The FOMS Reminds About the Procedure for Receiving Medical Assistance in Hospitals

Ирэн Орлонская Health / Exclusive
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The Mandatory Health Insurance Fund reminds about the procedure for receiving medical assistance in hospitals

The hotline of the Mandatory Health Insurance Fund (MHIF) continues to receive inquiries from medical workers regarding situations where insured patients seek admission to hospitals without a referral from a family doctor and necessary laboratory-diagnostic tests.

The MHIF provides clarifications on the procedure for accessing medical services in state healthcare institutions:

In this case, the patient is required to pay for all medical services provided according to the current price list. This includes consultations, doctor visits, tests, examinations, procedures, and other services that do not pertain to emergency medical assistance.

In situations requiring urgent intervention — for example, in cases of sudden acute illnesses or exacerbations of chronic diseases, where there is a threat to health or life — hospitalization is carried out without a referral. In such cases, medical assistance is provided free of charge, including medications and medical devices (according to the list of essential medicines), until the patient's condition stabilizes.

The patient is advised to visit their family doctor at the Family Medicine Center or the General Practice Center at their registered address for necessary examinations without payment. This includes consultations, laboratory tests (up to 52 types) based on indications and referrals, and ECGs. A 50% discount is also provided for ultrasound and X-ray examinations, as well as day hospital services. If hospitalization is necessary, the doctor will issue a referral.

If you have any questions, you can contact the 24-hour hotline at 113, calls from any devices are free.
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