Exchange of an old policy for a new one. Where to change the compulsory health insurance policy. To replace a policy, you will need

13.12.2021

Issuance of a mandatory policy health insurance(OMS) in Moscow is produced in accordance with certain criteria and the availability of the required documentation package. There are various ways to execute a document, choosing the most suitable for a particular case.

Why do you need a policy

It is necessary for the provision of free medical services in state specialized facilities, regardless of their location in Russia.

Using the CHI policy allows you to count on the provision of the following services:

  • first aid;
  • medical assistance in emergency situations, not including evacuation by aircraft;
  • narrow-profile medical services for various pathologies, including the use of high-tech devices.

The presence of a policy is necessary for the following actions:

  • to enroll a child in Kindergarten or school;
  • when making an independent appointment with medical specialists;
  • for territorial assignment to the respective hospital.

What services can be obtained

The list of medical services provided free of charge may be supplemented depending on the regional decision of the authorities. At the same time, the main list of services provided includes the treatment of the following diseases:

Regardless of the place of receipt insurance policy, free treatment should be provided throughout the Russian Federation.

In the absence of a policy, medical institutions are obliged to provide emergency assistance. This procedure must be carried out without undue delay and free of charge.

How to issue

You can apply for a policy in the following ways:

  • by direct contact with the medical insurance company;
  • using the possibilities of Internet resources;
  • through the employer.

Using the first option involves the preparation of the required package of documentation with subsequent appeal to insurance organization. It can be selected from the register of the Moscow City Fund. You can use the help of any center of public services if you have Moscow registration. In this way, it is allowed to issue a policy for a child. At the same time, you need to know that you will need to draw up a policy at the insurance company where the document was received by the mother or other legal representative of the child. Registration occurs in those situations in which the child is not yet one month old.

After the application is made, the insurance company will provide a temporary policy, which is identical in functionality to the original. After thirty working days, the original document is provided.

Second way available exclusively to residents of Moscow who have reached the eighteen-year block.

The last third option involves employment in a company that is registered at a Moscow legal address. The process of issuing a CHI policy is handled by the employer. In case of further dismissal, the employee is obliged to return the received document to the employer.

After the application is made, the insurance company provides a temporary policy. It allows you to use all the required free medical services. The original document is provided after thirty working days from the date of application. Employees of the company notify customers of the readiness of the document by means of a phone call.

Required documents

The list of required documentation for obtaining a policy varies, depending on who it is issued to.

To register an application for a policy for children up to fourteen years of age, you will need to provide the following documentation package:

  • birth certificate of the child;
  • passport or other identification document of one of the parents, legal representative in their absence;
  • SNILS.

To issue a policy at the age of fourteen, you will need to provide:

  • the passport;
  • scanned passports;
  • photograph, as on a document;
  • SNILS.

How to apply online

To register an application for a policy online, you need to go to the website https://www.mos.ru/pgu/ru/services/link/2143/. It is the official portal of the Mayor of Moscow. The right to issue is granted to persons who have reached the age of majority, who have permanent registration in Moscow. To do this, you will need to prepare the required documentation package and create account on the specified site. It must be confirmed, as well as have data on the insurance number of an individual personal account.

To register an application, you need to submit the following scanned documents:

  • passport or other identity card;
  • photograph and original signature, for issuing a plastic policy.

After submitting the documents, it is possible to download a temporary policy. It will take about thirty days to produce the original allocated for the registration of the submitted documents and for the direct production of the document.

The issuance of the original is carried out at a specialized point suitable for the user. The service is provided free of charge.

Where to get

The place of issue of the policy can be found in the clinic that provides your services according to the existing registration. As a rule, the necessary information about the health insurer is located on the information boards of the medical institution.

Company addresses

It will not be difficult to find a medical insurance company suitable for its territorial location in Moscow. Partial list of addresses of specialized companies:

  1. Aviamotornaya 6, building 2, is located near the metro station of the same name;
  2. Poslannikov lane 5, building 1 and large Demidovsky lane 17/1, not far from the Baumanskaya metro station;
  3. VDNKh metro area: Krasnaya Sosna 3, Akademika Koroleva 9, Yaroslavskoe shosse 2, bldg. one;
  4. Gagarinsky pereulok 1, Ostozhenka 10 - near the Kropotkinskaya metro station;
  5. Semyonovskaya 15, office 102 is located nearby Electrozavodskaya station;
  6. Pavlovskaya 25, building 20 and Moskovsky 1st microdistrict 52, office 41 - not far from the Tulskaya metro station;
  7. Near Ryazanskaya metro station: Ryazansky prospect 53; first Novokuzminskaya 6, building 2;
  8. Near the metro station - Vernadsky Avenue: Leninsky Prospekt 99; st. Lobachevsky 8.

FROM complete list medical institutions in Moscow can be found on the website https://www.mos.ru/clinics/.

In everyday life, there are often cases when, for one reason or another, people change their last name. At the same time, they have to change some types of documents, which include a medical policy. In the city of Moscow, the procedure can be carried out through the operator of a multifunctional center, which greatly simplifies obtaining an insurance policy - CHI.

Dear readers! The article talks about typical ways to solve legal issues, but each case is individual. If you want to know how solve exactly your problem- contact a consultant:

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General provisions

It is codified legal act in the sphere of family relations arising from the formation of a family, the rights and obligations of parents and their .

What it is

At its core, a medical policy is a personalized document issued on an individual basis. It contains the personal data of a person, his last name, first name and patronymic, if he is in the manner prescribed by the legislator.

The MHI policy is issued once, it is assigned a unique identification number.

The CHI policy form form is the same for all insurance companies operating in the territory of the Federation.

The replacement of a paper policy with a plastic card began more than 2 years ago, which is more convenient to use. The MHI policy changes to a new policy in certain situations.

These include:

  • change of permanent residence;
  • modification of personal data;
  • change of insurance company;
  • loss due to the fault of the owner;
  • depreciation of the document due to the expiration of time in a natural way;
  • causing damage, damage, depending on external factors;
  • the presence of spelling errors;
  • entering inaccurate information, including the numbers indicated in it.

The insurer pays, in accordance with the terms of the CHI program, the costs of treatment incurred by the insured person.

Who falls under the category

Every Russian citizen must have a CHI policy in accordance with the regulations federal law. He must be insured in the manner prescribed by the legislator in any insurance company.

A citizen is endowed with the right to independently choose an insurance company to receive a compulsory medical insurance policy, as indicated in Federal Law No. 326-FZ.

The obligation to issue a CHI policy for minor children rests with their legal representatives, who are parents or persons replacing them. In some cases, on or .

The same applies to persons recognized in the course of a medical examination or persons with limited legal capacity. At the same time, obtaining a compulsory medical insurance policy is carried out by the indicated persons on a general basis.

Where to go

For many citizens, the question becomes relevant, where to change the insurance policy when changing the name? The CHI policy is replaced by the insurance company that previously issued it.

It must be addressed within 30 days after the occurrence of the event leading to the implementation of the procedure.

In addition to direct contact with the insurer, it is allowed to submit an application to any branch of the MFC, an insurance medical organization that carries out activities for the execution and issuance of a CHI policy. He is assigned a new identification number.

Where to change the compulsory medical insurance policy when changing the surname

The insurer must issue new document if the policyholder applied to him with a statement. For the provision of services for the issuance of a new document, he withdraws from the applicant some sum of money as a fee.

Its size is assigned by the insurer depending on the insurance rules approved by him.

The compulsory medical insurance policy is subject to mandatory replacement when changing the personal data of a citizen, regardless of the reason.

The necessary conditions

Medical policy compulsory insurance acquired a single form in 2011. The legislator planned to exchange the policy CHI of the old sample to a new one for several years.

The compulsory medical insurance policy received before the entry into force of the above law belongs to the category of valid documents until it is replaced with a policy of a single sample.

Its exchange on the personal initiative of the insured is carried out at least once during the calendar year.

As for the change of surname, it is carried out by the registry office, which is authorized by the state. It is carried out on the basis of the Federal Law, the instructions of Articles 32 of the Family and Civil Codes.

Their provisions indicate the possibility of changing the surname on the grounds provided for in the norms of legislative acts.

Pursued goals

The legislator introduced the obligation to receive it for all Russian citizens, including minor children without exception.

It is used to receive free medical care, which is its main purpose.

The compulsory medical insurance policy provides its holder with the opportunity to receive medical care in any locality of the country, regardless of the onset insured event, places .

These include:

Indicators Description
emergency treatment in the event of certain events with serious consequences for human health and life
outpatient care
Hospital treatment in the presence of chronic or with the onset of sudden acute, including complicated, the passage of childbirth, abortive treatment
Planned treatment according to the schedule set by the attending physician
rehabilitation after a disease, recovery from, received in an emergency and other adverse events

In addition, the insured is vested with the right to choose the attending physician, medical institution.

He is informed by medical personnel about the course of treatment, its individual processes, receiving advice on questions regarding his treatment from other specialists.

If necessary, he is given all the medical documentation completed in the course of his treatment.

What you need to have with you

A number of documents or their copies certified by a notary are attached to the application.

These include:

When exchanging a CHI policy owned by a minor, a birth certificate is presented.

If it has reached the age of 14, then a passport is subject to submission. In both cases, it appears SNILS child if available.

Application procedure

Questions regarding the procedure for issuing and issuing a compulsory medical insurance policy are provided for in the order of the Ministry of Health and Social Development, issued on February 28, 2011.

It contains a list of required documents that the insured must submit to the insurance company, CMO.

To obtain it, you must submit an application to the selected insurer. It must be written by the applicant in his own hand and signed.

It should be noted that the legislator allows it to be submitted through a trustee, provided that he has a notarized document.

It also replaces the document, for which an application is submitted with a request to replace compulsory medical insurance policy due to name change.

For the period of registration of a new MHI policy, a temporary certificate is issued. It confirms the fact of filing an application with the insurance company.

If the need arises, he will allow you to receive timely medical assistance. The norm is provided for by the rules set forth in the order of the Ministry of Health and Social Development No. 158n.

Possible difficulties

The resolution of disputes regarding the receipt of a compulsory medical insurance policy and its replacement, the actions or inactions of the insurer and the insurance medical organization, the decision taken by them can be made both in the course of pre-trial regulation of the issue and in court proceedings.

In the first case, a claim is filed with the territorial or federal fund compulsory health insurance.

In the second, the insured seeks to ensure the protection of violated rights and legitimate interests in Judicial authority general jurisdiction.

The procedure for applying to it is established by legal acts considering issues of civil proceedings.

As a rule, disputable situations may arise when the policyholder fails to due date, during which it is necessary to replace the CHI policy.

Often they are the result of timely notification of the insurance company about changes in personal data, including the last name.

The obligation to notify her is imposed by the prescriptions of Article 16 of the Federal Law, the instructions of the order of the Ministry of Health and Social Development No. 158n.

Video: action of compulsory medical insurance policies

Important nuances

The registry office issues primary document, proving the identity of a person - a birth certificate.

On its basis, the main document is issued - a passport that allows you to identify the authenticity of a person's personality, regardless of his social class, gender.

A passport determines the citizenship of a person, a residence permit.

The CHI policy can only be issued by an insurance company participating in the compulsory health insurance program.

It must be accredited by the legislator, have a license to operate in the insurance market to provide insurance services of a certain kind.

Residents of the capital are wondering where to change the medical policy when changing their surname in Moscow? The procedure for issuing a policy and obtaining it in the capital does not differ from the procedure established in other settlements of the country.

Its change is carried out on a general basis in the application form.

Residents of the capital can personally submit an application to the insurance company, not excluding the possibility of submitting it with the documents attached to it at one of the offices of the MFC. It was created to provide services to the population of the country.

It should be noted that in the city of Moscow it became possible to obtain a compulsory medical insurance policy in electronic form in the form plastic card with a built-in chip.

The front side contains the personal data of the owner, his photograph is shown, the reverse side contains information regarding the insurance company that issued the CHI policy.

What is regulated

The federal law:

Its instructions fix the procedure for the registration of acts of civil status of a person. All the changes that take place in his life are recorded by the registry office in the registration book.

Established a rule on the acquisition by each Russian citizen of the rights and performance of duties by him under his own name.

In accordance with the instructions of the code, a personal name means:

As directed Civil Code the authenticity of the personal name is certified by the person's passport. It allows you to distinguish it from the total mass of the world's population as a separate subject of social relations.

fundamental legislative act regulating issues regarding compulsory medical insurance is the Federal Law:

Number Description
It was published on November 29, 2010 under the number 326-FZ

As for issues related to the exchange of a passport when changing personal data, they are regulated by federal level. Wherein executive bodies authorities are guided by the following regulations.

Issues regarding obtaining a passport are regulated by a number of legislative acts, the fundamental of which is.

The federal law:

Number Description
It was published on July 27, 2010 under the number 210-FZ . His instructions in the country introduced the obligation to pay a fee, which is included in the category of mandatory payments. They define the wording " government duty”, explains the ways to make its payment
The act was issued on December 27, 2009 under the number 374-FZ. On the this moment its latest revision is valid
intentional damage to a document proving the identity of a citizen (passport), or the loss of a document proving the identity of a citizen (passport), through negligence

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

essence

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

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

Types of policies

On the territory of the Russian Federation there are:


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

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

The UEC is used not only as an OMS, but also as a bank card, SNILS, a digital signature carrier. You can get it not in all branches of insurance companies. She looks the same as bank card, but has more margins and a magnetic stripe on the back.

purpose

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

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

So it is worth thinking about how to change the health insurance policy.

Usage

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

Nuances

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

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

  • old-style forms are still valid, although they indicate a period until 2011;
  • it is mandatory to change the health insurance policy if it was issued before 2007;
  • a plastic card is equivalent to a paper carrier;
  • the exchange of CHI policies of a new sample is carried out only in case of loss, damage, change of surname, other personal data or if errors are found. Otherwise, the user cannot be identified.

How and where to change the medical policy

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

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

Foreign citizens will additionally be required to:

  1. Passport of another state.
  2. Residence permit or a mark on the right to temporary residence.
  3. SNILS.

Procedure

Once the application has been completed, a temporary form will be issued with a validity period of 30 days. If a person wants to change the health insurance policy to a plastic one, then in addition he receives a memo. It contains instructions on how to use the document. At the same time, the client is informed of the production time electronic policy. It should not be skipped, so as not to be without a document. At the specified time, you should come to the office with a passport and pick up the form.

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

Nobody canceled the old types of forms. They function unless they expire. Health workers are required to provide emergency care in an emergency, regardless of whether a person has a policy or not. But in order to receive outpatient treatment, compulsory health insurance (CHI) is required. A policy of a new sample can be obtained from the UK.

UEC one for all

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

Features of use

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

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

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

Last changes

From August 1, 2015 in Moscow they will be issued to all persons who apply for a document. Of the 12 million residents of the capital, more than 7.5 million have a policy in the form of a green card. The rest have a blue sheet of A5 format, which is not very inconvenient to use. It cannot be folded, otherwise important information (barcode) will be lost, and laminated - because of the SK stamp. With plastic cards, there will be no such problems. Firstly, an electronic chip can be carried with you throughout Russia. Secondly, according to the photo and signature on the reverse side, any doctor will be able to identify the patient.

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

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

Conclusion

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

Any resident of the Russian Federation who officially has citizenship falls under the program of compulsory health insurance and can receive medical services if they have a compulsory medical insurance policy. Today, documents of both the old and the new sample are considered valid, however, replacing the CHI policy with a new sample document is a necessary procedure that should be carried out so that there are no problems with obtaining medical assistance in the future. What is the procedure and procedure for replacing the CHI policy with a new one? How and where can a document be replaced? What complete list required documents for this procedure? We will answer these questions in this article.

Types of insurance documents

In 2017, Russian citizens use several types of insurance medical policy Compulsory medical insurance, namely a paper form of the established form of size A5, a plastic card that contains basic information on the front side (the card is issued together with a paper policy), as well as an electronic universal card that contains all the data about the owner and is read using electronic magnetic scanners . Such a card is more convenient to store and keep with you, it is accepted in several states.

Compared to a paper document, a policy issued in the form of a standard plastic card or UEC has a number of advantages: it is more durable, durable, has a compact size, so you can take it with you and always keep it in your wallet or passport. A paper document is more relevant in regions of the country where there is no equipment for reading data from a plastic card, and employees of a medical institution are forced to transfer information to the database manually.

How long is the policy valid?

Compulsory medical insurance policies in the hands of citizens of the Russian Federation have different validity periods. Paper forms are issued for 1-5 years, and the exact date of expiration of relevance can be found on the sheet itself. Modern electronic cards and UEC do not have an expiration date and are issued for an unlimited period of time. Replacement of such a document will be required only in case of a change in passport data, loss or severe damage to the card. Issued old-style policies are considered valid even after the expiration date, however, in order to avoid problems, it is better to get a new one.

Replacement procedure

If the insured person does not plan to change the insurance company, then the replacement procedure is extremely simple. To do this, you should contact the insurance company that issued the old-style policy, providing the policy itself, an identity card and a pension certificate. According to the law, the change of the document is free of charge. If the need to replace the document coincided with a change in any data, you must also take with you papers confirming this fact (for example, a certificate of change of name / surname). The insurance company will need to fill out an application and submit it along with the old policy, instead receiving a temporary certificate, the validity of which varies from 1 to 1.5 months. When new map will be ready, you will need to visit the company again and obtain a permanent type compulsory medical insurance policy.

If you intend to change the insurance company, you should choose a suitable organization and apply there with the same set of documents. It is worth paying attention to the fact that the change of the insurance company is possible once a year and is carried out until November 1. Therefore, you must apply for a replacement no later than this date. To obtain a new sample document, you will need to perform the following steps:

  1. Choose the right insurance company. At the same time, you can focus on both personal factors (proximity to the organization's office, opening hours, etc.), and preferences in choosing a clinic where the service will be carried out - you can find out about this at the information stand or the official website of the institution.
  2. Prepare a package of documents: if the policy needs to be changed for an adult, you will need to take an old document, passport, SNILS; when replacing a policy by a person under the age of 14, you will need to take a birth certificate instead of a passport.
  3. Visit the insurance company and fill out an application for a replacement document.
  4. Get a temporary certificate. You can find out about the readiness of a permanent policy by calling or using the online service of the insurance company.

It is worth noting that, although clinics and hospitals may have preferences in choosing an insurance company, they are obliged to provide assistance to the holder of any policy, regardless of which organization issued the documents to him. Denial of service based on the wrong choice of insurance company will be illegal.

Do I need to change the new policy?

The insurance policy of the new sample is termless, but in some cases (replacement of full name, place permanent residence, correction of incorrectly specified data, etc., as well as damage or loss) it will need to be replaced. To do this, you must contact the old or new insurance company and fill out a questionnaire indicating the reason for issuing a new policy (certificates or other relevant information must be attached to the application). legal effect documents that support this reason). If the insurance policy has been lost, the account number in the company is attached to the application, but if the document is in hand, it is handed over along with the questionnaire. At the end of the verification period and after the issuance of the policy, the client must personally come to the insurance company and, having made sure that the specified data is correct, receive a ready-made card.

Initially, a new type of policy is issued to children and adolescents under the age of 14, as well as to persons who have arrived in the Russian Federation from another state for permanent residence. In the first case, the relatives of the insured person submit documents to the company - they must provide a birth certificate, SNILS, a passport or other identification of the parent who submits the documents. The passport of the person who applies for a minor (guardian, parent) must contain information about this person. In the second case, you will need to present a refugee document and an identity card. If the country of origin of the citizen maintains a pension official program, you must also present SNILS or its equivalent.