Rules for providing medical assistance to non-resident residents. Medical assistance to the people of Russia outside the policy of oms. On what can vlasovuvat vossniki policy of ZMS
Without cost of medical assistance in medical organizations in the event of an insured accident (sickness, trauma) in the entire territory of Russia in the obyazі, installed by the basic program of compulsory medical insurance and on the territory, in the same way the policy is seen - in the obligatory territorial program of the compulsory medical insurance (in one's own region).
Selecting a medical insurance organization in accordance with the procedure established by the rules of the ZMS by way of filing an application
Deputy insurance of Medical Organiza, in the Yaki wounds Buv of the insurance community, once a lot of calendar rocks, ale is not 1 leaf fall (Abo Often from the Zmіni of the Zhinnaya of the SMO of the ZMODO OPERATION OF CONTRICTIONS) medical organization
Choose a medical organization with a territorial HMS program that will take part in the implementation
Selecting a doctor by way of filing an application for the name of a medical organization specialist, especially through his representative
Reliable information about the territorial fund, insurance medical organization and medical organizations to see if it is possible to understand the nature of medical assistance for ZMS
Protector of personal data, selected for keeping a personified appearance in the ZMS
Vidshkhdushvannya by the insurance of the Medical Organiza Zbitkiv, the stinks of the non -volatile navigable vicunks of the insurance bodies of the organized organiza nadannnya of the Medichenskiye pre -laws of the Russian Federation
Vіdshkoduvannya medical organization zabitkіv, zpodіyanyh zv'yazku z nevikonannyam, or not vyskhodannymi vykonannymi medical organization obov'yazkіv shkodo organіzії nadannya medії podogo, vіdpovіdno pіdpovidno pіdpovidno pіdpovidno pіdpovidno pіzku z nevikonannyam
Defender of rights and legitimate interests in the sphere of HMS
What kind of goiter should the Insurers have?
Apply for a ZMS policy in case of a maternity leave for medical assistance, for a vinnyatkіv of an emergency medical assistance.
Submit an application for the choice of medical insurance organization to the insurance medical organization especially through your representative, subject to the rules of the ZMS.
Inform the insurance medical organization about the change of title, name, according to the father, the month of living for a month from the day, if the change occurs.
Change the choice of an insurance medical organization for a new month of living for a period of one month at a time of change of a place of residence and the availability of an insurance medical organization, in which case a gromadyan was insured.
What is the procedure for choosing an insurance medical organization?
a person is insured with the right to choose or replace an insurance medical organization (HMI) from the number of HMOs, transfer of which are placed by the territorial HMI fund on the official website in the “Internet” area and additionally can be published in other ways
to choose or replace the CMO, the person is specially insured, or through his representative, apply to the chosen insurance medical organization from the application for the choice (replacement) of the CMO. In order to issue a compulsory medical insurance policy, you need to go to any office that is convenient for you. Familiarize yourself with the application form and the transfer of the necessary documents for issuing the ZMS policy.
Vybіr or zamina SMO zdіysnyuєtsya insured person, yak reached povnolіttya or nabula dієzdatnostі in full obsyazі until reaching povnolіttya. Obov'yazkove medical insurance of children from the day of birth and until the end of thirty days from the day of the state registration of the people to enroll HMOs, in which their mothers or other legal representatives are insured. After the end of thirty days from the day of the state registration of the people of the child, and until she reaches her full age, or until she becomes a child, in the full obligation of the ZMS, they impose CMOs, as if they are taken by one of the fathers or by the other legal representative.
The replacement of the CMO is insured by a person who has the right to insured once by a calendar year no later than 1 leaf fall, or more often at times change the place of residence due to the activity of the CMO, in which case it was insured earlier. When changing the place of residence and the duration of the HMO, in the same earlier, a large citizen was insured, a person who chooses the HMO for a new place of living for a period of one month is insured. The CMO informs about insurance claims about us before the deadline to add your duty three months before the date of assignment of the duty. In case of pre-term attached duty, the CMO is insured by a person for a period of two months submitting an application for the selection (replacement) of the CMO until the next CMO.
If an insured person has not filed an application for the selection (replacement) of an insurance medical organization, then such a person is respected by the insured medical insurance organization, in which case she was insured earlier.
Who will steal your rights?
An insurance medical organization of the form of a policy, in charge of the appearance of the insured people and their medical assistance, goiter must be informed of their insurance, see if that mind is given to them in medical assistance, protect their rights and interests. Remember, the insurance medical organization is your helper in virishenni problems and difficult nutrition related to medical assistance for the HMI program. If you are insured with one of our companies, you can contact our representatives for advice, legal advice, professional assistance, to resolve a conflict with a medical institution or a doctor.
Vidpovly, to the statts 21 of the Federal Law of VD 11/21/2011 No. 323-ФЗ “On the Osnovi Hodzni Healthy Gromyan at Rosiyskiy federal”, with the Nadanni Gramydyanin Duphomoga as part of the sovereign guarantees of the bastards of Medical Duphmodes, the right to vibyr Medinoi Medinoi Medinoi Medinoi Medical order, confirmed by the federal body of vikonavchoi vlady, that on the choice of a doctor for the improvement of a doctor.
При наданні громадянину медичної допомоги у межах програми державних гарантій безоплатного надання громадянам медичної допомоги вибір медичної організації (крім випадків надання швидкої медичної допомоги) поза території суб'єкта Російської Федерації, де проживає громадянин, здійснюється у порядку, встановлюваному уповноваженим федеральним органом виконавчої.
Vіdpovіdno until the order to the Department of Health Protection of the City of Moscow and the Moscow Mіskogo Fund of ZMS in 11.10.2010 No. 1794/130 prophylactic install at the system of the ZMS city of Moscow warehouse pіdstavі letter statement zіm'yam head doctor vіdpovіdno up to resourcefulness install.
The hodan is the primary of the medical and warhead duplication of the health of the cerebellar of the cerebral of the Russian Federation on 05/15/2012 N 543n (as amended on 09/30/2015) "On the hardener of the place of the organizing medical and sanctuary of the passage of the passage of the passionate2 232)
Vidpovly, before the penalty of the mini of the hunting of healthy federal federal federal federal federal federals 12/21/2012 No. 1342n “About the order of the order by the vibor of Medichean Organi (behind the vinette of the vipadkiv, the nadannya of the Medichas, the Subdyska of the Rosiyskai, in the Gritsya federal Duphumes at the framework of the sovereign guarantees of the bended nadanny of Medica pretext ”for the Nadannny of Medical Dopomi for the Mezhi Teritori submiykta federal, in a luxury, a huge abstinant through his representation of the beast of the mental organ. having shown the originals or certified copies of the following documents:
- the passport of a citizen of the Russian Federation, or the timely occurrence of a person of a citizen of the Russian Federation, which is seen during the period of registration of the passport;
- a policy of obov'yazkovy medical insurance (time-hours insurance policy of ZMS);
- SNILZ (for visibility).
Citizens who are insured with compulsory medical insurance at the city of Moscow, receive medical assistance upon presentation of the compulsory medical insurance policy (in case of the first payment to the likuval-prophylactic mortgage of the Crimean compulsory medical insurance policy, it is necessary to present a passport). For the duration of the HMI policy in patients (for cases of emergency medical treatment), the medical authorities establish to carry out visits to identify the patient with the method of installing an insurance policy or introducing it (for a passport) to the category of non-resident citizens or non-identifiers.
Planned in-patient medical assistance to the citizens, insured with compulsory medical insurance near the city of Moscow, hopes for referrals of an outpatient-polyclinic mortgage, to a stench attached to medical services.
To receive specialized medical assistance in a planned form, a choice of medical organizations is required for the direction of the doctor.
Shvidka is an indispensable medical aid, including a stationary one, for all the citizens who stay in Moscow, hope without a cost, for a small sum of money to the city’s budget, independently of the presence of a certificate of registration in Moscow and the policy of ZMS.
Department of Health Care of Moscow in contact with the number of massacres of citizens on the provision of medical assistance in medical organizations of the state system of health care of Moscow inform
Vidpovly, before the order of the Department of Hands of Healthy Mista Moskvi VID 11.10.2012 No. 1090 “About the departure of Zmin before the order of the Department of Healthy MIST MOSTIV VID 02.11.2009 No. 1400” Restannia about the canal of planning advisory and diGeagnicity to the budget of MIST MISTOMI (planned medical assistance, which is not included in the basic program of obligatory medical insurance, planned medical assistance in medical organizations, which is not included in the system of obligatory medical insurance, programmatic and peritoneal dialysis, hemosorption, transplantation of organs and / or tissues, chemotherapeutic treatment, possession of expensive medicinal preparations for blood poisoning, rosacea sclerosis, systemic collagenoses, after transplantation of organs and/or tissues) is accepted by the Department of Health Protection of the City of Moscow for a written application of a patient or a representative of the Healthcare Department 'I'm the city of Moscow.
The letter application of the patient (legal representative of the patient) is guilty of the following information: name, name, according to the patient’s father, date of birth, population, registration address for the place of residence, postal address for the place of actual residence (change), contact number of the legal representative of the patient (for obviousness), the essence of the animal. To the letter, declare the same document: Kopai Documentyv, I overthrow the person, enormousness of the register behind the Mosets Zhivanni (renovation) of Patziynta, Kopye Polisa Medical Secret Breaky (for the dial Vityag z medical documentation, the results of the examination of the profile of the diseased patient, and other medical documentation (for evidence).
At the time of the appointment of the legal representative of the patient, the set of documents additionally includes a copy of the document certifying the person of the legal representative of the patient, a copy of the document confirming the identity of the legal representative of the patient.
Відповідно до Закону Російської Федерації «Про медичне страхування громадян у Російській Федерації», Правилами обов'язкового медичного страхування населення міста Москви, Територіальною програмою державних гарантій надання населенню міста Москви безоплатної медичної допомоги та з метою вдосконалення організації надання медичної допомоги в рамках Московської міської програми обов 'Language health insurance is punishable by:
1. Confirm the Procedure for that mindfulness of medical aid for the Moscow program of the ZMS ().
2. To the heads of the departments for the protection of the health of the administrative districts of the Moscow metropolitan area, to the certifiers of the curative and preventive installations, to bring the document to the level of the introduction of the pіdvidomchih literal and preventive installations of the structural pіdrozdilіv for the ceramics and vikonannya.
3. To ensure that the Moscow City Fund for Obligatory Medical Insurance provides information to the population of Moscow about the procedure for the provision of medical assistance for the Moscow City Health Insurance Program.
4. To respect such, having spent rank, the order to the Department of Health Protection of the City of Moscow and the Moscow Medical Fund for Obligatory Medical Insurance in 14.11.2008 No. 931/131 “On the confirmation of the order of the minds of medical assistance for the Moscow Health Insurance Program”
5. Control over vikonannyam what order to put on the first intercessor Kerivnik to the Department of Health Protection of the City of Moscow Polyakova S.V. that intercessor of the Vikonavchy Director of the Moscow City Fund for Obligatory Medical Insurance Yur'ev T.I.
addendum
to the Department
protect the health of m. Moscow
and the Moscow City Fund HMI
dated July 11, 2010 N 1794/130
Wash the order
medical assistance for the Moscow program of HMS
1. Medical assistance within the framework of the Moscow City Program of Comprehensive Medical Insurance (HMI) is supported by medical regulations that are practiced in the MHI system of the city of Moscow, residents, who are entitled to obligatory medical insurance:
Gromadyans, insured under ZMS near Moscow metro station;
Citizens who are insured under ZMS for other subjects of the Russian Federation (hereinafter referred to as “non-resident communities”);
Patients, if there are no objective reasons for identification (behind the HMS policy) with primary medical and sanitary assistance and specialized medical assistance for emergency indications, in outpatient or inpatient minds (hereinafter referred to as “non-identified patients”).
2. Citizens who are insured for HMI near the metropolitan area of Moscow, receive medical assistance upon presentation of the HHI policy (in case of the first payment to the likuval-prophylactic mortgage of the Crimean HMI policy, it is necessary to present a passport).
For the duration of the HMI policy in patients (for cases of emergency medical treatment), the medical authorities establish to carry out visits to identify the patient with the method of installing an insurance policy or introducing it (for a passport) to the category of non-resident citizens or non-identifiers.
Scheduled inpatient medical assistance to the residents, insured under the ZMS near Moscow metro station, hopes for referrals of an outpatient-polyclinic mortgage, to a stench attached to medical services.
Medical assistance to the population, insured under the ZMS near the metropolitan area of Moscow, from leading and non-state medical establishments, who take part in the implementation of the Moscow MIS program of the ZMS, hopes for the improvement of the planned medical and preventive measures and approved by the Department of Health Protection.
3. For out-of-town residents, planned medical assistance in the Moscow City Health Insurance Program is provided in medical institutions to the Department of Health Protection of the City of Moscow upon presentation of a territorial health insurance policy and a passport - passports of one of the fathers of legal representatives).
In order to implement the principle of availability of cost-free medical assistance, there is an attached medical service for non-resident communities living near the metro station of Moscow, with a medical pledge added to the register of the attached population of the medical mortgage on the submission of a letter application for the head doctor.
Планова стаціонарна медична допомога іногороднім громадянам надається на підставі напрямків, виданих Департаментом охорони здоров'я міста Москви, управліннями охорони здоров'я адміністративних округів м. Москви (відповідно до підпорядкованості установи), а також напрямків, виданих медичними установами за наявності прикріплення до них іногородніх hulks, including year. children and female women on medical care.
4. Diagnostic obstezhennya and advisory assistance are prescribed for medical indications and are prescribed by a doctor.
A jubilant doctor will choose a choice of facsimiles for consultations and a choice of medical research, materials and medical recognition.
When the normative need for a specialist and/or a medical mortgage is transferred, consultative-diagnostic and planned medical assistance for the HMS program is put in order.
5. Implementation of the right of citizens, insured for HMI in Moscow, to choose a likuvalno-prophylactic mortgage in the system of HMI in Moscow is required to submit a letter of application for the name of the head doctor, depending on the resource capabilities, establish: tightness, staffed medical staff The order of organization of medical services for the population according to a separate principle, confirmed by the order of the Ministry of Health and Social Development of Russia, dated 04.08.06 N 584.
Dopomoga at home is provided by medical practitioners of the establishments, spreading on the territory of the actual residence of the community.
Realization of the right of insurance for HMI to the choice of a doctor, including a family and a jubilant one, depends on the improvement of yoga.
6. Medical establishments to ensure the safety of the population without cost and available information:
See the medical services that are provided free of charge within the framework of the city's programs for the development of the capital's health care and the Territorial programs of state guarantees for the population of the city of Moscow free medical assistance, which is to become the Moscow city program of ob'yazykovogo medical insurance;
See about the medical services that they rely on the medical establishment for the rahunok of the rich cats of the bulk of the chi and other gerels of finance at the borders of voluntary medical insurance;
About the feasibility of a medical mortgage to give services for the citizens of the bulk for a fee, for prices that show the same varity of medical services, that (or) give services for an additional fee (without paying the full cost of medical services);
Think about the nadannya, that otrimannya of paid services;
About the pills of the okremikh categories of the bulk.
7. The insurance medical organization, as it saw the policy of the ZMS, looking at the insurance coverage with the method of security and the protection of their rights to the withdrawal of medical assistance within the framework of the Moscow MIS program of the ZMS. At the time of the application of the insured person for HMI, claims to the organization and (or) the level of medical assistance of insurance medical organization of goiters are to organize the examination of the level of medical assistance in the order of that line, the transfer of the Regulations on medical and economic medical control , nadanї for the ZMS program.
If necessary, medical insurance organization visits for insured persons with mandatory medical insurance and other types of medical assistance in other medical establishments, as if they are rebuying with it in contractual vіdnosinah.
8. Bastard, insured for the ZMS near m. Moskvy, Igorodni Bastard, that is not the same, Patzinti, at the Otrimanni Medina Dopomogi, settled by the fundamentals of the legislation of the Federal Federal Administrative District on the Hands of Hydron by the Law of the Russian Federation "About the Medican Gromyannya Fadishi
In times of violation of the rights of the patient, the patient may turn around:
Without intermediary to the stonework of another landowner of a medical mortgage, in which you have been given medical help;
to the Department of Health Protection of the Vidpovidny Administrative District of Moscow;
Department of Health Protection of the City of Moscow;
to the insurance medical organization that saw the insured person the compulsory medical insurance policy and accepted the guilt of the goiter for the defense of his interests;
Prior to the Moscow Arbitration Expert Commission (DAEK) at times, as the patient's claims were already considered by the insurance medical organization, the insured person was not satisfied (applications for transfer to the DAEK are accepted by the Moscow Health Insurance Fund Management Organization);
9. It is not allowed to provide non-primed medical assistance to people insured under VMS for the population without a cost of medical care in medical institutions, as they take part in the implementation of the Moscow MIS program of VMS.
Note.
1. Vіdpovіdno until the decision of the Council of Moscow dated 04.03.2008 N 145-PP by the Department of Health Protection of the City of Moscow zdіysnyuєtsya type of referral to hospitalization (consultation), including insured z ob'yazkovyh medical insurance from the city's subsidiaries of Moscow єkktiv Rosiysko federals, at the inter -Teritoric signs of sovereign guarantee nadanni in the settlement of Mosst Moskvi Medical Dusods of the Bulfacy, I have been to the bulkmen, yaki reside the bila Krayan, the galluzi “Zhonona Zhaluza” at the meadows spheres of health protection.
2. Vidpovly until the decision of the URAIC of the Federals of Supervision 01.09.2005 N 546 Shvida Medichena with pre-Earth enormous people to the Likuval-Profiral state of the sovereign of the munitors of the hunting of the Viniknnya Stayvs, to become the loving of the lifespan of the ally of the altar. After leaving the appointments, foreign citizens can be given planned medical assistance on a paid basis. As an international treaty of the Russian Federation, a different procedure for providing medical assistance to foreign citizens has been established, the rules of the international treaty shall be established.
Order to the Department of Health Protection of the City of Moscow and the Moscow City FOMS dated July 11, 2010 N 1794/130 "On the approval of the Order of the minds of the medical assistance for the Moscow program of the ZMS"
Document overview
It has been established that medical assistance within the framework of the Moscow MIS program is provided by medical installations that are used by the ZMS system, for the population, as a form of obligatory medical insurance: we insure under the ZMS of Moscow; insured for other subjects of the Russian Federation; patients, due to objective reasons not identifiable (behind the HMI policy) when they receive primary medical and sanitary assistance and specialized medical assistance for emergency indications.
Citizens, insured with ZMS, may have the right to choose a likuval-preventive mortgage in the ZMS system. For whom it is necessary to file an application for the name of the head physician.
It is not allowed to provide ungrounded insurance to citizens with free medical assistance in medical facilities, if they take part in the implementation of the Moscow city program of ZMS.
1. The skin may have the right to medical assistance.
2. You may have the right to receive medical assistance in a guaranteed obligation, which you can pay without obligation, up to the program of sovereign guarantees of free medical assistance to the population, as well as to the removal of paid medical services and other services, including a good medical insurance contract.
3. The right to medical assistance for foreign citizens, who live and change on the territory of the Russian Federation, is established by the legislation of Ukraine and the relevant international treaties of Ukraine. Individuals without community status, as if permanently living with the Russian Federation, are eligible for medical assistance as equals with the population of the Russian Federation, as it is not otherwise transferred by international treaties of the Russian Federation.
4. The procedure for providing medical assistance to foreign citizens is determined by the Order of the Russian Federation.
5. The patient has the right to:
1) the choice of a doctor and the choice of a medical organization is in accordance with the th Federal Law;
2) prevention, diagnostics, treatment, medical rehabilitation in medical organizations in the minds, which is indicative of sanitary and hygienic care;
3) otrimannya consultations of doctors-fahivtsiv;
4) relief of pain associated with illnesses and (or) medical interventions, available methods and drugs;
5) withdrawal of information about one's rights and obov'yazki, the camp of one's health, vibir osib, which, at the expense of the patient, may be transferred information about the camp of one's health;
6) otrimannya likuvalny eating at the time of rebuking the patient on likuvanni at stationary minds;
7) defender of statements to establish a medical secret;
8) vidmova vіd medical vtruchannya;
9) vodshkoduvannya shkodi, zapodiyanoї zdorov'yu pіd hour nadannya yoma medical assistance;
10) access to a new lawyer or legal representative for the defense of their rights;
11) admission to a new clergyman, and in case of a patient’s appointment at a hospital in the hospital - on the basis of the mind for the correction of religious rites, which can be carried out at the hospital, in addition to the appointment of a hospital, as it does not damage the internal medical order
Rules for providing medical assistance to foreign citizens of the Russian Federation
(Resolution to the Order of the Russian Federation dated 6 March 2013 N 186 r. Moscow "On the approval of the Rules for the provision of medical assistance to foreign citizens on the territory of the Russian Federation")
1. The Rules determine the procedure for providing medical assistance to foreign citizens of the Russian Federation.
2. Медична допомога іноземним громадянам, які тимчасово перебувають (тимчасово проживають) або постійно проживають в Російській Федерації, надається медичними та іншими організаціями, що здійснюють медичну діяльність незалежно від їх організаційно-правової форми, а також індивідуальними підприємцями, які здійснюють медичну діяльність (далі - medical organizations).
3. Medical aid in an emergency form in case of acute illnesses, camps, acute chronic illnesses, which threaten the life of a patient, is hoped by medical organizations without cost to foreign citizens.
4. Foreign citizens who are insured persons are subject to the Federal Law "On Obligatory Medical Insurance in the Russian Federation" to claim the right to free medical assistance within the framework of obligatory medical insurance.
5. Shvydka, in addition, shvidka is specialized, medical help is given to foreign citizens in case of ailments, unfortunate fluctuations, injuries, illnesses in those other countries, as they require a term medical introduction.
The medical organizations of the sovereign and municipal systems of health protection have appointed medical assistance to be provided to foreign residents free of charge.
6. Medical assistance for non-conforming forms (with a vinnyatkoy, including special, medical assistance) and planned forms are given to foreign residents, subject to contracts for paid medical services or contracts for voluntary land-based medical insurance (Azerbaijan) assigned to paragraph 4 of the Rules, contracts in the field of obov'yazykovogo social insurance.
7. Medica pre -discolo from the planning form to be implied with the submitted by the earthly communist letter of the guarantor Vikonnnya Zobovi, to pay the fact of the actual warts of the Medic sub -payment of the Medica, the Vydannya of the Nadannya of the Vypadkiv, the nadannya, , as well as the necessary medical documentation (vitags from the history of illness, data from clinical, radiological, laboratory and other records) for її presence.
8. Після закінчення лікування іноземного громадянина на його адресу або адресу юридичної чи фізичної особи, яка представляє інтереси іноземного громадянина, за погодженням із зазначеним громадянином надсилається витяг з медичної документації із зазначенням терміну надання медичної допомоги в медичній організації, а також проведених заходів щодо профілактики, diagnostics, treatment and medical rehabilitation.
Medical documentation, which is sent from the Russian Federation to another state, will be covered by the Russian one.
9. Rahunki-Fakturi for actually Nadana Dodopomu for the last 10 days of PISLYLYSHNENNYA LIKUVANNA, to nullify the Medical Organizai at the address of the Inozemary Blumadin of the Law-Extra-Estemens, Yakshcho I did not come up with the agreement, vypadkіv nadannya medical assistance vіdpovіdno up to paragraph 4 cix of the Rules).
10. Arguing that due to medical aid dues, or by untimely payment of invoices for actually giving medical aid, are violating the order established by the legislation of Ukraine.
11. As an international treaty of the Russian Federation, a different procedure for providing medical assistance to foreign residents has been established, the rules of the international treaty shall be established.
The emergency and indispensable medical help is hoped for by the people who live outside the borders of the territory of the subject of the Russian Federation, where a hulk lives (hereinafter - non-resident hulks) it’s improbable and bezkoshtovno.
In other cases, up to Article 35 of the Federal Law of November 29, 2010 No. 326-FZ “On Compulsory Medical Insurance in the Russian Federation”, the community may have the right to receive medical assistance, included before the basic insurance program (the program of medical insurance). including the posture of the subject of the Russian Federation, who has seen the policy of ZMS.
| Emergency Medical Assistance, including specialized | Raptovі gostrі zakvoryuvannya that stand; aggravation of chronic illnesses, which pose a threat to the patient's life | GET FREE! | |
| Invisible medical assistance among them is specialized | Raptovі gostrі zakvoryuvannya that stand; acute chronic illnesses without obvious signs of a threat to the patient's life | In the event of a call to medical help, or in case of an independent transition to a medical organization | GET FREE! |
| Planned medical assistance | Influenced during preventive visits, in case of illness in those camps that are not accompanied by a threat to the patient's life, do not require emergency and indispensable medical assistance, the line of duty for the singing hour will not cause the patient to become healthy, the patient will become healthy | It is necessary to attach to the medical organization | CLEARLY insured persons under obligatory health insurance |
In order to attach to a medical organization for the purpose of obtaining medical assistance outside the borders of the territory of the subject of the Russian Federation, in which a citizen lives, the citizen is guilty of returning to the chosen medical organization with a written application (application).
When choosing a medical organization, a non-resident citizen may also have the right to choose a doctor.
At different clinics, at attached clinics, or at the choice of a doctor, you can submit everything to the tax.
PROCEDURE AND TERMS FOR REVIEWING THE APPLICATION OF A NON-CORPORATE GROMADYAN
| especially | |||
| Independently, without the participation of a hulk | Ask for confirmation of the information assigned to the application, from the medical organization, in the same community, you are going to the medical service at the time of filing the application | Strengthen the sheet with a special or electronic mail 2 days after the application | |
| Medical organization, as a citizen, he is on a medical service at the time of filing the application. Independently, without the participation of a hulk | For 2 days after the withdrawal of the request | ||
| Medical organization that accepted the application | At the written form, for any available channels, a link | For a period of 2 days after the withdrawal of the request | |
| Gromadyanin chi yogo legal representative | Appeal to the selected medical organization with a written application | especially | The application is accepted on the day of the animal |
| Medical organization that accepted the application Independently without the participation of a hulk | Ask for confirmation of the information specified in the application, to the medical organization, in which the citizen is being transferred to the medical service at the time of filing the application | Nadsilaє sheet with great or electronic mail | 2 days after application |
| Medical organization, as a citizen, he is on a medical service at the time of filing the application. Independently without the participation of a hulk | Ready to send you to the medical organization | Nadsilaє sheet with great or electronic mail | For 2 days after the withdrawal of the request |
| Medical organization that accepted the application | After the removal of the sheet, which confirms, in the form of a forward medical organization, inform the hulk about the admission to the medical service. | In writing, chi sonic forms, for any accessible types, a link | Protyag 2 days after otrimanna vіdpovidі on request |
The citizens of Russia are guaranteed free medical assistance by the power. A policy is seen in the hands of people - a document that supports the sovereign system of protecting health in times of illness.
And what does vin really mean? How can you see services at the clinic of goiter without additional payment, and for what you happen to pay on your own? For what kind of furnishing is there a cost-free medical treatment? Let's take a look at all the nutrition report.
About bezshtovnuyu medicine
At 41 articles of the Constitution of the Russian Federation, the guarantees to the inhabitants of the country from the side of the state are re-enabled. Zokrema says there:
“Kozhen may have the right to the protection of health and I will provide medical help. Medical help at the state and municipal mortgages for the protection of health is hoped for by the people without a cost for the money of the budget, insurance premiums, and other expenses.
In this rank, the transfer of costless medical services can be appointed by high-ranking sovereign bodies, that is the system of health protection. Seen on two equals:
- federal;
- regional.
Important! The budgetary fund for the development of medical institutions is formed with the help of a kіlkoh dzherel. One of them is tribute to the bulk of the population.
Yaki vidi services are guaranteed by the state
Looking at the official legislative acts, the patients are guaranteed a declaration about such types of medical services:
- ekstrene (shvidka dopomoga), zocrema special;
- outpatient treatment, zocrema obtezhennya;
- services to the hospital:
- gynecological, in connection with vaginitis and canopies;
- with chronic ailment, severe and chronic;
- in cases of acute illnesses, in case of severe injuries, if intensive therapy is needed, it is associated with health concerns;
- planned support for stationary minds:
- high-tech, zocrema with folding, unique methods;
- medical care for the population with non-violent ailments.
Healthy cats are seen for the budget of people who suffer from such illnesses:
- short term life;
- rіdkіsnі;
- yaki lead to disability.
What food do you need? and our lawyers will call you at the next hour.
New in legislation in 2017
- dolikarska (primary);
- shvidka;
- specialized;
- palliative.
In addition, the text of the document contains a list of medical specialists, on which the obligatory language of the patients is expanded without pennies.
Before them one can see:
- paramedics;
- midwives;
- other medical practitioners from the average special education;
- physicians-therapists of all profiles, including doctors of family medicine and pediatricians;
- likar-fahivtsі medical organizations, yakі nadayut spetsializovanu, zokrem vysokotekhnologichnu, medichnu dopomomu.
Medical policy
Important! Polis ZMS may have the right to issue not only the bulk of the Russian Federation. You can see wine (for a small fee) to foreigners, as if they live permanently near the country.
The CHI policy may have such a change:
- guaranteeing a medical support to a huge man;
- medical organizations accept it as a client identifier (for a new medical facility, the funds are repaid to the HMI Fund).
How to withdraw a ZMS policy
You can see the document of a recognized company, yakі within the framework of the legislation of the Russian Federation. On the official sites, their rating is regularly updated, which allows the citizens to be appointed by choice.
In order to see the ZMS policy, it is necessary to submit the minimum number of documents.
And to herself:
- for children up to 14 years of age:
- certificate about the people;
- father's (guardian's) passport;
- SNILZ (yakscho є);
- for residents over 14 years of age:
- the passport;
- SNILZ (for visibility).
Important! For the citizens of the Russian Federation, the policy is dei bezstrokovo. Only foreigners are safe with Timchas document:
- bіzhentsі;
- timchasovo yaki at the edge.
Rules for replacing the ZMS policy
In certain situations, the document should be changed to a new one. Before such lie like this:
- when moving to the region, de insurance does not work;
- at the same time filling papers with pardons and inaccuracies;
- when vtrati chi psuvanni document;
- if the wine has become irrelevant (zastarіv) and it is impossible to sort out the text;
- at the time of changing personal data (zamіzhzhya, for example);
- at the time of the planned renewal of the form.
What to enter at a cost-free service with a ZMS policy
Paragraph 6 of Article 35 of the Federal Law No. 326-FZ introduced a new transfer of cost-free services from the medical policy, which is hoped for by the documents' holders. The stench hopes to:
- polyclinics;
- outpatient clinics;
- hospitals;
- help me, help me.
On what can vlasovuvat vossniki policy of ZMS
Zocrema, patients have the right to free medical assistance and treatment in such situations:
Dentists, like and іnshі fahivtsі, goiter, work with patients without payment.
The stinks give such a look for help:
- treatment of caries, pulpitis and other diseases (enamels, inflammation of the body and the root of the tooth, clear, good tissues);
- surgical insertion;
- vivhi slit;
- preventive visits;
- follow-up diagnostics.
Important! Children without payment are given services:
- for correcting the bite;
- enamel decoration;
- exaltation of other lesions, not related to caries.
How to zastosovuvat policy compulsory health insurance
With the method of organizing the exaltation of patients, they are attached to the polyclinic. The choice of medical mortgage is based on the choice of the client.
Vin stands out:
- zruchnistyu vіdvіduvannya;
- place of accommodation (instruction from the house);
- other factors.
How to "attach" to the clinic
You can pay for additional insurance (I’ll set it up with the withdrawal of the policy) or independently.
To attach to the clinic, follow the order to the mortgage and write an application there. Copies of the following documents are attached to the paper:
- Dedication of an individual:
- passports for citizens over 14 years of age;
- certificates of a child up to 14 years old about the people and passports of a legal representative;
- ZMS policy (required and original);
- SNILSU.
Important! Citizens who are registered in a different region can be assigned to a polyclinic on legal bases, as a result of which the establishment is relocated (the limiting norm of patients has been exceeded).
At the same time, slid vimagati yogo is issued in a letter form. You can apply for a medical deposit at the Ministry of Health of the Russian Federation or Roszdravnadzor.
Visit to the doctor
In order to help a specialist, it is necessary to sign up for a new one through the registry. Tsei viddil saw the receipt coupons. The terms and rules of registration, service of patients are established on a regional basis. You can find out about them at your own registry.
In addition, give the insurance to the clients of the goiter (it is necessary to call for the number indicated on the policy form).
For example, the capital has such rules for the provision of medical services to patients:
- referral to the first appointment to the therapist, pediatrician - at the day of the maternity;
- coupon to doctors-fakhivtsiv - up to 7 working days;
- conducting laboratory and other types of obstezhennia - up to 7 days (in some cases up to 20).
Shvidka dopomoga
Only people who are near the country (the presence of the ZMS policy is neobov'yazkovo) can quickly get emergency medical services.
Establish standards that regulate the activity of brigades of security guards. Wow like this:
- the service of the swedish help to help on emergency calls for 20 minutes in case of a threat to the life of people:
- unfortunate falls;
- wounded and injured;
- zagostrennya ill;
- otruєnnya, opiki too thinly.
- there is no help coming for two years, as a threat to life for a day.
Yak viklikati Shvidka
Іsnuє kіlka variantіv vіnnіnіnі for ekstrenuyu medіkou pіdmogoyu. Wow like this:
- From a landline phone - dial 03.
- From mobile call:
- 103;
Important! The remaining universal number is 112. This is the center for the coordination of all emergency services: conceal, fire, emergency and others. This number is used on all devices for the presence of a call in the link:
- with zero balance;
- without any blocking of the SIM card.
Rules for responding to shvidka help
The service operator determines which ring is primed. Shvidka arrived yakscho:
- the patient has signs of a severe illness (independently from the place of rest);
- there was a catastrophe, mass famously;
- found information about an unfortunate fall: injuries, opiky, frostbite;
- disruption of the activity of the main systems of the body, which threatens life;
- how the canopies began to resurrect the vagity;
- Disorder of a psycho-neurological ailing person threatens the lives of other people.
Wikis are considered unprimed, zoomed by such factors:
- alcoholism of the patient;
- non-critically I will become a patient of the clinic;
- dental disease;
- carrying out procedures in the order of planned treatment (dressings, injections, etc.);
- organization of document processing (providing a license, finalizing, compiling a death certificate);
- the need to transport the patient to another month (clinic, home).
Where to give scargs to doctors
In case of guilty conflict situations, rude reason, insufficient equal service, the doctor can be scammed:
- head physician (in writing);
- with an insurance company (for an additional phone and a letter);
- to the Ministry of Health (in writing, using the help of the Internet);
- Prosecutor's office (also).
Respect! The term for looking at the scarga is 30 working days. For the results of the re-examination of patients' goiter, send a primed statement in a letter form.
If you need a doctor, who is happy, you can change to another doctor. For whom should write an application for the name of the head doctor of the clinic. It is allowed to carry out a change of fahivtsiv not more often than once per day (crime for relocation).
Dear readers!
We describe the typical ways of solving legal issues, but the skin is unique and will require individual legal assistance.
For a prompt resolution of your problem, we recommend that you return to qualification lawyers of our site.
Remain changed
From May 28, 2019 nabuli chivalry new rules ZMS, zgіdno z zgіdno z zadbachaєtsya zaprovadzhennia in Russia polіsіv єrazka (paper chi electronic format). If you need to replace an earlier known policy every day. In addition, it is technically possible to unequivocally identify an insured person in the single register of insured persons - then the replacement of the HMI policy is allowed to present a passport (Order of the Ministry of Health of Russia dated February 28, 2019 No. 108n "On approval of the Rules for obligatory insurance") of medical insurance.
The new Rules provide for absolute control over the rights of insured persons, as well as electronic interaction between the territorial MHIF, insurance organizations and liquidation organizations:
- polyclinics for a short time until September 31 will report to the TFOMS (through a single portal) the number of cases that have been attached, the number of cases under the dispensary observation, schedules of prognostic examinations / medical examinations with a quarterly / monthly breakdown by therapeutic cases; work schedules);
- polyclinics on working days up to 9 th of the morning due to answer (through the TFOMS portal) about insurance, how they passed the medical examination, as well as about the medical examination, how to undergo a medical examination;
- medical organizations, insurance medical organizations (CMOs) and TFOMS will exchange statements in electronic form on the TFOMS portals: hospitals up to 9th grade are responsible for updating the data on the provision of medical assistance, insurance, admission / non-acceptance of patients; polyclinics until the 9th wound are updated with reports about the sightings of the day straight to the hospital; Medical organizing, yaki to the specialty-alіsovan, including the Khosokotekhnologiychna, Medic Domogo, pinking about Patziyntiv, Yakim conducted a television for a consultant, and the zobovy was able to prostrate nearest working days;
- незалежно від згаданої взаємодії, СМО щодня не пізніше 10 ранку повідомляє стаціонарам про пацієнтів, направлених у такі стаціонари напередодні, а також щодня не пізніше 10 ранку повідомляє медичних організацій про кількість вільних ліжок у розрізі профілів/відділень, про пацієнтів, госпіталізація яких не відбулася;
- On the basis of data from the TFOMS portal, CMO checks for a working day - whether they correctly sent patients to specialized medical organizations. As if the hospitalization took place at random, not for the profile - the CMO can give a scarg to the head doctor of the medical organization-porushnik and to the regional health ministry, and if necessary - to live in and transfer the patient;
- страхові представники СМО отримали широкий діапазон обов'язків – робота зі скаргами громадян, організація експертиз якості медичної допомоги, інформування та супровід їх при наданні їм медичної допомоги, запрошення на диспансеризацію, контроль її проходження, формування списків осіб на диспансеризацію та списків громадян, які потрапили under the dispensary. watchfulness;
- patients can marvel, if they were given any kind of medical services, and for some kind of art: in a special office on the portal of state services, or through the TFOMS for additional authorization in the ECIA;
- for oncological patients of CMO goiter, it is possible to create (on the TFOMS portal) an individual history of insurance outcomes (on the basis of registries-rachunkiv) by stretching the necessary stages of medical assistance.
The updated Rules of the ZMS without intermediary put on the CMO obligatory zdijsnyuvat pre-trial claims for the rights of insured osib. At the time of their treatment with skargs for a lack of medical assistance, or to pay for services for the program of HMS, SMO register letters of training, conduct a medical and economic examination and an examination of the quality of medical assistance.
Our experts will check the changes in the legislation in order to provide you with reliable information.
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