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Information about medical insurance organizations

Register of medical insurance organizations

Since January 1, 2011, citizens of the Russian Federation have had the opportunity to freely choose an insurance medical organization. Previously, the insurance company was chosen by the policyholder (employers — for working citizens or executive authorities of the constituent entities of Russia — for the unemployed population). Now medical insurance organizations work with a specific person, which creates the basis for the development of competition in the insurance market, incentives to fulfill their obligations efficiently.

In accordance with the current legislation, the main tasks facing an insurance medical organization are:

  • payment for medical care provided to insured persons under compulsory medical insurance;
  • protection of the rights and legitimate interests of insured persons.

Insurance companies:

  • they issue medical insurance policies to insured persons;
  • they control the volume, timing, quality and conditions of medical care;
  • inform the insured persons about the rights to receive free medical care provided under the compulsory health insurance program, the list of medical organizations providing medical care under the compulsory health insurance program, the procedure for organizing the admission of insured persons and others;
  • They consider appeals and complaints from citizens and take measures on them.

In order to effectively identify violations of the rights and legitimate interests of insured persons, medical insurance organizations working in the field of compulsory health insurance in the Stavropol Territory have organized hotline telephones. Each applicant is provided with the necessary advice, background information, and explanations. If necessary, according to citizens' requests to the Hotline phone, the insurance company is working with medical organizations aimed at ensuring respect for citizens' rights in the field of compulsory health insurance.

In accordance with Federal Law No. 326-FZ dated 11/29/2010 "On Compulsory Medical Insurance in the Russian Federation", the Territorial Fund of the Ministry of Health of the Russian Federation has strengthened control over the activities of insurance medical organizations, inspections are carried out, it is possible to financially stimulate "excellent students" and apply penalties to companies that do not comply with established requirements. In addition, the TFOMS UK Hotline has been set up. By phone (8652) 94-11-35 in Stavropol and you can contact if you are not satisfied with the work of an insurance medical organization. THE SINGLE TOLL-FREE PHONE NUMBER OF THE CONTACT CENTER IS 8-800-707-11-35. By contacting the contact center, you will be able to get the necessary advice from a specialist in protecting the rights of insured persons, both an insurance medical organization and the Territorial Fund of the MHI in the "one call" mode.

Medical insurance organizations operating in the field of compulsory health insurance 

Names

Address

Head

The hotline

Website address

Stavropol

branch

SOGAZ-MED JSC

Stavropol,

Spartak str., 2,

Pyatigorsk,

Malygina str., 30

Makoeva Aida Olegovna

8-800-100-07-02

sogaz-med.ru

LLC IC

Ingosstrakh - M

Stavropol,

1st Promyshlennaya str., 3.

Kopeikina Olga Viktorovna

(8652) 56-06-68

ingos-m.ru


Order of the Ministry of Health of the Russian Federation No. 108n dated February 28, 2019 "On approval of the Rules of Compulsory Medical Insurance" (with amendments and additions)

Waiting periods for planned medical care, including waiting periods for inpatient medical care, individual diagnostic examinations, as well as consultations with specialist doctors