How insurance representatives support the insured

In order to prevent the development of coronavirus, more than 3,8 million people were sent messages that:

  • preventive measures have been suspended;

  • preventive measures must be followed;

  • it is necessary to call a doctor at home if signs of colds appear;

  • you can undergo dispensary observation at home (for insured persons who are on dispensary supervision);

  • you can apply for a ready-made compulsory medical insurance policy after the end of quarantine.

Operational restructuring of work in the new conditions made it possible to quickly and efficiently inform the insured about all changes, to draw attention to the fact that SOGAZ-Med insurance representatives are ready to help them in solving all emerging issues and to protect the patients’ rights to receive timely high-quality and free medical care in accordance with OMS.

Here are examples of how insurance representatives help patients. A man called the contact center of the branch of the Kaliningrad region, who said that after hospitalization of his mother with a diagnosis of COVID-19, he had a high temperature. The called ambulance left the sick man at home under the supervision of a local therapist. But the man felt worse. The SOGAZ-Med insurance representative promptly contacted the management of the City Ambulance Station. As a result of the agreements reached, the ambulance team took him to the infectious diseases hospital for consultation, then the patient was hospitalized.

A patient came to the Krasnodar branch of SOGAZ-Med. For more than a month she tried to get an appointment with an endocrinologist at the polyclinic at the place of attachment, having a chronic disease. For each call to the clinic’s registry, the insured received an answer that this clinic was in quarantine due to the epidemiological situation, so they could not accept it. The insurance representative immediately contacted the representative of the clinic, and the insured received medical assistance.

There are many similar examples of assistance provided by SOGAZ-Med. It is important that the insured are not afraid to contact their insurance representatives with questions within the CHI system. Protection of the rights of citizens insured in the company is the main task of medical insurance organizations.

SOGAZ-Med reminds you that you should contact your insurance representative if:

  • the waiting time for a doctor’s appointment, consultation of narrow specialists, diagnostic tests or hospitalization was violated;

  • denied free hospitalization in the presence of a referral or in an emergency;

  • offer to pay for or bring medicines and / or consumables necessary for the provision of medical care in the hospital;

  • the patient has complaints about the actions of medical personnel;

  • on other issues within the framework of the compulsory medical insurance.

“Every insured SOGAZ-Med should know that the insurance company is ready to provide him with the necessary information, to ensure the implementation of his rights to timely, high-quality and free medical care under compulsory medical insurance,” emphasizes Dmitry Tolstov, General Director of SOGAZ-Med Insurance Company. — Protection of the rights of the insured is paramount in our work. The insurance representatives of the company are called upon to realize it in full ”.

If you are insured with SOGAZ-Med and you have any questions related to the receipt of medical care in the CHI system or the quality of medical services, please contact your insurance representatives by calling the contact center round-the-clock 8-800-100-07-02 ( call within Russia is free). Detailed information on the website www.sogaz-med.ru.

 Справка о компании

The SOGAZ-Med insurance company has been operating since 1998. The SOGAZ-Med regional network ranks first among medical insurance organizations in terms of the number of regions of presence, with more than 1120 subdivisions in 56 constituent entities of the Russian Federation and the city of Baikonur. The number of insured is over 42 million people. SOGAZ-Med works under compulsory medical insurance: it controls the quality of service for the insured when receiving medical care in the compulsory medical insurance system, protects the rights of insured citizens, restores violated rights of citizens in pre-trial and judicial procedures. In 2020, the Expert RA rating agency confirmed the rating of the reliability and quality of services of the SOGAZ-Med insurance company at the A ++ level (the highest level of reliability and quality of services in the framework of the CHI program according to the applicable scale). For several years now, SOGAZ-Med has been awarded this high level of assessment. The contact center for inquiries from the insured regarding compulsory health insurance is available around the clock – 8-800-100-07-02. Company website: sogaz-med.ru.

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