Минфин РФ задумался о том, чтобы собирать платежи за медстрахование с неработающего населения

Фото rugrad.eu

{"ID":"694790","~ID":"694790","TAGS":"минфин, омс, медицинское страхование, страховка, безработные, калининградская область","~TAGS":"минфин, омс, медицинское страхование, страховка, безработные, калининградская область","NAME":"Минфин РФ задумался о том, чтобы собирать платежи за медстрахование с неработающего населения","~NAME":"Минфин РФ задумался о том, чтобы собирать платежи за медстрахование с неработающего населения","IBLOCK_ID":"54","~IBLOCK_ID":"54","IBLOCK_SECTION_ID":"4069","~IBLOCK_SECTION_ID":"4069","DETAIL_TEXT":"\u003Cp\u003EВ бюджетных планах Минфина на 2015-2017 годы появилось предложение, которое может концептуально изменить схему работы системы обязательного медицинского страхования в России. Для закрытия будущей \u0026laquo;дыры\u0026raquo; системы медстраха предложено сделать полис ОМС частично платным для неработающего взрослого населения \u0026mdash; прежде всего для 15-30 млн человек, занятых в неформальном секторе, и 5 млн студентов. Сумма доплаты за полис пока невелика \u0026mdash; \u003Ca href=\u0022http:\/\/kommersant.ru\/doc\/2524934\u0022 \u003E280 руб. в месяц.\u003C\/a\u003E Об этом сообщает газета \u0026laquo;Коммерсантъ\u0026raquo;.\r\n\u003C\/p\u003E\u003Cp\u003E\r\n\r\n\u003C\/p\u003E\u003Cp\u003E\r\nРанее Минфин предложил повысить платежи на ОМС с высоких зарплат \u0026mdash; через взимание тарифа в 5,1% не с 624 тыс. руб. в год, а со всего фонда заработной платы работника. Социальный блок правительства тогда отказался комментировать это предложение, явно связанное с будущей \u0026laquo;дырой\u0026raquo; в размере более 400 млрд руб. в год, возникающей в бюджетах системы ОМС в результате реализации майских указов Владимира Путина и завершения программы техперевооружения государственного сектора здравоохранения.\r\n\u003C\/p\u003E\u003Cp\u003E\r\n\r\n\u003C\/p\u003E\u003Cp\u003E\r\nСейчас платежи в систему ОМС за легально трудоустроенных работников вносят работодатели, расходы территориальных фондов ОМС на оплату услуг медучреждений за неработающих граждан возмещают региональные бюджеты. Минфин же предлагает часть расходов переложить на самих неработающих граждан, введя для них соплатеж в размере 18% от полного тарифа ОМС. Платить его предлагается всем лицам старше 18 лет, не имеющим официального места работы, включая студентов, неработающих матерей с детьми в возрасте до трех лет и опекунов престарелых и инвалидов. Исключение предлагается сделать только для неработающих пенсионеров, детей и зарегистрированных безработных. \r\n\u003C\/p\u003E\u003Cp\u003E\r\nПо данным Росстата, работа в неформальном секторе является основной для 12 млн россиян (17% экономически активного населения). Впрочем, вице-премьер РФ Ольга Голодец в 2013 году оценивала размер \u0026laquo;тени\u0026raquo; на рынке труда в 40-45%, что соответствует 30-34 млн работников. Официальная статистика оценивает число студентов в РФ в 5 млн человек.\r\n\u003C\/p\u003E\u003Cp\u003E\r\n\r\n\u003C\/p\u003E\u003Cp\u003E\r\nПолный тариф ОМС в 2015 году составит 18,9 тыс. руб.\u0026mdash; таким образом, размер соплатежа по услугам ОМС может быть равен 3,4 тыс. руб. в год, или около 280 руб. в месяц. В документе Минфина не указана дата предполагаемого введения соплатежа, который как принцип обсуждается в Белом доме еще с 2010 года. Не указан и механизм его взимания \u0026mdash; судя по всему, это будет заботой страховых медицинских компаний. 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Сумма доплаты за полис пока невелика \u0026mdash; \u003Ca href=\u0022http:\/\/kommersant.ru\/doc\/2524934\u0022 \u003E280 руб. в месяц.\u003C\/a\u003E Об этом сообщает газета \u0026laquo;Коммерсантъ\u0026raquo;.\r\n\u003C\/p\u003E\u003Cp\u003E\r\n\r\n\u003C\/p\u003E\u003Cp\u003E\r\nРанее Минфин предложил повысить платежи на ОМС с высоких зарплат \u0026mdash; через взимание тарифа в 5,1% не с 624 тыс. руб. в год, а со всего фонда заработной платы работника. 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