"Golden policy": unemployed Russians will have to pay for CHI. How to get a medical policy for the unemployed - the procedure, documents and nuances Calculation of unemployed citizens for health insurance
For Russian citizens, insurance under the compulsory medical insurance program provides protection in the event of insured events. The chances of getting help from medical professionals are the same for all citizens.
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Moreover, protection is carried out regardless of gender, reaching a certain age, permanent place of residence, actual social legal status.
Payments are made from financial resources that are collected from the insurer under the CHI system. It is regulated by the law "On Compulsory Medical Insurance", namely.
What does the policy give
The compulsory health insurance policy gives the right to medical care without payment in medical institutions owned by the state.
It implements the constitutional right of a citizen of the country, concluded in obtaining it under the ongoing basic program of compulsory medical insurance, which is provided by medical institutions operating in the system and located throughout Russia.
The basic CHI program is specially designed for citizens who need medical support, regardless of the region.
It consists of mandatory types of medical services, the scope of which is established by the norms of the legislative acts in force in the country.
Medical services are provided by the permanent residence of citizens:
- city, district polyclinics of general purpose, including dental ones;
- inpatient departments of district, city hospitals;
- trauma centers;
- oncological, dermatovenerological dispensaries;
- medical and diagnostic centers.
When citizens apply for help to medical workers, they must present the policy together with documents proving his identity.
The term of the policy ends at the time that falls on the termination of the contract or the end of the duration of its validity.
If the policy is lost, then its duplicate is issued, for which the insured person must submit an application to the appropriate authority. It indicates the circumstances under which the policy was lost.
Upon dismissal from work, the medical insurance policy must be handed over to the personnel department of the enterprise so that it can be returned to the insurer.
When changing permanent residence, the policy is transferred to the fund of the former place of residence, at the new address the insured person receives a new policy.
A medical insurance policy allows you to receive the following types of services:
- emergency medical assistance;
- pre-medical, primary medical, primary specialized care;
- outpatient care, consisting of a diagnostic examination, the appointment of procedures that contribute to the treatment of diseases directly in the clinic, in the hospital at the day hospital;
- inpatient care, which is carried out with the use of intensive care with round-the-clock medical supervision. It is necessary for the treatment of acute types of diseases, poisoning of the body with great intoxication, bodily injuries, in the event of an exacerbation of chronic diseases, when it is necessary to isolate a patient infected with epidemiological diseases;
- cure of the pathology of intrauterine gestation, resolution of the burden, complications due to abortion;
- production of hospitalization of patients registered according to the plan of polyclinics in order to carry out the next treatment, rehabilitation in inpatient departments of hospitals, at a day hospital.
Territorial programs operating in certain regions are also determined by the government. There may be a little more of them, but they should not exceed the number of basic federal programs.
Where can I get
The compulsory medical insurance policy is purchased at the medical insurance organization at the place of residence free of charge. The only condition is the requirement that the organization must be listed in the registry of the system and have a license.
If it is not available in the area where the applicant lives, he needs to contact the territorial CHI fund.
Citizens of foreign countries residing in the country are allowed to take out health insurance and receive free medical care.
In order to use the granted right, they need to apply to the CHI fund, but they must necessarily have a residence permit in the country temporarily for some time, registration at their actual place of residence or a passport with a residence permit.
For a stateless person, in order to insure under the compulsory medical insurance program, it is enough to present an identity card, where a note is made of temporary residence in the country, registration at the place of temporary residence is affixed.
If there is a need to obtain a health insurance policy for a minor child, then you need to provide the specified fund with a birth certificate, a passport of one of the parents or guardian, who will verify their identity.
How to get a CHI policy for a non-working person
Unemployed citizens can be insured, including children and pensioners, by concluding an agreement at the office of an insurance medical organization that serves their area of \u200b\u200btheir permanent residence.
To obtain a policy for a non-working citizen, he needs to contact the territorial CHI fund, where he needs to fill out an application form of a unified form for obtaining a medical insurance policy.
For the first time, a citizen is issued a temporary certificate, which confirms the fact of registration of the policy. It provides the owner with all free medical services provided by the compulsory health insurance program.
A photo. Temporary certificate of compulsory medical insurance policy.
It is issued for a whole month during which the application is considered, the documents submitted for obtaining an insurance medical policy are studied, and a policy is made.
Usually, fund employees notify the readiness of the policy and tell you at what time it can be picked up. However, only citizens of the Federation have the right to be insured in this way.
A medical policy under the CHI insurance program is issued upon presentation of a passport or a temporary identity card confirming the identity of the applicant. Pensioners must provide a pension certificate.
What documents are required
In order to obtain or reissue a compulsory medical insurance policy, you must first select a medical insurance organization suitable for the applicant, to which he must submit the required documents.
By order of the Ministry of Health and Social Development of the Russian Federation, the documents required for registration are established, depending on the age of the citizen.
These include:
- an application for a compulsory medical insurance policy, drawn up on a form with a unified form;
- passport of a citizen of the Russian Federation, proving the identity of the applicant;
- , denoted by SNILS.
Citizens in order to obtain a CHI policy who have not reached the age of majority, whose age is 14-18 years old, must add to the above documents the passport of one of the parents or guardian, if he is an orphan.
If the need arises for a minor child who is under 14 years old, a birth certificate is submitted in addition to the passport of the parent or guardian. Foreign citizens provide a passport, residence permit.
Every citizen of the Russian Federation, in relation to which they have concluded an agreement on medical insurance, receives a mandatory medical insurance policy. The health insurance policy should only be in the hands of the insured citizen. This document has legal force throughout Russia, as well as on the territory of other states with which Russia has concluded an agreement on medical insurance for its citizens. For example, it is significantly lower in cost than .
For non-working citizens(unemployed, disabled, pensioners, students, children, housewives) the policy is issued at the place of permanent residence at the point of issue of policies of insurance companies. In case of any changes in the permanent place of residence, an unemployed citizen is obliged to return the policy he received to the insurer and receive another one at his new place of residence.
When issuing a policy, a health insurance organization must familiarize citizens with the rules of health insurance in their region of residence, as well as the territorial programs of state guarantees for the provision of free medical care to them, the conditions for its implementation and the list of medical institutions where you can receive medical care under compulsory medical insurance. According to the law of the Russian Federation on medical insurance of Russian citizens, for non-working citizens, the insurers are the executive authorities at the place of permanent residence of the subject of the Russian Federation. Don't forget about.
To receive medical policy citizen of Russia must apply with a personal statement issued in the name of the executive head of the branch of the territorial fund for compulsory medical insurance of the subject of Russia in which he permanently resides. You can also send a written request to the republican or regional fund for compulsory health insurance.
The following must be attached to the application:
- a copy of the title passport pages;
- a copy of the certificate of registration at the place of stay in Moscow;
- a page with a note about the place of residence in the territory of the permanent place of residence, that is, the city where the citizen came from;
- a notarized copy of the work book, including a page with a record of dismissal at the last place of work. For example, this question concerns everyone and does not matter even if you have.
Legal advice:
1. Is the CHI policy valid after dismissal? Can an unemployed person be served in a polyclinic on it?
1.1. The CHI policy is now in no way tied to the place of work and continues to operate.
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1.2. There is no connection between work and the CHI policy. You can continue to heal.
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2. My uncle has a suspicion of oncology, he pees with blood. Doctors all in a row prescribe paid tests, the so-called. tumor markers. Now he is officially unemployed, part-time work is scanty. How legal is it? Why do we need a CHI policy at all?
2.1. It all depends on what tests are prescribed by doctors, as a general rule, medicine is free in accordance with the law of the Russian Federation, most of the tests can be data on the CHI policy. You can apply to the Health Department with a written application to clarify which services can be provided on a paid or free basis, for one request to check the legality of the actions of the medical institution in ordering paid tests for you.
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3. I am a citizen of Russia. Permanently residing in Ukraine. Registration at the place of stay for 3 years in St. Petersburg? 59 years. Unemployed. Grave and how to get a compulsory medical insurance policy and do I have the right, the opportunity to be served at the clinic at the place of registration, district? Will the clinic refuse to register .. without an internal passport - only a foreign one and a certificate of registration at the place of stay (do I have the right to receive an internal passport)? Thanks in advance?
3.1. Since you are a citizen of the Russian Federation and have temporary registration, you need to apply to the Migration Department with an application for a passport. You also have the right to receive a compulsory medical insurance policy and be serviced at the district clinic at the place of residence.
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3.2. You not only have the right to obtain an internal passport, but you are also obliged to do so, because. you are a citizen of the Russian Federation And for living without a passport there will be a fine of 3 to 5,000 rubles. Liability under Art. 19.15 Administrative Code of the Russian Federation.
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4. Question on honey. services under the CHI policy for the unemployed. Does an unemployed person who is not officially registered with the Employment Center (the period of 1 year of stay at the labor exchange has ended) have the right to receive free honey. services under the CHI policy!?
4.1. Regardless of whether you are unemployed or employed, if you have a compulsory medical insurance policy, medical services should be provided free of charge in polyclinics. However, each region has its own list of free services provided under the CHI policy.
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4.2. Alexei.
Yes, a non-working citizen has the right to receive free services under the CHI policy.
Federal Law "On the fundamentals of protecting the health of citizens in the Russian Federation" dated November 21, 2011 N 323-FZ.
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5. Can an unemployed person receive an insurance payment in case of an accident under the CHI policy? (broke the leg). Thank you!
5.1. Alas, if you are unemployed, you will not be able to receive any payments under the MHI policy. You had to stand at least at the labor exchange.
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6. I do not have a CHI policy. I work in the military. I slipped and broke my leg, not at the time of my service, I had a day off, I came to the clinic at my place of residence, the surgeon refused to apply a cast, referring to the fact that I am a military man and they do not pay for these services. I went to another city and only after I said that the unemployed man was put in plaster and put in the hospital. How to punish doctors and prove the illegality of the actions of the local clinic?
6.1. According to Article 11 of the Federal Law “On the Basics of Protecting the Health of Citizens in the Russian Federation”, emergency medical care is provided by a medical organization and a medical worker to a citizen without delay and free of charge. Refusal to provide it is not allowed. For violation of these requirements, medical organizations and medical workers are liable in accordance with the legislation of the Russian Federation.
If you are still faced with arbitrariness, file a complaint with the head doctor of the clinic at which the emergency room operates, or with the prosecutor's office. Or contact the Compulsory Medical Insurance Fund - federal, or territorial, or the territorial department of health.
I believe that a fracture is an emergency.
Regards, Mikhail.
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7. I do not have a CHI policy. I work in the military. He slipped and broke his leg, not at the time of service, it was a day off. I came to the clinic at the place of residence, the surgeon refused to apply plaster, referring to the fact that I am a military man and they do not pay for these services. I went to another city and only after I said that the unemployed man was put in plaster and put in the hospital. How to punish doctors and prove the illegality of the actions of the local clinic?
7.1. Contact the prosecutor's office and the health department of the municipal clinic with a complaint, since in your emergency you are required to provide medical assistance in any case, regardless of the availability of compulsory medical insurance.
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8. I do not have a CHI policy. I work in the military. I slipped and broke my leg, came to the polyclinic at the place of residence, the surgeon refused to apply a cast, referring to the fact that I am a military man and they do not pay for these services. I went to another city and only after I said that the unemployed man was put in plaster and put in the hospital. How to punish doctors and prove the illegality of the actions of the local clinic?
8.1. Indeed, the military is not insured under the CHI. All services provided in regular hospitals must be substantiated by referral in part. With the permission of the head of the department. The doctor's actions are legal.
You now need to write a report for an internal audit and receive monetary compensation. The life and health of a serviceman are insured. You were injured while on duty.
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8.2. How to punish doctors and prove the illegality of the actions of the local clinic?
You don't need to prove anything. File a complaint with the prosecutor's office and the regional health department.
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9. Is there any liability if you receive medical assistance under the MHI policy, being unemployed, and said that you were working?
9.1. There is no such responsibility in the law.
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10. At the moment I am unemployed, the contract was terminated on May 1, 2016. After 15 days on May 15, 2016 I got into an accident, I have injuries, I am in the hospital. Can I receive payments under the MHI policy due to temporary incapacity?
10.1. No you can not
GOOD LUCK TO YOU
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10.2. MHI provides only treatment, not payments
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11. At the moment I am unemployed, I have a compulsory health insurance policy, am I entitled to a lump sum payment at the birth of a child.
11.1. Put. Contact the social committee. residence protection.
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11.2. Marina Sergeevna! Yes, you can receive a payment from the social security authorities. With the certificate that will be given to you at the maternity hospital, you will need to contact the social protection authority to apply for benefits and attach all the necessary documents that you will be asked for.
Regards, Anna.
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11.3. This payment is due to everyone who gave birth to a child!
Whether you work or not doesn't matter.
You need to apply to the social protection authorities at the place of residence, taking with you your passport and the original birth certificate of the child.
You can also apply for child care allowance up to 1.5 years.
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12. When applying for a compulsory health insurance policy, I indicated that I was unemployed, but in fact I was a military man. What are the possible consequences.
12.1. There will be serious trouble in the service.
GOOD LUCK TO YOU
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13. I work under an employment contract, without social. package, the employer does not make any deductions for me. My salary is below the subsistence level, and I am simply not able to make any deductions for myself, I have a young child as a dependent. Now I need a CHI policy. Can I register it as unemployed or do I need to pay for it and how much?
13.1. Irina Vladimirovna!
In your case, it is better to conclude a formal employment contract. Or in court to recognize the fact of labor relations on the basis of testimonies.
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Consultation on your question
call from landlines and mobiles is free throughout Russia
14. I recently opened an individual entrepreneur. Do I need to change the Compulsory Medical Insurance Policy (I received it last year as an unemployed person and in another region)
14.1. You do not need to change your compulsory health insurance policy.
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15. The husband works in the police and wants to get a compulsory medical insurance policy in order to go to the hospital near the house! They say he has no right to the policy, only if he says that he is unemployed! If you draw up a policy in this way, then will he face any punishment if he says at the time of registration that he is unemployed and he will be given a policy?
Thank you.
15.1. yes you can do. I wish you good luck and all the best.
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16. I need to get a CHI policy, but I don't have a Moscow registration.
Where can I get such a policy in Moscow, being a citizen of the Russian Federation? Address and phone?
Temporarily unemployed.
16.1. In any health insurance organization at the place of your registration.
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17. How long can I use the CHI policy after dismissal? At the moment I am unemployed. Thank you.
17.1. The CHI policy is now not tied to the place of work. You can use it until its expiration date.
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18. I work as a seller - cashier, now I fell ill, and gave the policy for replacement, I was given a temporary certificate confirming the registration of the compulsory medical insurance policy, is sick leave paid to me according to this certificate or not? (before that, the policy was unemployed, studying) Please help!
18.1. Yes, they are required to pay, because the validity of the temporary certificate has not expired
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19. I work unofficially, and therefore my employer cannot issue a CHI policy for me. I need to see a doctor and get tested. Do I have the right to obtain a compulsory medical insurance policy from an insurance company at my place of residence? I called there, they told me that they could not issue a policy, since I receive income, and if I apply as unemployed, they will be prosecuted for fraud. Thanks in advance for your reply.
19.1. No one will be attracted for anything. Present your work book, in which there is no record of your work at the present time. And receive a policy at the place of residence
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20. My mother (she is 54 years old, unemployed) broke her arm and was admitted to the hospital. They demand money for an operation to insert a plate into the arm.
How can the compulsory medical insurance policy help her and can they do the operation for free?
20.1. Hope! The easiest way for you is to contact the insurance company that issued the policy and decide there whether the operation is paid or free. That's the only way. Good luck
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21. My husband at work (official registration) was denied a compulsory medical insurance policy, as well as the rest of the employees. They offered to go to the district clinic and get a policy at the place of registration as unemployed. Is it legal? How to proceed in such a case? What document can I refer to? Thanks in advance.
21.1. This is illegal.
Law of the Russian Federation No. 1499-1 of 06/28/1991 "On medical insurance of citizens in the Russian Federation"
Article 2 "The insured under compulsory health insurance are:
for the working population - enterprises, institutions, organizations..."
Article 9 The policyholder is obliged:
-conclude an MHI agreement with an insurance medical organization
- pay insurance premiums
etc."
Decree of the Government of St. Petersburg of December 30, 2004 N 2088
"On the Rules of Compulsory Medical Insurance of Citizens in St. Petersburg"
2.5. "Insurers for working citizens are legal
persons regardless of the form of ownership and legal form, and
also individuals recognized as payers of the unified social
tax (contribution) or other tax in the part calculated and paid in
compulsory health insurance funds in accordance with
legislation of the Russian Federation on taxes and fees".
Sincerely!
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22. A person came to work with us with a previously issued compulsory medical insurance policy as for the unemployed. The policy has not yet expired. What if he will be treated under the old policy, although we transfer the UST to the MHI for him or we need to issue him a new one from us?
22.1. As soon as the organization hires an employee within five days, they are required to issue a health insurance policy for him.
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23. Please advise how to resolve the current situation. The wife is not issued a policy of compulsory honey. insurance, because she is not registered as unemployed with the employment service. Since we live far from her place of registration (registration), she cannot register with the employment service, where she has to come to check in every day, and because of the long distance, this is simply impossible. Does the law protect a person who finds himself in such a situation, because every person has the right to compulsory health insurance, and therefore to free medical care? Is there a way out of this situation? Best regards, Sergei.
23.1. If the wife is a citizen of the Russian Federation, then she has the right to receive a policy at the place of her permanent registration, and receive assistance anywhere in the Russian Federation. Refusal to issue a policy may be appealed to the court in the form of a complaint against the actions of officials who violate the rights of citizens.
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23.2. it is not clear from your question who exactly refused to issue you a compulsory medical insurance policy. In accordance with the Law "On Compulsory Medical Insurance", the insurers for compulsory medical insurance for the non-working population are the Councils of Ministers of the republics within the Russian Federation, government bodies of the autonomous region , autonomous districts, territories, regions, cities of Moscow and St. Petersburg, local administration. In connection with the above, I recommend that you apply for a policy at the District Administration at your place of residence. Law firm "GM Trust"
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24. I work in Moscow (4 months), but I am registered and live in the Moscow region. I know that while working in Moscow, the employer must issue me a compulsory medical insurance policy in exchange for my compulsory medical insurance policy near Moscow (which was issued to me when I was unemployed). The policy at the place of work has not yet been issued to me (the management explains this by the lack of an insurance contract with the insurance company). However, there was a situation when I fell ill and spent 4 days in the hospital. From work they demanded a certificate confirming my illness, I brought it. But they didn’t pay me for it, because. according to the law, only sick leave is paid, they have issued, as it were, "vacation at my expense." I am pregnant at the 6th month, the LCD requires me to have a compulsory medical insurance policy from work so that I can then receive benefits as an employee, and not as an unemployed person. I addressed this issue to the labor inspectorate, but they answered that this is a problem of our health care, and not the employer. Please help me, what do I need to do to correct the situation, where to turn, because soon I will be on maternity leave ... Yes, and there are no guarantees that there will be no problems with health, and I don’t know how to protect myself. Thank you in advance for your response.
24.1. Marina, apparently in the labor inspectorate, a complete idiot answered you like that! To insure the employee is the OBLIGATION of the employer! Try to contact the inspectorate again and present them with the following argument:
Basic rights and obligations of the employer
The employer is obliged:
comply with labor legislation and other regulatory legal acts containing labor law norms, local regulations, terms of the collective agreement, agreements and employment contracts;
provide employees with work stipulated by the employment contract;
ensure safety and working conditions that comply with state regulatory requirements for labor protection;
provide employees with equipment, tools, technical documentation and other means necessary for the performance of their labor duties;
provide workers with equal pay for work of equal value;
pay in full the wages due to employees within the time limits established in accordance with this Code, the collective agreement, internal labor regulations, labor contracts;
conduct collective negotiations, as well as conclude a collective agreement in the manner prescribed by this Code;
provide representatives of employees with complete and reliable information necessary for the conclusion of a collective agreement, agreement and control over their implementation;
to acquaint employees against signature with the adopted local regulations directly related to their work activities;
timely comply with the instructions of the federal executive body authorized to conduct state supervision and control over compliance with labor laws and other regulatory legal acts containing labor law norms, other federal executive bodies exercising the functions of control and supervision in the established field of activity, pay fines, imposed for violations of labor legislation and other regulatory legal acts containing labor law norms;
consider the submissions of the relevant trade union bodies, other representatives elected by employees about the identified violations of labor legislation and other acts containing labor law norms, take measures to eliminate the identified violations and report the measures taken to these bodies and representatives;
create conditions that ensure the participation of employees in the management of the organization in the forms provided for by this Code, other federal laws and the collective agreement;
provide for the everyday needs of employees related to the performance of their labor duties;
carry out MANDATORY social INSURANCE of employees in the manner prescribed by federal laws;
compensate for harm caused to employees in connection with the performance of their labor duties, as well as compensate for moral damage in the manner and on the terms established by this Code, other federal laws and other regulatory legal acts of the Russian Federation;
perform other duties stipulated by labor legislation and other regulatory legal acts containing labor law norms, a collective agreement, agreements, local regulations and labor contracts.
(Part two as amended by Federal Law No. 90-FZ of June 30, 2006)
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25. The question is: should a compulsory medical insurance policy be issued in Moscow if there is a temporary registration for 5 years (citizenship of the Russian Federation, permanent residence permit in Omsk), but in the absence of an old policy? There is no old policy, because they took it away when I quit in 2005. I didn’t work for a long time.
At the clinic they said that they needed an old policy, which had to be received after being fired at the place of permanent registration, having registered as unemployed, and without the old policy they couldn’t issue me a new one.
It is not possible to travel to draw up such a policy, since it will take a lot of time, and I work and it is financially difficult to travel.
25.1. The policy can be issued to you at work.
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Compulsory health insurance (CHI) is an important element of social protection of the population, which provides an opportunity to receive free medical services in accredited healthcare institutions.
If the policy is issued for a child under 18, you must additionally attach a copy of the passport of his legal representative.
Obtaining a temporary license
On the day of the application, the insurer issues a temporary certificate indicating that the CHI policy is in the process of being issued. A temporary document allows you to receive free medical care on a general basis. Its validity period is 30 days (indicated on the form).
Obtaining a permanent CHI policy
On the specified day, you must visit the insurance company and pick up a ready-made compulsory medical insurance policy, the validity period of which is not limited.
Instructions for filling out the application
To receive a medical insurance policy for an unemployed person, it is necessary to draw up an application for choosing an insurance organization. The form of a unified form is filled out by hand or using technical means. The name of the person submitting the application is indicated in the upper right corner.
Filling instructions:
Section No. 1 - data on the insured person
The full name, date and place of birth of the insured person are indicated. On the basis of an identity document, the place of registration and the actual place of residence are entered. Citizenship, SNILS number (if any) and contact information are indicated.
Section No. 2 - information about the representative
To be completed provided that the application is submitted for consideration by a representative. His full name and information about the identity document are entered. Additionally, the relationship of the representative to the insured person is indicated.
How to apply
An application with a package of documents for issuing a medical policy to an unemployed person is submitted for consideration to the insurance organization in the chosen way:
- Personally. You must contact the office of the selected company. Advantage - here will be assisted in filling out the application;
- By mail. The form and documents are sent by registered mail, an inventory of the attachment must be attached;
- Through the Internet. The application is sent on the official website of the territorial CHI fund or the State Services portal.
The compulsory medical insurance policy allows working and unemployed citizens of the country to remain calm about their health, knowing that at any time they can apply for free medical care!
Legislative initiative to abolish compulsory medical insurance for the unemployed
Unemployed citizens in the Russian Federation are able-bodied persons who are not employed and do not receive wages, BUT at the same time registered with the employment service in order to find a suitable job.
Currently, the State Duma is considering a bill from deputy Ildar Gilmutdinov, which provides for the impossibility of obtaining a compulsory medical insurance policy for non-working citizens for free.
The proposed innovations, according to the deputies, will be rejected in the upcoming reading, if it is not amended. The reason is the contradiction in the content of the draft of the current Constitution, which provides for the right of every Russian citizen to free medical care.
A lawyer will advise you in the comments to the article
The Ministry of Health denied the information that appeared in the media that it is planned to deprive the unemployed and self-employed of compulsory health insurance policies. If the idea were implemented, according to various estimates, 12-19 million people could lose free treatment in state clinics and hospitals.
They either had to "go" into commercial medicine and pay for each visit to the doctor, or purchase a compulsory medical insurance policy for 20,000 rubles a year.
Regulatory authorities have not learned how to identify wealthy unemployed, but this is not a problem for the Ministry of Health. A photo: Reuters
The newspapers referred to a draft law prepared by the Ministry of Health with amendments to the system of personalized registration in the CHI system. The document pointed to the introduction of rules "terminating health insurance in respect of a certain category of insured persons and ensuring that the CHI policy is invalidated." The publications interpreted this as follows: able-bodied citizens who do not officially work anywhere and, therefore, do not transfer insurance premiums to the Compulsory Medical Insurance Fund, will lose the policy.
It is clear that the scandalous news, affecting the interests of millions of citizens, required immediate confirmation and clarification or refutation. And it followed in the morning.
"The Ministry of Health of Russia and the Federal Compulsory Medical Insurance Fund were surprised to find information circulated in the media that allegedly unemployed and self-employed Russians will be deprived of free compulsory health insurance policies. This information is not true and is a distortion of the position of departments," the Ministry of Health said.
Why should the unemployed on the Bentley be treated at the general expense?
And the press secretary of the Minister of Health, Oleg Salagay, explained: “The right to free medical care is a social guarantee provided to all citizens within the framework of compulsory medical insurance. No reduction in its volume
not provided for in any of the draft regulations. The Constitution of the Russian Federation guarantees the right to free medical care to all citizens of our country, regardless of whether they work or not.
The MHIF "RG" explained how the mistake arose: the quoted fragment of the bill on "certain categories of insured citizens" did not apply to the unemployed and self-employed, but to the military. Medical assistance to military personnel is provided in our departmental medical institutions. But there are many cases when citizens, having switched to military service, retain their "civilian" CHI policy. As a result, they are treated in departmental clinics and hospitals, but the "civilian" medical institutions to which they were attached before continue to receive funding for them. So the proposal that has made so much noise concerns putting things in order in the registration of citizens in the CHI system.
Background
It would seem that the incident is over, the journalists who misunderstood something are again to blame for everything ... But in fact, the topic is more than relevant. For years now, the government has been puzzling over how to force people who have incomes but are not officially employed anywhere to "come out of the shadows." According to estimates published last fall by the Minister of Labor Maxim Topilin, there are about 15 million such people in the country. People work, earn a living, but do not pay contributions to the MHIF (as, by the way, to the Pension Fund). But when they get sick, they go to the clinic and get treated for free. That is, at our expense. There are also very successful businessmen who earn in real life for expensive cars, villas, trips, but on paper - only a living wage (so that the tax authorities do not find fault with it too much). They pay symbolic contributions. They get sick and are treated, like everyone else, for real. Agree, when it comes to children and pensioners, it is logical that the state pays for their medical insurance (that is, in fact, we are with you). But why should the unemployed on the Bentley be treated at the "general" expense?
Therefore, in the Ministry of Labor, and in the State Duma, and in the Federation Council, various possibilities were discussed more than once to "stimulate" these citizens to legalize their income. From the point of view of pension legislation, this has already been done: receiving a "gray" salary, we now cannot earn a pension. But officials have not touched medical care so far. In various discussions, both Minister Maxim Topilin and the head of the Federation Council, Valentina Matviyenko, suggested considering various ways of influencing irresponsible citizens. For example, to introduce a "tax on parasitism" - in fact, to force the self-employed to make an annual payment for medical care. Or reduce the amount of free treatment for them under the CHI policy. Recently, a similar proposal was made by the head of the Accounts Chamber, Tatyana Golikova. According to the joint venture, the regions pay 618 billion rubles for the non-working population. There is no mention of children and the elderly, but the introduction of a payment for medical services for the self-employed could reduce the burden on regional budgets. However, while all such reasoning remains purely in the discussion channel. After all, according to the Constitution, all citizens without exception have the right to free healthcare. And to distinguish the "unemployed" on the "Bentley" from the person who is really unable to find a job, all our regulatory authorities have not yet learned.