1. Everyone has the right to medical care.

2. Everyone has the right to medical care in a guaranteed volume, provided without charging a fee in accordance with the program of state guarantees of free medical care to citizens, as well as to receive paid medical services and other services, including in accordance with a voluntary medical insurance agreement.

3. The right to medical care of foreign citizens living and staying in the territory Russian Federation, is established by the legislation of the Russian Federation and the relevant international treaties of the Russian Federation. Stateless persons permanently residing in the Russian Federation enjoy the right to medical care on an equal basis with citizens of the Russian Federation, unless otherwise provided by international treaties of the Russian Federation.

4. The procedure for providing medical care to foreign citizens is determined by the Government of the Russian Federation.

5. The patient has the right to:

1) choice of a doctor and choice of a medical organization in accordance with this Federal Law;

2) prevention, diagnosis, treatment, medical rehabilitation in medical organizations in conditions that meet sanitary and hygienic requirements;

3) receiving consultations from medical specialists;

4) relief of pain associated with the disease and (or) medical intervention, available methods and medications;

5) obtaining information about one’s rights and obligations, the state of one’s health, choosing persons to whom, in the interests of the patient, information about the state of his health can be transferred;

6) receiving medical nutrition if the patient is undergoing treatment in a hospital setting;

7) protection of information constituting medical confidentiality;

8) refusal of medical intervention;

9) compensation for harm caused to health during the provision of medical care;

10) access to him by a lawyer or legal representative to protect his rights;

11) admission to a clergyman, and if the patient is undergoing treatment in an inpatient setting - to provide conditions for the performance of religious rites, which can be carried out in an inpatient setting, including the provision of a separate room, if this does not violate the internal regulations of the medical organization.

Rules for providing medical care to foreign citizens on the territory of the Russian Federation

(Resolution of the Government of the Russian Federation dated March 6, 2013 N 186, Moscow “On approval of the Rules for the provision of medical care to foreign citizens on the territory of the Russian Federation”)

1. These Rules determine the procedure for providing medical care to foreign citizens on the territory of the Russian Federation.

2. Medical assistance to foreign citizens temporarily staying (temporarily residing) or permanently residing in the Russian Federation is provided by medical and other organizations engaged in medical activities, regardless of their organizational and legal form, as well as by individual entrepreneurs engaged in medical activities (hereinafter referred to as medical organizations) .

3. Emergency medical care for sudden acute diseases, conditions, exacerbation of chronic diseases that pose a threat to the patient’s life is provided to foreign citizens by medical organizations free of charge.

4. Foreign citizens who are insured persons in accordance with the Federal Law “On Compulsory Medical Insurance in the Russian Federation” have the right to free medical care within the framework of compulsory medical insurance.

5. Ambulance, including specialized emergency medical care, is provided to foreign citizens in case of illnesses, accidents, injuries, poisoning and other conditions requiring urgent medical intervention.

Medical organizations of the state and municipal healthcare systems provide this medical care to foreign citizens free of charge.

6. Medical care in an emergency form (with the exception of emergency, including emergency specialized medical care) and planned form is provided to foreign citizens in accordance with agreements on the provision of paid medical services or voluntary medical insurance agreements and (or) concluded in favor of foreign citizens specified in paragraph 4 of these Rules, contracts in the field of compulsory health insurance.

7. Medical care in a planned form is provided subject to the foreign citizen providing written guarantees of fulfillment of the obligation to pay the actual cost of medical services or prepayment of medical services based on the expected volume of provision of these services (except for cases of provision of medical care in accordance with paragraph 4 of these Rules), as well as the necessary medical documentation (extract from the medical history, data from clinical, radiological, laboratory and other studies), if available.

8. After completing the treatment of a foreign citizen, an extract from the medical documentation indicating the period of provision of medical care in the medical organization, as well as the preventive and diagnostic measures taken, is sent to his address or to the address of a legal entity or individual representing the interests of the foreign citizen, in agreement with the said citizen. , treatment and medical rehabilitation.

Medical documentation sent from the Russian Federation to another state is completed in Russian.

9. Invoices for medical care actually provided within 10 days after the end of treatment are sent by a medical organization to a foreign citizen or a legal or natural person representing the interests of a foreign citizen, unless otherwise provided by the agreement in accordance with which it was provided (for except in cases of providing medical care in accordance with paragraph 4 of these Rules).

10. Disputes related to the provision of medical care or late payment of invoices for medical care actually provided are resolved in the manner prescribed by the legislation of the Russian Federation.

11. If an international treaty of the Russian Federation establishes a different procedure for providing medical care to foreign citizens, the rules of the international treaty apply.

Emergency and emergency medical care is provided to citizens located outside the territory of the subject of the Russian Federation in which the citizen lives (hereinafter referred to as non-resident citizens) immediately and free of charge.
In other cases, in accordance with Article 35 Federal Law dated November 29, 2010 No. 326-FZ “On compulsory health insurance in the Russian Federation”, all citizens have the right to receive medical care included in the basic compulsory health insurance program (link), including outside the constituent entity of the Russian Federation in which the policy was issued Compulsory medical insurance.

In order to attach to a medical organization to receive medical care outside the territory of the subject of the Russian Federation in which a citizen lives, the citizen must contact the medical organization of his choice with a written application (application).
When choosing a medical organization, a nonresident citizen also has the right to choose the attending physician.
If the clinic refuses to assign you or choose a doctor, you have every reason to file a complaint.

PROCEDURE AND TIMELINES FOR CONSIDERATION OF AN APPLICATION OF A NON-RESIDENT CITIZEN

In accordance with Article 21 of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, when providing medical care to a citizen within the framework of the program of state guarantees of free medical care to citizens, he has the right to choose a medical organization in the following manner: , approved by the authorized federal executive body, and at the choice of a doctor, taking into account the doctor’s consent.

When providing medical care to a citizen within the framework of the program of state guarantees of free medical care to citizens, the choice of a medical organization (except for cases of emergency medical care) outside the territory of the constituent entity of the Russian Federation in which the citizen lives is carried out in the manner established by the authorized federal executive body.

In accordance with the order of the Moscow City Health Department and the Moscow City Compulsory Medical Insurance Fund dated October 11, 2010 No. 1794/130 “On approval of the procedure and conditions for the provision of medical care under the Moscow City Compulsory Medical Insurance Program”, the implementation of the right of citizens insured under compulsory medical insurance in the city of Moscow to choose treatment - a preventive institution in the compulsory medical insurance system in the city of Moscow is carried out on the basis of a written application addressed to the chief physician in accordance with the resource capabilities of the institution.

The provision of primary health care is carried out on the basis of the order of the Ministry of Health and Social Development of Russia dated May 15, 2012 N 543n (as amended on September 30, 2015) “On approval of the Regulations on the organization of the provision of primary health care to the adult population” (Registered with the Ministry of Justice of Russia on June 27, 2012 N 24726)

According to the order of the Ministry of Health of the Russian Federation dated December 21, 2012 No. 1342n “On approval of the procedure for a citizen to choose a medical organization (except for cases of emergency medical care) outside the subject of the Russian Federation in which the citizen lives, when providing him with medical care within the framework of the state guarantee program free provision of medical care" for the provision of medical care outside the territory of the subject of the Russian Federation in which the citizen lives, the citizen personally or through his representative applies to the medical organization of his choice with a written application for the choice of a medical organization, presenting originals or certified copies of the following documents:

• passport of a citizen of the Russian Federation or temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport;
• compulsory health insurance policy (temporary compulsory medical insurance policy);
• SNILS (if available).

Citizens insured under compulsory medical insurance in the city of Moscow receive medical care upon presentation of a compulsory medical insurance policy (when making an initial visit to a medical institution, in addition to the compulsory medical insurance policy, you must present a passport). In the absence of a compulsory medical insurance policy for patients (if they apply in an emergency), medical institutions take measures to identify the patient in order to identify the insurer or classify him (according to his passport) as a non-resident citizen or unidentified patient.

Planned inpatient medical care for citizens insured under compulsory medical insurance in the city of Moscow is provided at the direction of the outpatient clinic to which they are assigned for medical care.

To receive specialized medical care in a planned form, the choice of a medical organization is carried out on the direction of the attending physician.

Ambulance and emergency medical care, including inpatient care, is provided to all citizens in Moscow free of charge, at the expense of the city budget, regardless of the presence of a registration certificate in Moscow and a compulsory medical insurance policy.

Department of Health of the City of Moscow in connection with numerous requests from citizens regarding the provision of medical care in medical organizations state system Moscow City Health Services informs

In accordance with the order of the Moscow City Health Department dated 11.10.2012 No. 1090 “On amendments to the order of the Moscow City Health Department dated 02.11.2009 No. 1400”, the decision on the possibility of providing planned consultative, diagnostic and inpatient medical care to non-resident and foreign citizens at the expense of budget of the city of Moscow (planned medical care not included in the basic compulsory health insurance program, planned medical care in medical organizations not operating in the compulsory health insurance system, program and peritoneal dialysis, hemosorption, organ and/or tissue transplantation, chemotherapy treatment, receiving expensive medicines for blood diseases, multiple sclerosis, systemic collagenosis, after organ and/or tissue transplantation) is accepted by the Moscow Department of Health upon a written application from the patient or his legal representative addressed to the head of the Moscow Department of Health.

A written application from the patient (the patient's legal representative) must contain the following information: last name, first name, patronymic of the patient, date of birth, citizenship, registration address at the place of residence, postal address at the place of actual residence (stay), contact numbers, information about the patient's legal representative ( if available), the essence of the appeal. The following documents are attached to the written application: copies of documents proving the patient’s identity, citizenship and registration at the patient’s place of residence (stay), a copy of the patient’s compulsory medical insurance policy (if any), a copy of a certificate confirming the presence of disability (if any), an extract from medical records , results of studies conducted on the patient’s disease profile, other medical documentation (if available).

If the patient’s legal representative applies, the set of documents additionally includes: a copy of the identification document of the patient’s legal representative, a copy of the document confirming the powers of the patient’s legal representative.

Free medical care in medical organizations upon the onset of insured event(illness, injury, etc.) throughout Russia to the extent established basic program Compulsory medical insurance and in the territory in which the policy was issued - to the extent of the territorial compulsory medical insurance program (each region has its own).

Selecting a medical insurance organization in the manner established by the compulsory medical insurance rules by submitting an application

Replacement of the medical insurance organization in which the citizen was previously insured, once during the calendar year, but no later than November 1 (or more often in case of a change of residence or termination of the agreement on financial support of compulsory medical insurance in relation to your medical insurance organization) by submitting an application to newly selected medical insurance organization

Selecting a medical organization from those participating in the implementation of the territorial compulsory medical insurance program

Selecting a doctor by submitting an application to the head of the medical organization personally or through your representative

Obtaining reliable information from the territorial fund, medical insurance organization and medical organizations about the types, quality and conditions for the provision of medical care under compulsory medical insurance

Protection of personal data collected for maintaining personalized records in compulsory medical insurance

Compensation by an insurance medical organization for damage caused in connection with the non-fulfillment or improper fulfillment by the insurance medical organization of its obligations to organize the provision of medical care in accordance with the legislation of the Russian Federation

Compensation by a medical organization for damage caused in connection with the non-fulfillment or improper fulfillment by a medical organization of its obligations to organize and provide medical care, in accordance with the legislation of the Russian Federation

Protection of rights and legitimate interests in the field of compulsory medical insurance

What obligations do Insured Citizens have under Compulsory Medical Insurance?

Present your compulsory medical insurance policy when seeking medical care, except in cases of emergency medical care.

Submit an application for choosing a medical insurance organization to the medical insurance organization personally or through your representative in accordance with the compulsory medical insurance rules.

Notify the medical insurance organization of changes in last name, first name, patronymic, and place of residence within one month from the day these changes occurred.

Select a medical insurance organization at the new place of residence within one month in the event of a change of residence and the absence of a medical insurance organization in which the citizen was previously insured.

What is the procedure for choosing a medical insurance organization?

the insured person has the right to choose or replace a medical insurance organization (HMO) from among the HMOs, the list of which is posted by the territorial compulsory medical insurance fund on its official website on the Internet and may additionally be published in other ways

To select or replace a health insurance company, the insured person personally or through his representative applies to the medical insurance organization of his choice with an application to select (replace) a health insurance company. To apply for a compulsory medical insurance policy, you must contact any branch office convenient for you. Read the application form and the list of required documents to apply for a compulsory medical insurance policy.

The choice or replacement of a medical insurance company is carried out by the insured person who has reached the age of majority or has acquired full legal capacity before reaching the age of majority. Compulsory medical insurance for children from the day of birth until the expiration of thirty days from the date of state registration of birth is carried out by health insurance companies in which their mothers or other legal representatives are insured. After thirty days from the date of state registration of the child’s birth and until he reaches the age of majority or until he acquires full legal capacity, compulsory medical insurance is provided by a CMO chosen by one of his parents or another legal representative.

The insured person has the right to replace the health insurance company once during a calendar year, no later than November 1, or more often in the event of a change of residence or termination of the activity of the health insurance company in which the citizen was previously insured. If the place of residence changes and there is no health insurance company in which the citizen was previously insured, the insured person selects the health insurance company at the new place of residence within one month. The CMO notifies the insured persons of the intention to terminate its activities early three months before the date of termination of activities. In the event of early termination of the activities of a health insurance company, the insured person, within two months, submits an application to select (replace) the health insurance company with another health insurance company.

If the insured person does not submit an application to select (replace) a medical insurance organization, then such person is considered insured by the medical insurance organization in which he was previously insured.

Who will protect your rights?

A medical insurance organization issues policies, keeps records of insured citizens and the medical care provided to them, is obliged to inform its insured persons about the types, quality and conditions of providing them with medical care, and to protect their rights and interests. Remember, a medical insurance organization is your assistant in solving problems and controversial issues related to receiving medical care under the compulsory medical insurance program. If you are insured by one of our companies, you can contact our representative offices for advice, legal support, professional assistance, to resolve a conflict with a medical institution or doctor.

The receipt of free medical care by Russian citizens is regulated by Order of the Ministry of Health and Social Development No. 406n and the Federal Law “On the Protection of Citizens’ Health.” These legislative acts clearly formulate the possibility for a Russian citizen to receive free medical care in a clinic or other medical institution in any region of the country, regardless of the place of registration.

This means that the patient has the right to be assigned to a clinic in any city or region, regardless of place of registration. The only restriction enshrined in law is that the choice or substitution medical institution can be done no more than once a year. However, this restriction does not apply in the event of a change in place of permanent residence. Persons who have registration from another city and wish to be served at the selected clinic must update the “attachment” procedure annually.

Procedure for joining the clinic

To be assigned to the selected clinic, you must write an application addressed to the chief physician, and also provide the registry with a passport or birth certificate (for persons under 14 years old), SNILS and a health insurance policy. In the application for attachment, the citizen must indicate the following information:

• Last name, first name, patronymic;
• Passport details;
• Address of the actual residence;
• Health insurance policy number;
• Details of the previous clinic.

The medical institution has 2 days to review the received application, which consists of checking the information provided. If the inspection is passed, the management of the clinic notifies the applicant of acceptance for medical care. The paperwork for deregistration in one medical institution and registration in another will take about 1 more week. Thus, the minimum period required to complete the full procedure for attaching to a new clinic is 12 days.

If a patient needs immediate medical attention, a doctor in a public clinic is obliged to see him, regardless of the patient’s place of registration and whether he is attached to this medical institution or not. A routine or emergency examination is possible if the citizen has a compulsory health insurance policy.

Refusals to attach to a medical institution

If all of the above conditions are met, the patient has no right to refuse admission to the clinic or provision of emergency/routine medical care. However, there are known cases of illegal refusals or demands that the patient provide additional documents. In cases of violations of the law by medical institutions, you should contact the insurance company, the territorial Compulsory Medical Insurance Fund or the Department of Health. You can use the phones hotline or trust services, which are organized by territorial branches of compulsory health insurance funds. The coordinates and numbers of the relevant organizations can be found on the official websites of the TFOMS and various reference resources on the Internet.