The Moscow City Mandatory Medical Insurance Fund and the features of its work

Moscow City Mandatory Fundmedical insurance was established by the government of the capital and the local Duma in 1993. The main objective of this project is to implement urban policy in the designated area. Thus, constitutional guarantees are provided for rendering assistance to Moscow residents.

History

Now we will tell about the main milestones of development of MGFOMS. Moscow established this body by a separate Government Decree. His work is governed by the relevant Law of the Russian Federation.

In 1994 in Moscow, the system of medical insurance was implemented. The "Provisional Rules of CHI" began to operate. The order of financing was adopted. Penalties were imposed for hospitals and polyclinics for the first time.

In 1995 The Moscow Mandatory Medical Insurance Fund has developed a model agreement, through which the order was determined when managing the account. This approach facilitated the organization's activities and control of cash. In all of the capital's SMO, centers for protecting the rights of insured persons were established.

And since 1996 The Moscow City Register of Medical Services, which are part of the CHI system, was launched. Soon, unified tariffs were approved, which extended to various services. Agreements were adopted that define the principles of joint activities between MGFOM and departmental organizations. From that moment, the insurers' duty was defined to protect patients by compulsory medical insurance. In addition, an arbitration expert commission was established. Its task is to resolve disputes arising between subjects of MHI.

Since 1996 the principle of financing SME is based on the average per capita standard. The Regulation has been approved, which regulates the procedure for maintaining and organizing the Single Register of persons included in the MHI system - policyholders.

Checking

If we talk about the principles of the work of MGFOM,policy is an incredibly important issue. It should be discussed separately. There are three variants of the OMS policy - electronic format, blue sheet, green card. To check the document, you need to go to the official website of the fund. Next, select the image that corresponds to the format of your policy and enter the required data. This document certifies the right to receive assistance throughout Russia. And the volume of services is determined by the basic program, which operates on the basis of the relevant Federal Law.

Receiving

Moscow City Mandatory Fundmedical insurance is issued by the policy, which is the guarantor of medical care. It must be carried at all times. According to the Federal Law, the insured must present the policy at the time of seeking medical help. In case of emergency, an exception can be made.

Moscow City Mandatory Fundmedical insurance provides services to all residents of the capital, regardless of place of residence, age and sex. Those who wish can apply for a special electronic policy. If necessary, the old version of this document can be exchanged for a new one.

In order to obtain the MHI policy, a corresponding application must be submitted to the medical organization. When changing the name or other personal data, it is necessary to notify the insurer within one month.

Electronic policy

Moscow City Mandatory Fundmedical insurance offers a similar solution, starting in 2015. On the official website of the organization, you can get a form, filling in that, you will be able to draw up an appropriate policy.

In certain cases, the client may not be satisfied with the insurance company that provides services for CHI. In this situation, you can choose another one from the list provided by the Foundation.

Replacement of the medical organization can be done once a year. This must be done before November 1. In special cases, the procedure can be performed more often. For example, if the contract is terminated.

An electronic policy is a document that canuse only its owner. It has a built-in chip. It retains the signature and photo of the owner. This approach makes it impossible for the document to be used by outsiders. An electronic policy is convenient to carry around with you everywhere. And you can make an appointment with a doctor through a public services portal or an electronic terminal.