2024 Author: Howard Calhoun | [email protected]. Last modified: 2023-12-17 10:16
The Moscow City Compulsory Medical Insurance Fund was established by the government of the capital and the local Duma in 1993. The main objective of this project is to implement the city's policy in the designated area. Thus, constitutional guarantees are provided for providing assistance to residents of Moscow.
History
Now we will talk about the main milestones in the development of MGFOMS. Moscow established this body by a separate Government Decree. Its work is regulated by the relevant Law of the Russian Federation.
In 1994, a medical insurance system was implemented in Moscow. The "Temporary rules of compulsory medical insurance" began to operate. A funding arrangement has been adopted. For the first time, pen alties have been introduced in relation to hospitals and clinics.
In 1995, the Moscow Compulsory Medical Insurance Fund developed a model agreement, which determined the procedure for managing an account. This approachfacilitated the organization and control of funds. In all HMOs of the capital, centers for the protection of the rights of insured persons were established.
And since 1996, the Moscow city register of medical services related to the CHI system began to operate. Soon uniform tariffs were approved, which applied to various services. Agreements have been adopted defining the principles of joint activities between the MGFOMS and departmental organizations. From that moment, the obligation of insurers to protect patients under CHI was determined. In addition, an arbitration expert commission was created. Its task is to resolve disputes arising between subjects of CHI.
Since 1996, the principle of financing HMOs based on the average per capita standard has been in effect. The Regulation was approved, which regulates the procedure for maintaining and organizing the Unified Register of Persons Included in the CHI System - Policy Holders.
Check
If we talk about the principles of operation of the MGFOMS, checking the policy is an incredibly important issue. It should be mentioned separately. Three variants of the CHI policy are valid simultaneously - electronic format, blue sheet, green card. To check the document, you need to go to the official website of the fund. Next, select the picture that matches the format of your policy and enter the required data. This document certifies the right to receive assistance throughout Russia. And the volume of services is determined by the basic program, which operates on the basis of the relevant Federal Law.
Receive
The Moscow City Compulsory Medical Insurance Fund issues a policy that guarantees the provision of medical care. It must be carried with you at all times. According to federal law, the insured is required to present the policy at the time of applying for medical care. In urgent cases, an exception may be made.
The Moscow City Compulsory Medical Insurance Fund provides services to all residents of the capital, regardless of place of residence, age and gender. Those who wish can issue a special electronic policy. If necessary, the old version of this document can be exchanged for a new one.
To obtain a compulsory medical insurance policy, you should submit an appropriate application to the medical organization. If you change your last name or other personal data, you must notify the insurer within one month.
Electronic policy
The Moscow City Compulsory Medical Insurance Fund has been offering a similar solution since 2015. On the official website of the organization, you can get a form, by filling out which you can apply for the appropriate policy.
In certain cases, the client may not be satisfied with the insurance company providing services for CHI. In such a situation, you can choose another one from the list provided by the Foundation.
You can replace a medical organization once a year. This must be done by November 1st. In special cases, the procedure may be carried out more frequently. For example, upon termination of the contract.
An electronic policy is a document that can only be used by its owner. It has a chip built into it. It has the owner's signature and photograph. Such an approach makes it impossible for outsiders to use the document. The electronic policy is convenient to carry everywhere with you. And you can make an appointment with a doctor through the portal of public services or an electronic terminal.
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