

    MHI policy on paper:


    The question may arise as to how a medical institution can read data from a plastic card or from a UEC? After all, not every clinic may have the equipment suitable for this. In order to answer this question, let's show how the new document looks in each of these cases.

    If this is a plastic card, then in size it exactly corresponds to a regular bank plastic card. There is a front and back side.

    The front side shows the name of the insurance company that issued it, a unique number and a computer chip that contains all the necessary information. The reverse side contains personal data, including a photo, last name, first name, patronymic, signature sample and some other data.

    This is what the front looks like:


    Now let's look at the reverse side:


    Upon receipt of the UEC card, it is also easy to read the necessary data. They are on the back of the card.

    As we can see, all the necessary data (including the insurance number) can be easily read without resorting to special equipment.

    This is what the front side of the UEC card looks like:


    And this is the reverse side:


    If you received a new policy in paper form, then a unique number of the insurance certificate will be indicated at the bottom of it on the front side.

    The figure on the left shows the front of the document, on the right is its reverse side. The number, which in the right figure is indicated by sixteen zeros, in the real document contains the number of the insurance policy.

    Expiry date of the new document

    Now there are policies that were issued at different times. Of course, it is more convenient and practical to use a new type of document, because it is valid throughout the country, unlike those that were issued before. However, at the moment, they are all valid, despite the fact that the expiration date that was once indicated there has already passed. The latter circumstance cannot be the reason for the denial of medical care.

    As for the new policy, it has an unlimited validity period.

    However, time limits still exist in some cases. They refer to those people who are temporarily staying in our state and the period of such a stay has expired. In this case, we can talk about those who received only a temporary residence permit in Russia (which has expired) or those who have refugee status, which has already expired.

    When to replace it

    Despite the fact that there is no date in the new MHI insurance policy after which its validity is terminated, there are still certain circumstances as a result of which it is necessary to replace this document without fail:

    • When changing your passport for any reason. If it has become unusable, lost, due to a change of surname and for other similar reasons.
    • The old policy has expired. As mentioned above, this does not deprive the right to receive medical care, however, in practice, it can create some difficulties in processing the relevant documents.
    • If the old document has become dilapidated and important information cannot be read on it.
    • If the old insurance is lost.
    • If personal data has changed. This may be, for example, a change of surname, address of residence or other changes of this kind.

    How to get a new type of policy

    To obtain it, you need to contact the insurance company with a document that can verify the identity of the applicant. If the execution of this document may take some time, then the company issues a temporary insurance policy.

    Its duration is limited and usually does not exceed one month. If registration does not end in a month, then temporary insurance is extended.

    Documents required to obtain a policy

    • Upon receipt, an identity document must be presented. Usually we are talking about a passport. In the event that the policy is issued for a child, a birth certificate must be presented. It is also possible that the registration is made to a third party. In this case, you must have the appropriate power of attorney.
    • An existing document. Presenting it is desirable, but not mandatory.
    • An insurance certificate that relates to compulsory pension insurance. This document is desirable, but not required.

    Who needs to get a new document first

    Here is a list of them:

    • Newborns.
    • Previously did not have a CHI policy.
    • lost this document.
    • Name changers or name.
    • If the existing policy contains false information.
    • If there has been a change of residence, and in the new place there is no branch of the insurance company that previously issued it.

    How to choose the right health insurance company

    The insurance company that issues this policy does not directly affect the quality of medical services received. But she can control how they are delivered. The issued document is the same throughout the country. Therefore, they usually choose the company that they have previously contacted and were satisfied with or, if there is none, the one that is more conveniently located.

    But let's not forget about the important circumstance that in case of violation of the patient's rights when receiving medical care, it is possible to contact the insurance company that issued the insurance certificate. Then it is likely that such treatment will allow the patient to solve his medical problems. The possibility of such an appeal is important to consider when choosing the medical insurance company that makes sense to contact.

    How to get a CHI policy for a child

    When receiving it for a child, you need to present a birth certificate as an identity document. The rest of the procedure for obtaining a policy is standard.

    What medical assistance can be obtained under the policy

    Each of us can get sick or injured. In this case, the state provides for the possibility of free medical care upon presentation of this document. The volume of such assistance, as well as the list of its types, is determined by the current state programs.

    They are of two main types:

    1. Programs that operate throughout the country.
    2. Those programs that operate in certain regions.

    In the latter case, services are provided in accordance with the region in which the insurance policy was issued.

    We are talking about providing such types of assistance as:

    • primary;
    • specialized;
    • ambulance;
    • palliative care.

    plastic card

    It has the same legal force as a policy in paper form and is issued simultaneously with a paper document. In its appearance, it resembles an ordinary bank card. The difference is that the necessary information is indicated here not only in electronic form, but also visually.

    There is a photo, signature sample, certificate number and other necessary personal data. In addition, it is not uncommon for a paper document to be folded several times for ease of storage. This can lead to its abrasion and the inability to read the necessary information. The plastic version is devoid of such a disadvantage. It is convenient and practical both when using it and when storing it.

    Conclusion

    The new CHI policy is valid throughout the country and has an unlimited validity period. In addition, the procedure for obtaining is not particularly difficult for the applicant. Although the replacement of the old policy is not strictly mandatory, nevertheless, obtaining a new document will allow you to feel more confident when receiving medical care.

    The issuance of a compulsory medical insurance policy (OMI) in Moscow is subject to certain criteria and the availability of the required documentation package. There are various ways to execute a document, choosing the most suitable for a particular case.

    Why do you need a policy

    It is necessary for the provision of free medical services in state specialized facilities, regardless of their location in Russia.

    Using the CHI policy allows you to count on the provision of the following services:

    • first aid;
    • medical assistance in emergency situations, not including evacuation by aircraft;
    • narrow-profile medical services for various pathologies, including the use of high-tech devices.

    The presence of a policy is necessary for the following actions:

    • to register a child in a kindergarten or school;
    • when making an independent appointment with medical specialists;
    • for territorial assignment to the respective hospital.

    What services can be obtained

    The list of medical services provided free of charge may be supplemented depending on the regional decision of the authorities. At the same time, the main list of services provided includes the treatment of the following diseases:

    Regardless of the place of receipt of the insurance policy, free treatment must be provided throughout the Russian Federation.

    In the absence of a policy, medical institutions are obliged to provide emergency assistance. This procedure must be carried out without undue delay and free of charge.

    How to issue

    You can apply for a policy in the following ways:

    • by direct contact with the health insurance company;
    • using the possibilities of Internet resources;
    • through the employer.

    Using the first option involves the preparation of the required package of documentation with subsequent application to the insurance organization. It can be selected from the register of the Moscow City Fund. You can use the help of any center of public services if you have Moscow registration. In this way, it is allowed to issue a policy for a child. At the same time, you need to know that you will need to draw up a policy at the insurance company where the document was received by the mother or other legal representative of the child. Registration occurs in those situations in which the child is not yet one month old.

    After the application is made, the insurance company will provide a temporary policy, which is identical in functionality to the original. After thirty working days, the original document is provided.

    Second way available exclusively to residents of Moscow who have reached the eighteen-year block.

    The last third option involves employment in a company that is registered at a Moscow legal address. The process of issuing a CHI policy is handled by the employer. In case of further dismissal, the employee is obliged to return the received document to the employer.

    After the application is made, the insurance company provides a temporary policy. It allows you to use all the required free medical services. The original document is provided after thirty working days from the date of application. Employees of the company notify customers of the readiness of the document by means of a phone call.

    Required documents

    The list of required documentation for obtaining a policy varies, depending on who it is issued to.

    To register an application for a policy for children up to fourteen years of age, you will need to provide the following documentation package:

    • birth certificate of the child;
    • passport or other identification document of one of the parents, legal representative in their absence;
    • SNILS.

    To issue a policy at the age of fourteen, you will need to provide:

    • the passport;
    • scanned passports;
    • photograph, as on a document;
    • SNILS.

    How to apply online

    To register an application for a policy online, you need to go to the website https://www.mos.ru/pgu/ru/services/link/2143/. It is the official portal of the Mayor of Moscow. The right to issue is granted to persons who have reached the age of majority, who have permanent registration in Moscow. To do this, you will need to prepare the required documentation package and create an account on the specified site. It must be confirmed, as well as have data on the insurance number of an individual personal account.

    To register an application, you need to submit the following scanned documents:

    • passport or other identity card;
    • photograph and original signature, for issuing a plastic policy.

    After submitting the documents, it is possible to download a temporary policy. It will take about thirty days to produce the original allocated for the registration of the submitted documents and for the direct production of the document.

    The issuance of the original is carried out at a specialized point suitable for the user. The service is provided free of charge.

    Where to get

    The place of issue of the policy can be found in the clinic that provides your services according to the existing registration. As a rule, the necessary information about the health insurer is located on the information boards of the medical institution.

    Company addresses

    It will not be difficult to find a medical insurance company suitable for its territorial location in Moscow. Partial list of addresses of specialized companies:

    1. Aviamotornaya 6, building 2, is located near the metro station of the same name;
    2. Poslannikov lane 5, building 1 and large Demidovsky lane 17/1, not far from the Baumanskaya metro station;
    3. VDNKh metro area: Krasnaya Sosna 3, Akademika Koroleva 9, Yaroslavskoe shosse 2, bldg. one;
    4. Gagarinsky pereulok 1, Ostozhenka 10 - near the Kropotkinskaya metro station;
    5. Semyonovskaya 15, office 102 is located nearby Electrozavodskaya station;
    6. Pavlovskaya 25, building 20 and Moskovsky 1st microdistrict 52, office 41 - not far from the Tulskaya metro station;
    7. Near Ryazanskaya metro station: Ryazansky prospect 53; first Novokuzminskaya 6, building 2;
    8. Near the metro station - Vernadsky Avenue: Leninsky Prospekt 99; st. Lobachevsky 8.

    A complete list of medical facilities in Moscow can be found on the website https://www.mos.ru/clinics/.