How to register with a dental clinic through mos.ru

mos.ru users now have the opportunity to join any dental clinic of the Moscow Department of Health. The new service applies to both adult and pediatric dental clinics.

The service, developed by the Moscow Department of Information Technology, will help save time - you no longer need to go to the clinic with documents to submit a written application for your own enrollment or the enrollment of a child. The service is provided within three working days.

There are 58 specialized dental clinics of the Department of Health for city residents, of which 26 serve adults, eight – adults and children, 24 – only children. Dental care for adults is also provided in the outpatient department of the maxillofacial hospital for war veterans and in the outpatient departments of hospitals in the TiNAO. Each medical institution has departments of therapeutic and surgical dentistry, in which citizens are provided with free services under the compulsory health insurance program (CHI).

What the law says

A citizen of the Russian Federation, he has the right to apply once a year to change the service clinic, dentistry and antenatal clinic. And if the change is caused by a move, then the restriction does not apply; you can move at least every quarter and change the assigned clinic.

The issue is regulated by Federal Law-323 On the fundamentals of protecting the health of citizens of the Russian Federation. Its Article 21 precisely explains the right of a citizen to change hospitals and doctors. Here are the main important points of the article:

• Every citizen of the Russian Federation has the right to independently choose a service clinic and a doctor. But in the event of a change of doctor, the consent of the physician to whom the patient is transferred is required;
• a citizen has the right to change the clinic of his appointment no more than once a year. Moreover, upon registration, the patient has the right to choose a local general practitioner, a pediatrician (if we are talking about a child), or a paramedic;
• If you change your place of residence, you can change the clinic more than once a year.

Previously, the principle of being attached to a clinic at the place of registration was in effect. Now this norm has been abolished. You can receive services at any institution of your choice after joining it.

The clinic, dentistry and antenatal clinic are separate structures. If they are presented within one hospital, the attachment is automatically made to all these departments. If they are presented separately, the patient can select any insertion site in each direction.

Receiving a service

To receive the service, you must first visit a dental clinic. During the first visit, the patient is given a special questionnaire in which the citizen answers a few simple questions. They mainly concern the presence of allergic reactions to a particular substance that is used to make fillings or anesthetize a certain area of ​​the oral cavity. It is also mandatory to clarify whether the patient has HIV. If the answer is yes, the dentist will use a separate set of instruments during treatment.

The procedure for treating toothache is quite simple. The patient sits in a special chair, and the doctor examines the oral cavity. After this, a decision is made on specific actions - installing a filling, cleaning caries, treating pulpitis, etc. Then the treatment itself begins. At the end of the test, the patient is given standard recommendations - not to eat food for a certain time, and, if necessary, to use special ointments or medications. Prescriptions for medications are also written by the attending physician.

How to find out where you are assigned

Not all citizens even know which clinic they are assigned to. If you do not have such information, you can get it on the State Services website. To do this, you must have a verified account there. Information is given in a couple of minutes.

Log in to State Services using your credentials and use the search to find the section “Information about attachment to a medical organization.” The service page will open, click “Get service”:

Afterwards, the system will ask you to indicate the compulsory medical insurance policy number, consisting of 16 digits. Next, the system processes the request for about a minute and displays the result - indicating the clinic to which the applicant is attached.

How to make an appointment with a dentist at a dental clinic online

After the user receives a notification about successful attachment, an online appointment with dentists will become available to him. In order to make an appointment with a doctor yourself or register a child, the user must select in the “ section, then select the service “Make an appointment with a doctor, cancel and reschedule an appointment” and enter the compulsory medical insurance policy number (your own or your child’s). If it is saved in your personal account, the system will insert it automatically.

If you have several policies, for example several children, the system will prompt you to specify the one you need. Next, you need to select the doctor’s specialization from the list provided. Then the system will confirm the appointment and generate an appointment voucher - you can print it yourself or through the information machine at the clinic.

Is it possible to join a clinic through State Services?

Now many government services are provided remotely. You can even file an application for divorce or marriage at the State Services. But it is impossible to attach remotely to the selected clinic.

The service page is on the state portal, but if you go to it, it becomes clear that the online service is not provided. So, you will have to look for another course of action.

If we are talking about Moscow

Only residents of Moscow can register with the clinic online. But the operation is carried out not on the State Services, but on the website of the mayor of Moscow. By the way, you can log in to it through State Services if you currently do not have an account on this portal.

The service is available to residents of Moscow, that is, the compulsory medical insurance policy must be registered in the capital. The online service is provided free of charge.

Procedure:

Go to the Moscow Mayor’s portal, log in using your current credentials or through State Services. Then find the service “Attach to an adult clinic” through the search and click on the “Get service” button. The system will ask you to select the type of hospital:

Next, the system will open a card with the citizen’s data and ask to indicate the medical policy number. If it is not registered in Moscow, the system will not allow you to proceed further and will indicate the reason:

If the policy is suitable, then the system will indicate the citizen’s current registration and provide possible clinics for selection. Choose the one that is convenient for you and confirm your application.

Regardless of how you submit your application, you will be assigned to a new clinic within 3 business days. Unlinking from your ex is done automatically.

It is possible that soon it will be possible to join clinics through State Services. Since this can actually be done on the website of the mayor of Moscow, it is possible that this service will be launched on the state portal for all regions of the country.

Service list

Among dentists there is a division by specialty, as in other medical areas. The most frequently visited specialist is a therapist; his tasks include examining the oral cavity and its further treatment. Depending on the existing problems, the therapist fills the tooth, treats canals and gums. In extreme cases, removal is possible. An X-ray of the problem area is first taken to determine the causes and establish an accurate diagnosis.

An equally “popular” doctor is an orthodontist. Translated from Latin, this term means “straight tooth.” The specialist specializes in correcting defects in the dental system. A preliminary examination of the oral cavity is carried out, after which preliminary preparations are made (most often this is the removal of excess teeth), and then braces are installed.

Required documents

Standard connection to the clinic

As you can see, only Moscow residents with compulsory medical insurance policies issued in the capital can remotely register with the clinic. All other Russian citizens have to act the old fashioned way - go to the chosen hospital.

If we are talking about an adult, he needs to provide:

• your passport;
• compulsory medical insurance policy;
• confirmation of a change of residence, if there has already been a change of clinic this year.

If we are talking about a child:

• parent's passport;
• birth certificate or passport of the child.

Previously, in order to be assigned to a new clinic, a citizen had to detach from the old one by visiting it in person. This often caused great inconvenience, especially when it came to changing residence. Now there is no need for this, detachment is carried out automatically.

All clinics, dentists and antenatal clinics available for attachment can be found on the website of the Health Insurance Fund. You can choose any institution for service:

Having chosen a clinic, you need to contact its registry with the necessary documents. Here, the application will be accepted on site and the attachment will be completed within 3 working days. By default, a local doctor is appointed at the place of registration or residence.

The clinic is not authorized to refuse registration without objective reasons. If you are denied, file a complaint with the MHIF.

If we are talking about staying in another region

If a citizen of the Russian Federation leaves for another region for a long period of time, for example, on a business trip, he also has the right to receive medical services under a compulsory medical insurance policy, which is valid throughout Russia. Similarly, if we are talking about a short-term stay, for example, if a citizen goes on vacation and is in Russia.

1. If we are talking about a long stay in another city or region, standard rules apply. The citizen needs to be assigned to a clinic at his new place of residence. Local registration is not required for this.
2. If we are talking about a short-term stay, it is not necessary to be assigned to a clinic. Any citizen of the Russian Federation can receive all basic medical services in any clinic under a compulsory medical insurance policy. We are talking about emergency and urgent care.

So, it is impossible to attach to a clinic through State Services. At least for now. Only Moscow residents with capital compulsory medical insurance policies can perform the action online. In all other cases, the citizen must personally contact the selected adult or children's clinic and submit an application.

5 / 5 ( 1 voice )

FAQ

How much does it cost to join another clinic?

The service is provided to citizens free of charge each time.

Is it possible for me to eventually be assigned to another clinic through State Services?

No, today such a service is not implemented on the state portal. If you live in Moscow, you can use the website of the Moscow Mayor. If in another city, registration is possible only at the reception of the selected clinic.

Can they refuse to assign me to another hospital?

This is possible in case of failure to provide the necessary documents (policy, passport), or if these documents are damaged. In addition, registration will be denied if you go to a non-state clinic.

When can I see a doctor in a new place?

Attachment is not carried out instantly, the service provision period is 3 working days. Therefore, you need to act in advance, and not when you are really sick.

I'm going on vacation, will I get help at my place of stay?

If you go on vacation, be sure to take out a compulsory medical insurance policy for yourself and all family members. You will be provided with emergency care at any public clinic at your place of stay.

Sources:

1. ConsultantPlus: Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”
2. Compulsory medical insurance: Insured persons in the field of compulsory medical insurance have the right to choose or change a clinic.

about the author

Irina Rusanova - higher education at the International East European University in the direction of "Banking". Graduated with honors from the Russian Economic Institute named after G.V. Plekhanov with a major in Finance and Credit. Ten years of experience in leading Russian banks: Alfa-Bank, Renaissance Credit, Home Credit Bank, Delta Credit, ATB, Svyaznoy (closed). He is an analyst and expert of the Brobank service on banking and financial stability. rusanova [email protected]

Is this article useful? Not really

Help us find out how much this article helped you. If something is missing or the information is not accurate, please report it below in the comments or write to us by email

Pyatigorsk City Clinic No. 1

In accordance with clause 4 of the Order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2012 No. 406n “On approval of the procedure for a citizen to choose medical care within the framework of the Program of State Guarantees for free provision of medical care to citizens” for service in a clinic, you need to fill out and submit an application for attachment, receive notification of acceptance for medical care.

You can obtain the application form at the Registration Office, or download it from the link

Depending on the patient’s condition, medical care can be provided on an emergency or planned basis.

Emergency medical care is provided to patients immediately in case of acute life-threatening conditions. Such assistance is provided free of charge in any medical institution. That is, it does not matter whether a person has a policy or whether he has Russian citizenship.

Planned medical care is provided in conditions that make it possible, without compromising the patient’s health, to provide the necessary medical care in the order of priority, with a delay in time (diagnosis and treatment of chronic diseases, examination, consultations with specialists, medical examination, preventive work, registration of medical documentation, treatment in day care hospital in the clinic and at home, etc.).

The main rule that applies to everyone who wants to routinely use the services of outpatient clinics of the state healthcare system free of charge is the presence of a compulsory medical insurance policy.

According to the new rules, to obtain a compulsory medical insurance policy, confirmation of registration, permanent or temporary, in the country is no longer required. The only caveat: you will have to obtain the policy yourself by contacting any insurance company that has the right to issue compulsory medical insurance policies.

The right to receive services in any state medical organization is regulated by Article 21 of the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation,” and changes to the Law “On Compulsory Medical Insurance” gave patients the freedom to choose a medical organization (providing services in the compulsory medical insurance system). It is necessary to take into account that the patient’s right to choose a healthcare facility and a doctor is not unconditional and absolute.

So what do you need to know in order to avoid conflict situations and what are the conditions for a patient to exercise his right to choose a medical organization and a doctor? What is attachment?

The state system of primary health care (which includes polyclinics) is built on the principles of compliance with territoriality, the profile of health care institutions, continuity and phasing of medical care. That is, each house, street, district, and settlement is assigned a state medical institution (polyclinic, outpatient clinic, medical office, first aid station) whose specialists provide free medical care to the population living in the given territory within the framework of the state guarantee program.

In addition, in order to provide the full scope of assistance, medical institutions are grouped into associations (designated by the abbreviation BUZ, GUZ, KUZ) which may include: one or more clinics for adults and children, an antenatal clinic, a planned hospital, offices of general practitioners, various Centers, etc.

Thus, if a person belongs to one of the units of such a combined state outpatient clinic, then he has the right to receive the full range of medical care services provided in its units. The patient's belonging to the service in such an association is called ATTACHMENT.

Institutions do not have the right to refuse to attach those who permanently reside in the territory assigned to them. But you must understand that you cannot attach or detach selectively from only one of the divisions of the joint medical institution. (That is, detachment from an adult clinic automatically entails detachment from medical centers, departments, medical offices, antenatal clinics, etc. included in the institution (the only exception is cases of observation during pregnancy - see below).

Attachment rules:

Without your expression of will, no one can assign you anywhere.

If you are registered (registered) at one address, but live at another and want to register at your actual place of residence, you need to: contact the administration of the clinic at your actual place of residence, explaining that you permanently reside in the territory assigned to this health care facility (evidence can be serve as temporary registration at the place of residence or a rental agreement (hiring) of an apartment, a contract of purchase and sale of housing, documents of ownership (parts, shares in property) of housing, a written statement from the owner of the housing (if he is your relative) that you are permanently residing at the specified address, etc.) If you have provided inaccurate information regarding your place of permanent residence, the institution reserves the right to remove you unilaterally.

The law states: “The choice or replacement of a medical organization providing medical care is carried out by a citizen who has reached the age of majority or has acquired full legal capacity before reaching the age of majority (for a child until he reaches the age of majority or before he acquires full legal capacity before reaching the age of majority - his parents or other legal representatives) by written application to the medical organization providing medical care.”

Thus, the patient must submit a written application (the application form can be obtained from the reception desk or from the administration of the institution).

Submit an application for registration to the deputy chief physician at the clinic (unit) or directly to the chief physician’s office. When signing consent for your service, the chief physician of the organization is obliged to notify your insurance company and the clinic at the place of your registration (registration). That is, the attachment is made only in writing on the basis of an application and is approved by the chief physician of the institution.

List of required documents for attachment to the clinic:

• application addressed to the chief physician of the organization;
• passport of a citizen of the Russian Federation or temporary identity card of a citizen of the Russian Federation, issued for the period of registration of the passport;
• compulsory medical insurance policy + copy;
• copy of the passport.

To attach a child, you will additionally need a copy of the birth certificate and a copy of the passport of the parent submitting the application.

The attachment is valid for the current (calendar) year. You will have to confirm your attachment annually. Thus, if more than a year has passed since your attachment to an institution at your place of actual residence, and you have not confirmed your attachment again, you are automatically returned to the clinic at your place of registration (registration).

If you are not registered and do not live on the territory of the clinic, you have the right to independently choose any medical institution (included in the compulsory medical insurance system). If you choose a clinic that does not serve you either at your place of registration (registration) or at your place of residence, then you need to:

• Express your desire to receive services at this clinic and provide you with the entire list of services by submitting a written application for attachment (the application form can be obtained from the reception desk, from the administration of the institution).
• Submit an application for registration to the deputy chief physician at the clinic (unit) or directly to the chief physician’s office. Thus, the attachment is made only in writing based on the patient’s application and approved by the head physician of the institution.
• The time it takes for the administration of the institution to consider a patient’s application for attachment is 2 business days.
• When signing consent for your medical care, the chief physician of the organization is obliged to notify your insurance company and the clinic at the place of your registration (registration).
• Changing medical institutions is allowed no more than once a year. Thus, if in the current calendar year you exercised this right and were assigned to a health care facility, you will be able to be assigned to another only the next year. The only exception is when you move to a new place of residence.
• The attachment is valid for the current (calendar) year and you will have to confirm the attachment annually. Thus, if more than a year has passed since your attachment to an institution at your place of actual residence, and you have not confirmed your attachment again, you are automatically returned to the clinic at your place of registration (registration).

The administration of health care facilities, in order to ensure the right of citizens to choose a doctor and a medical institution, assigns for medical observation and treatment of citizens living outside the service area of ​​this health care facility to local therapists, local pediatricians, general practitioners (family doctors) and doctors obstetricians-gynecologists in case of pregnancy monitoring.

The right to be assigned at one's own request to doctors of other specialties is not provided for by law and regulations.

There is no list of mandatory medical services within the scope of attachment in the regulatory documents. Regulatory documents are medical and economic standards and a program of state guarantees. Examination and treatment of assigned patients is carried out according to medical indications based on the direction of the attending physician to whom they were assigned.

The attending physician (precinct physician, local pediatrician, general practitioner (family doctor) and obstetrician-gynecologist (in case of pregnancy observation) is appointed by the head of the medical organization or selected by the citizen taking into account the consent of the doctor." The doctor has the right to refuse appointment if he has excess load on the site.

In accordance with the Procedure approved by the federal executive body, attachment is carried out “in accordance with the resource capabilities of the institution.” That is, the procedure for organizing medical services for the population at the clinic is carried out on a local basis” and gives priority to residents of the territory served by the clinic. The number of “non-territorial” patients assigned to the clinic is limited and should not exceed the norm for one position of a local doctor by more than 15 percent.

Therefore, the head of the health care facility, having considered the patient’s application with a request to change the attending physician, makes a decision based on the capabilities of the institution entrusted to him. He has the right to refuse to satisfy the application, referring to the norms of the individual workload of the selected doctor, to the territorial principle of attaching the population to health care facilities, and also to offer possible solutions to a specific problem.

The territorial principle of organizing the work of public health care institutions has been preserved since the times of Soviet medicine, which was based on the desire to rationally use available resources. So, according to current industry standards, for one precinct police officer’s rate:

• there are 1,800 patients over the age of 18 living in the service area;
• a general practitioner accounts for 1,500 patients living in the service area;
• There are 800 children living in the service area who are a pediatrician;
• obstetrician-gynecologist accounts for 2,200 women over the age of 15 years living in the service area.

The essence of the territorial principle is that patients living (registered) in a certain area are assigned to one of the sections of the corresponding clinic. This makes it possible to calculate staffing standards for doctors, evenly distributing patients among specialists. In addition to rationing the workload by area, there is a rationing of the time allotted to the doctor to see one patient. It is assumed that during a work shift (6 hours), a doctor must see 20-30 patients and, accordingly, spend an average of 12-17 minutes consulting each of them. A quantitative increase in patients will lead to a reduction in the (already not large) time allotted by the standards for appointments.

The legislator specifically provided for a number of restrictions on attachment:

Firstly, a more qualified doctor may want to assign more patients than he is able to serve. Thus, due to high workload, the doctor will not be able to devote the required amount of time to patients and effectively perform his duties, which, in turn, will lead to a decrease in the quality of medical care provided.

Secondly, it seems inappropriate to assign patients to a doctor who live in different areas that are significantly distant from each other. In this case, it will take much more time to visit patients at home, which will lead to a decrease in the time of direct work with the patient. The quality of care they receive may also suffer.

Thirdly, the territorial principle of medical care implies the distribution of budgetary funds in proportion to the number of people living in the territory served by the health care facility. Attaching patients living in the same territory to different health care facilities can lead to an imbalance in the financing of medical institutions.

On the implementation of the right to choose a doctor and health care institution when providing medical care to women during pregnancy monitoring on the basis of a birth certificate.

Does a woman who has been issued a birth certificate have the right to choose another antenatal clinic without changing her territorial medical institution? Also, can a woman, on the basis of a birth certificate, choose a doctor in a antenatal clinic and (or) maternity hospital to provide her with medical care?

According to Russian legislation, a pregnant woman has the right to be observed free of charge in any antenatal clinic located in any locality in our country, regardless of her residence permit (registration). Regardless of where you are registered, you have the right to register free of charge with the antenatal clinic at your place of actual residence or choose, if you wish, an antenatal clinic or directly an obstetrician-gynecologist who will observe you during pregnancy. The implementation of this right is subject to the same mechanisms and is similar to the right to choose a medical organization and a doctor (see paragraphs 1-4 above)

In addition, the birth certificate guarantees a woman the additional right to choose only a antenatal clinic or an obstetrician-gynecologist (during pregnancy observation) without changing her main territorial outpatient medical institution.

That is, you can attach to an institution that includes a nursing home and receive the full range of services provided by this medical association, or separately (based on a birth certificate), choose only a nursing home and an obstetrician-gynecologist.

If you chose the second option (without unpinning), you need to:

• When registering a woman at a antenatal clinic not at your place of residence, you must provide an extract from the outpatient observation card of the antenatal clinic and clinic where you were constantly observed before and a certificate that you are not registered at this clinic for pregnancy. Detachment from the LCD cannot be processed separately!
• It is necessary to take into account the location of the selected LC (antenatal clinic). Whether it will be near home or work (which sometimes, unfortunately, means on the other side of town), is up to you to decide. It’s probably more convenient near work - you can drop by there in the morning (consultations open from 8.00), or during lunch break. On the other hand, when you go on maternity leave, it will not be so easy for you to get to a doctor’s appointment, especially since in the last trimester you will need to visit the hospital more and more often. In this case, it is better to register somewhere close to home.
• A birth certificate guarantees a woman the receipt of free qualified medical services in the amount established by state standards. If a woman has diseases that require additional examinations and consultations with specialists not included in the standard, the LCD will not carry them out at its base, but will direct you to undergo all additional examinations and consultations at the clinic at your place of attachment. In this case, you will have to independently organize the process with the doctors of your clinic and coordinate the time and timing of certain additional examinations and consultations.
• A birth certificate allows a woman during pregnancy to receive free of charge (at the antenatal clinic of her choice) multivitamins, iron supplements, etc., from the moment of registration at the pregnancy dispensary until the due date. That is, if it is necessary to undergo treatment in a day hospital or hospital at home, the residential complex you have chosen will refer you to the clinic at the place of attachment.
• Obstetrician-gynecologists, just like general practitioners, visit a pregnant woman at home: before childbirth, after childbirth - the so-called patronage of pregnant women. It will be difficult for a doctor to visit women who do not live in the service area of ​​the institution.

Patient Information

In accordance with clause 4 of the Order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2012 No. 406n “On approval of the Procedure for a citizen to select a medical organization when providing him with medical care within the framework of the program of state guarantees of free provision of medical care to citizens” for the selection of a medical organization providing medical assistance, the citizen personally or through his representative applies to the medical organization of his choice with a written application for the choice of a medical organization, which contains the following information:

• name and actual address of the medical organization that accepted the application;
• surname and initials of the head of the medical organization that accepted the application;
• information about the citizen: last name, first name, patronymic; floor; Date of Birth; Place of Birth; citizenship; passport details; place of residence (address for providing medical care at home when calling a medical professional); place of registration; date of registration; Contact Information.
• information about the citizen’s representative (including legal representative): last name, first name, patronymic; attitude towards a citizen; passport details; Contact Information;
• number of the citizen's compulsory health insurance policy;
• name of the medical insurance organization chosen by the citizen;
• name and actual address of the medical organization providing medical care in which the citizen is receiving services at the time of filing the application. When changing your place of residence (place of stay), you must provide a document confirming your residence at a place other than your place of registration (for example, a rental agreement for residential premises, a temporary registration mark).

Comments: 4

Your comment (question) If you have questions about this article, you can tell us. Our team consists of only experienced experts and specialists with specialized education. We will try to help you in this topic:

Author of the article Irina Rusanova

Consultant, author Popovich Anna

Financial author Olga Pikhotskaya

1. Natalia
   12/03/2021 at 08:00 Hello, what should we do? I contacted the clinic regarding the attachment of the wrong site (it’s not our site and the doctor at the health service), they have only one answer, that the site is being updated and they say there are glitches. This is half a year of glitches them? What to do, where to go and write a complaint to the registry?
   Reply ↓ Anna Popovich
   04.12.2021 at 20:22

   Dear Natalya, first you should contact the head physician of the clinic, as well as the insurance company that issued you the compulsory medical insurance policy. In addition, a complaint with a detailed description of the situation and your contact information can be sent to the Department of Health, the regional branch of Roszdravnadzor, Rospotrebnadzor.

   Reply ↓