Ингосстрах-М ОМС: преимущества, как получить полис

OMC

Обязательное медицинское страхование (ОМС) – это часть системы государственной социальной поддержки. Она гарантирует одинаковые возможности для граждан в обеспечении медицинской помощью.


Страховая компания «Ингосстрах-М» занимается страхованием граждан по системе ОМС в 19 субъектах РФ.

О компании

ООО «Ингосстрах-М» было основано в 1992 году. Компания входит в число десяти крупнейших страховщиков России.

Уставной капитал общества составляет 323 миллиона рублей. Учредителем «СК «Ингосстрах-М» является ЗАО «ИнВест-Полис».

По состоянию на 1 мая 2018 года число застрахованных граждан составило более шести миллионов человек. Наибольшее количество клиентов (около 30%) застраховано в Ставрополье.

Застрахованные лица получают врачебную помощь бесплатно, на всей территории России в объеме, определенном базовой программой страхования.

Для оперативного консультирования клиентов во всех филиалах компании организована круглосуточная горячая линия.

Существует служба представителей страховой компании, которая работает непосредственно в медицинских учреждениях.

Представители решают вопросы правового и организационного характера, оказывают бесплатные консультации застрахованным.

Преимущества

Компания динамично развивается и идет в ногу со временем.

Для удобства застрахованных граждан «Ингосстрах-М» выпустил одноименное мобильное приложение, которое можно скачать в AppStore.

Используя его застрахованное лицо, может воспользоваться следующими услугами:

  • хранение в приложении данных своего полиса;
  • использование GPS-координат для поиска ближайшего офиса СК или медицинского учреждения;
  • возможность оперативно связываться с представителями call-центра и службой по защите прав застрахованных.

Приложение больше подойдет для держателей оплачиваемых полисов компании: ДМС, ОСАГО, КАСКО. Существует и проблема с установкой — поддерживаются не все устройства: есть сложности со старыми версиями андроид, например 4.2.

Компания «Ингосстрах-М» была включена во Всероссийский союз страховщиков – крупнейшее профессиональное объединение страховщиков России.

По оценке «Эксперт Ра» «СК «Ингосстрах-М» занимает третье место в РФ среди страховщиков на рынке ОМС по надежности компании в целом.

Конкурентные преимущества «Ингосстрах-М»:

  • оперативность – быстрое разрешение возникающих проблем непосредственно в медицинских учреждениях;
  • юридическое сопровождение – при возникновении судебных разбирательств застрахованному лицу предоставляется правовая поддержка;
  • гарантия качества – экспертная оценка оказанных медицинских услуг;
  • доступность – представительства СК размещены на территории 19 субъектов РФ;
  • удобство – клиентам «Ингосстрах-М» доступен личный кабинет на сайте в интернет.

В личном кабинете пользователи могут узнать о готовности полиса, проверить возможность прохождения бесплатной диспансеризации.

Диспансеризация включает комплексный осмотр врачами различных специальностей с применением методов обследования в соответствии с законодательством РФ.

Графики проведения диспансеризации для разных категорий граждан утверждаются ежегодно министерством здравоохранения.

Компания «Ингосстрах-М» в пределах программы ОМС финансирует осуществление профилактических мероприятий.

В рамках предупреждения заболеваний проводятся следующие меры:

  • диспансерное обследование детей и беременных женщин;
  • проведение плановой вакцинации и осмотров;
  • процедуры по предупреждению абортов;
  • проведение информирующих мероприятий (семинары, рассылки, информационные листки).

Как получить полис

Заказать и получить страховой полис человек может как самостоятельно, так и через уполномоченное лицо с помощью доверенности.

Доверенность можно скачать на официальном сайте страховой компании в разделе «образцы и формы документов».

Заверять доверенность у нотариуса не нужно.

Для оформления документов необходимо обратиться в офис «СК «Ингосстрах-М».


Адрес ближайшего офиса можно посмотреть на сайте компании в разделе «наши офисы». Также можно оформить online заявку на сайте компании или прибегнуть к помощи представителя «Ингосстрах-М» в медицинском учреждении.

В случае потери, ветхости или непригодности полиса можно оформить дубликат ранее полученного документа.

Полис обязательного медицинского страхования от компании АльфаСтрахование — https://strahovanie365.ru/medical/oms/strakhovye-kompanii/alfastrakhovanie-oms-kak-poluchit-polis-informacia-otzivi-mobilnoe-prilojenie.html

Кто имеет право на получение

Гражданам РФ с момента регистрации рождения выдается страховое свидетельство единой формы без ограничения периода действия.

Документ с ограниченным сроком действия предоставляется следующим категориям лиц, непостоянно проживающих в России:

  • беженцам;
  • иностранным гражданам;
  • лицам без гражданства.

Врачебная помощь этим категориям граждан предоставляется в таком же объеме, как и гражданам России.

Полисы ОМС выдаются на различных типах бланков:

  • временные свидетельства;
  • бумажный документ;
  • пластиковая карта.

Пластиковый и бумажный полис являются равноценными документами.

В день обращения в СК застрахованному лицу, на период оформления документа,предоставляется временное свидетельство, сроком действия на 30 календарных дней.

Необходимые документы

Список документов для оформления ОМС зависит от категории застрахованного лица.

Для детей от рождения до четырнадцати лет требуется предоставить:

  • свидетельство о рождении;
  • паспорт одного из родителей (законных представителей);
  • СНИЛС.

Граждане от 14 до 18 лет предоставляют:

  • паспорт гражданина РФ;
  • паспорт одного из родителей (законных представителей);
  • СНИЛС.

По достижению 18 лет необходим только паспорт и СНИЛС. Для регистрации полиса беженцам потребуется удостоверение беженца или свидетельство о признании беженцем.

Иностранные граждане и лица без гражданства должны предъявить:

  • документ, удостоверяющий личность;
  • вид на жительство;
  • СНИЛС.

В случае смены паспортных данных или выявления неточностей в полисе необходимо обратиться в СК для переоформления документа.

ОМС для работающих в РФ иностранцев

Иностранцы из стран Евразийского Союза, работающие в Российской Федерации по трудовому договору, могут получить полис ОМС в СК «Ингосстрах-М».

При этом граждане, работающие по гражданско-правовому договору, не имеют права на бесплатную медицинскую помощь. Им необходимо оформить полис ДМС.

Подробности оформления документов для иностранных граждан — https://strahovanie365.ru/medical/oms/polis/medicinskii-polise-oms-dly-inostrannogo-grajdanina.html

В 2018 году полис могут оформить граждане следующих стран:

  • Армении;
  • Белоруссии;
  • Кыргызстана;
  • Казахстана.

Для получения полиса трудящимся членам ЕАЭС нужно предъявить следующие документы:

  • паспорт или документ, удостоверяющий личность;
  • СНИЛС;
  • трудовой договор;
  • отрывная часть уведомления о пребывании иностранного гражданина.

Полис выдается до конца календарного года. При этом срок действия полиса не может превышать период трудового договора.

Для получения полиса необходимо заполнить анкету, в которой указываются следующие сведения:

  • ФИО;
  • пол;
  • дата рождения;
  • гражданство;
  • СНИЛС;
  • данные документа, удостоверяющего личность;
  • реквизиты трудового договора;
  • информацию о месте и сроке пребывания;
  • контакты для связи.

По полису работающие иностранные граждане могут получить бесплатную врачебную помощь, установленную в пределах страховой программы, в том числе услуги скорой помощи.

В случае увольнения иностранного гражданина до окончания периода действия страхового свидетельства, он обязан вернуть полис ОМС в СК.

Полезная информация

Центральный офис «Ингосстрах-М» находится по адресу:
г. Москва, ул. Щепкина, д. 3
Телефон центрального офиса: 8(495)730-30-00
Электронная почта: ingos-m@ingos.ru

Официальный сайт — http://ingos-m.ru/
В левом верхнем углу можно найти ссылку, которая поможет вам найти ближайший офис.

Горячая линия «Ингосстрах-М»: 8-800-100-77-55


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