Several years ago, compulsory health insurance policies of a new type began to be issued in the Russian Federation. Now, instead of paper, you can get a mobile and convenient plastic card. You will find out what an electronic compulsory medical insurance policy looks like and what it is further.
Appearance of the new compulsory medical insurance policy
The electronic compulsory medical insurance policy (EPOMS) has the form of a plastic card. It is the same size as a bank card. It is compact and easily fits in a wallet along with other cards and business cards.
On the front side of the card you can see:
- in the upper part – the coat of arms of the Russian Federation, the name of the document “Compulsory Health Insurance Policy”, the logo of the compulsory medical insurance system;
- in the middle - a microchip for reading data from the electronic compulsory medical insurance policy about the insured person, the insurer, and the features of the insurance program;
- Below is an individual 16-digit insurance code.
To the right of the chip is an imprint of the insurance organization with its name, the name of the branch, and its contact information.
Example:
The reverse side of the document looks like this:
- in the upper part - contact phone number of the Territorial Compulsory Health Insurance Fund (TFIF), signature of the insured, blue POMI badge
- in the middle there is a holographic sign confirming the authenticity of the document;
- below – full name and photograph of the owner, serial number (under it), validity period of the document, gender of the insured person, date of birth.
Example:
Advantages and disadvantages of EPOMS
Each innovation has its pros and cons. An electronic compulsory health insurance policy began to be issued in order to improve the health insurance system. Its owners are faced with the advantages and disadvantages of this document.
Advantages:
- Convenience and compactness. Thanks to its small size, EPOMS easily fits into a wallet. This is how a paper policy differs from a plastic one.
- Strength and wear resistance. The plastic does not tear, and the data on it is not erased - the information can always be easily read.
- Replacing a paper compulsory medical insurance with an electronic one is absolutely free.
- Only the insured can use the compulsory medical insurance policy in public hospitals and clinics. The card is protected from fraudsters by a pin code, chip, and photo of the owner.
- Thanks to EPOMS, the insured person can make an appointment with a doctor through Personal Area Internet portal of public services or through a terminal.
Flaws:
- Not all clinics are equipped necessary equipment And software to work with scanners or chip information readers.
- Not all insurers issue EPOMS.
- When changing personal data, you cannot simply rewrite it onto the chip - you will have to change the card itself.
Where can I get a plastic health insurance card?
Health insurance holders often put off replacing paper media with EPOMS until later, as they fear that this procedure may take a long time. In fact, getting a plastic policy is not problematic. How to get EPOMS?
You can request a replacement:
- to your insurer. You can find out which company has your insurance at your medical facility. Usually this is a local clinic. You can get acquainted with the list of points where insurance is replaced on the website of your insurance organization or regional TFOMS;
- in any insurance organization. If you want to change your insurer, you can view the list of insurance companies on the website of the regional TFOMS, and you can also check the EPOMS there;
- on the government services website. To do this, you need to register on this resource, go to the section “What is a compulsory medical insurance policy and how to get it” and fill out an application. However, this option is currently being finalized, so issuing an electronic compulsory medical insurance policy through government services is temporarily not possible. You can order EPOMS online only in some regions of the country, for example, in Moscow or St. Petersburg;
- through MFC. You can get a card at any branch of the MFC by handing over a package of necessary papers to the operator and filling out an application;
- to the employer. Officially employed citizens can notify the human resources department at their enterprise of their desire to receive an electronic policy. Large organizations themselves send the paperwork to the insurer, but you will have to receive the EPOMS in person.
The list of insurers that provide medical insurance includes large and reliable organizations, such as SOGAZ-Med, RESO-Med, Rosgosstrakh-Medicine, Ingosstrakh-M.
Step-by-step instructions for receiving
To replace an old-style contract with a new plastic card, you must follow the following instructions:
- Find out the contacts of your insurer or choose a new organization and call the main office in advance to find out which branches are issuing plastic cards;
- Come to the insurer's office;
- Write an application, provide documents for consideration and receive a temporary certificate of insurance;
- Come get new insurance. Usually its production takes no more than 10 days. By law, the card must be issued no later than 30 days after submitting the application.
A PIN code and a pack code are issued along with the card. What are they needed for? A PIN code is required to confirm that the information is entered with the user’s knowledge, and a pack code is needed to unlock the card in the event of an incorrect PIN code entered three times. Activation of EPOMS occurs upon first use.
Required documents
To obtain an EPOMS, you need to collect the following papers:
- civil passport or birth certificate of the insured person;
- application for replacement;
- individual personal account insurance number (SNILS);
- old insurance contract (optional).
If the card is issued for a minor, he must be accompanied by a parent with his passport or a legal representative with a passport and a power of attorney, which is dictated by the Rules of Compulsory Health Insurance. For children under 14 years old, having a SNILS is not a requirement.
Do I need to change the old contract to a new one?
It is advisable to replace health insurance contracts received before 2011 with new documents, but this is not a mandatory condition. Insurance is considered valid until its term has expired - this is stated in Art. 51 clause 2 of the Federal Law “On Compulsory Health Insurance in the Russian Federation”. Consequently, health workers do not have the right to refuse to provide medical care upon seeing an old-style document, since it is valid.
Sooner or later, the document will need to be replaced, because previously health insurance was issued with an expiration date. Thus, it is advisable to make a replacement as early as possible, because using the electronic compulsory medical insurance policy, you can make an appointment with a doctor remotely, and besides, it is unlimited.
Conclusion
An electronic health insurance card is an extremely convenient and useful thing. Thanks to it, you can forget about queues at clinics by making an appointment online. In February 2017, the issuance of plastic cards was suspended, but on May 1 of the same year it was resumed - now every citizen can replace their old paper health insurance contract with a compact electronic compulsory medical insurance policy with a Russian-made micron chip.
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Important! After March 7, 2017 Calendar, the main version of Mozilla stopped supporting java plugins Link to mozilla support
The default browser is updated automatically; to maintain functionality in the Patient Portal, you must install the 32-bit version for Windows Firefox 52 ESR direct download link
Due to the lack of support in the latest versions of browsers and floating problems, Option 2 is through RMIS extensions on the client:
Setting up an electronic compulsory health insurance policy reader at the user’s workplace
1) Install Microsoft . NET Framework 4.0.
2) Download and unzip the installation package setup.exe from
3) Run the program setup-x64.bat or setup-x86.bat depending on the bitness of your system.
Check the result, there should be files msvcr100.dll and msvcp100.dll https://gyazo.com/
4) Install the device driver. (ACR38 Win64, ACR38 Win86 Driver) Important: install only this driver for the ACR38, and not the “up-to-date one from the official website”
In RMIS, set the user level setting (previously, in the “user” field, select the user login for which this setting is being made) Individual search component → Use the data reader from the electronic compulsory health insurance policy to search for a patient https://gyazo.com/4907690f5299ae99d4acdb55af4532a0
Link to download drivers for the Metrologic MS 1690 scanner http://my-files.ru/bertby
Drivers for readers:
1) ACR38 Smart Card Reader reader: - must be run after to copy dll to Windows folder(do it with administrator rights in the OS with UAC control)
Important: Aladdin conflicts with Rutoken devices, if the latter were installed on the workplace, they must be disabled for the reader to work https://paste.is-mis.ru/mLWooXFx/+inline
Setting up a compulsory medical insurance policy barcode scanner at the user’s workplace
1) Install the device driver. For Motorola ds4208 https://www.zebra.com/us/en/support-downloads/scanners.html
2) put the device into com port emulation mode, to do this read the settings barcode
for Metrologic 1690 and for Motorola ds4208
Checking work
Option 1 - through applets:
In order to initiate calling the reader and scanner applets, you need to set 2 user-level settings in RMIS: Individual search component → Use a universal applet for barcode scanners (Windows x64, x86) and Scanner port (COM or /dev/tty... )
After the settings have been made, the ability to read should be available on all forms of the advanced patient search, and the “Device connected” checkbox will be active.
When you insert the card into the reader or scan the barcode, the patient’s name and date of birth will be transferred to the corresponding filter fields and you can search for them.
If the “Device connected” checkbox does not appear and an error about launching the applet in a separate modal window does not appear, it may not launch and it is worth checking the RMIS settings.
If the reading itself does not occur, you can try to catch the error in the Java console- choose Show Console in Control Panel → Java
https://gyazo.com/e62b91bcfd155d8ce645ec5f7842fcad
For the patient portal, client settings are located at
Important:
Recommended browser for working with Mozilla devices. Chrome no longer supports npapi plugins as of September 1, 2015
When setting up on Windows 7, install OS updates.
How you can do it (using the example of Buryatia):
1. Add the actual RMIS address (the address at which RMIS is logged in) to the Java security settings exceptions and set the protection level to High instead of Very High
Screenshot: http://gyazo.com/
and also add
Server port on which RMIS extensions run on the client: 5000
Before starting, you need to open https://localhost:5000/readers in mozilla and confirm the security exception, in Chrome also go to chrome://flags/#allow-insecure-localhost and install " Allow requests to be sent to localhost..."otherwise there will be an error with the code: MOZILLA_PKIX_ERROR_CA_CERT_USED_AS_END_ENTITY
Scheme of work
- The program and the web application communicate using HTTP requests.
- The web application periodically polls the program for readable devices. If the answer is positive, the web application informs the user that the device is ready.
- If the device is ready, the web application sends a request to receive data. If the response is successful, the received data is processed.
SSL support
If you are using an SSL-enabled version of the application, the package name will have the suffix -ssl. For example rcext-
- After the settings have been made, the ability to read should be available on all patient search forms https://gyazo.com/
