Another massive violation of the rights of citizens who are unable to register at their place of residence is the illegal refusal to provide them and their children with medical care. We are not considering here the issue of the absence of compulsory medical insurance policy, since there are usually no problems with obtaining it. We also do not consider the issue of the desire to “attach” to a clinic not at the place of actual residence, since in this case a real problem really arises - how will the local doctor get to you if necessary when calling you at home? But if you actually live on the territory of this clinic, even without registration, then you are required to be assigned to it and provide medical care.

It should be noted that the occurrence of problems with the provision of medical care depends mainly on the position of the chief physician of a medical institution and is usually associated with a reluctance to undergo a more complex procedure of receiving payment for medical care from an insurance company located in another region. In fact, there are no problems with payment under mandatory insurance policies. health insurance, issued in other regions, does not exist and people suffer due to the banal laziness of medical workers who are accustomed to working with “their” insurance company.

Therefore, you can go in different ways: either turn to another medical institution in the hope that there will be more sane personnel there, or escalate the conflict, argue with the manager or chief physician and seek medical care in the chosen institution. Sometimes calling the health department of a city or region with a complaint about a refusal to provide medical care helps.

It should be taken into account that in accordance with Part 1 of Art. 16 Federal Law dated November 29, 2010 No. 326-FZ "", insured persons have the right to free medical care provided by medical organizations in the event of an emergency insured event:

• throughout the territory Russian Federation to the extent established basic program compulsory health insurance;
• on the territory of the constituent entity of the Russian Federation in which the compulsory health insurance policy was issued, to the extent established by the territorial compulsory health insurance program.

In addition, in accordance with the same law, insured persons have the right to choose a medical organization and a doctor (the so-called “attachment” to a clinic), and in accordance with the same law, medical organizations obliged free of charge provide medical care to insured persons within the framework of compulsory health insurance programs.

FROM DOCUMENT


“The state provides citizens with health protection regardless of gender, race, age, nationality, language, presence of diseases, conditions, origin, property and official status, place of residence, attitudes towards religion, beliefs, belonging to public associations and other circumstances."

FROM DOCUMENT

Within the framework of the basic compulsory health insurance program, which citizens throughout Russia have the right to use, primary health care is provided, including preventative care, emergency medical care (with the exception of specialized (sanitary and aviation) emergency medical care), specialized medical care in the following cases:

Thus, no matter in which region your compulsory health insurance policy was issued, you have the right to receive all basic types of medical care anywhere in Russia.

31488

Article 41 of the Constitution of the Russian Federation guarantees everyone the right to health protection and free medical care in state and municipal institutions healthcare.

To get the full range of free medical services a citizen must obtain a compulsory health insurance policy (CHI policy).

The compulsory medical insurance policy is a document certifying the right of the insured person to free medical care throughout the Russian Federation to the extent provided for by the basic compulsory medical insurance program.

In accordance with Article 46 of the Federal Law “On Compulsory Medical Insurance in Russian Federation» dated November 29, 2010 No. 326-FZ, in order to obtain a compulsory medical insurance policy, a citizen must submit an application to the insurance organization of his choice (you must also have a passport of a citizen of the Russian Federation with you). On the day you submit your application, you will receive either the policy itself or a temporary certificate, which is valid until you receive the policy, but not more than 30 working days from the date of its issue.

The procedure for obtaining a compulsory medical insurance policy is not affected by the presence or absence of registration. Thus, a citizen registered, for example, in Rostov, but living in Moscow, can freely apply for a compulsory medical insurance policy in insurance company at your place of residence, that is, in Moscow, and also to be assigned to the clinic closest to your place of residence.

However, in the absence of an insurance policy, you will not be able to be denied medical care if it is in an emergency form, that is, in case of sudden acute illnesses and exacerbations chronic diseases posing a threat to life (clause 1, part 4, article 32 of the Law “On the fundamentals of protecting the health of citizens in the Russian Federation” No. 323-FZ of November 21, 2011). In addition, paragraph 9 of the Letter of the Ministry of Health of Russia dated December 25, 2012 No. 11-9/10/2-5718 explains that citizens who are not insured and not identified in the compulsory medical insurance system have the right to receive an ambulance, including an ambulance specialized assistance, at the expense of regional budget funds.

Thus, a citizen who is not insured and not identified in the compulsory health insurance system (in other words, without a compulsory medical insurance policy) does not have the right to be denied free ambulance, including specialized emergency medical care.

It is worth keeping in mind that there is such a thing as emergency medical care (without a threat to the patient’s life). Usually, when providing such assistance, an insurance policy is also required. But we don’t always have documents with us, and illness can arise suddenly under any circumstances. And in this case, the doctor is obliged to examine the patient, even if the person in need of help does not have a document in hand. Based on the results of the examination, the doctor will determine further actions: if the patient’s condition may worsen, then he is admitted to the hospital and provided assistance in urgently, and if the condition is stable, then the doctor transmits information about such a patient to the clinic at the place of residence.

In any case, to avoid possible difficulties, we recommend that you take out a medical policy. However, despite its absence, the law is on your side, if you are denied medical care in the prescribed manner, you can safely defend your rights. To begin with, it is worth reminding the medical worker in the correct form about the violation of your constitutional rights and asking for medical assistance. In case of refusal, we recommend that you file a complaint with the head of the medical organization (both verbally and in writing).

If you receive a refusal from the chief physician, you must contact the authorized executive body (most often this is the Department of Health of the subject).

It is always worth remembering that receiving medical care is yours. constitutional law and no one can violate it.

Be always healthy!

The absence of a policy is not a basis for refusal to provide emergency care, since insurance is not required to obtain it, but it can cause problems during a routine visit medical institution. When applying for medical help, a citizen must present a compulsory health insurance policy and an identity document. However, regulatory sources do not regulate the absence of documents from an applicant for medical care as a basis for refusing it. The Territorial Insurance Fund guarantees payment of invoices typical for extraordinary events. Is not having a policy such a situation?

Legislative regulation

All questions regarding medical care citizens living in Russia are considered in Federal Law No. 326 of November 29, 2010 “On compulsory health insurance in the Russian Federation.” The regulatory legal act regulates the lists of citizens who have the right to count on help, the procedure for obtaining insurance, the procedure for admitting citizens to a medical institution with and without a compulsory health insurance policy, as well as lists of medical services that must be provided without a policy.

When should medical care be provided without requiring the presentation of a policy?

The absence of a compulsory health insurance policy cannot be a reason for refusing emergency care to a patient, since such services are provided even to persons not participating in the program. In life-threatening situations, a person has the right to call an ambulance to receive emergency procedures. If the organization’s specialists cannot help the patient on the spot, their responsibility is to hospitalize him, regardless of the availability of insurance. The patient can stay in a medical institution free of charge until removal acute condition, why should he be provided necessary help, including medicinal and surgical.

As the condition stabilizes, during the period of rehabilitation or further treatment, the doctors of the medical institution have the right to request an insurance policy in order to take advantage of the opportunity to compensate for the costs of providing services. The Compulsory Health Insurance Fund will pay for treatment to the patient from the moment the event is registered by entering information into the database, which is usually identified by the date of request for help and presentation of the policy. If a person is not a member of the insurance program, then he will have to pay for further treatment himself. As alternative option he may be offered voluntary insurance.

When do doctors refuse to provide urgent care?

A doctor has the right to refuse to provide medical services without presenting a policy only in cases where, in his opinion, a person does not need urgent qualified assistance. The patient or his relatives may ask him for a written statement indicating the reason for the refusal. If the patient does not agree with the position of the doctor who examined him, or he did not receive a letter denying treatment, then he should contact higher-ranking employees (or management) of the medical institution to resolve the conflict.

If the document is forgotten at home or lost

The regulatory source regulates the need to present the insurance policy when visiting a medical institution to receive medical care. If the policy was forgotten at home, and the patient’s illness is not dangerous, then he may be refused admission until the document is presented. A person can be admitted if he can provide verbal information:

• About the name of the insurance company;
• About the policy number;
• About the date of execution of the document.

It is worth noting that it is enough to have information about the name of the insurance company that issued the document in order to call hotline and find out the required data. The registrar will identify them with the database and with the identity card. Based on the analysis, permission will be granted for free medical care at the expense of the Fund’s insurance funds.

Emergency medical care (EMS) is one of the types of medical care. It is provided to citizens in case of illnesses, accidents, injuries, poisonings and other conditions requiring emergency or emergency medical intervention.

Ambulance, including specialized emergency medical care, is provided to citizens by medical organizations of state and municipal healthcare systems free of charge (clause 3, part 2, article 32, part 1, article 35 of the Law of November 21, 2011 N 323-FZ).

The compulsory health insurance system (CHI) provides all citizens of the Russian Federation with equal rights and opportunities to receive certain types of medical care at the expense of compulsory medical insurance. Evidence that a citizen is a participant in the compulsory medical insurance system is a policy.

Taking into account that EMS can be provided in emergency or urgent forms, as well as outside a medical organization, in outpatient or inpatient conditions, various options for actions of emergency medical service employees are possible if a citizen does not have a compulsory medical insurance policy (Part 2 of Article 35 of Law No. 323-FZ).

Emergency medical care

Emergency medical care is provided for sudden acute diseases, conditions, exacerbation of chronic diseases that pose a threat to the patient’s life (Clause 1, Part 4, Article 32 of Law No. 323-FZ).

Emergency medical care is provided by a medical organization and medical worker to the citizen immediately and free of charge, and refusal to provide it is not allowed. In this case, the citizen is not required to present a compulsory medical insurance policy (Part 2, Article 11 of Law No. 323-FZ; Clause 1, Part 2, Article 16 of Law dated November 29, 2010 No. 326-FZ).

Emergency medical care

Emergency medical care is provided for sudden acute diseases, conditions, exacerbation of chronic diseases without obvious signs threats to the patient’s life (clause 2, part 4, article 32 of Law No. 323-FZ).

In this case, the citizen - the insured person is obliged to present the compulsory medical insurance policy when applying for medical care (clause 1, part 2, article 16 of Law No. 326-FZ).

However, when seeking medical care, a citizen-insured person does not always have the opportunity to present a compulsory medical insurance policy. Below we will look possible options developments provided that:

• the person applying for help has a policy, but is not available at the time of application;
• the person seeking help is insured in the compulsory medical insurance system, but does not have a policy;
• the person seeking help does not participate in the compulsory medical insurance system.

If there is a policy

The patient has a compulsory medical insurance policy, but due to circumstances cannot be presented to the EMS service employee at the time of treatment. For example, the patient became ill on the street, while visiting, on a business trip, at work, at school, in a public institution, etc.

In this case, the EMS doctor (paramedic), based on the results of examining the patient, makes one of the following decisions:

• if the patient’s condition may worsen in the near future and he needs treatment in conditions that provide round-the-clock medical supervision (that is, if it is not excluded that the deterioration of the condition may threaten the patient’s life), then medical care is provided in an emergency manner. In this case, the patient is hospitalized in a hospital;
• If the patient’s condition is stable and the risk of deterioration in health or the development of conditions that threaten the patient’s life is minimal over the next few hours, the patient may not be hospitalized. The doctor gives information about accepted call to the clinic at the patient’s place of residence (place of attachment) along with the appropriate medical documentation so that the patient is visited by a local therapist (local pediatrician).

In any case, the patient will need to present the doctor with a compulsory medical insurance policy. The local therapist (local pediatrician), when visiting the patient at home, again conducts an examination, assesses the severity of the condition and makes a decision on the type, form and conditions of medical care.

Note. A refusal to hospitalize in the described cases does not constitute a refusal to provide a citizen with medical care. The fact of examining a patient by an EMS employee, assessing the severity of his condition and establishing a preliminary or final diagnosis requires special medical knowledge, qualifications and is a medical service provided.

If there is no policy

The compulsory medical insurance policy is missing, for example lost, stolen, etc., or the degree of wear and tear (damage) is such that it does not allow identification of the insured person.

In addition, a citizen may not have a compulsory medical insurance policy due to refusal to receive it when choosing (replacing) a medical insurance organization. At the same time, despite such a refusal, the insured person retains the right to free medical care in medical organizations participating in the implementation of the territorial compulsory health insurance program throughout the Russian Federation (Letter of the Ministry of Health of Russia dated November 17, 2016 N 17-8/3102029-49381).

In this case, the EMS service employee can act as described above, with the only difference that for persons not identified during the treatment period, the medical organization, including the ambulance service, submits a request to the territorial compulsory medical insurance fund to identify the insured person.

In this case, it is allowed to convey supposed information about the patient from his words if there are no documents proving the patient’s identity.

The Territorial Compulsory Medical Insurance Fund, within five working days from the date of receipt of the application, checks in the unified register of insured persons whether the insured person has a valid policy. The territorial fund submits the results of the inspection to the medical organization within three working days (Rules of compulsory health insurance, approved by order of the Ministry of Health of Russia dated February 28, 2019 N 108n).

Ambulance for uninsured citizens

Ambulance, including specialized ambulance, medical care for those not insured and not identified in the system Compulsory medical insurance for citizens is provided at the expense of regional budget funds (clause 10 of the Letter of the Ministry of Health of Russia dated December 23, 2016 N 11-7/10/2-8304).

Thus, a citizen who is not insured and not identified in the compulsory medical insurance system has no right to be denied free ambulance, including specialized emergency medical care.

In addition, it is unacceptable to refuse to provide medical care to newborns before issuing a compulsory medical insurance policy, since they are served under the policy of the mother or other legal representative (FFOMS Letter dated May 23, 2016 N 4529/91/i).

Russian citizens are guaranteed free medical care by the state. People are given a policy - a document that represents the support of the state healthcare system in the event of illness.

What does it really mean? What types of services are the clinic required to provide without additional payment, and which ones will you have to pay for yourself? Under what circumstances is free medical examination? Let's look at all the questions in detail.

About free medicine

Article 41 of the Constitution of the Russian Federation lists guarantees to citizens of the country from the state. In particular, it says:

“Everyone has the right to health care and medical care. Medical care in state and municipal health care institutions is provided to citizens free of charge at the expense of the corresponding budget, insurance premiums, and other revenues.”

Thus, the list of free medical services should be determined by the relevant government agencies, that is, the health care system. This happens on two levels:

• federal;
• regional

Important! The budget fund for the development of medical institutions is formed from several sources. One of them is tax revenues from citizens.

What types of services are guaranteed by the state?

By virtue of current legislative acts, patients are guaranteed the right to the following types medical care:

• emergency ( ambulance), including special;
• outpatient treatment, including examination;
• hospital services:
  • gynecological, pregnancy and childbirth;
  • with exacerbation of ailments, ordinary and chronic;
  • in cases acute poisoning, in case of injury, when necessary intensive care associated with round-the-clock surveillance;
• planned care in inpatient settings:
  • high-tech, including using complex, unique methods;
  • medical care for citizens with incurable illnesses.

Important! If the disease does not fall under one of the options, you will have to pay for medical services.

Medicines are issued at the expense of the budget to people suffering from the following types of diseases:

• shortening lifespan;
• rare;
• leading to disability.

Attention! A complete and detailed list of drugs is approved by government decree.

Do you need information on this issue? and our lawyers will contact you shortly.

New in legislation since 2017

Government Decree No. 1403 dated December 19, 2016 provides more detailed transcript medical services provided free of charge. In particular, primary health care stands for. It is divided into subspecies. Namely the primary one:

• pre-medical (primary);
• ambulance;
• specialized;
• palliative.

Attention! As part of the program, palliative medical care has been added to the list of services provided free of charge.

In addition, the text of the document contains a list of medical specialists who are subject to the obligation to treat patients without charging money.

These include:

• paramedics;
• obstetricians;
• other health workers with secondary specialized education;
• general practitioners of all profiles, including doctors of family medicine and pediatricians;
• medical specialists from medical organizations providing specialized, including high-tech, medical care.

Attention! The document contains a list of diseases that doctors are obliged to treat free of charge.

Medical policy

A document guaranteeing the provision of care to patients is called a compulsory health insurance policy (CHI). This paper confirms that the bearer is insured by the state, that is, all the professionals listed above are obliged to provide services to him.

Important! Not only citizens of the Russian Federation have the right to take out a compulsory medical insurance policy. It is issued (for a small fee) to foreigners permanently residing in the country.

The compulsory medical insurance policy has the following semantic content:

• the citizen is guaranteed medical support;
• medical organizations perceive it as a client identifier (for it, funds from the Compulsory Medical Insurance Fund will be transferred to the hospital).

Important! The described document is issued only by licensed insurance companies. They are allowed to be changed, but not more than once a year (before November 1 of the current period).

How to get a compulsory medical insurance policy

The document is issued by the relevant companies operating within the framework of the legislation of the Russian Federation. Their ratings are regularly published on official websites, allowing citizens to make their choice.

To issue a compulsory medical insurance policy, you must provide a minimum number of documents.

Namely:

• for children under 14 years old:
  • birth certificate;
  • passport of the parent (guardian);
  • SNILS (if any);
• for citizens over 14 years old:
  • passport;
  • SNILS (if available).

Important! For citizens of the Russian Federation, the policy is valid for an indefinite period. Only foreigners are provided with a temporary document:

• refugees;
• temporarily residing in the country.

Rules for replacing a compulsory medical insurance policy

In some situations, the document must be replaced with a new one. These include the following:

• when moving to a region where the insurer does not operate;
• in case of filling out paper with errors or inaccuracies;
• if a document is lost or damaged;
• when it has become unusable (dilapidated) and it is impossible to make out the text;
• in case of change of personal data (marriage, for example);
• in case of planned updating of sample forms.

Attention! A new compulsory medical insurance policy is issued without paying a fee.

What is included in the free service under the compulsory medical insurance policy?

Clause 6 of Article 35 of Federal Law No. 326-FZ provides full list free services By medical policy provided to document owners. They are provided in:

• clinic;
• outpatient clinics;
• hospital;
• ambulance.

Download for viewing and printing:

What can owners of a compulsory medical insurance policy expect?

In particular, patients have the right to free medical care and treatment in the following situations:

Dentists, like other professionals, are required to work with patients without pay.

They provide the following types of assistance:

• treatment of caries, pulpitis and other diseases (enamel, inflammation of the body and roots of the tooth, gums, connective tissues);
• surgical intervention;
• jaw dislocations;
• preventive measures;
• research and diagnostics.

Important! The following services are provided to children without paying a fee:

• to correct the bite;
• strengthening enamel;
• treatment of other lesions not related to caries.

How to apply the compulsory medical insurance policy

In order to organize treatment for patients, they are assigned to a clinic. The choice of medical institution is at the client's discretion.

It is defined:

• ease of visiting;
• location (near the house);
• other factors.

Important! You are allowed to change medical facilities no more than once a year. The exception is a change of residence.

How to “attach” to the clinic

This can be done with the help of the insurer (select an institution when receiving the policy) or independently.

To be assigned to a clinic, you must go to the institution and write an application there. Copies of the following documents are attached to the paper:

• ID cards:
  • passports for citizens over 14 years of age;
  • birth certificates of a child under 14 years of age and passports of the legal representative;
• compulsory medical insurance policy (the original is also required);
• SNILS.

Important! Citizens registered in another region can be legally denied access to a clinic if the institution is overcrowded (the maximum number of patients has been exceeded).

In case of refusal, it should be requested in writing. You can complain about a medical institution to the Ministry of Health of the Russian Federation or Roszdravnadzor.

Visit to the doctor

In order to get help from a specialist, you need to make an appointment with him through the reception desk. This department issues admission vouchers. The terms and rules for registration and patient services are established at the regional level. They can be found at the same registration desk.

In addition, the insurer is required to provide this information to clients (you need to call the number indicated on the policy form).

For example, in the capital the following rules apply for providing patients with medical services:

• direction to initial appointment to a therapist, pediatrician - on the day of treatment;
• voucher for medical specialists - up to 7 working days;
• carrying out laboratory and other types of examinations - also up to 7 days (in some cases up to 20).

Important! If the clinic is unable to meet the patient’s needs, he should be referred to the nearest institution that provides the necessary services under the compulsory medical insurance program.

Ambulance

All people in the country can use emergency medical services (compulsory medical insurance is not required).

There are regulations governing the activities of ambulance teams. They are:

• The ambulance service responds to emergency calls within 20 minutes when there is a threat to people’s lives:
  • accidents;
  • wounds and injuries;
  • exacerbation of the disease;
  • poisoning, burns and so on.
• emergency assistance arrives within two hours if there is no threat to life.

Important! The decision about which team will respond to a call is made by the dispatcher, based on the client’s information.

How to call an ambulance

There are several options for seeking emergency medical help. They are:

1. From a landline phone, dial 03.
2. By mobile connection:
   • 103;

Important! The last number is universal - 112. This is the coordination center for all emergency services: emergency services, fire, emergency and others. This number works on all devices if there is a network connection:

• with zero balance;
• with a missing or blocked SIM card.

Ambulance Response Rules

The service operator determines whether the call is justified. The ambulance will arrive if:

• the patient has symptoms acute illness(regardless of its location);
• there was a catastrophe, a mass disaster;
• information has been received about an accident: injuries, burns, frostbite, and so on;
• disruption of the functioning of the main body systems, life-threatening;
• if labor or termination of pregnancy has begun;
• the neuropsychiatric patient's disorder threatens the lives of other people.

Important! The service goes to children under one year of age for any reason.

Calls caused by the following factors are considered unreasonable:

• patient's alcoholism;
• non-critical deterioration in the condition of a clinic patient;
• dental diseases;
• procedures are carried out in order planned treatment(dressings, injections, etc.);
• organization of document flow (issuing sick leave, certificates, drawing up a death certificate);
• the need to transport the patient to another place (clinic, home).

Attention! The ambulance only provides emergency assistance. May transport patient to inpatient facility if necessary.

Where to file complaints against doctors

Whenever conflict situations, rude treatment, insufficient level of services provided, you can complain about the doctor:

• chief physician (in writing);
• to the insurance company (by telephone and in writing);
• to the Ministry of Health (in writing, via the Internet);
• The prosecutor's office (also).

Attention! The period for consideration of a complaint is 30 working days. Based on the results of the inspection, the patient is required to send a reasoned response in writing.

If necessary, the treating doctor can be changed to another specialist. To do this, you should write an application addressed to the head physician of the hospital. However, it is allowed to change specialists no more than once a year (except in cases of relocation).

Dear readers!

We describe typical ways to resolve legal issues, but each case is unique and requires individual legal assistance.

To quickly resolve your problem, we recommend contacting qualified lawyers of our site.

Latest changes

On May 28, 2019, new compulsory medical insurance rules came into force, which provide for the introduction of uniform policies (paper or electronic format) in Russia. In this case, there is no need to replace a previously issued policy. In addition, if it is technically possible to unambiguously identify the insured person in the unified register of insured persons, then instead of a compulsory medical insurance policy, it is allowed to present a passport (Order of the Ministry of Health of Russia dated February 28, 2019 No. 108n “On approval of the Rules of Compulsory Medical Insurance”).

The new Rules provide for stricter control over compliance with the rights of the insured, as well as close electronic interaction between the territorial Compulsory Medical Insurance Fund, insurance organizations and medical organizations:

• Every year, before January 31, clinics will have to report to the TFOMS (through a single portal) the number of those registered, the number of persons under dispensary observation, schedules of medical examinations/dispensary examinations with quarterly/monthly breakdown by therapeutic areas; work schedules);
• clinics every weekday before 9 am must report (via the TFOMS portal) on insured persons who have undergone a medical examination, as well as on persons undergoing medical examination;
• medical organizations, medical insurance organizations (IMO) and TFOMS will exchange information every day in electronic form on the TFOMS portal: hospitals must update data on the implementation of volumes of medical care, free beds, accepted/rejected patients by 9 am; clinics update information about hospital referrals issued yesterday by 9 a.m.; medical organizations that provide specialized, including high-tech, medical care post information about patients who received a telemedicine consultation, and the CMO is obliged to monitor the implementation of recommendations received from doctors of the National Medical Research Center, and has the right to conduct a face-to-face examination within the next 2 working days ;
• Regardless of the above-mentioned interaction, the health care provider every day no later than 10 a.m. informs hospitals about patients sent to such hospitals the day before, and also every day no later than 10 a.m. informs medical organizations about the number of free beds in the context of profiles/departments, about patients whose hospitalization did not take place;
• The CMO, using data from the TFOMS portal, checks during the working day whether patients were correctly referred to specialized medical organizations. If the hospitalization was untimely and not according to the profile, the health care provider must file a complaint with the head physician of the offending medical organization and the regional Ministry of Health, and, if necessary, take action and transfer the patient;
• insurance representatives of the health insurance company received a wide range of responsibilities - working with citizens’ complaints, organizing examinations of the quality of medical care, informing and accompanying them during the provision of medical care, inviting them to medical examination, monitoring its completion, creating lists of “persons for medical examination” and lists of citizens who fell under medical examination observation;
• patients will be able to see when and what medical services were provided to them, and at what cost: in personal account on the public services portal or through the TFOMS - through authorization in the Unified Identification and Logistics System;
• For cancer patients, the health insurance company undertakes to create (on the TFOMS portal) an individual history of insurance claims (based on registers and accounts) throughout all stages of medical care.

The updated Compulsory Medical Insurance Rules directly impose on the CMO the obligation to carry out pre-trial protection of the rights of insured persons. When they file complaints about poor-quality medical care or charging for services under the compulsory medical insurance program, the CMO registers written complaints, conducts a medical and economic examination and an examination of the quality of medical care.

Our experts monitor all changes in legislation to provide you with reliable information.

Subscribe to our updates!