Inihua hauora mātua - ko tenei ... utu Insurance mō te inihua hauora herea

Herea pāpori, penihana, me te inihua hauora - te mau melo o te hōtaka kāwanatanga ki te tautoko i te taupori. Kei roto i te huinga o mehua whakahaere, ture, me te ōhanga. Kia whai whakaaro ano tatou atu he aha te tikanga i te Federal herea Medical Insurance.

kupu

inihua hauora mātua - he pūnaha o mehua ture, whakahaere, me te ōhanga e hāngai ana te whakapūmau i te whakarato noa o te āwhina ki tangata ki runga ki te takanga o nga huru e hāngai ana. kawea pūtea i roto i te utu o HIF ranei i roto i te turanga rohe o te hōtaka kāwanatanga. Ko te mahi normative matua whakahaere inihua hauora herea - Ture tau 326. tautuhi te reira i ngā ariā matua. I roto i ngā, tautuhi te ture te kaupapa me te ahanoa o te MLA, mōrea me te haumaru, me te tiaki o te turanga rohe o te hōtaka, kia rite ki nei i reira ko te inihua hauora herea. Federal Law № 326 tautuhi hoki nga herenga me tika o nga tangata e tomo ki roto ki te kirimana, ratou hopoi'a.

Ko te rūraa o te raruraru

I mua ki te 2011, i reira ko tetahi tetahi tauira o te MLA. Heoi, ka rite ki whakaaturanga mahi, he mea tino hauarea. Ko te take matua mō tenei ko te kore o ngā āhuatanga e tika ana i roto i nei te pokapū o te pūnaha e mahi i te manawanui me ana hiahia. I mua ki te 2011, ko ano hoki te whai wāhi ki te whiriwhiri i te whakahaere i te mauria i inihua hauora herea i roto i Moscow ranei e tetahi pa, he tangata, me tona kaituku mahi tinana whakahaere ranei. I roto i te mahi, arahina tenei āhuatanga ki te tango tūturu o te taupori i whai wāhi i roto i te whakamāramatanga o te MLA. I tua atu, e hāngai ana te whanaungatanga i roto i te pūnaha i runga i te mau parau tumu motuhake. I roto i ngā, haumanu me ngā hōhipera riro moni i taua whakahaere kia rite ki utu mo nga utu o te maimoatanga kawea i roto i, me te whakarato o te tiaki ki tūroro. I roto i te meka, ki whare kia rata tohatoha i te pūtea motuhake. Whakahauanga Health Insurance Fund kore e whai i te pānga catalytic i runga i nga hohipera, me haumanu. Fakatatau ki ai, kihai i hiahia i roto i te whakapai ake i te kounga o ngā ratonga te muri.

Ko te āhuatanga o nāianei

I tēnei wā, ko te inihua hauora herea - ko tētahi hōtaka hangaia mo te pūtea o ngā ratonga, a kahore he whare hauora rite taua. whai wāhi te nuinga te ture i runga ake ki te whakamana i tangata. Na, ka taea e te tangata te whiriwhiri me kamupene inihua, me whakaurunga hauora me kaiwhakaako. I te whare hauora taua, ngā nei i roto i te rēhita, ka hainatia he kirimana mo te whakarato o te ratonga e hāngai ana o te hōtaka, e kore e tika ki te whakakahore i te āwhina tangata.

ngā wāhi matua

Ko tētahi o nga āhuatanga matua i roto i tenei ao mahi te tukanga, kia rite ki nei utua inihua hauora herea. tau Ture 326 regulates te wāhi e whai ake nei:

1. Ture o te hanganga o moni.
2. Ko te uara o te moni inihua mō tangata koremahi.
3. Ko te wa me te tikanga, te wā mo te tohatoha.
4. Kawenga mō kōtītiti i roto i te takoha taua ruritanga.
5. Ture mo te whakanoho hoki tariffs mō te utu o te mahi hauora i te MLA.

Puta noa i 2011-2012, te utu inihua mo te inihua hauora herea i nui haere e 2%. Ka tukua atu tenei ki te rāngai hauora i roto i te tua e pā ana ki 460 piriona moni.

tariffs

Whakauru o utu inihua mo te inihua hauora herea i roto i te pūtea FFOMS CSC - he tukanga e me haere kaitukumahi katoa. Tei ratou uara i runga i te aratau o tāketanga me te momo o te mahi pakihi. I tua atu, tatau te auau e tango ki pūkete te kāwai o te aufau. Te whakahaere kia ki atu tenei utu rite te tikanga whānui, te whakamahi o reiti o raro ranei. Hoki ngā kāwai nui o kaimahi e hanga mō te utu nei painga.

I roto i 2016, i te auau hoki SP ki kaimahi me ngā whakahaere i roto i te HIF - 5.1%. Hua He: tetahi rōpū o te iwi ki te hauā (2.9%), momo whakahaere tūmatanui (2.9%), wharekai e whakarato āwhina free (2.9%), he whakahaere nei tūtohinga whakapaipai - takoha (2.4%).

parau tumu faufaa

Ture whakahauanga ture inihua hauora №326 whakau ana i nga tikanga e whai ake nei:

1. Ko te huru ao o te MLA.
2. Whakarato kāwanatanga wakaae te tiaki o tangata ki te tūponotanga.
3. Mana motuhake pütea pūnaha mmi.

Ngaahi Tefito'i Mo'oni e riro nei ki raro ki te inihua hauora herea - ko:

1. Whakarite HIF tika wakaae kaupapa āwhina noa i runga i te takanga o nga huru e hāngai ana.
2. Te pūmautanga o te pūnaha pūtea. whakarite pūmautanga te i runga i te pūtake o te ōritenga o te tautoko inihua moni MHI.
3. Whakahauanga utu deductions i roto i te moni whakapumautia i roto i te ture.
4. State taurangi e ki te ngākau nuitanga o tangata inihua te whakatutuki i ona herenga i raro i te hōtaka chi taketake, ahakoa o te huru pūtea o te insurer.
5. Te hanga i te tikanga ki te whakarite i te kounga me te wāteatanga o te tiaki hauora.
6. Ōritetanga kanohitanga o ngā kaiuru me ngā kaupapa o OMC i te kāwanatanga.

Ko te pau o nga whakahounga

Te huri i te pūnaha CMI tavini rite te wāhanga o nui-unahi whakahounga tiaki hauora i roto i te Russian Federation. Tohunga whakapono e ka whai wāhi i te tikanga tangohia ki te whanaketanga whai hua o te pūnaha katoa. I roto i tenei take, kia waiho te arotahi o-whakatau kaihanga anake hauora o te tangata. Ko reira ki a ia mo te whakatau ki te mea tohunga, i roto i nei ti'amâraa ki whakapā. e kore e whiriwhiri te tangata kia whāiti ki haumanu me ngā hōhipera i roto i te rohe o te noho rēhita ranei.

kaupapa

Tenei kāwai ngā:

1. tangata Inihua:

• mahi i raro i te ture tivira, me te mahi kirimana, i roto i nei te kaupapa mahi i te mahi o te mahi ranei tāhuahua o ngā ratonga, me te te whakaaetanga raihana me te manatārua;
• iwi whaiaro-mahi (kaipakihi, tangata whaiaro-mahi).

2. kairīanga:

• tangata whai wāhi i roto i te mōhio me te tahi atu utu ki tangata (whakahaere, SP);
• kaipakihi takitahi.

3. pūtea Federal mahi hei insurer. Ko te whakahaere pai-kore i hanga ki te whakatinana i te kaupapa here kāwanatanga i roto i te ao o te MLA.

kaiuru

I roto i te pūnaha mmi he hakari:

1. moni rohe. E te aroaro ratou rite te whakahaere pai-kore i hanga e nga rohe mo te whakatinanatanga o te kaupapa here kāwanatanga i roto i te ao o OMC i nga whenua o te Russian Federation. Ēnei ngā hanganga mahi etahi mana kairīanga e pā ana mahi o ngā hōtaka rohe medstrahovaniya whakahauanga.
2. whakaurunga Medical. Ko ētahi o ēnei ko te whakahaere i hanga ki te MLA Rēhita me he i te tika ki te kawe i ngā mahi i roto i te mara o te tiaki hauora me te inihua hauora whakahauanga. Ka taea te hanga e ratou i kaipakihi takitahi hei te whakahaere o tetahi puka ture tukua e ture, me te tikanga ranei.
3. kamupene rīanga hauora. kawe ratou i ratou mahi i roto i te parae o MLA i te pūtake o te raihana whakaaetia e te tinana hi'opo'araa mana. Insurance medorganizatsii whakatinana etahi mana kairīanga Federal ture № 326 me te whakaaetanga i runga i te pūtea o te MLA, ko wai te mea ki te moni rohe.

rēhita

Ka rite i mea i runga, ngā reira medorganizatsii. Ko te rēhita ratou aroaro:

1. Ingoa.
2. Ko te rārangi o ngā ratonga e kua whakaratohia i roto i te anga o ngā hōtaka mmi rohe.
3. Wāhitau.

pupuritia Fund-rohe he rēhita a tuu te reira i runga i te pūtake whakahauanga i runga i te paetukutuku mōhiohio. Whakaaetia whakaputanga atu o te pārongo i roto i te tahi atu mau rave'a.

whanaketanga o ngā hōtaka

I roto i te runga i te mahi ture № 326 turanga me ahunga mokowā chi i hanga e. I roto i Chapter. 7 o tenei tuhinga whakaatu nga rārangi o ngā ratonga, e kua whakaurua i roto i ia hōtaka. Mai 2013 i roto i te ahunga tohutoro ngā whawhati tata tiaki hauora, me i roto i te 2015 - i te nui-tech. Hōtaka whakaaetia e te taumata-rohe, me te hānga. pā aronga Basic ki te whenua katoa, a ka whakahaere i roto i te hinonga rohe. i hoatu Rohe te tika ki te tāpiri ki te hōtaka matua o ngā take rīanga me ngā momo o te āwhina kahore e i ngā i roto i te MLA. I te wa ano pūtea ratou ratou ake kai.

inihua hauora mātua: kaupapa here

te pa tuatahi i roto i te whenua te wahi i whakaurua ēnei tuhinga Moscow i. I roto i te akoranga o te whakatinanatanga o te hōtaka MLA kua whakaratohia ratou ki tangata i roto i te tahi atu wāhi. I mua ki te 2011, kihai i te taua mo te katoa kaupapa here MHI. I roto i nga kamupene ki te tā ratou ake puka. Ko ratou ki te whakakapi ki runga ki paunga. Ki te puta ke te iwi mahi, i ia ki te tukua tona kaupapa here ki te kaituku mahi. I tukuna te tuhinga hou ki a ia e tetahi atu kaituku mahi. e tenei tukanga etahi wa mo te tangata e pupuhi kihai i taea te tiki tiaki hauora. Ki te ka koremahi te tangata, e hiahiatia ana e ia ki te tiki i te kaupapa here i roto i te whakahaere, ki te inihua te tangata kore mahi rite ki te hua o te whakataetae. I te wa nei tukuna he tuhinga e ki tangata katoa me te puka kotahi mō rohe katoa. rite te kāri nama titiro ia. I te taha ki mua o te kaupapa here o te inihua hauora herea o te tauira hou (te wahi i te maha o 16 mati) kei te maramara. tuhia te reira i ngā mōhiohio e pā ana ki te kamupene i tukuna te tuhinga. Mōhiohio e pā ana te tangata inihua reira i te hoki o te kāri. ngā ratou ingoa, te rā o te whanau. I te taha ki hoki i reira e ano waitohu whakaahua me tauira.

Ko te tukanga mō te whiwhi

I mua, i homai tangata i nga kaupapa here ā-rohe o te MLA. I roto i te tikanga ki te whakatinana i te hōtaka kāwanatanga i kawea i roto i āta whakakapi ratou. tavini POMS rite te tuhinga whakau i te tika o te tangata ki te riro tiaki noa hauora ki te rohe katoa o te Russian Federation ki te whānuitanga whakaratohia i roto i te hōtaka taketake. Hei whiwhi i tētahi tangata fakatāutaha roto i tona māngai ranei ka tuku i tētahi tono. Ka taea te mahi tika tenei i roto i te i te inihua TFOMS medorganizatsiyu ranei. I te ra o te whakaaetanga o te tono tukuna he tangata e te tiwhikete rangitahi. Whakakapi te reira i te kaupapa here kia e ka whakaputaina. Ki runga ki paunga, te tikanga e tango 2 wiki tangata he tuhinga hiko. he tika kaupapa here kirihou ake. Whakakapi i te tuhinga he wātea ana i roto i te wā e whai ake nei:

1. Mate / kino / kākahu.
2. huringa ingoa

Ki te huri koe i te wahi o te noho / rēhita, tūnga tangata (mahi kore mahi ranei) e kore he wātea POMS whakakapinga.

tātaitanga o kati mo nga ratonga e whakaratohia ana

I raro i te hōtaka kāwanatanga MHI tino whakaritea ture e pā ana ki te wā o te utu whakaratohia ki te tiaki manawanui. I roto i te whakaurunga hauora inaianei i te taurangi o utu mo nga ratonga e whakaratohia ana tangata nonresident. Tenei, i roto i te tahuri, faarahi te moni o pūtahi hauora i roto i te tautururaa i te iwi. Ki te ka utu medorganizatsiya inihua roa utu o ake moni te utu institution. tatau tōna rahi te i te tere refinancing o te Central Bank (1/300) i roto i te pānga i runga i te rā o te hanganga o te roa. mahi tuanaki te moni kore-whakarārangitia i runga i te rā.

inihua hauora herea i roto i Moscow: Whakatauranga Company

Ko te rārangi o ngā rōpū e mahi ana i roto i te anga o te hōtaka MLA, unu ake rite ki etahi paearu:

1. Ko te maha o ngā tūemi o POMS.
2. mahi.
3. Te wātea o te mōhiohio i runga i tika tangata '.

E ai ki ngā tohunga, e kore he nui i roto i te faaineineraa o te whakatauranga te taumata o te kaha pūtea. Ko tenei no te mea te mutunga o ngā mahi o te whakahaere ngā i runga i tangata e kore e pāngia. Ko te mea anake e ka hinga ki a ratou ki te mahi - ko te ki te huri i te kaupapa here. Ko te rōpū tino rongonui i roto i te pane e:

1. "RESO-MED". Ko te kamupene e 37 tari, i roto i nei te mahi o POMS. He rerekē ratou hōtaka, etahi o ratou mahi huri noa i te karaka, me te i runga i ngā mutunga wiki. I roto i te marama tuatahi 9. 2012 riro neke atu i te 200 mano. Tono, o nei 43 tāia i amuamu. Te kamupene whakarato ngā mōhiohio i runga i te āhua o ki te wero ränei / mahi o ngā kaimahi, medorganizatsy rārangi āhuatanga kounga teitei MLA.
2. MSK "Medstroy". Tenei kamupene e 4 ngā o POMS take. Kei te mahi i te tari pokapū huri noa te karaka. Te kamupene whakarato fariiraa o tono i roto i te puka-hiko, me te tuhinga tuku utua. te mahi anake te whakahaere ki te inihua hauora.
3. "Ingosstrakh-M". E 4 ngā o POMS take te whakahaere. Te kamupene whakarato ratonga ki tangata ki te tiaki i ō rātou ngākau nuitanga i roto i te kōti. Ko te kamupene hainatia ngā kirimana ki neke atu i te 4.5 miriona kiritaki.

Pātai i raro i kōrero

I tua atu i te kaupapa here OMS kotahi, e whakaarohia ana e ia ki te whakauru hei utu o te pūkete hauora e hāngai ana pepa-mua (pūkete hauora)-hiko. Ko tenei e tika ana ki te meka e ka te fariiraa tākuta tangata kore-noho me ki mohio e pā ana ki mate me tikanga o te manawanui. Citizens kore te tikanga e kawe pūkete hauora ki a ratou. I roto i te aroaro o te record rata hiko rongoa i roto i te pātengi raraunga kotahi, tetahi tohunga i roto i tetahi pa i taea e hohoro te tiki i te kōrero e tika ana katoa. I te wa ano i roto i te maha o whenua Pākehā e kore e whakaaetia te whakamahi o ngā pūkete hauora hiko i roto i te whatunga ao. Ko e tika ana ki te unreliability o te pūnaha tiaki raraunga whaiaro tenei.

mutunga

inihua mātua rata - ko te taahiraa nui mua i roto i te State whakatau i runga i te whakarato o āwhina ki te taupori tenei. pūmanawa whakawhanakehia ngā te whānuitanga tika katoa o ngā ratonga e taea te tiki i te tangata noa. Whakarato i te taupori ki te whai wāhi ki te tiaki i te utu o te puna o te pūtea, whai i te āhua. Ko te ture whakahaere i te hōkai o te inihua hauora herea i whāngai ngā tata. Heoi, hoki te roanga o tenei ture, i taea ki te tiki whawhati tata, whawhati tata me te tiaki i whakamaheretia maha iwi. I whakaratohia ratou ratonga e kore i taea e mua enei iwi tango painga. Ko te tau te ture o nāianei 326 pā ki tangata katoa e noho ana i roto i te whenua. Ko te whakaaro o te ture i roto i te wahi tuatahi ko ki te whakapakari i te taurangi o te matau ture o te tangata ki te wewete i te tiaki hauora. Ko te whakatinanatanga o ona tikanga whai wāhi ki te hua āta i roto i te pūtea tiaki hauora. Tenei i roto i te tahuri titau te pauna wakaae kāwanatanga tiaki noa rata ki tangata ki nga herenga o te kāwanatanga.

Ko te whakatinanatanga o te ture whai wāhi ki te whakapakari i te turanga rauemi, me te hangarau o te tiaki hauora. Ka rite ki te hua, kua tae te whāinga, i whakaturia tuatahi nei, - te whakapai ake i te kounga me te wāteatanga o te tiaki hauora ki te iwi. regulates te ture i roto i te tahi mau taipitopito nga kawenga me tika o ngā kaiuru me ngä katoa, nga ture i roto i runga i nei te inihua hauora herea. te pa tuatahi, i reira ka timata ia ki te whakahaere i te tikanga whakapumautia Moscow i. I teie mahana, whakawhanakehia whakahaere te kaupapa puta noa i te whenua. Federal Law № 326 regulates te hononga o ngā wāhanga katoa o te pūnaha tā te ao hou, o te MLA me te whanaketanga o te rāngai hauora katoa muri.