How to change the he alth insurance policy? Medical policy: to change or not to change?

2024 Author: Howard Calhoun | [email protected]. Last modified: 2023-12-17 10:16

Compulsory medical insurance policies have different forms and validity periods. But since 2011, in connection with the transition to the UEC, a single form of the form has appeared. It is received by citizens who apply for a policy for the first time: newborns, previously uninsured persons. New forms are not limited by the validity period, but cases of theft and loss of the document still occur. Therefore, it is so important to know how and where to change your medical policy.

Essence

The compulsory medical insurance policy (OMI) allows the owner to receive free assistance throughout Russia. The service is provided by a commercial company. In the event of an insured event, the organization fully pays the cost of the costs of medical institutions. The document can be received:

• Russians;
• citizens of other states who live on the territory of the Russian Federation;
• newborn babies;
• stateless persons who live in Russia;
• refugees.

Viewspolicies

On the territory of the Russian Federation operate:

• paper policy;
• electronic;
• universal electronic card (UEC).

The paper policy is made on a blue form (with watermarks) of A5 format. In the samples that were issued after 2011, there is no line with the registration address, but only the full name, gender, date of birth, TIN and barcode. The authenticity of the document is certified by the seals of the insurance organization. This form cannot be laminated or folded. A special paper envelope with a transparent window is provided for storing the document.

The electronic policy received the form of a bank card. The front side shows the name of the insurance company, a unique number and a chip is stamped. Full name, photo, date of birth of the owner, the validity of the document are indicated on the back.

UEC is used not only as a CHI, but also as a bank card, SNILS, digital signature carrier. You can get it not in all branches of insurance companies. It looks just like a bank card, but has more fields and a magnetic stripe on the back.

Purpose

All these forms are designed to automate the work of medical institutions by creating a common computer database. This will:

• get rid of the problem of losing the paper counterpart;
• create a remote appointment with specialists;
• find out the results of tests, follow the treatment of the disease through a specialized website on the Internet.

So it's worth considering how to change your he alth insurance policy.

Use

The document is valid throughout the Russian Federation, so you must always carry it with you. Only if it is available, you can get medical services for free. Otherwise, only emergency care is provided. In addition, policyholders can choose the clinic, the attending physician and the range of services they will receive. To do this, you just need to write an application addressed to the head physician of the hospital.

Nuances

An electronic policy is compact and durable, but not every insurance company can get it. In the event of a change of residence, the owners of paper forms simply make changes to the register, and the plastic is confiscated and a new one is issued, since it is impossible to change the information stored on the chip in any other way. The second drawback is that medical organizations sometimes have problems with the identification of the policy holder. Not all institutions have readers installed. Employees have to process information manually.

A medical policy is issued for a child without a photo. To change or not to change the document depends on the envelope circumstances:

• forms of the old form are still valid, although they indicate a period until 2011;
• it is mandatory to change the he alth insurance policy if it was issued before 2007;
• plastic card is equivalent to paper;
• exchange of CHI policies of a new sampleis carried out only in case of loss, damage, change of surname, other personal data or if errors are detected. Otherwise, it will not be possible to identify the user.

How and where to change the medical policy

You can get the form at the branch of the insurance company. The address and telephone number can be obtained from the medical institution. The form is issued free of charge. In case of damage, theft, or if a person draws up a form for the first time, he himself must choose an insurance company and contact its office. The employer no longer deals with these issues. To issue a document, you need to provide copies of the following documents:

1. Statement.
2. Passport/birth certificate (under 14).
3. Parent's passport for persons under 18.
4. SNILS (if any).

From foreign citizens additionally required:

1. Passport of another state.
2. Residence permit or mark of temporary residence.
3. SNILS.

Procedure

After the application is completed, a temporary form is issued with a validity period of 30 days. If a person wants to change the he alth insurance policy to a plastic one, then in addition he receives a memo. It contains instructions on how to use the document. At the same time, the client is informed of the term for the production of an electronic policy. It should not be skipped, so as not to be without a document. Please arrive at the office at the specified time.passport and pick up the form.

It is no longer possible to change a medical insurance policy in Moscow through an employer. You will have to personally contact the insurance company. There is no employer field on the form itself. A person can change several jobs - in each case, you will have to update the document, and these are additional costs.

No one canceled the old types of forms. They function unless they expire. He alth workers are required to provide emergency care in an emergency, regardless of whether a person has a policy or not. But in order to receive outpatient treatment, compulsory he alth insurance (CMI) is required. A new sample policy can be obtained from the UK.

UEC one for all

During the development of the unified form, it was originally planned that it would be mandatory for Russian citizens. But then this idea was abandoned. You can change your he alth insurance policy to UEC at your own request. All forms are valid in many regions. An electronic card is issued simultaneously with a paper version of the policy. Plastic is convenient to carry and use. A paper policy is best kept at home. In medical institutions located in large cities, there are no problems with reading information from a plastic card. Forms of new designs may be temporary or indefinite. Regardless of who carried out the exchange of CHI policies, the document is drawn up according to a single model.

Features of use

Under the law, expired forms cannot serve as a reason for refusing to receive medical care. These actions are the basis for applying to the regulatory authorities in order to bring the perpetrators to justice. In practice, in some hospitals, it may be difficult to process documents if the policy was issued earlier than 2007. It is better to replace such forms in advance. For more information on how to change your he alth insurance policy, see above.

It is also worth contacting the IC if the information on the document has become unreadable, for example, as a result of folding paper four times, because only in this form can an old-style policy be put in a passport. If the information on the form cannot be read, then the person will have problems entering the hospital.

For refugees and persons temporarily residing on the territory of the Russian Federation, there are other exceptions. Such citizens can receive medical services free of charge while their document allowing residence in the country is valid.

Last changes

From August 1, 2015, Moscow will issue electronic CHI policies to all persons who apply for a document. Of the 12 million residents of the capital, more than 7.5 million have a policy in the form of a green card. The rest have a blue sheet of A5 format, which is not very inconvenient to use. It must not be folded, otherwise important information (barcode) will be lost, and laminated - because of the SK stamp. With plastic cards such problemswill not. Firstly, an electronic chip can be carried with you throughout Russia. Secondly, according to the photo and signature on the back, any doctor will be able to identify the patient.

The capacity of the chip is limited, so only a small amount of information about the patient's company name, nationality, place of residence and birth will be stored on it. There will be no medical records. Anyway, for now. In the clinics of the capital, you can make an appointment with a doctor already by UEC. So hurry up to change the medical policy to a new sample.

If there is no time or desire to part with a green card - no problem. The introduction of new forms does not mean the abandonment of old ones. But do not forget to notify the company within a month in case of theft, loss of a document, change of full name, passport or place of residence. Otherwise, in the event of an insured event, employees of medical institutions may refuse to provide outpatient care.

Conclusion

CMI is a document certifying a person's right to receive free medical care on the territory of the Russian Federation. There are several types of policies in circulation: a paper green card of the 2007 sample, a blue sheet of A5 format and special plastic cards. All three forms provide the same rights to the owners. But paper documents cannot be folded so as not to damage important information, and card data can not be read in every medical institution. Since 2014, UEC has appeared in circulation - the same plastics, but equipped with a chip, a photograph and the signature of the owner. The card can be carried in a wallet or passport. The doctor easily identifies the patient. Where to change the CHI policy for a new sample? At the insurance company, for which you need to provide a copy of your passport and SNILS. The state does not establish a mandatory exchange procedure. But in case of theft, loss, damage to the old policy or change of full name, place of residence and other data, you should contact the insurance company.