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FEDERAL LAW OF THE RUSSIAN FEDERATION

of November 29, 2010 No. 326-FZ

About compulsory medical insurance in the Russian Federation

(The last edition from 06-02-2019)

Accepted by the State Duma of the Russian Federation on November 19, 2010

Approved by Council of the Russian Federation on November 24, 2010

Chapter 1. General provisions

Article 1. Subject of regulation of this Federal Law

This Federal Law governs the relations arising in connection with implementation of compulsory medical insurance including determines legal status of subjects of compulsory medical insurance and participants of compulsory medical insurance, the basis of emergence of their rights and obligations, guarantees of their realization, the relation and the responsibility connected with payment of insurance premiums for compulsory medical insurance of the idle population.

Article 2. Legal basis of compulsory medical insurance

1. The legislation on compulsory medical insurance is based on the Constitution of the Russian Federation and No. 323-FZ "About bases of protection of public health in the Russian Federation", the Federal Law of July 16, 1999 No. 165-FZ "About bases of compulsory social insurance", this Federal Law, other Federal Laws, the laws of subjects of the Russian Federation consists of the Federal Law of November 21, 2011. The relations connected with compulsory medical insurance are regulated also by other regulatory legal acts of the Russian Federation, other regulatory legal acts of subjects of the Russian Federation.

2. If the international treaty of the Russian Federation establishes other rules, than provided by this Federal Law rules of the international treaty of the Russian Federation are applied.

3. For the purpose of uniform application of this Federal Law if necessary the corresponding explanations according to the procedure, established by the Government of the Russian Federation can be published.

Article 3. The basic concepts used in this Federal Law

For the purposes of this Federal Law the following basic concepts are used:

1) compulsory medical insurance - the type of compulsory social insurance representing system of the legal, economic and organizational measures created by the state aimed at providing in case of loss occurrence of guarantees of free rendering medical care to insured person at the expense of means of compulsory medical insurance within the territorial program of compulsory medical insurance and in the cases established by this Federal Law within the basic program of compulsory medical insurance;

2) object of compulsory medical insurance - the insurance risk connected with emergence of insured event;

3) insurance risk - expected event in case of which approach there is need of implementation of expenses on payment of the medical care provided to insured person;

4) insured event - the made event (disease, injury, other state of health of insured person, preventive actions) in case of which approach insurance coverage for compulsory medical insurance is provided to insured person;

5) insurance coverage for compulsory medical insurance (further - insurance coverage) - obligation fulfillment on provision to insured person of necessary medical care in case of loss occurrence and on its payment of the medical organization;

6) insurance premiums for compulsory medical insurance - obligatory payments which are paid by insurers have the depersonalized nature and which purpose is providing the rights of insured person to receipt of insurance coverage;

7) insured person - physical person to which compulsory medical insurance according to this Federal Law extends;

8) the basic program of compulsory medical insurance - the component of the program of the state guarantees of free rendering medical care to citizens determining the rights of insured persons to free rendering by it at the expense of means of compulsory medical insurance in all territory of the Russian Federation of medical care and establishing single requirements to territorial programs of compulsory medical insurance;

9) the territorial program of compulsory medical insurance - the component of the territorial program of the state guarantees of free rendering medical care to citizens determining the rights of insured persons to free rendering medical care to them in the territory of the subject of the Russian Federation and conforming to single requirements of the basic program of compulsory medical insurance.

Article 4. Basic principles of implementation of compulsory medical insurance

The basic principles of implementation of compulsory medical insurance are:

1) providing at the expense of means of compulsory medical insurance of guarantees of free rendering medical care to insured person in case of loss occurrence within the territorial program of compulsory medical insurance and the basic program of compulsory medical insurance (further also - programs of compulsory medical insurance);

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