Where is the health insurance policy valid? List of services for compulsory medical insurance: free service, planned operation. Dental treatment according to the policy

Not everyone knows what it is compulsory medical insurance policy, and what a need for it. Also how to draw up this agreement, what documents are required for this. What rights does the insured person begin to possess from the moment the insurance contract is concluded?

The MHI policy is a contract for the provision of medical care between applicants and insurance companies. The specified services in the contract are provided upon occurrence of the insured events described in the policy. Also, the OMS policy contains a list of rights, obligations, responsibilities of the parties, and methods of compensation. The state directs the compulsory insurance program to provide timely assistance in the event of a disease.

Medical legislation obliges to conclude a contract health insurance:

citizens of Russia;
a foreigner who has issued a residence permit and permanent residence in the country;
persons who do not have citizenship;
refugees who have the right to receive medical assistance.

In accordance with the legislative norms governing the legal status of foreign persons, highly qualified specialists are exempted from the obligation to have a compulsory medical insurance policy and car insurance.

Applicant needs to visit insurance company, which provides such services, and conclude an agreement with it. At the moment there are more than fifty eight companies operating. To attract customers, companies come up with various promotions and bonuses. Often, an organization is selected based on its place of residence. Some citizens opt for those companies that are time-tested.

To conclude a contract, persons who have not reached the age of fourteen must submit the following documents:

birth certificate;
passport of the mother (father) or other official representative;
SNILS.

Adults and children over 14 years of age provide a passport.

Foreign persons staying legally on the territory of Russia provide the following papers:

identity document;
SNILS.

If a representative will conclude an agreement, he must have a notarized power of attorney, as well as a passport. It is recommended to insure health with companies that are part of the CHI fund.

It is allowed to independently issue a policy to persons who have reached the age of majority. In other cases, parents or legal guardians must fulfill these obligations. In certain situations it is temporary policy (change of surname). This agreement is concluded for a period not exceeding 1 month. It comes into effect from the moment of signing.

A sample compulsory medical insurance policy contains the following information:

personal data of the person who draws up the document (full name);
date of Birth;
policy number;
the period of time during which the policy is valid;
hologram.

The other side of the document contains the phone number and other contacts of the insurance company.

Newborn babies must certainly be insured for ninety days from the date of birth. Before signing the contract, it is recommended to find out through a special portal which companies provide such a service. Before the expiration of the allotted time for the registration of the policy, the child is provided with assistance under the contract drawn up for the mother. The policy must be issued at the place of registration of one of the parents. Parents or legal representatives have the priority right to choose an insurance company.

In the case of temporary residence in the territory of the country, people are issued policies with the duration of their legal stay in the state.

If you lose your compulsory medical insurance policy, you need to act in this order:

Inform the insurer about the loss of the document.
Visit an organization to submit a duplicate.
Get a temporary policy. Within thirty days of its action, new policy.
Get a new version of the compulsory medical insurance policy.

In certain cases, the insured person is obliged to inform about the occurrence of changes.

Such cases include:

change of personal data;
change of passport;
change of place of registration (moving).

Such changes must be reported within thirty days.

Insurance companies provide services for issuing a policy at a convenient address for a person. This is possible when a person with physical disabilities applies. The schedule for the provision of such services can be found on the organization's website. To order such a service, you need to call the company's call center.

Since 2015, Russian citizens have the opportunity to receive an electronic compulsory medical insurance policy. To obtain an electronic policy, the client needs to visit the insurance company and submit an application.

No one will be able to use the issued policy except for its owner. The issued policy will not be the basis for the termination of the old one that was received earlier. This means that those who do not want to issue an electronic policy are not required to do so. Electronic policy more secure.

It has a built-in plastic chip that contains the signature and photo of the owner of the contract. This makes it impossible for other people to use the carrier's personal data. The owner of this type of policy can make an appointment to the hospital through an electronic terminal. He can also do this through the website of the MFC government agencies that provide such services.

An electronic policy contains the following information about its owner:

personal information about a person (full name);
woman man;
date of Birth;
the period during which the contract is valid;
list of the insured person;
photo.

On the reverse side, the number of the OMS policy is indicated. The contract may contain a photograph of persons who have reached the age of fourteen.

Authentication may be required in case of doubt about this medical institution. A person can carry out the check independently. The most common way to find out if the policy is valid by its number.

This is possible by performing the following actions:

Search for the organization's website.
Enter the policy number in the check box.
See the result on the screen.

The validity of the contract can be checked by the name of the insured person. You can also do this using the number indicated in the citizen's passport. In addition, the insured person has the opportunity to contact the company's call center and find out the information of interest. If necessary, the consultant will explain what document needs to be prepared to replace or extend the MS contract.

The passport or other identity document of the person applying to the hospital must be with him. You must also have an insurance policy and a medical card with you. If a situation arises in which you need to contact a medical institution, but you do not have an insurance contract with you, you must inform the hospital representative of the information about the insurer. So the employee of the medical center will have the opportunity to check the registration of a person with this insurance company.

The legislative norms in the field of health care list diseases upon the occurrence of which medical assistance is provided.

Medical services will be provided:

women who have begun childbirth;
pregnant women;
people suffering from diseases of the endocrine system;
persons with infectious diseases;
people with acquired diseases of the skin;
women who have visited the hospital to terminate a pregnancy;
persons who have been injured;
patients with diseases of the hearing and visual apparatus;
people suffering from diseases of the nervous system;
patients with a violation of the process of assimilation of food;
people who have received poisoning for various reasons;
patients with diseases of the subcutaneous tissue.

Budget funds can be spent on treating people who suffer from diseases such as:

mental disorders;
sexually transmitted diseases;
tuberculosis.

What rights does medical policy? When a compulsory medical insurance policy is issued, you can get medical help if, after taking medications of psychoactive action, a change in behavior (disorder) occurs. Identification of addiction in persons who have not reached the age of majority is included in the obligatory procedure for a preventive medical examination.

Why else do you need a compulsory medical insurance policy?

What rights does the compulsory health insurance policy give? The current legislation determines that the compulsory health insurance policy gives the right to receive medical assistance free of charge.

Such assistance includes:

dentist services;
outpatient;
the first medical aid on call.

These types of assistance should be provided in any settlement where the person is. The compulsory medical insurance policy must be with you and given to the representative at the time of contacting the hospital, to the dentist and when receiving sick leave. Also valid policy should be at the time of calling an ambulance and during the implementation of measures aimed at identifying and preventing mass diseases in the inhabitants of the country.

Cosmetology services in dentistry, as well as prosthetics services are not included in the list of assistance provided under the compulsory medical insurance policy. In addition to these services, the insurance policy does not cover the costs of contacting a psychologist. Under the contract, you cannot go to a medical institution for an artificial insemination procedure.

This document makes it possible to receive medical care at a high technological level, but this happens only within the framework of quotas set by the state.

The MHIF defines the following circle of people who are eligible to receive an MHI policy:

a Russian officially engaged in labor activity;
unemployed citizen;
child;
retiree.

To conclude oMS contract a person has the opportunity with any insurance company. The main requirement for a company is the availability of state permission to provide such services. The main requirement for an applicant is a personal application and a passport. If the insurance company does not fulfill its obligations, the insured person has the right to go to court to resolve the dispute that has arisen. A person has the same right in relation to a medical institution. The plaintiff may demand compensation for material and moral damage received by representatives of these organizations.

Case studies

Citizen Karanda A.N. was observed during pregnancy in the state city hospital. The birth took place in the maternity ward of this institution. A contract for the provision of health insurance services has been concluded between the citizen and the SOGAZ insurance company. The hospital provided assistance appropriately. At the same time, funds from the insurance company were not transferred to the account. As a solution to the issue at the pre-trial level, a letter was sent on the voluntary transfer of funds. There was no answer. Further, a statement of claim was prepared in court, demanding to make a payment. The judge, who considered the appeals, satisfied the requirements.

Compulsory health insurance - one of the types of mandatory social insurance citizens. It is a system of legal, economic and organizational measures that are created by the state to ensure that the insured person receives free medical care (upon occurrence insured event). The implementation is carried out at the expense of compulsory medical insurance funds within the limits of the conditions set and / or the compulsory health insurance program.

Compulsory health insurance object - insurance risk associated with the occurrence of an event that is an insured event.

Insurance risk - the alleged event, the occurrence of which leads to the need to pay for the medical care provided to the insured person.

Insurance case - an accomplished event (illness, injury, other state of health of the insured person, preventive measures), upon the occurrence of which the insured citizen is provided with insurance coverage in accordance with the territorial compulsory medical insurance program. The insured events include diseases, injuries, other health conditions requiring medical assistance, as well as preventive measures.

Insurance coverage for compulsory health insurance - fulfillment of obligations to provide (and pay) medical care in the event of an insured event.

Insurance premiums for compulsory health insurance - payments that mandatory are paid by the policyholders. Contributions are impersonal, their purpose is to exercise the insured person's right to receive insurance coverage... For non-working citizens, the insured are the executive authorities of the constituent entities of the Russian Federation. For workers - employers ( individual entrepreneurs; individuals who are not recognized as individual entrepreneurs), as well as individual entrepreneurs engaged in private practice, notaries, lawyers, arbitration managers.

Insured person - individual, which is covered by compulsory health insurance in accordance with Federal Law No. 326-FZ "On compulsory health insurance in the Russian Federation" (defines the rights and obligations of the insured).

Basic compulsory health insurance program - part of the program of state guarantees designed to ensure the provision of free help... Defines the rights of the insured, exercised at the expense of compulsory medical insurance funds throughout the territory Russian Federation... Establishes uniform requirements for the respective territorial programs.

Territorial compulsory health insurance program - part territorial program state guarantees, designed to provide free assistance. Determines the rights of the insured, exercised at the expense of compulsory medical insurance funds in the territories of the constituent entities of the Russian Federation, which comply with the uniform requirements of the basic program. LLC AlfaStrakhovanie-OMS ensures the implementation of the rights of insured citizens in Murmansk and the Murmansk region, Rostov-on-Don and the Rostov region, Kemerovo and the Kemerovo region, Tver and the Tver region, Krasnodar and the Krasnodar Territory; Veliky Novgorod and Novgorod region, Chelyabinsk and Chelyabinsk region, Tula and Tula region, Bryansk and Bryansk region.

Since 2010, the rules for the provision of free services in the field of health care for people with insurance policy. Now everyone is provided with a document with an unlimited validity period - an OMS policy. Let's figure out in more detail what kind of document it is, to whom it is provided and what services are provided by healthcare institutions upon presentation of this policy by the patient.

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What is a medical insurance policy

Until 2010, health insurance of citizens was provided for one year, then the policy had to be renewed. In the absence of such a document, the medical institution could refuse the patient free treatment. Moreover, the employer was obliged to conclude an agreement with the insured company, for the unemployed - the employment service, and for minors - educational institutions.

After the release of the law regulating this aspect of relations, the rules changed. Now each citizen can individually choose an insurer and receive a compulsory health insurance policy from the company. Therefore, the competitiveness of insurance companies has increased, as well as their control over healthcare institutions has increased, because the quality of service has begun to play a large role in the number of attracted clients.

The compulsory medical insurance policy has now become indefinite, it does not need to be changed every year, because the contract with the insured is concluded for life. In the event that the policy is lost, you can always contact the office of the company serving this patient and get a duplicate of it.

When applying to the hospital, the patient must present a document confirming the person's participation in the compulsory medical insurance program. The basic services provided for this program are approved each year by the regional government.

Who is eligible to receive a compulsory medical insurance policy

Everyone has the right to provide this document. It does not matter where the person is registered, where his place of residence, what is the age and social status of the insured. Basic services are provided free of charge to every person who visits the hospital and presents a policy.

It turns out that to get oMS document can:

Any adult citizen of Russia.
Young children under the age of fourteen.
A person holding a refugee certificate.
A person with foreign citizenship who has a permanent or temporary registration in our country.
A person without any citizenship.
A person without a permanent place of residence.

No policyholder can deny a person to participate in the CHI program due to the lack of registration, citizenship or a specific place of residence.

Legal justification

This side of the relationship is regulated primarily Federal law, released on November 29, 2010. This law No. 326-FZ is called "On Compulsory Health Insurance in the Russian Federation." According to him, universal health insurance in Russia is designed to guarantee the protection of people's life and health. At the same time, stateless persons and refugees are equal in rights with the rest of the inhabitants of our state.

The policyholder can receive basic medical serviceswithout paying for them. He can choose the policyholder on his own, and if the patient is not satisfied with the quality of service, then once a year he can change it.

After the release of this law, the Duma issued several more acts that amend the current draft law. The last amendment came into effect on January 1 current year (Law No. 418-FZ).

What you need to participate in the insurance program

It is very easy to obtain a document confirming participation in the health insurance program. It is enough to opt for a suitable insurer and contact the office of their company.

There you will be asked to write a statement, and also asked to provide documents:

For an adult resident of the Russian Federation - an identity card (passport).
For a young child - a birth certificate, passport of one of the representatives (parent, guardian).
For refugees - refugee certificate.
For foreigners - an identity card, a residence permit or a temporary residence permit in Russia.
For those who do not have citizenship at all - an identity card, a mark on a permanent or temporary residence permit (or a residence permit).

In addition, if plastic card SNILS must also be provided. When submitting the listed documents, any of these categories of persons can join the CHI program. The only reason for the policyholder's refusal to issue a policy may be the lack of necessary documents.

What else you need to know about the compulsory medical insurance policy

Thus, the presence of a certificate of a participant in the CHI program provides a person with free assistance in the event of an emergency, deterioration of his health and a threat to his life. Of course, no hospital will work for free. Who pays for the treatment of the insured?

Contributions to the CHI system come from employers and from the budget for persons without official employment. This value is equal to 3.6% of the unified social tax.

It is important to know which services are included in the free CHI program. There are often cases of disputable situations when medical institutions refuse to provide assistance because the case is not insured.

So, free insurance includes:

Ambulance.
Diagnosis and medical care at home and in inpatient settings, while outpatient treatment is not provided with drugs.
Inpatient stay in the event of the following situations:
- acute diseases or exacerbation of chronic diseases that require constant monitoring and control by a doctor;
- diseases that are epidemic in nature, requiring the isolation of the patient;
- childbirth, abortion, fetal pathology;
- acute poisoning;
- serious injuries;
- rehabilitation after illness, requiring constant medical supervision.

The law does not provide for the provision of the following services to patients free of charge that are not included in the insurance program:

Outpatient examinations, consultations, diagnostics.
Special conditions for inpatient treatment patient (for example, a ward with an increased level of comfort).
Treatment in a sanatorium or resorts.
Services with anonymous requests from citizens (does not include AIDS diagnostics).
Cosmetology services.
Dental prosthetics.
Preventive treatment of diseases during remission.
Not routine vaccines and vaccinations.
Sexological pathologies.

The list of services provided free of charge is approved at the regional level, in individual constituent entities of the Russian Federation they may differ. You can find out this list at the local OMS branch or by phone, which is indicated on the policy itself.

According to the adopted legislation, almost every person registered and residing in the territory of the Russian Federation has the right, assigned to him, to apply to any medical institution for appropriate treatment if such a need arises. However, there is one important nuance - services of this kind, as well as the right to receive medications free of charge, that is, free of charge, are provided only if the citizen has such a document as a compulsory health insurance policy.

Who Can Get Free Medical Services?

Any citizen who owns the following is entitled to use the services of medical institutions:

Employed citizens. That is, the category of persons who regularly pays taxes to the state budget. That is, in fact, he pays for his treatment in advance.
Unemployed citizens. IN in this case pay money for the treatment of these persons also occurs at the expense of the federal budget.
Children, adolescents, andwho have not reached the age of eighteen and are not taxpayers.

In the event that a person is officially employed, he has the right to issue, as well as . If he is not employed, works unofficially, or has not reached the age of majority, you can apply for the specified document to any company that provides insurance services.

In the event that any citizen needs to contact a specialist conducting an appointment outside the settlement where the specified individual lives, a referral from the attending physician is also required.

There is a certain list of medical services that are provided free of charge when. These include the following:

Emergency help, that is, the departure of an ambulance on call of the patient. This service is provided free of charge not only to persons who possess, but also do not have this document available. In the recent past, there were unreliable rumors that if a person does not have a compulsory medical insurance policy, he will have to pay about one and a half to two thousand rubles for calling an emergency aid. This is not true. The specified service is provided in any cases absolutely free of charge.

Ambulatory treatment in a medical institution that is included in the insurance system and includes a number of many different manipulations: examination and diagnosis of the patient's disease, performing the necessary procedures and prescribing adequate treatment. However, when the patient is on the terms of the so-called outpatient, day or home treatment, all the necessary medications must be purchased by him at his own expense, since there are no benefits in this case.

Work with the public to raise awareness of health and hygiene issues. I.e, conducting various lectures, seminars and so on.

Diagnostics and treatment of the population using expensive innovative drugs and methods. For example, in some regions of the Russian Federation, in vitro fertilization is carried out free of charge.

Diagnosis of the disease followed by hospitalization.

in dental clinics and offices with state status.

Free services under the compulsory medical insurance policy

For example, while undergoing treatment in a state-type hospital, a citizen has the right to receive free services for the treatment of diseases of the following kind: accompanying pregnancy in case of its complicated course, as well as in the presence of pathologies of any kind, medical abortion, the presence of chronic diseases, or in case of an exacerbation of the disease, poisoning , bodily harm and so on. In this case, the provision of drugs necessary for adequate treatment is free of charge.

Diseases, the treatment of which, according to the list, is provided free of charge, include the following:

Diseases of an infectious nature, with the exception of those categories that are classified as sexually transmitted infections.

Various diseases of the blood, vascular system, heart.

Diseases of the stomach, as well as the gastrointestinal tract in general.

Any illness caused by a nervous disorder.

Diseases of joints, bones, muscles and so on.

All kinds of defects in vision, hearing, speech.

Tumors, both benign and malignant.

Diseases of tissues and skin.

Diseases of the genitourinary sphere.

Respiratory system diseases.

What to do if treatment is denied if you have a policy?

At present, not every citizen is fully aware of the rights that are granted to him in accordance with, which is quite often used by unscrupulous workers in this field of activity, demanding a certain payment for the provision of the necessary assistance.

What to do if your rights are violated

Every citizen of the Russian Federation who has insurance has the right to seek help from any medical institution located on the territory of the state. In the specified institution, he is obliged to accept and conduct appropriate diagnostics, treatment, as well as other manipulations that are necessary. However, it often happens that doctors, as well as hospital staff, refuse to see a patient in such cases. This is not legal and violates human rights. It's important to produce.

To restore the violated right, the person who was denied the provision of medical services must file a complaint with the employees of which will take appropriate measures. If such a case is identified, administrative penalties may be applied to medical service workers.

What can you expect with a compulsory medical insurance policy?

In order to know the right to use which services are provided by the policy of compulsory health insurance, you must carefully familiarize yourself with the list of services provided to the population at no cost.

It should be remembered that, in essence, these services are not at all free of charge due to the fact that wages for each employed citizen, a certain amount is deducted every month, intended specifically for this purpose. Therefore, in this way, each individual pays in advance for his treatment in a state-type institution. In our other articles, you can read and .

What medical services are free and what do you have to pay for? What is a health insurance policy for and how to get it? How to attach to the clinic and how long to wait for a specialist appointment? Why can you be denied to call an ambulance and where to complain if you are faced with rudeness or negligence of doctors?

Free services and medicines

The right to free medical care is guaranteed by Article 41 of the Constitution of the Russian Federation. But what is included in the concept of "free medicine" if in practice you have to pay for a lot?

Patients are entitled by law to the following free medical services:

emergency help ( ambulance)

outpatient care in a polyclinic (examinations and treatment)

inpatient medical care:

- abortion, pregnancy and childbirth

- in case of exacerbation of chronic and acute diseases, poisoning, injuries requiring intensive therapy or round-the-clock medical supervision

- planned hospitalization

high-tech medical care, including the use of complex and unique treatment methods, new technologies and techniques

medical care for people with incurable diseases.

A complete list of cases in which you are entitled to free medical care is included in the basic compulsory health insurance program. To check this list, you can contact your insurance company (you will find the company's phone number on your policy).

Please note that you are also entitled to free medication if your medical condition is rare, life-shortening, or disabling. The list of vital and essential drugs is approved by the state and spelled out in the text of the law.

You will have to pay for other services and drugs.

Medical policy

A compulsory medical insurance policy (compulsory medical insurance policy) is a document that allows a person to receive free medical care in hospitals and clinics throughout the Russian Federation. It is issued by insurance companies that are licensed to operate in this area. The insurance company that issued you a compulsory medical insurance policy pays for medical services and protects your interests in conflicts with medical institutions. Keep in mind that you must have your policy with you to get free medical services. Without its presentation, only emergency assistance is provided. Compulsory medical insurance policy can be obtained by everyone who is on the territory of the Russian Federation, including foreigners and refugees.

How to get a compulsory medical insurance policy?

To do this, you need to contact an insurance company that has the appropriate license. The official rating of medical insurance organizations will help in choosing it. Over time, you can change the insurer if you are dissatisfied with the quality of his work. Remember that by law this can be done no more than once a year and no later than November 1.

What documents are needed to issue a compulsory medical insurance policy?

For a citizen of the Russian Federation under 14 years old,:

birth certificate

passport of a legal representative (for example, one of the parents)

SNILS (if available).

For a citizen of the Russian Federation over 14 years old, you need:

passport of a citizen of the Russian Federation

SNILS (if available).

What is the validity period of the compulsory medical insurance policy?

For citizens of the Russian Federation, the policy is indefinite, a temporary policy is made for refugees and foreigners temporarily residing in the territory of the Russian Federation.

In what cases can a compulsory medical insurance policy be replaced with a new one?

Despite the fact that the policy is unlimited, it can be replaced with a new one:

with a planned change of the compulsory medical insurance policy (for example, when a new sample is introduced)

when changing residence within the Russian Federation, if the insurer does not have a representative office at the new place of residence

upon detection of inaccuracies or errors in the policy

when the policy is dilapidated, which creates an identification problem

upon loss of the policy

when changing the personal data of the policy holder (name, passport data, place of residence).

Polyclinic

Upon receipt of the compulsory medical insurance policy, a polyclinic is selected to which you will apply for medical help (that is, you are "attached" to it). You have the right to choose any clinic that will be convenient for you to visit (closer to home, work, dacha). The only condition is that she must be able to accept a new patient (the planned load is determined by the standards).

How to attach to the clinic?

Your attachment to the clinic at your place of residence happened automatically if:

you live under the same registration as when you received your policy

you live at the same address that you called when you received the policy (even if it differs from registration).

For self-attachment, you will need to write an application to the polyclinic administration. Keep in mind that if you are attached to the clinic outside your place of residence, you will not be able to call a doctor at home.

Remember that by law you can change the clinic no more than once a year, unless you change your place of residence or stay.

What documents are required to be attached to the clinic?

List of documents for a child under 14 years old:

oMS policy (original and copy)

birth certificate

identity document of the child's legal representative (for example, a parent)

SNILS (if available).

List of documents for citizens over 14 years old:

application addressed to the head physician of a medical organization

oMS policy (original and copy)

passport of a citizen of the Russian Federation

SNILS (if available).

Can you be refused to be assigned to the clinic and why?

They may refuse to enroll if the selected clinic is overcrowded and not located in the area of \u200b\u200byour residence. You have the right to demand a written refusal, on the basis of which you can complain to the insurance company, the Ministry of Health or Roszdravnadzor.

Appointment to a doctor. How to get there and how long will you have to wait?

You can make an appointment with a doctor (receive a voucher for an appointment) in person through the registration of a medical organization or remotely through an electronic registration (if available). But doing this is often quite difficult. The next appointment with doctors may be only after a few months or be absent altogether (“no coupons”). How long can you wait according to the law, and what to do if you are not provided with the service on time?

Each region independently sets the waiting time for medical care on its territory. You can get information about the terms in force in your region in territorial fund compulsory health insurance or at your insurance company (you will find the company's phone number in your compulsory medical insurance policy).

As an example, we will cite the deadlines set in Moscow. According to the decree of the Moscow Government, maximum terms are set:

the first appointment with a local therapist, a local pediatrician and a general practitioner (family doctor) takes place on the day of treatment;

for appointments with specialist doctors - up to 7 working days;

the urgency of laboratory and instrumental studies is determined by a specialist doctor, the waiting period should not exceed 7 working days. An exception is angiography, computed tomography and magnetic resonance imaging, the waiting period for which can be up to 20 working days;

If the medical organization cannot meet the specified deadlines, there is no necessary specialist or equipment, then according to the law, the patient must be sent to the nearest medical institution for diagnostics, and absolutely free of charge. If these provisions are violated, then you can file a complaint against medical organization to your insurance company or to other institutions, which we talk about in the "Where to complain?" section.

Is it possible to change the attending physician and how?

Yes, according to the law, you can change not only the medical organization, but also the attending physician (district doctor, general practitioner, pediatrician, general practitioner and paramedic). To do this, you need to submit an application addressed to the head of the medical institution. You can change your doctor no more than once a year, unless you change your place of residence or stay.

Emergency

TO free medicine the ambulance also applies. It can be used by everyone on the territory of the Russian Federation, including those who do not have a compulsory medical insurance policy. Many complain about the waiting time for an ambulance, but not everyone knows that the time of arrival of a medical team primarily depends on its type, their two:

ambulance service. She goes to emergency calls if there is a threat to the patient's life: injuries, accidents, acute illnesses, poisoning, burns and others. According to the standard, this assistance must come to the patient within 20 minutes;

urgent Care. It deals with the same cases as an ambulance, but only in the absence of a threat to the patient's life. This help must arrive within two hours.

It is up to the dispatcher to decide what type of assistance to send to you.

How to call an ambulance?

We all remember the learned truth from childhood that to call an ambulance it is enough to call "03". Landline telephones eventually become a thing of the past, being replaced by mobile communications. Almost everyone has a mobile phone at hand, but not everyone knows how to call an ambulance from it.

You can call an ambulance by numbers:

03 from a landline phone

103 s mobile phone

112 from a mobile phone (single emergency number).

Number 112 is universal. This number can be used to call the fire brigade, police, ambulance, emergency gas service, rescuers. You can call this number even if your balance is zero, your SIM card is blocked, or if it is not in your phone. However, this service does not currently work in all regions of the Russian Federation.

When will an ambulance arrive:

for acute illnesses that have arisen at home, on the street or in a public place;

in case of catastrophes and mass disasters;

in case of accidents: burns, injuries, frostbite and others;

in case of sudden diseases that threaten human life: disruption of the activity of the cardiovascular and nervous system, respiratory organs, abdominal cavity, and so on;

during childbirth and violation of the course of pregnancy;

for any reason for children under 1 year old;

to neuropsychiatric patients with acute mental disorders that threaten the safety of others.

In what case the ambulance will not arrive:

when the patient's condition worsens, which is observed by the local doctor;

when calling to patients with alcoholism to relieve hangover;

to provide dental care;

for the provision of medical procedures prescribed as planned treatment (dressings, injections, etc.);

to issue sick leave, recipes and references;

for the issuance of forensic and expert opinions;

to draw up an act of death and examination of a corpse;

for transportation of patients from hospital to hospital or home.

What are the responsibilities of an ambulance?

The arrived team will provide emergency medical care and, if necessary, will hospitalize you in the hospital. The team doctors can give oral recommendations on treatment, but they do not issue certificates and sick leave.

Where to complain about your doctor?

There are times when a conflict arises between you and your doctor. What to do in such a situation? To complain.

The easiest way to make a complaint is to write a statement addressed to the head physician. This will help resolve the problem locally.

If you have complaints about the quality of service in medical institution or you are offered to pay for medical services that are free of charge by law - you can contact your insurance company.

If you were unable to resolve the problem at the local level, then you can contact the Ministry of Health. You can submit a complaint in person at the reception of the ministry, send it to the usual postal or e-mail address of the department, and also leave an appeal on the official website.

If your problem has not been resolved at the Ministry of Health, then you can contact Roszdravnadzor, which monitors health care. The application can be left on the website of the department, sent by post or e-mail.

If the previous actions did not lead to the desired result, then you can contact the prosecutor's office. She will audit the work of government agencies.

If the conflict was still not resolved in the indicated ways, then you can go to court. In the claim, it is necessary to indicate the essence of the case, explain what rights were violated (with links to the relevant articles of the laws), attach documents proving the defendant's guilt.

Contacting the police is appropriate if a doctor has intentionally harmed your health, threatened, extorted or insulted your honor and dignity.

Please note that the processing time for applications in each case is 30 calendar days by law.