Replacing the OMC policy with a new sample policy is not required for everyone and not urgently. The procedure for reissuing the Oms policy Replacement of the health insurance policy

Replacing the compulsory medical insurance policy with a policy of a new sample: urgently or not urgently, is it possible to use the old document, in what cases re-issuance is required and what needs to be done

All Russians are entitled to free medical services provided they have a special insurance contract. The guarantee of this right is compulsory health insurance, but in order to use the help of doctors for free, the patient must have a policy.

Some time ago, the program changed, and now the compulsory medical insurance policy is being replaced by a new type of policy. Next, we will clarify the most important questions regarding this process, and tell you what is required of each of us.

Is it necessary to replace the compulsory medical insurance policy with a new sample

The news that appeared in October that the service of issuing and replacing the compulsory medical insurance policy with a new policy will be suspended until 2019, has caused a great revival among ordinary citizens.

People were afraid of problems with obtaining medical care and rushed to urgently change outdated papers and cards.

However, the MHIF explained that the policies are valid without time limits and with old cards you can easily use the free services of polyclinics and other medical institutions.

The replacement of old samples is carried out on a planned basis, but so far it is voluntary. A person can continue to be treated under the old contract, or he can renew it and receive a new type of medical insurance, but already from January 2019.

To replace the OMI policy, as it became known from the explanation of the MHIF, was offered until November 1 only to those who are dissatisfied with the work of their insurance company and would like to change it. This can be done annually, but not more often than once.

Everyone wishing to use the services of another company is invited to study the list of insurers, which can be found on specialized sites, and choose a more reliable option with a good reputation among policyholders.

Explanation of the MHIF on replacing the old compulsory health insurance policy with a new one

Change of registration

Since many are interested in whether it is necessary to change the compulsory medical insurance policy to a new type of policy after changing the place of registration, we will also clarify this issue. According to the current legislation, insurance documents issued earlier than 2011 will be valid for an unlimited period of time - until immediate replacement.

However, if personal information changes, they will be invalidated. If you have changed your last name, first name, place of registration, you will have to reissue the insurance contract, otherwise you may be denied medical services.

As a rule, doctors do not refuse help, especially when it comes to emergency situations. However, the law must be respected and the insurance must be amended.

This does not apply to cases when a person temporarily changes his place of residence, going on a long vacation, a business trip. Mandatory re-registration is required only when you move to another house and change your permanent registration.

Types of documents confirming insurance

Currently, any insured citizen can have one of the following insurance documents:

paper policy - blue A5 form;
plastic card - contains a chip with information about the owner;
UEC - information about insurance is included in the universal card.

Until 2017, the UEC was considered mandatory and made it possible to receive various state services. It could be used as a bank card, travel ticket, medical policy. Those who received such a card can continue to use it as confirmation of the availability of compulsory medical insurance.

Since 2017, universal cards are no longer issued, so there are only 2 options for a medical policy that Russians can get. Of these, the traditional paper version is preferred, since some clinics have not yet developed a special technique for scanning electronic cards.

Although many say that the plastic version is much more convenient and durable.

What changed

The replacement of the compulsory medical insurance policy with a new type of policy is understood to mean only one innovation. The form used since 2011 will be updated. Most insurers wrote them out until 2014. Now the validity period has already ended, so it is time to change them, which is planned by the MHIF.

As for plastic cards, they have been issued for 4 years, starting in 2014. They are unlimited and cannot be changed. If the owners have not changed their personal data, then it is not necessary to change the card.

Terms of validity

Since insurance documents are of different types, many again may have questions about whether it is necessary to change the compulsory medical insurance policy to a policy of a new type and whether it is worth doing it immediately. We have already answered these questions, but still we will clarify the periods of insurance:

Old insurance contracts were drawn up with a specific period. The form shows the end date of the contract. After the end of the insurance period, it is necessary to issue another policy, although medical services will still be provided in the same volume and without renewal.
New contracts have no expiration date... The only exception can be a situation when it is necessary to replace personal data in the contract (move, marriage, etc.).

It is in the interests of each citizen to choose a suitable insurer and sign a new contract with him, if the previous one has ended or any information about the identity of the insured has changed. Replacement of a compulsory medical insurance policy with a new policy is free of charge.

Replacement process

If your health insurance is still valid, there is no point in rushing to exchange it. However, if you need to reissue, for example, if you want to change the provider of insurance services, you should know how to do it.

Follow our guidelines and the whole process will not take much of your time:

Choose an insurer. Explore the reviews and learn more about the company's reputation. If your previous experience suits you, you can contact the company that entered into the first contract with you.
Write a statement, indicate the reason for re-issuing.
Show your passport.
During the first 30 days, you can receive services on a temporary certificate, you will receive it from the insurer. It is tantamount to a policy, it is accepted by all medical institutions.
Get ready-made insurance in a month, check on the spot all the information indicated there.

In the near future, it is planned to provide Russians with the opportunity to draw up compulsory medical insurance on the portal of state services. While this feature is being tested in St. Petersburg, it will soon be available to residents of other cities.

Documents for registration

To replace the policy, you will need:

your regular passport,
statement,
SNILS,
old form or card, if preserved,
a birth certificate, if insurance is obtained for a child, and an adult applicant's passport.

When registering compulsory medical insurance for a child under 14, SNILS is not required. If this is not done by a close relative, then a power of attorney is required in his name from the child's legal representative.

Processing time

A ready-made policy can be received within 10-15 days. If you take out insurance at the MFC, be prepared for an increase in the receipt period, since it will be sent by mail.

But even with a high workload of the insurer and mail, this period will not exceed 30 days - the period when a person can use a temporary certificate to receive medical services.

The need for replacement

Those who:

lost, spoiled a valid document;
changed the name, patronymic, surname;
changed the place of permanent registration;
changed passport;
decided to change the insurer;
found typos in the documentation.

You must notify the insurer of these changes within 1 month. You will be issued a new compulsory medical insurance policy for free, the replacement period is 10 days.

Let's summarize all of the above. So, you can still use your old health insurance until it runs out. If it has an expiration date on it, then it is in your best interest to update it to avoid misunderstandings with medical professionals.

In case of any change in your data, you are obliged to notify the insurer and issue a new policy. This is done free of charge within 10-30 days. For the period while the document is being made, you will be given a temporary certificate.

It has the same effect and is unconditionally accepted by any institution as health insurance for receiving free services.

Replacing the OMS policy when changing the surname is a mandatory step that must be taken by any person whose personal data is changed.

How to change a document in the current 2020, where to go and how much will it cost to reissue?

OMS policy: what is it and why is it needed?

A compulsory medical 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 plastic or paper sample. It contains the following information about the owner: last name, first name, patronymic, gender, date of birth, as well as the period of validity of the policy and its number.

Under the compulsory medical insurance policy, you can be treated free of charge, as well as receive medicines free of charge.

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

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

The surname, name, patronymic of the insured person must be prescribed in this document. This means that when changing personal data, including surnames, a person must replace the OMS policy, since he will have a different surname in his passport.

You need to understand that when reissuing the policy, the insured person will need to submit a new passport with a changed last name.

When changing personal data, documents for reissuing the CHI are accepted:

On the website of state services www.gosuslugi.ru.
In the MFC (Multifunctional Center).
An insurance company.

You can amend your health insurance document online. Few people know how to change the compulsory medical insurance policy when changing a surname through public services.

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

Unfortunately, since 2017, such a service as the replacement of the compulsory medical insurance policy through state services has been temporarily suspended.

Having entered the site, having selected the appropriate fields, the client will be prompted to follow the link that opens a new window on the website of the Federal Mandatory 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 for the old surname.

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

A new passport with a new surname.
Marriage certificate certifying the fact of change of surname.
Old OMS policy.

The insurance company specialist will offer 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 a sample form on the website of the Federal Fund for Compulsory Medical Insurance (http://www.ffoms.ru) from the “Question and Answer” section.

The application must contain information about the insured person: last name, first name, patronymic; put a tick on the option "reissued compulsory health insurance policy", and also select the reason for replacing the document. Errors, corrections are inadmissible in the application.

The insured person must oblige to change the policy when changing personal data no later than 1 month from the day when these changes occurred.

For example, a person received a new passport on February 2, 2020. He must contact the insurance company to replace the compulsory medical insurance policy no later than March 2, 2020.

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

The easiest way is to reissue the policy at the MFC... Today, everyone can use this opportunity, since such a service is provided in all multifunctional centers.

In order to replace the OMS policy when changing the surname, you need:

Sign up for a specific time so as not to actually stand in line.
Bring the entire package of documents with you. What documents are needed when changing a medical policy when contacting the MFC? You should take 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 register at the MFC in advance by calling the branch where the client will apply. If a person has not registered in advance, then he must take an electronic queue ticket upon arrival at the MFC.

How long does the compulsory medical insurance policy take after changing personal data? In general, the 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 draw up 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 how much time is required by law to issue a permanent policy.

By the way, the temporary OMS document will indicate the exact date when a person can pick up a permanent policy.

To get the document in hand, a person will need to come to the insurance company again. At the moment of receiving 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 medicines.

People who want to reissue a compulsory health insurance policy are concerned about 2 questions:

What is needed to replace the 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 policy renewal process does not provide for 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. The state duty for the procedure for reissuing the compulsory medical insurance is not charged.

Very often, after marriage and a change of surname, women who want to reissue the compulsory medical insurance policy are worried about the question: "Is it possible to reissue the policy in another insurance company if I have changed the address of registration?"

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

But, on the other hand, these data are entered into the unified 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 address of registration or place of residence has changed.

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

After marriage and a change of surname, women face a host of problems regarding the replacement of their passports, driver's licenses, and the compulsory medical insurance policy.

Today, you can change this document to a new one with a changed surname at the insurance company or at the MFC. It doesn't matter where the person lives.

Even if, after marriage, a woman has changed her address of residence, she has every right to contact any insurance company to replace the OMS policy when changing her surname.

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.

A multifunctional center is an organization whose main task is to provide citizens with high-quality, fast communications with government services. The institution acts as an intermediary and allows you to receive the necessary service in a simplified manner. With the help of the organization, you can perform a lot of operations - from obtaining certificates, processing documents to providing material assistance, connecting services. Many people are interested in whether it is possible to get a compulsory medical insurance policy at the MFC? How to do it correctly, and what is needed for this?

This service is provided by multifunctional centers. Applicants need to send an appeal with a corresponding request.

Who can get the policy

A certificate that a person is insured and has the right to receive free medical care is issued in such cases:

if the personal data of the applicants changes or if there are inaccuracies in previously issued documents:
if there is a need to restore a lost, damaged policy (a duplicate is issued);
at the initial registration (including with newborns).

OMS certificates are issued to citizens of the Russian Federation, and do not have a time limit for limiting actions. If the forms are paper, then there is no need to change them to electronic ones. In many state bodies of Russia, it is not yet possible to receive them in the form of plastic cards, due to the lack of technical capabilities for their registration.

Important information. If citizens need help of a reference nature (in the multifunctional center they unreasonably demanded additional information, a refusal to issue was received, difficult cases, and so on), on the official website of the MFC it is proposed to use the services of lawyers. The consultation is free.

All citizens have the right to obtain certificates. Regardless of gender, social status, income levels, age. Registration of the procedure is simple:

The first step is to queue up for an appointment with your local government office. This can be done through the official website of the organization, by filling out an online application form, or by calling by phone.
Civil service employees will appoint the day and time of the appointment.
On the appointed day, you need to check with the specialists which window to contact.
Fill out the application form and submit a package of documentation.
A civil service employee is issued a temporary policy with a receipt.
An SMS notification is sent to the specified phone number that the document has been completed.
The final stage is getting an insurance policy in a multifunctional center on the appointed date.

It is important to know! In some MFCs, a certificate cannot be issued. Since they do not cooperate with insurance organizations, and therefore cannot send inquiries to them. It is recommended to clarify in advance whether such services are provided in the selected institution or not. It is also recommended to clarify in advance whether it is possible to change the policy at the MFC to which the applicant applies.

Who can apply

The following categories of Russian citizens have the right to receive:

person who has reached the age of majority;
child - from birth to 18 years of age;
a refugee who has received official status in accordance with an article of the law.

Information. For refugees, the validity of certificates is limited - from the date of issue to the end of the calendar year. Non-citizens and foreigners are not issued policies based on a multifunctional center.

Processing time and how much you have to pay

According to the law of the Russian Federation, not a single state institution has the right to take state duties. Therefore, you will not have to pay anything, neither upon the initial receipt, nor upon the second one. At the request of the citizen, you can pay for some additional services that facilitate the registration procedure.

There are no exact deadlines for issuing a certificate. They are different in each center. But not more than 30 working days from the moment the applicant applied. Sometimes the time frame is increased if the certificates are redirected to other departments. There is no need to file a complaint, the citizen has a temporary document for this period.

To get a compulsory medical insurance policy, you will need to present the following papers:

passport of a citizen of the Russian Federation or identity card (certificate of release, military ID, driver's license);
a statement drawn up in accordance with the established sample form;
SNILS (certificates of pension insurance).

If the certificate is issued for a child under the age of 14, a birth document is presented. Refugees need to submit a certificate of the assigned status.

Reference. Sometimes a certificate of insurance may be refused. Reasons: fake certificates, incorrectly specified information in the questionnaire, documents expired, an incomplete package of documents was submitted.

Replacement of the compulsory medical insurance policy in the MFC - features of the procedure

The need to replace a document with a new one arises quite often. The reasons for this are various:

Loss of a document.
Citizens are dissatisfied with the work of insurance agents.
Information in the passport has changed (for example, change of surname).
When moving to a new place of residence.

Since 2011, Russia began to use a compulsory medical insurance policy of a single sample - a plastic card, which, unlike previous samples, has a chip with the patient's personal data. The card also contains a photo and a personal signature of the owner, which makes it difficult for unauthorized persons to use it.

As explained in the Moscow City Fund of Compulsory Medical Insurance, the new policy is more convenient for health workers if a person goes to a clinic or hospital outside of his place of residence.

Do I need to issue a new policy before November 1

According to the MHIF, all types of policies previously issued in Russia are indefinite, be it a paper document or an old-style plastic card. Medical assistance under compulsory health insurance programs will be provided under them in full.

There is no time limit for obtaining a new policy. Therefore, it is not necessary to change old policies to new ones by November 1.

According to the law on compulsory health insurance in the Russian Federation, old samples of policies are valid until they are replaced with new ones.

In fact, before November 1, you need to have time to change the insurance company if for some reason it does not suit the citizen. This cannot be done after November 1 until January 2019. Such a pause, in accordance with the law, occurs every year. You can change your insurance company once a calendar year.

In what cases the policy is changed

A person can change the policy if its format is paper. This will be appropriate, since the barcode located on the paper sheet can be erased, the form itself can be wrinkled, and such a policy cannot be laminated. The plastic card is easier to use (the old green plastic card can also be replaced).

Also, the policy can be changed together with the insurance company. If the latter does not suit you, you can choose the best organization.

If a citizen's personal data (surname, name, patronymic, date and place of birth) or gender have changed, he will have to get a new policy within a month. In the case of a new place of residence, the policy does not change, but changes are made to the data on the insured person.

If a citizen has lost an insurance document or inaccuracies are found in it, he will also be issued a new policy.

Replacing the policy is free of charge.

How to get a new policy in Moscow

To change the policy, you need to contact the insurance company or the MFC.

An application and the following documents will be required:

Passport (original + copy),

Photo for subsequent placement on the card,

Old policy.

To get a policy for a child, you will need a parent's passport, a child's birth certificate and his SNILS. In this case, newborns up to 30 days after birth registration are served under the mother's policy.

On August 1, the exchange of compulsory medical insurance policies for new plastic cards began in Moscow. Vladimir Zelensky, director of the Moscow City Compulsory Medical Insurance Fund (MGFOMS), told Evgeny Saltykov, the director of the Moscow City Compulsory Medical Insurance Fund (MGFOMS), about why it was required, how long the old policies will be valid and where to get new ones in an exclusive interview with Vesti.Ru observer.

- Tell us why it was necessary to change policies at all? What does not suit the existing ones?

There are several reasons why this should have been done and why now. The first is the not very convenient format of the current paper policy. It cannot be folded, because the barcode is located at the fold and cannot be laminated, because information about the insurance company is entered on the back. In this regard, we have accumulated a fairly large demand from society. People change their surnames, passports, but do not report this to the insurance company, because, in such a case, they would have to change the old convenient policy in the form of a green plastic card for a new paper one.

- Why then did they initially change convenient plastic for uncomfortable paper?

The green plastic policy was a purely Moscow product that has existed since 1998. After that, in 2011, all over Russia they began to issue a paper policy of a single federal sample. But out of 12 million people insured under compulsory medical insurance in Moscow, more than 7 million still have old green plastic cards in their hands. During this time, many have changed their data, but, as I said, not everyone began to report these changes. Meanwhile, the compulsory medical insurance law stipulates the obligation of citizens to notify their insurance company within 30 days of changes in their data, such as a change in their surname, place of residence or passport. But the citizens neglected this duty, for the reasons indicated above. Because of this, we began to face a large number of problems - it became difficult to find people in the registers of insurance companies, feedback from the insured became difficult. And this, perhaps, was the main reason for the need to replace policies.

- What are the main differences between old and new compulsory medical insurance policies?

The new policy has a chip that stores all the necessary information about the insured - name, date of birth, insurance region, insurance company. This information can be read using readers that will be equipped with all medical facilities. The back of the policy contains additional information, including a photograph and personal signature. Thus, upon presentation of a new policy, you will not need to provide additional documents to identify a citizen, which is necessary when seeking medical care outside the home region. Having a photograph will also be useful in conditions of loss of consciousness - if a person has a policy with him, it will be easy to establish his identity.

- Is the replacement of a new policy a mandatory procedure? How long will the old compulsory medical insurance policies be valid?

Substitution is not mandatory. The law states that the old policies are valid as long as they are on hand. Accordingly, both paper policies and green plastic cards continue to be valid, provided that their owners have not changed their personal data.

- What do you need to change the old OMS policy to a new one?

Go to the insurance company and write a statement. You will be issued a new policy within 30 working days.

- Will only Muscovites be able to get it, or will nonresident citizens living in the capital have such an opportunity?

- If a person lives and works in Moscow, but does not have a residence permit or registration here, then he, like others, can be insured in Moscow. Accordingly, attach to the clinic and have access to the doctor's appointment via the Internet or in infomats.

In two years, they plan to issue a Universal Electronic Card (UEC) throughout the country, which will immediately replace the role of an identifier and a payment card. Maybe it was worth waiting for the launch of this all-Russian project and "sewn up" the OMC policy in the UEC? Or has the need for a new policy really become urgent?

The current version of the law on CHI provides for two types of policies: paper and electronic. Moreover, the electronic one can be either the one that we are now starting to issue, or in the form of an application on the Universal Electronic Card. For several years of its existence, UEC has not become a mass product. The problems that we talked about cannot be solved with its help. That is why we decided to launch a new product now.