How to change the compulsory medical insurance policy to a new one. Plastic compulsory health insurance policy - advantages and disadvantages

Get a policy Replace [restore]

Reasons for replacing or reinstating a compulsory medical insurance policy:

when changing the last name, first name, patronymic, date of birth, place of birth, insured person;
establishing inaccuracy or erroneous information;
dilapidation and unsuitability of the policy for further use;
loss of the policy.

draw your attention to that if you change your place of residence (another region) or choose another insurance company, the policy cannot be replaced, and the insurance company’s seal is placed on the back of the paper form or changes are made to the electronic compulsory medical insurance policy, if there are PIN and PUK codes.

To replace (restore) a compulsory health insurance policy:

To obtain a compulsory health insurance policy:

Who will be covered by the compulsory health insurance policy?

To yourself To another person

Documents for registration of compulsory medical insurance policy. Select your population category:

Adult citizens of the Russian Federation (except for military personnel and those equivalent to them)

1. Birth certificate

3. SNILS - certificate of compulsory pension insurance for a child (if available).

1. Identification document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport)

2. Identity document of the child’s legal representative

3. SNILS - certificate of compulsory pension insurance for a child

1. A refugee certificate or a certificate of consideration of an application for refugee recognition on the merits, or a certificate from the Federal Migration Service about the acceptance of a complaint against a decision to revoke refugee status or a certificate of temporary asylum in the territory of the Russian Federation

2. Residence permit

1. A passport of a foreign citizen or another document established by federal law or recognized in accordance with an international treaty of the Russian Federation as an identification document of a foreign citizen with a note on a temporary residence permit in the Russian Federation

1. A document recognized in accordance with an international treaty of the Russian Federation as an identification document of a stateless person

2. Residence permit

3. SNILS - certificate of compulsory pension insurance (if available)

1. A document recognized in accordance with an international treaty of the Russian Federation as an identification document of a stateless person, with a note indicating a temporary residence permit in the Russian Federation

2. SNILS - certificate of compulsory pension insurance (if available)

1. Passport of a foreign citizen or other document established by federal law or recognized in accordance with an international treaty of the Russian Federation as an identification document of a foreign citizen

2. SNILS - certificate of compulsory pension insurance

3. Employment contract of a working state - a member of the EAEU

4. A detachable part of the notification form about the arrival of a foreign citizen or stateless person at the place of stay or a copy thereof indicating the place and period of stay

2. SNILS - certificate of compulsory pension insurance

3. A document confirming the person’s relationship to the category of officials, employees of EAEU bodies

Power of attorney and identification document of the representative. To register a compulsory medical insurance policy for minors, a power of attorney from a legal representative is required.

Where to get a compulsory medical insurance policy

To apply for or reissue (replace) a compulsory medical insurance policy, you must contact the company personally or through a representative. RESO-Med has a large number of policy issuing points, this makes it possible to choose a convenient location and reduce the time for obtaining a document. You can find an office by calling or calling the company’s Contact Center at 8 800 200-92-04.

Compulsory medical insurance policy of a single sample

Compulsory medical insurance policy is a document confirming the right of a citizen to receive free medical care (services) in the scope of the basic compulsory medical insurance program throughout the Russian Federation and the territorial compulsory medical insurance program in the territory of the subject of the Russian Federation in which the compulsory medical insurance policy was issued.

According to 326-FZ, the production of compulsory medical insurance policies of a uniform standard is organized by the Federal Compulsory Medical Insurance Fund of the Russian Federation, and their issuance to insured persons is carried out by insurance medical organizations (IMO) in the manner established by the Rules of Compulsory Medical Insurance.

A compulsory medical insurance policy or, as it is often called, a “medical policy” is necessary not only for receiving medical care. Often, a medical insurance policy or a copy of it is asked to be provided when enrolling a child in a kindergarten or school; when applying for a job, as a rule, the organizers of various sports competitions ask to present a compulsory medical insurance policy.

As for cases of seeking medical help, presenting a compulsory health insurance policy is the responsibility of the insured person, established by federal law (except for cases of emergency care).

Replacing a new policy or reissuing it is required only if the surname, first name, patronymic, date of birth, place of birth, insured person are changed, the information contained in the policy is determined to be inaccurate or erroneous, the policy is dilapidated and unsuitable for further use, or the policy is lost. The insured is obliged to notify his insurance company within a month of a change in last name, first name, patronymic, place of residence, identification document details, and also to select a new insurance company within one month in case of moving to another region, if there is no representative office in the new place the previous insurance company.

With the application for surrender (loss) of the policy, military personnel are presented with the following documents:

1) an identification document (passport of a citizen of the Russian Federation, temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport);

3) policy (provided only upon surrender of the policy).

With compulsory health insurance, each citizen can be insured by only one medical insurance organization and have only one compulsory medical insurance policy.

A compulsory health insurance policy (CHI) is required when visiting a doctor or medical institution in order to receive medical services free of charge.

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In Russia, the program has been operating since November 29, 2010, when the legislation on health insurance came into force. Medicine in Russia is paid for under a special program that establishes the right of citizens to free medicine from the compulsory medical insurance fund.

What is it for?

If there is a need to seek medical help from a government agency, citizens of the Russian Federation in this case are required to present a policy and an identification document.

Few insured people are aware of what the compulsory medical insurance policy gives them, how does it implement the constitutional right of a citizen of the Russian Federation to free healthcare?

The medical insurance policy entitles you to:

emergency treatment;
outpatient care;
hospital treatment for chronic and acute diseases;
hospitalization during complicated pregnancy, childbirth and abortion;
planned treatment and rehabilitation.

Free medical care is provided to citizens in all regions of the Russian Federation, regardless of where the insured event occurred. Even outside the place of his registration, a citizen is provided with the necessary medical care.

According to the policy, a citizen has the right to change the clinic and doctor who conducts treatment, if necessary. When providing medical care, the patient must be fully informed about the treatment processes.

Employees of the medical institution must present all medical documentation upon the patient’s first request. The patient has the right to receive advice regarding the disease from other specialists.

Replacement features

A compulsory medical insurance policy, which guarantees a citizen free and timely provision of medical care throughout the Russian Federation, can be obtained from any of the existing insurance companies accredited by the state.

Since January 1, 2014, a new type of policy has been introduced in Russia, which is valid until it is actually replaced with an electronic plastic card.

The new document has the following advantages:

the document is prepared in a single form with several degrees of protection;
the list of insured persons is formed in the general federal compulsory medical insurance system, which automatically eliminates duplication of funding from the budget.

Not all old policies can be replaced. You should know the specifics of replacing policies in Russia.

persons whose policy has become unusable;
persons who, for any reason, decide to change their medical insurance organization;
replacing last name, first name or patronymic;
newborns, as well as those who have never had a policy for various reasons;
when the gender of the insured person changes;
if errors are detected in passport data;
upon receipt of a new passport.

In Russia, starting from May 1, 2011, the replacement of compulsory medical insurance policies with policies of citizens who already have an old-style policy in their hands will be carried out in stages.

The old-style policy will be valid until it is actually replaced by a uniform policy. The final deadline for replacing policies has not been determined, so there is no need to rush to change your policy.

A medical institution does not have the right to refuse to provide free medical care under an old-style policy.

Replacing a policy when changing your last name

After changing your last name, first name or patronymic, you must contact the medical insurance company to replace the policy. This should be done after receiving an identification document with new data.

SNILS will also need to be replaced, but until this happens, you can present the old one, since its number does not change when you change your last name.

The citizen is issued a temporary certificate, which is valid for 30 days. After some time, you will need to go to the insurance company again to receive a policy.

When moving

The policy should not be changed if the new registration when changing place of residence is located within a constituent entity of the Russian Federation, i.e. in the area where the Russian citizen lived before.

In this case, it is enough for him to provide information about the new registration at the place of residence of the organization to the insurer.

If a citizen of the Russian Federation has moved to another subject of the Russian Federation, he should enter into an agreement for the provision of services with a new insurance company operating in this region.

Moreover, if a citizen owns a uniform document, there is no need to change it. On the reverse side, only the details of the new CMO with a contact phone number are entered.

Paper to plastic

Photo. Plastic compulsory medical insurance policy.

A plastic universal card is a type of paper policy of a single type. It is classified as an officially approved document put into circulation since 2014.

The policy allows you to receive medical treatment free of charge throughout the Russian Federation. A plastic policy is similar in size to a regular bank card. On one side it shows the name of the insurance company and an individual number.

On the reverse side is printed a photograph of the owner, as well as his last name, first name and patronymic. The policy is equipped with an electronic information storage device in the form of a chip.

All citizens of Russia, as well as stateless persons permanently residing in the Russian Federation, can receive a plastic universal card.

You can replace a paper policy with a plastic one at a medical insurance company that has the right to issue and issue universal cards. According to the approved compulsory medical insurance rules, a citizen of the Russian Federation has the right to independently choose an insurer and the form of a medical policy.

However, it is not possible to obtain a plastic policy solely at the request of anyone. Replacing a paper policy with a plastic card is carried out legally. Medical services, if necessary, must be provided in full using both a paper and plastic electronic policy.

Through the Internet

To replace the policy, you must personally or through your official representative contact the regional insurance company.

A list of companies operating in the region at the place of residence of a particular person is listed on the MHIF website. To ensure that registration does not take much time, it is best to pre-register online.

To do this, the website of any self-respecting health insurance company has a section “online appointment booking.”

On the page you must indicate the point of issue of the policy, the date and time of the planned visit, personal information, including your date of birth and contact phone number.

The day before the expected appointment, a CMO specialist will call the specified telephone number to remind you about the time of the preliminary appointment.

How it is done

To receive a new type of policy, a citizen needs to choose one of the insurance companies operating in the region at his place of registration.

This can be done in person or through your official representative. When contacting an employee of the organization, you must have an identity card or passport with you.

In order for the old policy to be changed to a new policy, you will need to fill out an application form.

For minors, an application for a replacement policy is written by their legal representatives, parents or guardians.

What documents are required

When planning a visit to a health insurance organization, you need to prepare documents in advance. You need to know well what documents will be needed. To replace the policy you need a passport and.

If a minor needs the policy, the parent or legal representative must have the child’s birth certificate. A foreign citizen must present an identity card.

When filling out the application form for the issuance of a policy, you must indicate the medical insurance organization, the preferred form of the policy (paper, electronic), as well as personal data.

How to choose an insurance company

Today, several health insurance organizations operate in each region. Therefore, the question of choosing an insurer is quite relevant. You should not give preference to the organization that is close to home.

It is necessary to collect reliable information about its work. You can learn about how a medical company works with clients on forums and websites dedicated to this topic.

You should know that the insurance company implements the state program of compulsory health insurance, and to a greater extent it carries out only the technical side of the work.

The quality of work of an insurance company is determined by the efficiency and accuracy of actions when registering and issuing a policy. The insurance organization must accept documents from the citizen and issue him a policy in a timely manner.

What is a temporary certificate

Photo. Temporary certificate of compulsory medical insurance policy.

Not many insured people know what a temporary certificate is and what it is needed for. A temporary certificate is a document issued by a medical insurance company during the production of a uniform policy.

According to the rules approved by the order of the Ministry of Health and Social Development of Russia dated February 28, 2011, a temporary certificate is issued to all persons who apply for a policy from an insurance company.

Parents of a newborn, before receiving a policy, also first receive a temporary certificate. The validity period of this document is 30 working days.

This time is necessary for the policy to be produced and delivered to the regional insurance company. The Federal Compulsory Medical Insurance Fund is engaged in the production of the policy.

Using a temporary certificate, you can make an appointment with a doctor in the same way as using a policy.

A temporary certificate is not issued in the following cases:

newborn children from the moment of birth until the day of birth registration (according to this period, medical care for children is paid for by the insurance company with which their mother or legal representative is insured);
citizens who already have a uniform policy in their hands and are changing medical insurance companies.

The temporary certificate contains the following information:

name of the insurance organization (its actual address and telephone number must be indicated);
personal data of the insured person (full name, date, birth, place, and gender);
series, number when the passport was issued;
unique certificate number;
date of issue and validity period;
personal signature of the insured person;
FULL NAME. representative of a health insurance company;
seal of the organization issuing the document.

Since August 1, 2015, an electronic compulsory health insurance policy* has been issued in Moscow.

Every insured person in the city of Moscow has the right to replace a previously received compulsory medical insurance policy (green card or blue slip) with an electronic one.

Registration of a new electronic policy

To apply, you must contact your medical insurance organization with the appropriate application (the application form can be downloaded).

If for some reason you are not satisfied with the insurance company with which you are insured under compulsory medical insurance, then, in accordance with Federal Law of November 29, 2010 No. 326-FZ “On compulsory health insurance in the Russian Federation” You have the right to choose another one from the list that is posted on our website.

You can change your medical insurance organization once during a calendar year no later than November 1, or more often in case of a change of place of residence or termination of the agreement on financial support for compulsory medical insurance between the Moscow City Compulsory Medical Insurance Fund and the insurance company in the manner established by the rules of compulsory medical insurance. medical insurance (in accordance with clause 3, part 1, article 16 of the Federal Law of November 29, 2010 No. 326-FZ “On Compulsory Medical Insurance in the Russian Federation”).

You can view the list of documents required to obtain an electronic compulsory health insurance policy.

What you need to know about the new electronic policy

1. An electronic compulsory health insurance policy is a document that no one but you can use!

Instead of a barcode, the policy has a chip built into it, like a bank card; it will contain your personal signature and photograph (for children under 14 years old only the signature of the legal representative without a photograph), which makes it impossible for third parties to use your personal data! In addition, the electronic compulsory medical insurance policy is very convenient to carry with you.

2. The introduction of electronic policies into circulation does not cancel the validity of compulsory medical insurance policies received earlier.

In accordance with Federal Law No. 326-FZ of November 29, 2010 “On Compulsory Health Insurance in the Russian Federation” compulsory health insurance policies continue to be valid until they are replaced with new ones.

3. You, as before, can make an appointment with a doctor through an electronic terminal or a government services portal, if your clinic provided such an opportunity.

REMINDER:

Who is the insured person:

In accordance with legislation of the Russian Federation, insured persons are citizens of Russia, foreign citizens permanently or temporarily residing in the Russian Federation, stateless persons (with the exception of highly qualified specialists and members of their families, as well as foreign citizens carrying out labor activities in the Russian Federation in accordance with Article 13.5 of the Federal Law dated July 25, 2002 N 115-FZ "On the legal status of foreign citizens in the Russian Federation"), as well as persons entitled to medical care in accordance with Federal Law "On Refugees".

Medical insurance for children from birth

Compulsory medical insurance for children from the day of birth until the day of state registration of birth is carried out by a medical insurance organization in which their mothers or other legal representatives are insured. After thirty days from the date of state registration of the child’s birth and until he reaches the age of majority or until he acquires full legal capacity, compulsory health insurance is provided by an insurance medical organization chosen by one of his parents or other legal representative.

* In accordance with the order of the Moscow State Compulsory Medical Insurance Fund dated June 1, 2015 No. 182 “On the issuance of electronic compulsory medical insurance policies of a single sample to persons insured under compulsory health insurance in the city of Moscow.”

Replacing a compulsory medical insurance policy when changing your last name is a mandatory step that any person whose personal data changes must take.

How to change a document in 2019, where to go and how much will it cost to reissue it?

Compulsory medical insurance policy: what is it and why is it needed?

A compulsory health insurance policy is a document confirming the fact that a person is insured and has the opportunity to receive free medical care.

The document can be made of plastic or paper. It indicates the following information about the owner: last name, first name, patronymic, gender, date of birth, as well as the validity period of the policy and its number.

Under the compulsory medical insurance policy, you can receive treatment for free, as well as receive medications free of charge.

The list of diseases that are covered by the policy can be found in Federal Law No. 326 of December 28, 2016 (as amended) “On compulsory health insurance in the Russian Federation.”

This type of insurance document has a single form. Previously, the policy was a paper form, but since 2014 it began to be issued in the form of a plastic card.

This document must contain the last name, first name and patronymic of the insured person. This means that when changing personal data, including last name, a person must replace the compulsory medical insurance policy, since he will already have a different last name in his passport.

You need to understand that when renewing the policy, the insured person will need to submit a new passport with a changed surname.

When changing personal data, documents for re-registration of compulsory health insurance are accepted:

On the government services website www.gosuslugi.ru.
In the MFC (Multifunctional Center).
At an insurance company.

You can amend your health insurance document online. Few people know how to change their compulsory medical insurance policy when changing their last name through government services.

Let's dwell on this issue and take a closer look at the entire replacement process:

Unfortunately, since 2017, such a service as replacing a compulsory medical insurance policy through government services has been temporarily suspended.

Upon entering the website and selecting the appropriate fields, the client will be asked to follow a link that opens a new window on the website of the Federal Compulsory Health Insurance Fund.

When replacing a medical policy when changing a surname, it is advisable for the client to contact the insurance company that previously issued him a policy under the old surname.

A person must bring the originals of the following documents with him:

A new passport with a new last name.
Marriage certificate certifying the fact of change of surname.
Old compulsory medical insurance policy.

The insurance company specialist will ask the client to fill out an application form to reissue the policy.

But to save time, a person can come with a ready-made application by printing out a sample form on the website of the Federal Compulsory Medical Insurance Fund (http://www.ffoms.ru) from the “Question and Answer” section.

The application must indicate information about the insured person: last name, first name, patronymic; tick the option “reissued compulsory health insurance policy”, and also select the reason for replacing the document. Errors and corrections are not allowed in the application.

The insured person is obligated to change the policy if personal data changes no later than 1 month from the day these changes occurred.

For example, a person received a new passport on February 2, 2019. He must contact the insurance company to replace the compulsory medical insurance policy no later than March 2, 2019.

In order to quickly and easily reissue a compulsory medical insurance policy, you can skip the queue at the insurance company, get a temporary policy and come back to the insurance company to receive a permanent document.

The easiest way is to renew your policy at the MFC. Today, everyone can take advantage of this opportunity, since such a service is provided in all multifunctional centers.

In order to replace your compulsory medical insurance policy when changing your last name, you need to:

Make an appointment for a specific time so as not to actually stand in line.
Bring all documents with you. What documents are needed when changing a medical policy when contacting the MFC? You should take with you your passport, old policy, insurance number of your personal account (insurance certificate of pension insurance), marriage certificate.
Arriving at the MFC office on the designated date, a person needs to go to the window where a specialist will be waiting for him.
After reviewing the documents, the client will be asked to fill out an application, after which he will be issued a temporary policy.
After the permanent compulsory medical insurance policy is ready, a specialist from the MFC will call the client back and offer to pick up the finished document.

You can make an appointment at the MFC in advance by calling the phone number of the branch where the client will apply. If a person has not signed up in advance, then he must take an electronic queue coupon upon arrival at the MFC.

How long does it take to issue a compulsory medical insurance policy after changing personal data? In general, time is calculated after the client is issued a temporary policy.

After he writes an application and provides the necessary package of documents to the insurance company, the specialist must issue a temporary compulsory medical insurance policy.

This document has the same force as a permanent policy, only it will be valid for only 1 month. This is exactly the amount of time required by law to issue a permanent policy.

By the way, the temporary compulsory medical insurance document will indicate the exact date when a person can take out a permanent policy.

To receive the document in hand, the person will need to come to the insurance company again. When you receive a permanent policy, the temporary one immediately loses its validity.

Under a temporary compulsory medical insurance policy, a person can apply for free medical care and receive medications.

People who want to renew their compulsory health insurance policy are concerned about 2 questions:

What is needed to replace a compulsory medical insurance policy?
How much money does it cost?

You can get the answer to the first question above. Regarding the answer to the second question, the process of reissuing a policy does not involve any payments. That is, this procedure is completely free.

And it doesn’t matter through which organization the person applied - through the MFC or an insurance company. There is no state fee for the procedure for re-registration of compulsory medical insurance..

Very often, after getting married and changing their last name, women who want to renew their compulsory medical insurance policy are concerned with the question: “Is it possible to reissue the policy with another insurance company if I have changed my registration address?”

According to Law No. 326 of the Federal Law “On Compulsory Health Insurance in Russia,” a person can choose any insurance company and replace the compulsory medical insurance policy, regardless of his registration address or place of residence. After all, the policy does not contain information about the citizen’s place of residence or registration.

But, on the other hand, this data is entered into a single electronic register of insured persons. Therefore, when changing place of residence, a person is obliged to notify the insurance company within 30 days that his registration address or place of residence has changed.

And if in another city there is no necessary insurance company where it will be possible to reissue a compulsory medical insurance policy, then the person must choose a new insurance company.

After marriage and changing their last name, women face a lot of problems regarding replacing their passport, driver’s license, and compulsory medical insurance policy.

Today you can exchange this document for a new one with a changed last name at the insurance company or at the MFC. It doesn’t matter where a person lives.

Even if after marriage a woman has changed her address, she has every right to contact any insurance company to replace the compulsory medical insurance policy when changing her last name.

She must do this within a month after receiving a new passport. The law does not provide for any financial costs for issuing a new policy.

The compulsory medical insurance policy gives every citizen of Russia the right to use medical services. Its presence is necessary when a citizen applies to a medical institution. We are talking about those medical institutions that are included in the general insurance system. This system may also include private clinics, which means that when contacting them, a policy is also required. In August 2012, a single compulsory medical insurance policy was introduced in all regions of Russia for all citizens. Non-Russian citizens or stateless persons have the right to take out such a policy and use medical services. Compulsory medical insurance policies when citizens apply there within a month.

Temporary certificate confirming the issuance of the policy

The policy may become outdated, lost or become unusable. In addition, it is possible to change the last name, first name or other data by the person himself. In this regard, naturally, a policy is required. At the same time, a person may need medical attention. In this case, according to the law, a temporary certificate is valid, the presence of which confirms the registration of a compulsory medical insurance policy by a citizen during this period of time.
Photo of a temporary certificate for obtaining a compulsory medical insurance policy.

The procedure for obtaining a certificate does not take much time, since the law establishes a strict time frame for its issuance. Temporary certificate:

issued on the day the citizen contacts the insurance company;
valid for a month, as a rule, until the citizen receives a uniform compulsory medical insurance policy;
has the same legal force as the policy itself;
are required to accept all medical institutions serving compulsory medical insurance policies;

It is quite possible that an insurance company can issue a compulsory medical insurance policy earlier than a month in advance, but this depends on the capabilities of a particular region.

Paper compulsory medical insurance policy of a single sample

A paper compulsory medical insurance policy is a document that reflects the citizen’s data, namely:

FULL NAME.;
passport details;
insurance code;
validity;

The law requires handling this document with care: bending, laminating, or making any notes is prohibited. This is a document like any other, and must be treated with care.
A sample of a new compulsory medical insurance policy, which shows where its number is located.

This policy has been issued since the spring of 2011, and in August 2012 it was improved. This was done for the greater convenience of citizens.

It must be remembered that the only time when you don’t have to present your compulsory medical insurance policy to a medical institution is in an emergency.

In all other cases, the insurance policy must be available and presented when seeking medical help.

Plastic card with electronic media

A compulsory medical insurance policy in the form of a plastic card can be obtained from the same insurance company that issued the paper version. You only need to attach a photo of the applicant to the plastic card. How long it will take and what the procedure is will be explained to the citizen on the spot.
An example of a health insurance policy in the form of a plastic card.

There is no need to run headlong for electronic cards. It may well turn out that such a procedure has not yet been established in the region where the citizen lives. This is a citizen's right, which can only be used. A plastic card has no advantages over a paper card. Let us repeat, these cards are made for more convenient use.

Universal electronic card (UEC)

This electronic card is designed for comfortable access to any electronic services of state and municipal subordination. The UEC is issued to all citizens over 14 years of age upon personal application. To complete it you need:

citizen's statement;
passport;
compulsory medical insurance policy (not necessary, but desirable);
certificate of compulsory pension insurance (desirable);
photo (taken at the point for receiving applications from citizens);

Such a card allows you to combine all the information on a citizen, and when contacting various government agencies, it is very convenient.
Photo of a universal electronic card.