07/15/2019 · Articles and news · 2 comments
Although the compulsory medical insurance policy contains information that if it is available, a citizen has the right to go to any medical institution, in reality the situation is slightly different. To receive such procedures and services, a person must be assigned to a clinic at the place of registration or actual residence. It is especially problematic to find out which clinic the compulsory medical insurance policy is attached to in large cities.
The promotional banner of the public service portal offers to find out which particular clinic the citizen’s compulsory medical insurance policy is attached to.
Call the phone number indicated on the back of the compulsory medical insurance policy.
All compulsory medical insurance policies (on the reverse side) have the contact telephone number of the medical insurance organization that issued the policy to you.
Here they know exactly which clinic the house you live in is attached to.
This is what it looks like on a paper compulsory medical insurance policy
Like this on the new plastic compulsory medical insurance policy
How to get assigned to a hospital at your place of residence
If your place of residence has never changed, then there is no need to worry about the clinic.
The citizen was initially assigned to the medical institution in whose department the given urban area is located. If there have been moves, to secure it you need to contact the hospital directly and write a corresponding application. When securing, you will need documents such as a passport (with registration), medical policy, SNILS, birth certificate (for children). The attachment process will take no more than a week, usually 3-4 days. You can change the service clinic if you wish. A nuance is important here - in such a situation, the patient will not be able to call a doctor home for free under the policy. This is possible only in a clinic serving the immediate area of residence. If you call a doctor home from a medical institution that the patient prefers, and not from a designated clinic, then this service does not fall into the category of those paid for by the Compulsory Medical Insurance Fund.
Find out through the government services website.
This method is suitable if the first 2 did not work and you have a personal account on the government services website.
If it is not there, then you will have to register and confirm your account and this will not take a minute. Or go back to method 2.
If you are registered, then go to the government services website and go to your personal account
Log in (enter your personal account). Enter the phone number you registered with and the password. You can log in using SNILS by clicking on the adjacent tab.
Next, move the cursor to the “Services” section
Select “My Health” from the drop-down menu
Select the section “Information about attachment to a medical organization”
Next, click “Get a service”
- Enter the compulsory medical insurance policy number (everything else is picked up automatically)
- Click "Search"
and scroll down the page to see the result
But you shouldn’t “bet” on this method. The service often crashes.
Information
Today, the existing Russian state system, which relates directly to healthcare, is subject to quite serious criticism not only in Russia, but also abroad. Due to the fact that today the organizational structure is still underdeveloped, medical equipment is outdated, and there is a lack of government funds to pay staff, most Russian citizens do not have the opportunity to gain access to an acceptable level of healthcare in Russia.
If we take as a basis the report provided by Bloomberg, we can conclude that modern Russian healthcare today occupies one of the last places among 55 countries of fairly broad development in terms of the degree of efficiency and productivity of public healthcare systems. Russian citizens, and indeed the rest of the country, appear to share a similar view, with only 2% of respondents surveyed by the Moscow election agency saying they are proud of the Russian healthcare system.
Despite the fact that modern healthcare that exists today in Moscow and the Moscow region is far from ideal, it is comparatively better than in many other parts of Russia, where about 17,500 cities and villages across the country do not have a medical infrastructure that can be reported. it would be to say.
Hotline numbers of medical insurance organizations
Another way is to find the phone numbers of medical insurance organizations on the MHIF website and call any of them and ask which insurance organization serves your home.
Go to the page of the Register of Medical Insurance Organizations:
- Select your city from the list
- Click “Show”
And we receive a list of all medical insurance organizations operating in your region with their numbers and addresses.
To be honest, I don’t like this method. But it does exist.
But the next method is even worse than this...
Adviсe
If a person has never changed his place of residence or registration, the system will automatically assign him to the nearest clinic at his registration address. In this case, it is enough to call the institution by phone and clarify this information.
If you move to another region or city, you will need to be assigned to the hospital yourself. To do this, you should contact the clinic reception.
It is recommended to be assigned to the nearest facility on a territorial basis, so that in cases of emergency medical assistance, employees can get to the place of call as quickly as possible.
According to the law, a citizen has the right to change clinics no more than once a year. But at the same time, the institution should not refuse to attach it even when the person did not change his registration, but went on a long business trip to another city.
How to legally register dentistry: documents and permits
Dental business begins with registration of the form of activity. Obtaining permits is considered the most troublesome task. To open a pediatric dentistry and surgery, you will need several permitting licenses. An individual entrepreneur will be sufficient for a dental office. If an entrepreneur plans to hire a staff of doctors, he will need to register an LLC. In the latter case, the businessman receives a personnel license.
OKVED codes 85.12 or 85.13 are used. Determining a specific code affects the way the enterprise is taxed. “Dental practice” corresponds to code 85.13. “Medical practice” is conducted according to code 85.12.
Premises intended for dental offices must comply with certain standards. If the premises are being redeveloped, you will need permission from the fire department, the architecture department, and the district administration. You must obtain permission to use X-ray equipment.
Room
If you have an unlimited budget, it is recommended to buy the premises as your own. If your budget is small, you can rent a room. In the case of a lease, special attention should be paid to the agreement with the lessor. A room of 30 m2 will be sufficient for an office. To open a clinic with 5 chairs, a room with an area of 180 m2 is suitable.
Rospotrebnadzor standards stipulate that the area of the office should be at least 30 square meters. The distance between the window and the wall is from 6 meters, and the minimum ceiling height is 3 meters.
The premises must comply with fire requirements and SES standards. We list the most basic requirements:
- the premises are located no higher than the 2nd floor;
- provision is made for the supply of compressed air and carbon dioxide;
- The walls are not finished in the room where dental x-rays are performed.
The area of the room for 1 dental chair is from 14 m2. The remaining space is divided into an area for receiving patients, a bathroom, and a sterilization room.
A dental clinic must have additional rooms (administration, staff premises, warehouse). There may be offices of an orthopedist and an orthodontist. It is better to open a clinic in a passable place, and not in a remote area of the city. This condition is not considered critical only for sparsely populated cities.
Equipment costs
The list of equipment for dentistry is very large. To select equipment, it is better to invite a specialist who is well versed in professional equipment. For one workplace you will need one dental chair with 4 arms. Basic equipment must comply with sanitary regulations.
A new dental chair costs from 300,000 rubles (prices may vary in different cities). You can buy used equipment cheaper, but it must have all the necessary certificates. Additionally you will need the following materials:
- dental instruments (30,000 rubles);
- consumables (5000 rubles monthly);
- polymerization lamps (10,000 rubles);
- an autoclave designed for processing instruments (60,000 rubles);
- Alex locators (30,000 rubles);
- pieces of furniture (counters for administrators, sofa for waiting, chairs for doctors);
- sterilization equipment (30,000 rubles);
- radiovisiograph (250,000 rubles).
These are just the basic positions for a dental office. You will need hygiene products, cabinets for tools, and materials for filling teeth. We need air humidifiers, sealing devices, ultrasonic scanners to remove plaque, and replacement tips.
Equipment costs depend on the number of dental chairs. In any case, you will need basic equipment and consumables.
Requirements for dentists and staff
An entrepreneur must decide on the concept of dentistry and recruit personnel. The clinic with 5 chairs will have 2 administrators, 10 doctors, 2 nurses, a director, and 10 nurses. An accountant can work part-time.
A separate license is issued for each type of activity (surgery, pediatric dentistry, orthodontics). It is impossible to obtain a license without specialized education. Main requirements when choosing specialists:
- work experience;
- specialized education;
- good reputation;
- availability of medical books;
- availability of a license.
It is better to start choosing personnel at the stage of renovation of the premises. After the opening of the clinic, the staff will be staffed with the best specialists. The following requirements apply to dentists:
- diploma of residency;
- certificate in therapeutic dentistry;
- work experience of 5 years.
Personnel selection is considered a long and difficult process. The list of responsibilities of dentists is determined individually. If the clinic employs highly qualified specialists, then the number of clients increases every day.
Risks
It is necessary to understand that risks exist in any business. An entrepreneur must independently manage a dental business and control all processes. A doctor should not be involved in building business processes, developing a price list, or selecting equipment. Doctors can be entrusted with the construction of the treatment process.
Risks are associated with difficulties in obtaining licenses. The problem is that opening a dentistry requires large investments. It is necessary to correctly draw up a business plan that is well adapted to the economic conditions of a particular region.
A well-thought-out advertising campaign will help minimize risks. It is necessary to order a modern website for dentistry, advertise in the media and on local TV channels, order billboards and banners. One of the advertising options would be a catchy sign.
Is it promising to open a dentistry? Market analysis
To gain the trust of patients, it is necessary to attract the best specialists, outline goals, draw up a project, and purchase modern equipment. All this is done after a thorough market analysis. Competition in the field of dental services is very high, for example, in Moscow the number of private clinics is 96%.
A businessman needs to monitor the services market and pay attention to clinics located in the selected area of the city. It is advisable to study what materials and equipment competitors use, their marketing strategies, and customer flow. You don't need any special skills for this.
In order not to lose money and time, you need to find answers to these basic questions:
- what services are most in demand;
- what are the strengths and weaknesses of competitors;
- pricing for dental services;
- what treatment techniques competitors use.
At the start, a dental business will be expensive, and the bulk of the capital is intended for the purchase of materials and equipment. Obtaining the necessary documentation requires a lot of effort and time. The high profitability of the dental business outweighs the initial difficulties and large investment of time.
What other electronic services are available on mos.ru
In recent years, capital medicine has become more convenient and accessible for patients. Today, most medical services can be obtained online. In December 2021, mos.ru updated ]“Make an appointment with a doctor”[/anchor]. The service’s interface has changed and three new functions have appeared: viewing current and archived prescriptions, adding a doctor to the “Favorites” category, and scheduling a visit to the clinic with a mark on the calendar.
At the same time, a new service was launched to assign children to clinics. Now you do not need to personally write a statement for the child to be observed and receive medical care. All you need to do is submit an electronic application.
Since December 2015, you can register with an adult clinic on mos.ru. At the end of March 2018, city residents had the opportunity to apply for a compulsory health insurance policy online.
The list of electronic services on mos.ru, which simplify interaction with various institutions, obtaining useful information, drawing up or submitting documents, and paying bills, is constantly updated. More than 250 services and facilities are now available. The most popular in the first half of 2021 are “Electronic diary” (91.7 million hits), “Reception of water meter readings” (22.4 million hits), “Search and payment of traffic police fines” (9.8 million hits), “Receiving and paying for EPD” (9.3 million hits), “Make an appointment with a doctor” (5.9 million hits), “Passage and meals in schools” (3.7 million hits), “Receiving electricity meter readings” (2, 6 million hits) and “GIA results” (5.3 million hits).
At the end of April of this year, it became possible to look at the schedule of hot water outages, and at the beginning of August - to enroll a child in a short-term stay group.
