The procedure for obtaining a medical policy for a newborn. Compulsory medical insurance for a newborn - a guarantee of free medical care for a child

So, your long-awaited baby was born. In addition to your love and affection, he needs to get documents, which will confirm his citizenship, rights and obligations.

One of these documents is which guarantees provision of timely and quality medical care every citizen of the Russian Federation.

Get a policy as soon as possible in order to be sure that medical services to the baby will be provided at the proper level and without payment.

In this article, we will tell you in detail about all the intricacies, about what documents you need to collect, and also answer frequently asked questions regarding obtaining a policy.

What documents are required to obtain a compulsory medical insurance policy for a newborn?

Before obtaining a policy, it is mandatory register the child in the registry office, having received a birth certificate. Next - registration of the child at the place of residence or stay. Only then can you get a CHI policy.

insurance company or company you can choose according to your personal preference.

For example, you can be registered with a company and take out a policy for a newborn in the same company, or you can choose a company whose office is located in your area or in a nearby area.

Documents required to receive compulsory medical insurance policy (CHI) for a newborn:

  • birth certificate child;
  • the passport mother or father;

It is possible and necessary to issue a policy within 3 months of the birth of the child. To do this, it is necessary to have the original birth certificate and the original passport of the mother or father of the child, registered at the place where the compulsory health insurance policy was provided.

Temporary CHI policy: validity period

At the time of making a permanent policy, you will be issued a temporary one. It gives the right to receive timely medical care free of charge, as well as permanent.

Temporary CHI policy is valid within thirty working calendar days.

How much do they get a policy?

Registration of a permanent compulsory health insurance policy usually takes 30 days.

Where do you get a policy?

The CHI policy is obtained from the company to which you applied for its execution.

How to get an OMS policy?

On the day of receipt of the compulsory medical insurance policy, it must be pick up yourself. If this possibility is not foreseen, then this can be done person with power of attorney to receive a policy.

Documents you will need to pick up the policy:

  • birth certificate child;
  • your the passport;

Documents required by a person who will replace you upon receipt of the policy:

  • the passport;
  • power of attorney permitting the receipt of a compulsory health insurance policy for a newborn;
  • application for a, which was given to you after applying for a compulsory medical insurance policy for a newborn.

Frequently asked Questions

Question. My husband and I are residents of St. Petersburg, but for four years we have been living in Arkhangelsk, where we have a permanent job. Literally a week ago, our daughter was born in one of the Arkhangelsk maternity hospitals. Where can I get a compulsory health insurance policy for a newborn? Who to contact?

Answer. Based on the new law, parents can obtain a compulsory compulsory medical insurance policy for a newborn not only at the place of formal registration at the place of residence, but also at the place of stay. In your case, you can apply to an insurance company in Arkhangelsk, providing the necessary documents (passport of the father or mother and birth certificate of the child).

Question. My husband and I are citizens of Ukraine. But we have been living in Moscow for several years now. Childbirth will take place, respectively, in Moscow. Is it possible to apply for a CHI policy for a newborn child?

Answer. Yes, there is such a possibility. Contact the insurance company at the place of residence, having the necessary documents with you: a birth certificate, as well as a document that confirms the right to reside in the Russian Federation on a permanent basis.

Question. I am a citizen of the Russian Federation, my husband is a citizen of another country. What documents do you need to provide in order to apply for an OMS policy?

Answer. Required documents: 1) birth certificate, which indicates the citizenship of the Russian Federation; 2) a document that confirms the identity of the parent of the child.

Question. After the birth of the child, I plan to go to my grandmother in the village with the child. How will medical care be provided there under the insurance policy for newborns?

Answer. Once you have made the exact decision to leave, inform your pediatrician of your plans and address of your future residence. Then the doctor himself will decide how the examination of the child will be carried out.

At the local medical center, children are patronized by a midwife or nurse until they reach the 1st year of life. In the first month, the examination is carried out by a local pediatrician.

If you do not leave information about the future place of residence in your maternity hospital, then be sure to correct this or contact the obstetrician of the local medical center.

Question. With an MHI policy, is it possible to treat children with anomalies?

Answer. Yes, of course you can. Treatment of children with malformations is carried out at the expense of the MHIF. To get the necessary assistance, contact the clinic in which you are registered, to your district pediatrician, who will compile a list of necessary tests and studies for you.

Both adults and children need. Without a compulsory medical insurance policy, it is difficult to count on receiving medical services.

So, as you can see, getting a policy is an easy procedure with a minimum of documents. The only thing you need to stock up on while waiting for the CHI policy is it's patience as in any insurance company there is a live queue.

Video: how is the issuance of mandatory medical insurance for newborns.

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    The compulsory medical insurance policy, of course, guarantees the child to receive timely emergency medical care, but this help is far from always of high quality. Therefore, more and more often parents of children with serious problems are forced to turn to private clinics. And they are helped financially in this by simple people with a good heart, who are not indifferent to someone else's misfortune.

In order to rationally plan her time, it is important for a young mother to know what documents she should receive at the maternity hospital and what paperwork for the newborn she will have to do.

The first documents of a newborn

1. Certificate of birth- the first document for a newborn, which is issued in a maternity hospital. The birth certificate confirms that the child was born to this particular woman. It contains basic information about the baby (his gender, date and time of birth, city, region and information about the maternity hospital. This document is required to issue a birth certificate and is valid for 1 month.

2. Exchange card (second and third sheets). The second sheet is “Information of the maternity hospital, the maternity ward of the hospital about the puerperal”, which contains information about the course of childbirth and the postpartum period and the state of the woman's health. It should be taken to your gynecologist.

The third sheet - "Information of the maternity hospital, maternity ward of the hospital about the newborn" - contains information about the child's condition: gender, height, weight at birth and at discharge, assessment of the child's condition; health status of the newborn; information about feeding, about vaccination.

This part of the exchange card must be submitted to a medical institution where the baby will be observed in the first years of life.

3. The third coupon of the birth certificate. A birth certificate coupon is not issued in cases where the management of pregnancy and childbirth was carried out outside the MHI (compulsory medical insurance) system. In this case, the children's polyclinic will issue itself coupons for the birth certificate for the observation of the newborn.

Coupon No. 3-1 is intended to pay healthcare institutions for services for the first six months of dispensary observation of a newborn.

Coupon No. 3-2 is intended to pay healthcare institutions for services for the second six months of dispensary observation of a child.

Coupons of the birth certificate must be submitted to the clinic where the newborn will be observed.

Birth certificate

To obtain a birth certificate, you need to contact any registry office within one month after the birth. There are no fees associated with issuing a certificate. One of the parents can apply to the registry office, while you need to have with you:

  • birth certificate from the maternity hospital. In the event that the birth did not take place in the maternity hospital, you will need a statement from the person who was present at the birth of the baby. The application is made personally by this person at the registry office. If this person cannot appear at the registry office, his signature on the application for the birth of a child by this woman must be certified by the organization in which the specified person works or studies, the housing maintenance organization or the local government at his place of residence;
  • documents proving the identity of the parents or one of them, if the family is incomplete;
  • marriage certificate, if any;

A birth certificate is a document where the name of the baby is indicated for the first time, so this issue must be resolved before going to the registry office.

In addition to the birth certificate, the registry office provides parents with a certificate that is necessary to receive a lump sum payment for the birth of a child. Help is valid for six months. It must be provided at the place of work of the father or mother or to the department of social protection of the population if the parents do not officially work anywhere.

Compulsory health insurance policy (CMI)

This document is necessary from the first days of life, if medical supervision of the baby's condition is carried out in a state clinic. The nurse and pediatrician who come to take care of the newborn in the first days after discharge will explain how to apply for a CHI policy. Usually, for this, it is enough to contact a children's clinic or an insurance company, which one, the local pediatrician will specify. To obtain a medical insurance policy, you need:

  • passport of one parent;
  • child's birth certificate.

Registration

The baby can be registered at the place of residence of the parents or one of them. If the parents are registered at the same address, then it is necessary to provide the passport office with:

  • passports;
  • birth certificate;
  • marriage registration certificate;
  • statement.

If the housing is not owned by the parents of the baby, but the parents or one of them are registered, then the permission of the owner to register the child is not required.

If the parents are not registered jointly, then the child can be registered at the place of residence of the father or mother. In this case, the second parent will need a statement that he does not object, and a certificate confirming that the child is not registered at the place of residence of the second parent. In addition, you need an extract from the personal account and house book of the second parent, whose baby is not registered.

If the family wishes to register the baby within a month after the birth of the mother, then her application will be sufficient. If you miss this period, then the father will have to bother about obtaining the above certificate and an extract from the house register.

If you do not register your baby within 1-3 months, you may be charged a fine for living without registration.

Certificate of pension insurance (SNILS)

SNILS should be issued at a branch of the Pension Fund of the Russian Federation. It is required when making any payments for a newborn. Therefore, the sooner this document is issued, the better.

For its registration you need:

  • identity document (parent's passport);
  • statement.

It should be noted that the introduction of information technology greatly facilitates the execution of documents: at first, it is enough to declare the need to receive documents on the relevant Internet portals, and then receive the document in person.

In addition to completing the necessary documents, after giving birth, you need to worry about accruing all due payments and benefits.

Maternity allowance for working women

This benefit, as a rule, is paid even during pregnancy, immediately after the woman provides a certificate of incapacity for work, which is issued at 30 weeks for a singleton pregnancy and at 28 for a multiple pregnancy. However, in the case of complicated childbirth, the maternity hospital will issue an additional disability certificate to the woman for 16 calendar days, which will also be paid.

Childbirth is considered complicated if, for example, it ends with a caesarean section, if a manual examination of the uterus is performed after childbirth, in case of multiple pregnancy, etc. In the case when the diagnosis of multiple pregnancy is established during childbirth, a certificate of incapacity for work for pregnancy and childbirth is issued for an additional 54 calendar days (and not 16 days) by the medical organization where the birth took place.

It happens that there are several reasons to recognize childbirth as complicated. For example, with the predicted birth of twins, a woman is initially issued a disability certificate not for 140 days, but for 194 calendar days. That is, even before going on maternity leave, she is paid sick leave of a longer duration. If she also underwent a caesarean section, a sick leave certificate for an additional 16 days is not issued and is not paid.

When extending the sick leave for 16 days, you must submit it to the accounting department along with an application for extending maternity leave and assigning maternity benefits.

Lump sum

This payment is provided for absolutely all citizens of our country. Paperwork after the birth of a child for employees, pensioners, students and the unemployed is similar to receiving a lump sum payment, with the only difference being that employed parents receive payment at their place of work, and all the rest - in RUSZN (district department of social protection of the population).

To receive a one-time allowance, you must provide:

  • application addressed to the head of the organization;
  • identity documents and their photocopies (passport);
  • certificate from the registry office, which was issued simultaneously with the birth certificate;
  • birth certificate and its photocopy;
  • a certificate from the second parent from the place of work that he did not receive the payment.

For unemployed parents, an application is written to the RUSZN and, in addition to all of the above documents, copies of work books with a record of dismissal from work should be provided.

Monthly child allowance

This allowance is paid every month until the child is one and a half years old. An employed mother draws them up at her place of work. To do this, you need to provide an application addressed to the head of the organization, a passport, a birth certificate, a certificate from the father's organization stating that he did not take parental leave and does not receive benefits. The amount of the benefit is equal to 40% of the employee's average monthly income for the last 2 years.

Unemployed women also have the right to receive a payment, it should be filed with the RUSZN, where you need to provide:

  • parents' passports and their copies;
  • birth certificate of the child and other children, if any;
  • certificates from the employment center that they are not registered;
  • information about the composition of the family;
  • statement.

Monthly payments for child care up to one and a half years in 2016 amounted to 2884 rubles. They are indexed every year.

Other payments

In addition to federal payments for the birth of a child, regional benefits are provided. They are paid from the budget of the subject of the Russian Federation, and their size differs in different regions of our country. It should be noted that in some areas, payments for the birth of a child are not provided.

After the birth of a second child, regardless of the region, the parent is entitled to maternity capital. It is intended for the intended use and is issued in the form of a certificate. You can use it only for the purchase or construction of housing, paying for the education of children, increasing the pension of the mother. You can issue a certificate at a branch of the Pension Fund of the Russian Federation by providing the following documents:

  • statement;
  • passport of a citizen of the Russian Federation and a photocopy;
  • birth certificates of children with a seal of citizenship and copies;
  • SNILS mother and her children.

At present, the legislation of our country provides for other payments and additional financial support to families with many children, single mothers, students, parents of disabled children, and the poor. You can find out about federal and regional payments at the department of social protection of the population.

Despite the fact that the list of documents and cases that need to be done for their execution seems quite impressive, it usually takes no more than 1 month to complete the intra-family workflow related to the birth of a baby.

It's time for kindergarten

When all the documents are drawn up, it is better to take care of putting the baby on the waiting list for a preschool institution (kindergarten). This event does not have strictly specified, standardized deadlines, but it should be borne in mind that the queue can be impressive and last for several years - just as long as it takes from the birth of the baby to the time of the opportunity and the need for him to visit kindergarten.

In most regions, the distribution of places in preschool institutions is handled by a special service of the Department of Education. You can submit documents both in person and in absentia, using the appropriate website. The following documents will be required:

  • birth certificate of the child;
  • information about the address of registration of the child at the place of residence or stay;
  • applicant's passport;
  • information about benefits (if any).

From the moment a baby is born, he immediately comes under the close attention of doctors. For this to continue in the future, parents are obliged to insure their child as soon as possible. And this is not a whim, but a requirement of the law of the Russian Federation. Every person living on the territory of the Russian Federation must receive medical care. And for free. For this, there is a mandatory medical insurance. Making a CHI policy for a newborn is a simple matter, and you won’t have to spend a lot of time. But how exactly this should be done, we will tell in our article.

Baby needs a policy

In the first couple of months of a child's life, according to the documents, he is still inseparable from the mother. Therefore, all the necessary medical procedures for him are supported by her policy. But later it will be very difficult and expensive for you to communicate with doctors if you fail to get a compulsory medical insurance policy for a newborn in time. If you take out insurance in a timely manner, you can qualify for special baby food (dairy cuisine), as well as the provision of free medicines if necessary.

Some mothers shy away from the compulsory medical insurance program, arguing that the whole family is voluntarily insured under the VHI policy and this is quite enough. However, such arguments do not stand up to scrutiny. Although a voluntary policy provides a much wider range of medical services and, possibly, provides better and more expensive treatment, it has one disadvantage that, on closer inspection, outweighs all the advantages. The point is that in the current difficult conditions, no one can guarantee you that by the time the insured event occurs, your insurance company will still exist.

If this happens, then your sick child runs the risk of being completely left without the necessary medical care. In extreme cases, you will have to pay for the treatment yourself.

So it does not cancel the CHI policy for a newborn, rather complements it.

and child

Correctly and timely issued insurance gives the baby the right to receive timely and free medical care in any state clinic of the Russian Federation. So if you went to visit your grandmother on the other side of the country and suddenly fell ill there, you can be sure that your baby will not be left without help. But whether it will be paid or not depends on whether your baby has a compulsory medical insurance policy for a newborn.

In addition, with compulsory health insurance, children under the age of 3 years are entitled to use free medicines in accordance with the instructions of the attending physician. Without OMS, this is not possible.

Mothers should know that even without an insurance document, during the first three months of a child’s life, he is required to provide all necessary medical services free of charge. But during this time, the document should still be issued.

Where to go

To apply for a policy, parents must contact any insurance organization. If you do not know how to approach her choice, you can use a little advice. In the first months of the baby's life, decide on the clinic where you are going to continue to be served.

It doesn't have to be the closest place to home - it's likely that you'll like the pediatrician on the other side of town and want to be treated only by him, regardless of the difficulties of the road.

When you have decided on a doctor and a medical institution, ask the employees with which particular insurance company they have an agreement, and feel free to go there. In this case, you are guaranteed not to have any difficulties. By the way, if you suddenly want to change the selected UK to another one, you can easily and free of charge do it once a year.

How to prepare documents

To obtain a compulsory medical insurance policy for newborns, documents must be prepared in advance. This is due to the fact that the baby has not yet drawn up any papers and the case may drag on.

First of all, the baby needs to write out a birth certificate. It is very easy to do this. To do this, you need to contact the local registry office and submit an extract from the hospital and parents' passports. You need to do this within a month from the moment of birth.

When the certificate is received, the child must be registered, that is, registered at the address of the parents (or one of them if they do not live together). To do this, you need to go to the passport office. Failure to register a child is an administrative offense and entails a fine or a warning.

Now you need to go to the Pension Fund of the Russian Federation and submit documents for registration of SNILS. This item, although not mandatory, should not be neglected. You will definitely need SNILS in the future.

Here, in fact, are all the documents for obtaining a compulsory medical insurance policy for a newborn:

  • passport of one of the parents (the one with whom the baby is registered);
  • birth certificate;
  • an application form filled out in the prescribed form;
  • SNILS.

Although according to the law, three months are allotted for all the running around with papers, it is not worth delaying the registration.

Timing

When all the documents for the MHI policy for the newborn are collected, we go to the insurance company. An employee of the IC will check everything and give you a temporary certificate. It is valid for 30 days and completely replaces the permanent policy. This is done so that the baby does not suffer from bureaucratic delays and receives free medical care from the moment the parents apply to the insurance. A month later, a permanent document will be issued for the child, which will be valid throughout life.

There is one nuance here. If the child (as well as his parents) has only a temporary registration, then the insurance will be issued only for the period of its validity. The policy will be automatically renewed along with an increase in the registration period.

How to order OMS insurance remotely?

Many young parents are very interested in the question: “Is it possible to obtain a compulsory medical insurance policy for a newborn remotely, through electronic services or mail?”

Unfortunately, technical progress, although it has gone far, is not provided by Russian legislation for the remote issuance of an MHI insurance document. The fact is that in order to receive such a document, you will have to sign in a special journal, because these forms belong to the category of strict reporting.

But it is very possible to use postal services for submitting documents. To do this, it is enough to send notarized copies of the necessary documents and a completed application form to the address of the selected insurance company.

Many insurance companies have their own websites and offer to fill out an application online and scan documents. You can do so, but to get the policy itself, you still have to appear in person.

In some regions of the country, a compulsory medical insurance policy can be issued using the public services website. You only need to fill out an electronic application form, and all other documents will be obtained as a result of interaction between various departments.

What happens if you don't get insurance

You probably already understood that the CHI policy for a newborn is very important. Without this document, only emergency doctors will serve you free of charge. Without CHI, it will not be possible to register with a polyclinic, and there can be no talk of a free hospital.

A few days spent on proper paperwork is certainly not worth the health of your child. The risk in this case is absolutely not justified, so it is better to take out insurance faster.

How to recover a document

If you have lost or damaged the CHI policy for a newborn, as well as in the event that the baby's personal data has changed, the document must be replaced. It's easy to do. You need to contact the same IC where it was issued and report the loss of the document or a change in personal data. The employee will record the information and issue you a temporary policy. A month later, you will receive a new document with all the changes.

In this article, we will consider not only the question of where to get a policy for a newborn, but also important points about the timing and nuances of the CHI itself for a child that you need to know.

The policy is required to receive free medical care throughout the Russian Federation. The child will be able to receive medical assistance regardless of where he is registered, however, the amount of this assistance may differ depending on the region where the policy was received and the region of actual residence.

How long does it take to complete this document?

It is required to issue a CHI within 3 months from the date of birth - this is exactly the information that the Internet provides us with. Almost all sites that talk about the timing of obtaining compulsory medical insurance indicate exactly this period, but at the same time, all websites of insurance companies indicate:

Compulsory medical insurance of children from the date of birth until the expiration of thirty days from the date of state registration of birth is carried out by an insurance medical organization in which their mothers or other legal representatives are insured. After thirty days from the date of state registration of the birth of a child and until he reaches the age of majority or until he acquires legal capacity in full, compulsory health insurance is carried out by an insurance medical organization chosen by one of his parents or another legal representative.

And here there is already a specific source in the form of the federal law of November 29, 2010 N 326-FZ "On Compulsory Medical Insurance in the Russian Federation."

It was not possible to establish where the 3-month period came from, if someone knows, then write in the comments.

Issue a policy according to registration, registration or actual place of residence?

The Internet, as always, gives us conflicting data about whether it is possible to issue a policy for a newborn without a residence permit. Somewhere they write that the registration of the policy is possible only with the registration of the parents, somewhere they write that the registration does not matter. There is also ambiguous information about registration at the actual place of residence, whether it is required for registration of CHI or not. Let's see where the truth is.

We personally called 3 largest insurance companies to clarify this issue. Everywhere they said that you can apply in another city, registration is not required, but when clarifying how much medical care can be received, it was said that the policy is attached to the actual place of residence and upon registration, you can count on the full amount of medical care in the region where the policy was issued.

In another region, you can only count on emergency assistance, but if you need a full amount of medical care when moving to another region, then you need to reattach it to the new actual place of residence. The hotline operators of insurance companies were also asked about the need to confirm registration at the actual place of residence, to which they said: “Registration is not required, the actual place of residence is determined from your words.”

Recorded from the words of employees of insurance companies.

I have personal experience with this. We received a policy for the first child in St. Petersburg, and at the age of three months we underwent various procedures at a children's clinic in the Volgograd region. The employees of the polyclinic grumbled about the fact that our policy was not local, but they provided services in the form of a warm-up course and several visits to the doctor.

Personal experience with compulsory medical insurance for an adult confirms that if you live in the region for a long time, you will need to take out insurance in the region at your actual place of residence in order to receive the full amount of medical care. Registration or registration for an adult was not required. It was in Sochi.

Where is the policy issued?

  • at the MFC;
  • in an insurance company;
  • in the clinic.

Documents for registration

  • Child's birth certificate.
  • Application according to the established sample (issued on the spot).
  • Passport of the Russian Federation of one of the parents.
  • SNILS if available. Rumor has it that they wanted to pass a law stating that SNILS will become mandatory when applying for a policy, but so far there is no exact data that this law has come into force and so far SNILS is provided only if available, but it is better to clarify this point by phone with the insurance.

Usually within 30 days you are given a ready-made policy; while it is being made, you will be given a temporary one.

Who can get

You can receive a ready-made policy in person or another person can receive it for you by proxy. Practice confirms this. For one of the children, the mother (grandmother) received the policy while our family was in another city.

It is necessary to obtain a CHI policy for a newborn as soon as possible after birth, as this is a guarantee that your child will receive the required free medical care in the amount indicated in this policy program, if necessary. The sooner you get it, the more likely it is that your child will be able to get help in a medical facility.

How to apply for a compulsory medical insurance policy for a newborn?

To apply for a compulsory medical insurance policy for a newborn, you will need the following documents:

  • passport of one of the parents.

It is necessary to issue a policy for a newborn within three months from the date of birth of the child. To do this, you need to take a birth certificate, as well as a passport of one of the parents, which is registered at the place where the CHI policy was issued. You can find out the address and opening hours of the territorial LMS fund at the children's polyclinic.

Remember, before you get a policy for a newborn, you will definitely need or stay. So, if there is registration at the place of stay, then the newborn is issued a temporary compulsory medical insurance policy. This temporary policy will self-renew for as long as the registration is valid. If your child is registered at the place of residence, then in this case he is issued a permanent policy.

You have the right to register your child with absolutely any insurance company, but remember that it is necessary to open a state compulsory medical insurance policy. This insurance gives you the opportunity to be served absolutely in any public medical institutions. The policy is valid throughout the territory of the Russian Federation, as well as on the territory of all countries that have concluded a contract for medical insurance. In places where the policy is valid, your child is required to provide absolutely any medical care free of charge, of course, this applies to public medical institutions.

During the registration of compulsory medical insurance for a newborn on an ongoing basis, you will be issued a plastic card. However, it will take some time to create this document, all this needs to be clarified with a representative of the policy issuing organization. Do not worry, while the permanent document is being produced, you will be issued a temporary paper policy.

Obtaining a compulsory medical insurance policy for a newborn

So, the day has come when you need to pick up the policy. You must have all the same documents with you: passport and birth certificate. If for some reason you cannot obtain the CHI policy on your own, then a person authorized to receive the policy can do this for you. This person must have:

  • the passport;
  • application for receipt issued at the time of application;
  • power of attorney to obtain a policy of mandatory medical insurance for a newborn.

Registration of a newborn at the place of residence

As we have already said, before receiving a policy for a newborn, the child must be registered at the place of residence or stay. What is needed for this, we will tell you now.

Required documents: