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The right to healthcare, medical care and medical insurance for foreign citizens in the territory of Russia is fixed by the applicable laws of the Russian Federation, as well as by treaties with individual states.
The rights and duties of foreign citizens in the health insurance system are regulated by the law of Russia “On Health Insurance of Foreign Citizens in the Russian Federation”. Aid to foreigners may be carried out by medical and other organizations in Moscow, as well as individual entrepreneurs engaged in medical activities. The status of a foreign citizen staying within Moscow will influence the services they acquire as well as the need to pay for such services.
Any foreigner will be able to get free medical care in a life threatening situation (urgent medical care), as well as in a medical emergency situation in state and municipal health institutions
(in the form of emergency healthcare, including specialized). With other medical care in urgent situations, as well as routine medical care, the foreign national must pay a
Those permanently residing in the Russian capital will receive medical care just as Russians would at an equal level: they shall be issued with a medical insurance policy within the system of compulsory health insurance (CHI), which guarantees a range of free medical services in institutions of its constituent. At the same time, for working foreigners, for whom employers enumerate contributions to the CHI within the single social tax policy in Moscow, their policy is issued at the workplace and the period of validity is limited to the duration of employment or other contractual relationship. Not working foreigners that have a permit to reside in Moscow have the right to receive a CHI policy in one of the organisations operating within this system (usually in an urban clinic or insurance company office).
Medical insurance for foreign citizens temporarily residing in the territory of Russia (TRR), is also provided to them within the framework of medical assistance (including medical-transport services), however in this case, the provision and financing of such assistance under the medical insurance is conducted in accordance with the agreement and scale of the premium of insurance actually paid.
Those foreign citizens temporarily residing in Russia who are not subject to health insurance – do not have access to free medical care. Moreover, to receive routine medical care, the foreigner must provide written guarantees for execution of the obligation to pay for medical services or to make an advance payment, based on the estimated amount they are issued with.
At the same time, if the foreign citizen is not included in the Russian CHI system, they have the full right to receive any medical assistance under the agreement of voluntary health insurance (VHI): in this case, the range of services, as well as their cost, will depend on the terms of the agreement with a particular medical institution.
If such a situation should occur that a foreign national intends to remain in Moscow for a long time, it is necessary for them to first of all determine as to whether they have the right to sign onto the Russian CHI system, or whether it is just necessary to make use of VHI services. Routine medical care can be obtained both for free and at a cost, depending on the situation, however in emergency situations, it should be provided free of charge.
The provision of routine outpatient polyclinic medical care of persons without citizenship seeking asylum in the territory of Moscow, is free of charge at the place of actual residence in the presence of a refugee certificate.
Public health facilities in the capital of Russia are administered by Moscow Department of Healthcare. The public health care system of Moscow includes thousands of institutions that are divided
by the profile of services provided, scope of activities and lines of action. These include hospitals (both of a general profile as well as specialized – infections, gynaecological, children,
mental health, tuberculosis), infirmaries, dispensaries, maternity clinics, women’s clinics, health units and R & D (theoretical and practical) agencies as well as polyclinics, health
centres, pharmacies, health centres.
To receive free health care in public institutions, you need to have a passport and medical policy with you: if you want to get free medical care, the presence of a compulsory health insurance (CHI) policy is required. However, you should bear in mind that some research and a number of other services might have to be paid for, since the presence of such a policy only stipulates a clearly defined range of medical services.
More than 500 public (municipal) polyclinics are in operation in Moscow, in which outpatient (follow-up care) treatment and routine checkups are provided. Patients can either come to these facilities of their own accord or call for a doctor in the instance of a serious health problem. Urban (municipal) polyclinics are subdivided into children and adult facilities. Furthermore, both adult as well as children’s polyclinics can be general and specialized – dental, for example.
In the event that assistance is required urgently, you must call for an emergency medical ambulance, which also operates within the CHI system. In need of treatment under the supervision of doctors, possible hospitalization in an in-patient facility (hospital, infirmary, etc.) may occur under the guidance of a polyclinic doctor routinely or, with urgent hospitalization, with an emergency medical ambulance.
If there is an illness that requires prolonged treatment (including those occurring after the end of the primary treatment in an infirmary or polyclinic), a patient is subject to regular medical check-ups at an institution: depending on the type of illness, it may be tuberculosis, psychoneurological, oncological or other dispensary. You may also be prescribed a course of rehabilitation in one of the public health resorts: these institutions combine medical treatments with relaxation.
It is worth remembering that any public medical institution within the capital will deliver assistance to the patient without the presence of the CHI policy, but in this case, all the services will be paid for.
The basic fundamentals of psychological aid in Moscow (accessibility, voluntary nature, targeting, the privacy and complexity) are defined by the law of the city “On the Psychological Aid to the Population in Moscow”.
Psychological aid in the Russian capital is provided by various organizations both paid as well as free of charge. If you are in a difficult life situation, have been a victim of an attack or natural disaster, this service can be obtained free of charge through the Moscow State counselling services under the Moscow Department for Social Security, however, in the case of personal issues, for example, difficulties in communicating, you can contact any of the paid clinics of the capital of Russia. It’s worth noting, that many foreign specialists with a worldwide reputation work in Moscow, representative offices of well-known foreign clinics are starting to appear.
Psychological clinics in Moscow offer individual and family psychological counselling, psychotherapy, conduct educational, developmental and correctional training as well as coaching (both personal and organizational). Many institutions may conduct professional personal consultation on family relationships, critical life situations, relationships with the opposite sex, parent-child relationship, complicated situations at work, in society and work community. Support groups for women and children, special psychology programs for kids from 1.5 years and adolescents have been established. Many of these centres additionally offer services by specialists such as speech therapist, psychoneurologist, defectologist, massage therapist, and some are engaged in the prevention and treatment of various addictions. In addition, specialists, psychologists and psycho neurologists assist in overcoming various emotional disorders such as neurosis, depression, obsessions and phobias.
It’s worth noting that for a foreigner not proficient in speaking Russian, an additional challenge will be how to find a specialist who can communicate with them in their native language.
The health insurance system, operating in Moscow, is largely similar to those in foreign countries: it consists of two components, each of which involves the provision of a range of health services.
The first of these is the compulsory health insurance system (CHI), for participation in which the transfer of the corresponding levy to the state is necessary. If the salary of a foreigner, permanently or temporarily residing in Russia (according to a full residence permit or a temporary residence permit), is subject to insurance premiums, they are entitled to receive healthcare under the policy of compulsory health insurance (CHI). The implementation of state policy in the sphere of compulsory health insurance in the city of Moscow is administered by the Moscow City Compulsory Health Insurance Fund.
CHI is an agreement concluded between the insurant (for employees – it is their employer, for the unemployed – an executive authority) and health insurance company. For the registration of a CHI policy, you need to send in an application on the selection (replacement) of an insurance company and the issuance (reissue) of a policy. This should be accompanied by personal identification of the insurant recognised in Russia and a residence permit (with registration mark) or a document, authorizing temporary residence, as well as an insurance certificate of compulsory pension insurance (if applicable). On the day of application, a temporary certificate will be issued that will be valid until the date of issuance of the policy (but not more than 30 working days): until this is drawn up, you can receive medical care within the framework of the CHI upon presentation of the certificate. After collecting all the relevant documents and their verification (in particular, for the presence of an already existing policy), the Federal Compulsory Health Insurance Fund organises the generation and delivery of the policy, and the insurance company must notify on the need for its receipt and inform about the insurance regulations. This CHI policy is issued under signature.
If desired, any foreigner may take part in the second component of the system of medical insurance in Moscow – voluntary health insurance (VHI). The VHI system allows the user to independently determine the insurer, under what conditions and to what extent the agreement is drawn up. It all depends on personal preferences and financial capabilities of the customer – all services in this case will be paid for and will be provided only to the extent that is stipulated in the contract. It’s worth noting that many employers in Moscow include a VHI policy (including its extension to all family members) in the salary package, offered to workers with a certain status.
An outpatient polyclinic tends to differ from an inpatient facility in terms of the conditions for providing medical procedures and the need for ongoing monitoring of the patient. In the case of
providing outpatient treatment, which is usually carried out in Moscow-based clinics, the patient must visit a doctor, be rendered their prescribed analyses, as well as carry out the necessary
procedures. The number of visits, the duration of treatment and the number of procedures can vary greatly depending on the severity of the disorder. It is possible in the case of low
effectiveness of such treatment, that the patient can then be directed to an inpatient facility, and after they receive medical assistance, the treatment can thus be continued on an outpatient
If you have felt a temperature rise or other symptoms of an illness have emerged, you must immediately consult a doctor in a community clinic, they will examine you, prescribe the necessary analyses and inspections and prescribe a prescription for medication as necessary. After following their instructions, you will usually have to go to a follow-up session, prescribed by them specifically. Usually, after a few days. If the dynamics are favourable or the symptoms recede, the doctor may discharge you.
In addition, a routine inspection may take place in polyclinics, as well as a therapist’s visit or the organisation of appointments to go to specialists doctors – optometrist, endocrinologist, gastroenterologist, surgeon, urologist. It is also possible to carry out analyses there, as well as carry out further inspections (ultrasound, X-rays) and treatments (physiotherapy, therapeutic massage). Depending on the inspection results, the patient may be sent to urban hospitals for further treatment, depending on necessity.
Inpatient treatment is usually necessary if the illness requires the constant monitoring of the patient and additional procedures (sometimes it is associated with specific diseases, for example – of an infectious nature). The length of an in-patient stay may vary from several days to several months. When the doctor in charge determines that you are healthy and a further hospital stay is not required, they will discharge you completely or transfer you for outpatient treatment. For example, a broken leg should initially be treated in an inpatient facility, but thereafter, including after the removal of a plaster, it may be possible to be transferred for treatment as an outpatient. It’s worth noting that the overwhelming majority of services in the treatment of inpatients is covered under the CHI policy (including essential medicines, supplies, and so on), thus provided free of charge, whereas for outpatient treatment, taking medication as an example, is payable.
It is also possible to get treatment in a so-called “day inpatient facility” in Moscow. In this case, a permanent stay in hospital is not required, but throughout the day you will receive all the necessary procedures of inpatient hospital care and then in the evening, you can go home.
It is worth remembering that the decision on what kind of treatment is necessary is not taken by the patient, but a qualified doctor – depending on their vision of your illness and the possible consequences.
Services for the organisation, support and management of childbirth is provided in Moscow by municipal maternity clinics, under the umbrella of the Moscow Department of Healthcare, as well as
private clinics and medical centres.
Certain services in public maternity clinics are provided free of charge only for residents of the capital and foreign citizens holding a compulsory health insurance policy (CHI), with permanent registry, as well as for those in an emergency. All other assistance is available for a fee. People can benefit from additional services on a commercial basis (including constant presence during birth, requesting special accommodation or even selecting the type of birth (in consultation with a doctor). It is possible to agree on the services of midwives with a foreign language.
Private clinics and medical centres of Moscow provide services to pregnant women and new mothers only on a commercial basis, and the cost of services is noticeably higher. You can undergo additional comprehensive medical examinations, examine the programs of psychological preparation for childbirth, undergo physical therapy and massage, use cosmetic services.
Payment of services for pregnancy and childbirth in Moscow is possible in two variations: a contract or depository service. A contract purports previously agreed particular medical programs within a set of services and observations, performed under the framework of the contract. It may include a complex of procedures and visits of various doctors (including in-house calls). The top-up deposit provides greater freedom of choice, if the pregnancy is stable, you will save money by collecting any money not spent. However, it is worth noting that the responsibility in the selection of observatory measures and doctors falls on you.
The cost of services for labour management in the capital depends on the condition of the patient, the duration of observation, the availability of additional services and, of course, the level of the clinic. Therefore it can start from the sum of 30 thousand roubles: roughly the same cost (minimum) as self-management during childbirth. Throughout private clinics with a wide range of services and VIP-conditions of stay, the cost of labour management starts from the sum of 100 thousand roubles.
In addition to maternity clinics, family planning centres are also widespread across Moscow. The specialists there will offer you individual programs, help you choose the right time for conception, prepare for your pregnancy and support you during labour, finally supporting the mother and child during the early years of a baby’s life, with consideration of the features of the body and the state of health of the customer.
Generally, these centres render valuable assistance to those families who, due to various reasons, have been having trouble conceiving for some time: they will identify the causes of infertility and sort out the optimal solution to the problem.
When choosing a maternity clinic, it must be remembered that all the Moscow maternity clinics and midwifery departments are regularly closed for preventive sanitary and hygienic treatment 1-2 times a year for a period of two weeks to a month. In order to avoid any complications at your chosen maternity clinic in this respect, make sure that you enquire about such an action well in advance, so that you discover more about any scheduled closure of the medical institution.
Addresses and phone
numbers of the Moscow public maternity clinics and family planning centres, as well as a list of services with their description — on the site of the Moscow
Department of Healthcare (in Russian).
There are about 2,000 both public and private dental clinics in the capital of Russia at the moment. These include dental offices (the number of chairs in them ranges from 1-2), and ordinary
clinics (15-20 chairs), as well as major medical dental centres, where the number of chairs for patients reaches 100. However, such a division does not always influence the quality of service:
thanks to modern equipment and qualified doctors in any of the dental clinics in Moscow, regardless of the size, you will be provided with the necessary assistance as well as the required
treatment. Mainstream clinics are required to present details on the qualification of specialists, as well as about the methods and materials used.
Dental clinics in the Russian capital are conventionally divided into three groups depending on the service levels and the cost of services. Economy class dental polyclinics fundamentally offer a basic set of services. Comfort for the patient is at an average, and most of them are state budgetary clinics. Free of charge (concerning benefits) services here, as a rule, can only be taken advantage of with a CHI policy: additional services are provided for a fee. In such institutions, you do not always have specialists of a certain position, therefore some specialized dental services may not be available. Public dental polyclinics are usually divided into adult and children sections.
Business class dental polyclinics in Moscow will draw attention due to the high level of comfort within the services and a much wider range of services. This group includes some public as well as many private dental clinics of the capital. They use modern consumables, technology and equipment, higher quality services, and their range is wider than in the first group of clinics.
Luxury class (VIP) clinics house world-class specialists working with the most advanced equipment with the latest technology. You not only have the widest variety of dental services here, but also a number of additional services too (you can use the recreation room, a nursery, a solarium or cafe). Foreign specialists conduct work in many of these Moscow institutions, and, should you require, you can pick an interpreter or a doctor with knowledge of a foreign language. In Moscow, there are departments of many famous foreign dental clinics. Assistance to patients in Moscow clinics of the “luxury” class is rendered in various matters, across the board (prophylactic and therapeutic dentistry, periodontics and implantology as well as surgical, orthopedic and orthodontic dentistry).
The cost of dental services in Moscow is quite high, but at the same time it can turn out to be significantly lower than the equivalent in the native country of a foreigner given the same quality of the service.
Dental Clinics of Moscow Department of Healthcare
Medical supplies can be purchased in pharmacies and pharmacy kiosks in Moscow, which can now be found in any area of the city, as well as in large shopping centres. Most of the capital’s pharmacies are enterprises belonging to a network (the number of pharmacies therein may range from two to three to a few dozen). Pharmacy kiosks are a branch of a pharmacy, their only difference is that in the kiosk, you can only buy those drugs that do not require a prescription.
Normally, pharmacies belonging to large pharmacy chains offer not only a medical range of products: you can buy a variety of health products there, child care resources, as well as simple medical equipment. A pharmacy can be both universal and specialized (e.g., homeopathic). Some pharmacies house optician services. Veterinary pharmacies are well represented throughout the capital, where you have the possibility of purchasing any medicines for pets and resources for their care.
Chemists and pharmacists work in pharmacies in Moscow. They can not only sell you the necessary medication, but also advise you on certain simple medical matters, but keep in mind that they can only advise on selection matters: only qualified doctors have the right to prescribe medication. As with the rest of the world, most of the Moscow pharmacies release medicine / drugs under prescription, however, the selection of over-the-counter medicines is usually much higher in the capital than, for example, in Europe or America.
You should bear in mind that a number of names of medications may not match those used by you abroad: their composition and the active substance will be the same, but their names may be different in Russia. Therefore, before contacting the pharmacy (especially if you speak Russian poorly), it is better to consult a doctor and get the right prescription.
In Moscow, there are a small number of pharmacies that have the right to produce drugs: they are produced under prescription of the attending physician in special laboratories by qualified chemists at pharmacies.
The work routine of a pharmacy in Moscow may be different, but among them there are usually many that operate around the clock – the so-called “duty pharmacy”, many pharmacies provide services for the supply of medicines to homes. In addition, there are referral services that help with medication: by calling there, you will be able to find out in which pharmacy, at what price and in which quantity you require for your medication (some of them give you help around the clock). Similar information may be obtained on the Internet.
To invoke public emergency medical care in Moscow, you need to call 103 (03) from a city line or on a mobile phone on the single emergency number 112. The best specialists with the most extensive experience and relevant qualifications (paramedics, doctors, drivers) work within this emergency service. Altogether they form a team whose main task is to arrive as quickly as possible after the call has been made, to provide all possible assistance to the patient, and, where necessary, to hospitalize them as soon as possible.
The ambulance crew will arrive at your location, no matter where you are, whether you are Russian or foreign, have a medical insurance policy or not. The help will come in any weather, regardless of the time of day. If they are unable to normalize the patient’s condition on the spot and they require urgent hospitalization, emergency medical ambulance vehicles (and, if necessary – air transport) will take care of this. Currently, Moscow ambulance crews have all the modern equipment, necessary medicines, supplies and equipment at their disposal. In addition to the universal variety, there are also emergency medical care crews of different orientations (cardiac, paediatric, intensive care, specialized paediatric).
When invoking emergency medical care, you need to identify the patient’s location, provide contact information as well as to describe the situation and the accompanying symptoms as clearly as possible. Those people taking your calls have medical education and always will coordinate your actions prior to arrival of the medical ambulance. A lot depends on how quickly and correctly you can do all this, therefore when calling the “medical ambulance”, do not lose a second of time and be absolutely precise as possible when informing the dispatcher of the nature of the problem.
However, describing the situation may be difficult for a foreigner, not speaking or poorly speaking Russian, since not all dispatchers of emergency medical ambulances can communicate in foreign languages.
Currently, ambulance and emergency medical care exists for adults and children in Moscow not only within public, but also within private health care organisations possessing the appropriate permits. Specialists of private emergency medical care services could know foreign languages well, however it is better to check this beforehand with the insurance company you hold your voluntary health insurance (VHI) policy with.
If you hold a health insurance policy within the VHI system, which includes private emergency medical health care, the relevant telephone number must be specified in your policy as well as on the website of the insurance company or medical institution which carries out such a service on a paid basis.
Emergency medical care site: www.mos03.ru (in Russian)
Obtain reference information: +7 (499) 445-01-02
Obtain a consultation from a doctor: +7 (495) 620-42-33 Emergency services in Moscow
EMERGENCY FIRST AID AND HOSPITALIZATION
From a city phone — 103 (03)
From a mobile phone — 112
Station of fast emergency medical service of A.S. Puchkov in Moscow
Medical and consultation board (doctor on duty):
+7 (495) 620-42-33
Manager on duty in the station (from 4:00 pm):
+7 (495) 620-40-60
Reception of oral requests of citizens:
+7 (499) 445-67-73, 445-02-63
Obstetric and gynaecological care:
+7 (495) 620-41-70
Mental health care:
+7 (495) 620-42-30
Information on hospitalization of patients (within the day):
+7 (499) 445-01-02, 445-02-13, 445-57-66
Moscow Police Department Registration Office of Accidents
Tel.: +7 (495) 688-22-52
Moscow Rescue Service
Tel.: +7 (495) 777-0-911
Eye Care (Moscow Ophthalmological Clinic)
Tel.: +7 (495) 699-30-20
Doctor on duty: +7 (495) 699-84-00, +7 (916) 523-04-49
Children’s Eye Care (Morozovskaya Children’s Hospital)
Tel.: +7 (499) 236-61-59, registration: + 7 (499) 236-35-69
Emergency Dental Care (for Adults)
On Sundays and public holidays (from 8:00 to 8:00 pm):
B. Kharitonyevsky Lane, 24, tel.: +7 (495) 628-30-38
At night time (from 8:00 pm to 8:00):
Verkhnyaya Krasnoselskaya Street, 19, tel. +7 (499) 264-49-65
Emergency Dental Care (for children)
Generala Yermolova Street, 12
Tel.: +7 (499) 148-55-22
Ritual SUE (transportation of corpses and deceased citizens)
Tel.: +9 (499) 610-00-00
Moscow City Centre for the Prevention and Control of AIDS Hot-line
Tel.: +7 (495) 366-62-38
Injury care centres are medical casualty departments, where the initial examination and emergency treatment of a person who has received any injury is carried out. There it is possible to treat and disinfect wounds, get stitches, plasters, carry out x-rays, conduct vaccinations against rabies and tetanus (in the case of animal bites) and treat pain.
The capitals injury care centres can be both public and private, the assistance is conducted by qualified medical specialists (surgeons, orthopedists, traumatologist, radiologists). They are able to quickly determine the nature of the injury and extent of the damage and immediately perform the necessary treatment. It is important to note that first aid in municipal injury care centres is free, whereas for private ones, there is always a fee.
When accessing the municipal injury care centre, you need to present a passport and a medical insurance policy within the framework of the compulsory health insurance (CHI) system, but if you do not, the law requires that doctors provide emergency assistance even in such cases. Before starting treatment, the patient may be asked to sign an “Informational Voluntary Consent to Medical Intervention” since assistance can only be provided with the consent of the patient.
Municipal injury care centres are present in all districts of the capital, many of them working around the clock. They are usually located in urban clinics or hospitals. There are special children’s injury care centres (usually at the children’s hospital). Injury care centres will provide assistance to any patient, except those that require special medical equipment or highly specialized surgeons, working with severe head-brain injuries or serious intracavitary interferences. After receiving the first aid in the injury care centre, it is possible, if necessary, to continue treatment in an infirmary or polyclinic.
There are also private injury care centres, alongside municipal ones, operating in Moscow. They are usually located at the clinics of private medical networks. They render urgent first aid for injuries of small and medium severity for both children and adults, and many of them also work around the clock. The pluses of such institutions include a lack of queuing and more extensive list of additional services rendered, they may have more specialised equipment. However, the qualification of medical personnel is usually equally high in both public and private injury care centres.
List of Public Injury Care Centres in Moscow (with addresses and phone numbers according to each city district) on
the site of the Moscow Department of Healthcare (in Russian).