Uralsib insurance company medical insurance closure. Policy Oms at Uralsib Bank. Benefits of compulsory medical insurance at Uralsib

Every citizen is interested in receiving quality medical care. Especially for this category of citizens created compulsory medical insurance policy Uralsib, without which you cannot get free help in a medical facility. Let's see how to get it and what it takes.

About Uralsib

Uralsib is one of the largest insurance companies that has been providing mandatory and voluntary products since June 1993. The company includes MSC Uralsib, whose activities are aimed only at providing forms of compulsory and voluntary medical insurance.

Medical insurance Company Uralsib is an organization that has been providing quality voluntary and compulsory medical protection since December 13, 1994. The authorized capital is 156,000,000 rubles.

The general director of the insurance company is Yury Fedorovich Demin.

As of January 1, 2020, the number of insured citizens under Uralsib's compulsory health insurance amounted to about 2,806,077 people. This number is only increasing every day, which is characterized by the stability of the company.

Anyone can draw up a compulsory health insurance form, like in the office financial companyand at Uralsib Bank. You can find out the address of the required office on the official website of the insurer. All you need is to select a region.

OMS Uralsib services

As practice shows, not all citizens know what services are included in the compulsory health insurance policy. That is why, for your convenience, we will list a full package of services that you can use after applying for protection with a large insurance company Uralsib.

Free services for insured persons:

1. Emergency medical assistance.
2. Hospitalization and hospital payment.
3. Free medicines, which are necessary for treatment, during a hospital stay.
4. Emergency dental care, which excludes only dental prosthetics.
5. Consultation with the required doctor.
6. Vaccination at the request of the client.
7. Sick leave registration.
8. Antenatal care and pregnancy.
9. IVF and abortion.
10. Surgical intervention.
11. X-ray and fluorography.

It turns out that according to the compulsory medical insurance policy in Uralsib, each insured person can go to the clinic with which the company has an agreement for free, and use medical services for free. As practice shows, financial institution contracts have been concluded with all state medical institutions.

You can always check the full list of medical institutions by calling the customer support service. The managers of the Uralsib insurance company are ready to provide the necessary information around the clock, completely free of charge.

How to get a policy: step by step instructions

It is possible to issue a compulsory health insurance policy at Uralsib even for a newborn. Let's consider how the registration procedure takes place in the office of the insurance company and remotely.

Making a policy at the insurer's office includes:

• It is necessary to choose the office of the insurance company in the region of your location.
• Prepare the necessary list of documents, which will be discussed later in our article.
• Write a statement to the company representative.
• Get a temporary policy.
• After 30 days, apply again to the branch of the insurance company in order to obtain a permanent policy.

Important! As for the temporary document, then the insured citizen can use the same services under it as under the permanent document.

For registration of compulsory medical insurance via the Internet you will need:

Important! An OMS electronic insurance policy differs from a paper one only in appearance. The first is produced as a compact plastic cardlike a driver's license. The second document is considerably larger and is printed on ½ A4 letterhead.

What documents will be needed

You can get a health insurance form only if you have a complete package of documents. Consider what should be prepared by contacting the office of a financial institution.

Package of documents for children under 14 years old:

• birth certificate;
• legal representative's passport;
• SNILS (optional).

Package of documents for persons over 14 years old:

• passport of a citizen of the Russian Federation;
• SNILS.

Foreign citizens must present:

• passport of a foreign citizen;
• residence permit or permission to stay on the territory of the Russian Federation;
• statement.

Refugees:

• identity document;
• document confirming refugee status.

Representatives:

• passport;
• power of attorney of the approved sample;
• statement.

Important! Non-citizens of the Russian Federation and refugees without these documents will not be able to receive a mandatory protection form. In this case, you will need to issue VHI on a paid basis.

If you are applying to the office on behalf of another person, you will need to fill out a power of attorney in the form of the insurer. We offer.

There are times when the form is lost. There is nothing wrong with that, since you can restore it completely free of charge. To do this, when contacting the office, you must fill out an application form for issuing a duplicate. We offer.

Additionally presented for you.

How to check the policy of OMS Uralsib online

After providing the temporary form, the insurer has 30 days to issue a permanent one. You can check the readiness of the compulsory medical insurance policy at Uralsib remotely. To do this, you need to go to the official website of the insurer and click "Check policy".

For information, you should:

• indicate the number of the temporary document;
• select the region where the form was ordered.

A report will appear based on the results of the check. If the form is ready, then you can take the documents and contact the branch of the company.

Additionally, on the official portal of the financial company, you can check the deadline for which the form has been issued. This is relevant when making a temporary contract.

If it is not possible to check the information via the Internet, then you can always call the toll-free customer support phone number, voice your personal data, document number and get information.

Important! It must be borne in mind that every citizen of the Russian Federation has the right at any time to change the insurer for compulsory insurance... To do this, you must submit an application before November 1.

Features of registration of a policy for persons without Russian citizenship

It should be borne in mind that the procedure for issuing a compulsory medical insurance policy in Uralsib for foreign citizens has its own characteristics. Let's consider them in more detail:

• A foreign citizen can apply for a policy only at the company's office. Unfortunately, you won't be able to apply remotely.
• A permanent policy is issued only in paper form. The electronic product is not available for foreigners.
• You can issue protection only for 1 calendar year.
• To receive the form, you must prepare a complete package of documents. In this case, the manager of the insurance company accepts only originals.

Additionally, it should be noted that compulsory medical insurance for foreign citizens, as well as for Russians, is issued completely free of charge.

JSC MSK "UralSib" - small in terms of fees insurance organization, which deals with compulsory health insurance. It is part of the RESO Insurance Group. In the compulsory medical insurance market, at the end of 2017, the company is in 11th place among Russian insurers in terms of the number of insured, the number of which is more than 2.8 million people (market share - 2%). The company has one branch in Ufa (Republic of Bashkortostan) and about 40 agencies in the Russian Federation. The head office is located in Podolsk (Moscow region).

According to the extract from the Unified State Register of Legal Entities, as of 01.10.2018, JSC MSK UralSib ceased operations as a legal entity due to reorganization in the form of merger with LLC SMK RESO-Med.

AO MSK UralSib originates from the creation of the Open Joint Stock Company State Insurance medical company "Podmoskovye-Med" in December 1994. In October 1997, the insurance company was renamed into the Open Joint Stock Company “Insurance Company of Law Enforcement Agencies-Med-Podmoskovye”. In 2004, 79.9% of the shares of OJSC Insurance Company of Law Enforcement Agencies-Med-Moscow Region were transferred to CJSC Insurance Group UralSib. At the same time, it was decided to change the name of the company to the Open Joint Stock Company Medical Insurance Company UralSib (OJSC MSK UralSib).

The company operates in the market of compulsory and voluntary medical insurance in Moscow, the Moscow region and the Republic of Bashkortostan. In the compulsory medical insurance market of Moscow, UralSib MSC acts as a specialized company operating with medical institutions of departmental subordination. In the compulsory medical insurance system, it cooperates with the central medical institutions of the Ministry of Defense of the Russian Federation, the Ministry of Internal Affairs of the Russian Federation, the Main Department of Internal Affairs of Moscow, the Federal Tax Police Service of the Russian Federation, the Ministry of emergency situations Russia, Federal Agency for Government Communications and Information under the President of the Russian Federation.

AO MSK UralSib is a member of the Moscow Association of Medical Insurance Organizations and the All-Russian Union of Insurers.

The sole shareholder of the company until November 13, 2016 was a large universal insurance company of a federal scale JSC Insurance Group UralSib, a key member of the Insurance Group of the same name UralSib. Since November 14, 2016, the shareholders of the company have become: LLC GrandStroyPrestige (24%), LLC Adjuster (19%), LLC TMB (19%), LLC Profit (19%) and Limited Partnership Special Opportunities "And the company" (19%). In March 2017, the FAS Russia granted RESO-Garantia's petition to acquire 100% of the voting shares of JSC MSK UralSib. Currently, the company is part of the RESO group *, and the direct shareholders of the company are RESO-Garantia SPJSC (81% participation share) and RESO-Med SMK LLC (19%). The ultimate parties in control of the company are jointly Sergei and Nikolai Sarkisov. In March 2018, an extraordinary general meeting of shareholders of MSC UralSib JSC made a decision to reorganize the company in the form of its merger with SMK RESO-Med LLC.

In 2013-2014, the company's activities noted an increase in fees for voluntary insurance by 35.06% and 7%, which corresponds to 16.11 million and 17.24 million rubles of premiums. The next period is characterized by a significant reduction in the volume of receipts: in 2015 - by 21.07%, and at the end of 2016 - by 72.75%. The volume of the accrued premium on voluntary insurance in 2016 amounted to 3.71 million rubles (the same indicator in 2015 - 13.61 million rubles), the amount of payments reached 5.78 million rubles, the level of payments - 156.03%. In 2017, there are no voluntary insurance fees, payments amounted to 53 thousand rubles. IN current period the company has not resumed its activity on voluntary medical insurance.

At the end of 2017, the company's net profit, according to RAS reporting, amounted to RUB 116 million, the total income under IFRS is RUB 111.37 million. Last year the insurer completed with a profit under RAS of 77.2 million rubles and income under IFRS of 85.63 million rubles.

Expert RA has withdrawn the rating of reliability and quality of insurance services without confirmation. medical organization MSK UralSib due to the lack of information to apply the methodology and the expiration of the rating (event date - May 3, 2017). Previously, the company had a rating of A “High level of reliability and quality of services” with a stable outlook.

Manual: Yuri Demin ( cEO), Alla Chuvileva (chief accountant).

As of August 1, 2018, the UralSib QMS insured 2,815,000 people under compulsory medical insurance.

URALSIB Medical Insurance Company entered the insurance market in 1994. She provides her services to Russian citizens, attracting clients to conclude a compulsory health insurance contract.

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Over the years, the company has become one of the leading companies, gaining popularity among the population. The developed branch network in the regions of the country, staffed with highly qualified specialists, can be called one of its advantages.

Policy features

The program on (abbreviated as MHI) refers to the system of social protection of citizens' interests, which is implemented by the state in the field of public health protection.

It provides guaranteed medical care regardless of gender, age, legal status, place of permanent residence.

When concluding an insurance contract, citizens are issued an OMI policy, which is an official document.

The compulsory medical insurance policy provides an opportunity for Russian citizens to receive free services from medical professionals:

• in polyclinics;
• in trauma centers;
• in dental clinics at the place of residence;
• in city and interdistrict medical diagnostic centers;
• in dispensaries of oncological, dermatovenerological.

Moreover, the above institutions should take part in the implementation of the CHI program.

Benefits of compulsory medical insurance at Uralsib

Compulsory health insurance programs implemented by the URALSIB insurance group provide medical services to Russian citizens free of charge in various medical institutions.

URALSIB Insurance Group supports clients around the clock, as it has a medical dispatch service.

Medical assistance is provided by highly qualified doctors, allowing to resolve any problems associated with disruption of the normal functioning of the body.

She monitors the quality of the medical care provided, taking over the regulation of disputes that arise between the insured person and the employees of medical institutions.

The insurance group strives to protect the rights of its clients so that they can receive quality medical care in full.

The main advantages of insurance in it are:

• experience in the insurance market, which allows highly qualified specialists to resolve various issues;
• possession of reliability, manifested in doing business in many areas, guaranteeing the fulfillment of its obligations;
• the phenomenon of scale, enclosed in a developed network of branches and representative offices that serve customers at the proper level;
• equipping the group with the latest technologies that allow organizing interactions with insured persons and medical institutions in an appropriate manner in short time to issue an OMS policy.

How to get

The policy is issued according to a specific procedure in accordance with the instructions of Article 46 of the Federal Law of the Russian Federation, which approved the conditions for the acquisition and validity of the OMS policy.

To purchase a policy, the client must personally or with the assistance of a representative submit an application drawn up on a form with unified form to an insurance medical organization or territorial fund... Its content is an appeal for the election of an insurance medical organization.

The insurance group issues a temporary certificate that has all the capabilities of the compulsory medical insurance policy. A list of documents is attached to the application, which include:

• children under 14 years old - a birth certificate, an official document of one of his parents;
• citizens from the age of 14 - a passport, which is an identity card, if he was insured in the field of compulsory pension insurance, then the insurance number for pension insurance;
• to persons with refugee status - a certificate or business paper on the examination of the application, the content of which is the recognition of him as a refugee. This provision is enshrined in the law of federal significance;
• to citizens of foreign states who permanently live in the country - a passport or any other document confirming his identity, permits for residence in the Russian Federation, if there is an individual personal account number according to the SSOPS;
• to persons who do not have Russian citizenship who live in it permanently - a passport or a document certifying personal data, residence permits, if any;
• citizens of other countries who live in the territory of the Federation for a limited time - a passport or other official paper, which is established by federal legislative acts or recognized in accordance with the terms of the agreement concluded by the Russian Federation with others, the personal account number of the personified account;
• stateless persons who temporarily reside in the country - a certificate recognized in accordance with the international treaty of the Russian Federation as an official document where a residence permit mark or business paper is made, proving the identity of the applicant, in the presence of SNILS;
• to the principal of the insured person - a passport, a power of attorney drawn up through a notary office.

Procedure for appealing actions when issuing insurance

With the admission of offenses, any Russian citizen can appeal against decisions, actions or inaction of employees who work in an insurance medical organization, implementing the CHI program.

The insured person can turn to the head of the structural unit or to the higher management with a complaint, which can be expressed orally and in writing.

The CMO management accepts the application in person, but you must make an appointment in advance. At a personal appointment, the applicant must present a passport.

When a complaint is made orally, it should be recorded in the log of incoming information. If the facts and circumstances of the basis of the complaint took place, then the answer to it is provided orally at a personal meeting of the management.

If the claim was made in writing, then it indicates:

• name of the CMO, its structural unit;
• surname, name, patronymic of the official to whom the complaint is addressed;
• personal data of the applicant;
• contact details;
• position, surname, first name and patronymic of the employee of the HMO, the decision, action or inaction of which is subject to appeal;
• the essence of the issue on which the applicant's rights were violated;
• information, official documents or their copies directly related to the reason for the claim.

The application is signed and dated. The claim statement is examined for 30 days, counted from the date of its filing, after which a response is given to the applicant. If the decision of the issue did not satisfy the applicant, then he can appeal against it in court.

Rights and obligations of insured persons

The insured person is granted rights according to the rules compulsory medical insurancethat allow you to get help from a health worker without paying for their services.

They are established by current regulations. The volume and conditions of its provision are determined by the Basic Program of the CHI.

These include the rights:

• choose an insurance medical organization at will, for which he must submit an application;
• he can change the CMO once during the year if it does not meet the applicant's requirements before November of the current year;
• to choose medical institution of those who take part in the implementation of the CHI program in accordance with legislative acts;
• choose at his own discretion the attending physician, for which he submits an application to the HMO;
• receive any information related to his health status and methods of treatment from employees of regional funds, medical care organizations and medical institutions;
• to require the protection of personal data that were transferred for entry into a personalized account maintained in the CHI system;
• demand payments from an insurance medical organization for harm that was caused to him as a result of non-fulfillment or improper fulfillment of the responsibilities assigned to the health insurance organization to organize the provision of medical services;
• demand the protection of rights and legitimate interests under the CHI program.

Joint Stock Company Medical Insurance Company UralSib (JSC MSK UralSib) has been operating in the field of compulsory and voluntary medical insurance since 1994.

general information

The managing holding of the joint-stock company is URALSIB Financial Corporation. It would be more correct to say that the history of the insurance company began in 1988, when Avtobank was formed, on which this financial corporation was based.

In 1993, the Oil Investment Company NIKoil and Industrial Insurance Company were established, which were later reorganized into IG URALSIB.

In 1994, another company was created, then it was called "Podmoskovye-Med". In 2004, the financial corporations NIKoil and Industrial Insurance Company merged with Podmoskovye-Med under the common name URALSIB.

It was this company that was transformed into the current company, JSC MSK UralSib.

The company's offices are located in Moscow, the Moscow region and the Republic of Bashkortostan. The company is not represented in other regions.

Who currently owns UralSib

On October 4, 2016 the SOGAZ company expressed its desire to buy the UralSib insurance group. The petition was submitted to the Federal Antimonopoly Service.

The deal was supposed to bring an increase in volume. Specific figures on the cost of the transaction have not been made public. The SOGAZ application was approved by the Federal Antimonopoly Service.

In 2016, SOGAZ was one of the largest insurance companies with 18 million insured persons in its client base. In 2016, UralSib served 3 million people.

In addition to SOGAZ, companies such as “ VTB Insurance"," AlfaStrakhovanie "," Ingosstrakh ".

Over time, the companies have disagreements. The price of the company being sold was doubled and SOGAZ refused the deal. All this information is again given without specifying specific numbers and comments of the parties regarding the differences.

In order to increase the share of participation in the health insurance market, on February 4, 2017, an application for the purchase of a share in UralSib is submitted by the Public Insurance Company RESO-Garantia.

If the issue is positively resolved, RESO-Garantia, or rather one of its segments, RESO-med, receives a 6.5% share in the compulsory health insurance market. This time the deal went through.

Since February 2017 the company has been a part of RESO-Garantia JSC.

The takeover led to a significant increase in RESO-Garantia's client base.

The most likely reason for the sale of UralSib shares and the change of ownership is the size of the authorized capital.

Until 2017 authorized capital insurance companies had to be at least 60 million rubles. From January 1, 2017, this amount will increase to 120 million rubles.

UralSib, having an authorized capital of 78 million rubles, preferred the sale of shares and the change of owners to complete rejection of activities and bankruptcy.

CHI programs

Before the sale, MSK UralSib was a small insurance organization and was able to prove itself from the best side.

It was distinguished by the guaranteed fulfillment of all insurance obligations, a highly qualified staff of specialists.

As of February 2012, in the Expert RA rating list, the company held the A + position in terms of reliability (positive rating). She was one of the companies with a high level of reliability, capable of meeting all financial obligations on time with a high probability.

In the Russian Federation, the right of every citizen over the age of 21 to undergo free medical examination at the place of residence every three years is approved by law. The company "MSK UralSib", within the framework of the CHI program, was engaged in the provision of such a service.

She financed a complex of diagnostic and therapeutic measures to monitor the health of the insured and identify diseases at an early stage.

In 2015, MSK UralSib participated in the implementation of the CHI + system, as part of the medical industry development plan until 2030.

The essence of the program is the possibility of purchasing a package of paid additional services, which should expand the capabilities of the CHI program. The owner of the OMS + policy will independently be able to choose the services that he is ready to pay for.

Learn more about the CHI + program

The new policy made it possible to receive paid services in other medical institutions.

Mainly, the purchase of a new OMC + policy was supposed to save those who use vHI policies from duplication of services and payment for the same procedures in different clinics.

The site of the Unified Medical Information and Analytical System - https://emias.info was launched pilot project... It was possible to apply for a compulsory medical insurance policy online.

This service was supposed to reduce the time it takes to find the right insurance company and expand the choice of the client. UralSib MSK was one of the first to participate in the development of a new service.

For the convenience of customers, the company also provided electronic policies,. They are identical to paper policies, the only difference is in the convenience of storing and using such a policy - it does not get wet, does not wash, and is more compact in size.

One of the differences between UralSib and other compulsory health insurance companies is its serious work to protect the rights of the insured. In addition to policy support and the conclusion of ordinary contracts with clients, the company entered into contracts with large organizations.

Does the company work

At present, SK continues to operate as a subsidiary of RESO-Garantia. The "old" site is still active. On it you can get help information, contact company representatives.

Electronic policy OMS (EPOMS) Is a document in the form of a plastic card, which confirms the right of a citizen to receive free medical care throughout the territory of the Russian Federation in the amount provided for by the basic compulsory medical insurance program.

From 01.05.2017, in accordance with the letter Federal Fund compulsory medical insurance from 25.04.2017, No. 107/91/2017, the issuance of electronic compulsory medical insurance policies in the Russian Federation was resumed

We invite you to receive an electronic compulsory medical insurance policy at the office of MSK Uralsib, which you can choose link .

An electronic policy of compulsory medical insurance can only be issued by citizens of the Russian Federation.

Plastic policy is one of the varieties insurance policy compulsory health insurancealong with the usual paper policy and a universal electronic card. The policy has a built-in chip containing the personal data of the insured, and on the reverse side there is a photo and personal signature, which prevents the document from being used by another person.

The term for producing an electronic policy is 30 working days. For this period, the insured receives a temporary certificate, which gives the right to seek medical help.

Together with the electronic policy, the insured person is issued a letter with secret PIN and PUK codes. It is highly recommended to save these codes.
In accordance with the law, the insured OMS citizen, has the right to change the insurance company and in order not to issue the document again, the electronic MHI policy allows you to record information about the newly selected medical insurance organization.
The PIN will be required to confirm that the information is entered with the consent of the policyholder.
The PUK code is required in order to clear the error that occurs when the PIN code is entered incorrectly three times.
If you lose your PIN and PUK code, access to change information on plastic policy OMC will not be possible, however, the OMC policy will not expire until the moment when changes are required.

All compulsory medical insurance policies are issued and issued free of charge.

Refine the list required documents, as well as get answers to your questions in compulsory health insurance, You can call the round-the-clock toll-free hotline 8 800 250 70 32 .

Please note that the introduction of EPOMS into circulation does not cancel the effect of the compulsory medical insurance policies received earlier. In accordance with Federal law of November 29, 2010 No. 326-FZ "On compulsory health insurance in the Russian Federation", compulsory health insurance policies continue to be valid until they are replaced with new ones.

Advantages of an electronic policy:

• modern, technological, with a high degree of protection. The policy has a built-in chip to identify the insured, and on the reverse side there is a photograph and personal signature of the owner;

• compact. The dimensions of the policy are the same as the size bank card... It is convenient to carry it with you and take it on the road;

• resistant to damage. The policy is made of durable material, does not tear, does not wrinkle or get dirty.