RUS GVT Compulsory Health Insurance

Published on: Jan 3, 2025

On Dec. 28, RUS GVT published law on compulsory health insurance.

  • RUS CB published law 552-FZ on amendments to certain legislative acts of Russia.
  • Key Points
  • The law is introduced to improve the system of compulsory medical insurance, amendments are being made to law on compulsory medical insurance in Russia.
  • The law ensures compliance with compulsory medical insurance laws, protect insured persons' rights, and oversee the quality and accessibility of medical care.
  • Representatives provide information on insurance coverage, medical care, and assist citizens with filing claims against clinics for care denial/poor quality/illegal charges.
  • Per the law, it is obligatory to maintain a register of state, municipal, and private medical organizations eligible for compulsory medical insurance participation.
  • RUS GVT establishes criteria for private medical organizations to join the register and participate in compulsory medical insurance and defines collaboration processes between medical organizations, insurance organizations, and territorial funds.
  • The law introduces procedures for selecting or changing a medical insurance organization, including provisions for newborns, to ensure continuity of care.
  • Also, the law establishes that the Federal Fund for Compulsory Medical Insurance oversees/monitors the activities of medical insurance organizations for compliance.
  • The law aims to ensure representatives of medical insurance organizations are publicly accessible to provide necessary information and assistance to insured persons.
  • Effectiveness
  • The law enters into force on Sep. 1, 2025.
Regulators
RUS GVT
Entity Types
CNSM; Corp; Ins
Reference
PR, 12/28/2024; Law 552-FZ, 12/28/2024;
Functions
Compliance; Financial; Legal; Operations; Reporting; Risk; Treasury
Countries
Russia
Category
State
N/A
Products
Corporate; Insurance; Insurance-Health
Rule Type
Final
Regions
EMEA
Rule Date
Dec 28, 2024
Effective Date
Sep 1, 2025
Rule ID
238836
Linked to
N/A
Reg. Last Update
Dec 28, 2024
Report Section
International