By the beginning of the holiday season, the All-Russian Union of Insurers (VSS) prepared a rating of health problems, as well as violations of patients’ rights, which Russians most often encounter when traveling around the country. You can get treatment free of charge anywhere in the country: the compulsory medical insurance policy is valid throughout the territory of the Russian Federation and guarantees free medical care under the basic program of CHI, recall in the ARIA. The main thing is not to forget to take the original of the policy on the trip. And in case of refusal to medical care, do not rush to the cashier, but go to the head physician of the medical institution or to your insurance company.
Top 10 health problems on vacation:
Colds, SARS, bronchitis
Injuries of varying complexity (abrasions, bruises, dislocations, fractures)
Emergency conditions: inflammation of the eyes, ears in water
Food poisoning and other disorders of the gastrointestinal tract
Overheating in the sun, sunburn
Acute toothache and exacerbations of dental diseases
Allergic reactions and diseases
Bites of snakes, mites
Exacerbations of cardiovascular diseases
Top 10 violations of patients’ rights in medical institutions during the holidays (on analysis of applications to insurance companies):
Refusal to provide emergency medical care due to the fact that the citizen forgot the MHI policy at home
The requirement to re-register the policy on the territory of temporary stay
The requirement to pay for medical services included in the MHI system upon presentation of a policy from another region
Refusal to provide medical assistance at home when presenting a policy from another region
Refusal to re-admit / admit a specialist when presenting a policy from another region
Refusal to issue a sick leave sheet upon presentation of a policy from another region
Refusal of free medical care for acute toothache when presenting a policy from another region
Transfer from a hospital to which a citizen was hospitalized in a medical institution at the place of residence
Refusal to provide medical assistance to children in the absence of legal representatives or lack of power of attorney from an accompanying person for the right to give consent to the treatment of a child
Misleading and re-registering a citizen to an insurance company in the region without his consent
What you need to know about
The patient can not apply for treatment under the MHI policy in the two most common situations. First, when you contact a medical institution that is not funded by the OMS for a particular profile. Secondly, if the treatment itself is not one of those that are financed by the MHI.
The basic program of the MLA is approved by the Decree of the Government of the Russian Federation and is absolutely the same in all regions of Russia. That is, any acute condition or exacerbation of a chronic disease, toothache, bruises, poisoning, allergies or sunstroke – all these are the reasons to apply for free care in a polyclinic or a hospital working in the CHI system.
If the condition worsens, a citizen also has the right to free emergency care and emergency outpatient care. Moreover, in the provision of emergency medical care in cases that threaten human life, the presentation of the MHI policy is not required. Such assistance is provided to everyone without an exception for free and without delay.
A person has the right to receive a sick leave in any region of the country. It all depends on medical evidence, which suggests that he is disabled. If you can not go to the clinic – call the doctor at home. Medicaid at home should also be provided under the MHI policy.
The MHI policy allows you to apply anywhere in the country and for routine medical care. However, planned treatment, for example, correction of the dose of insulin or the selection of a hypertensive drug is a fairly long process that requires surveys, additional consultations, etc. Therefore, if you plan to leave for another region for a long time and know that at that time you may need scheduled medical care – attach to the polyclinic at the place of stay.
Bring your insurance company’s phone hotline to your mobile phone’s notebook and call it in any disputable case. If you have not used the policy for a long time, call the hotline of your insurance company (the phone is listed on the policy), specify if there are any data about it in the relevant register of the insured.
What if you are forced to pay for treatment?
Address to the head of the medical institution, call the Territorial Fund of CHI in the region where you are, and where you were refused free medical care. In each constituent entity of the Russian Federation, the work of Contact Centers in the field of MHI is organized, the telephone number of such a Contact Center should be placed on the stands in each medical facility on the website of each Territorial Fund of CHI. This number and other contact details of the Contact Center are always prompted if you call the hotline at your insurance company.
If you had to pay – keep the check, and warn that you will appeal this forced payment (write a complaint). If you are offered to sign a contract for the provision of paid services (and in another way payment for medical assistance in the Russian Federation is not legal) – read it carefully and do not sign if it indicates that you are familiar with what you can do
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