The Moscow Compulsory Medical Insurance Fund Disowns Patients With COVID Who Do Not Enter The Ambulance Line

The Moscow Compulsory Medical Insurance Fund disowns patients with COVID who do not enter the ambulance line

According to the Vademecum website, such a patient will not pay for treatment under the compulsory medical insurance. The Moscow City Fund for Compulsory Medical Insurance (MGFOMS) sent the corresponding order to the heads of medical institutions in the capital. A source from Medportal in one of the capital's hospitals repurposed for the treatment of COVID confirmed the authenticity of the directive.

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The fund says that services with the codes "coronavirus infection of the 2019-nCov type", "acute focal pneumonia uncomplicated" and "respiratory failure of 1-2 degrees with severe course" will be paid under the compulsory medical insurance policy only on condition that the patient is hospitalized by emergency teams. help. Upon admission to the hospital by other means (on one's own transport, or on a planned basis), compensation for treatment will not be made.

According to the interlocutor of Medportal, the decision caused indignation in the medical circles of the capital, because in fact it means a denial of state guarantees for the provision of medical services to those who found the strength to get to the hospital on their own, or with the help of relatives.

Vademecum notes that at the end of March MGFOMS determined the cost of treatment for COVID at 200 thousand rubles per person. Taking into account the latest figures for patients with coronavirus registered in the capital (about 32,000 people) minus Muscovites with a mild course of the disease who stay at home (about 7,000), the cost of patients with COVID is approaching five billion rubles.