A new element in Russia’s compulsory medical insurance program will begin in 2024: a separate tariff dedicated to dispensary observation for working citizens during medical examinations. This was announced by Tatyana Golikova, Deputy Prime Minister, during the opening of the National Congress “National Health Services – 2023” with international participation.
To bring healthcare closer to people who work, the plan is to introduce a distinct CHI tariff for regular checkups among employed individuals starting next year. The goal is to allow proper medical evaluation to take place at or near the workplace, with events organized either by the employer’s medical department or by a contracted medical organization.
Golikova also indicated that the CHI program would include a separate tariff to monitor reproductive health in both men and women. This addition is framed as part of a broader effort to enhance preventive care and early detection across the working population.
“To be examined or not to be examined is a human right.”
Alexey Kurinny, Deputy Chairman of the State Duma Committee on Health Protection, spoke with socialbites.ca about his expectation that Russians will not face coercion and will retain the choice to undergo medical examinations. He emphasized that the strength of such a policy lies in cooperation with employers and clear, informative outreach rather than pressure, especially when it concerns reproductive health.
He noted that the impact of Golikova’s proposal would come from building a culture of voluntary participation through solid communication, rather than coercive methods. The proposal should empower individuals to decide on annual health checkups, rather than imposing a blanket obligation. Some professions may require health status verification, but in general the emphasis is on providing access and opportunity. He suggested presenting the option as a right—an annual health examination that might occur more frequently than every few years, depending on context.
The MP also pointed out that any inclusion of vaccinations within workplace health checks should be based on voluntary consent from individuals.
Opportunity, not obligation
The press service for Golikova clarified that the plan does not introduce mandatory medical examinations for working Russians. Instead, it offers an option for dispensary observation to be conducted at the workplace or, with the employer’s agreement, at the nearest medical facility.
The Ministry of Health’s press service reiterated that the medical examination remains voluntary. It will operate with informed consent from participants, much like other medical services. The stated aim is to safeguard worker health and to create additional opportunities for preventive measures.
Medical examination under compulsory health insurance
The concept of medical examinations within Russia’s CHI system dates back to 2013. Citizens can access free examinations through the CHI policy, typically at a clinic assigned based on residence. The program has historically provided routine checks for residents under 40 every three years, while those over 40 receive annual screenings. People in preferential categories also receive annual exams.
From 2024, preventive care will expand to include screening for hepatitis C antibodies. All residents over 25 will have the opportunity to receive free screening every ten years as part of a broader preventive framework.
During a briefing, Vladimir Zelensky, the First Deputy Minister of Health, noted that Russia’s CHI system is expected to bear a growing workload over the next decade due to an aging population. He highlighted that expanding clinical and preventive examinations could lead to the early detection of more conditions, ultimately benefiting public health. [Source: Official Health Ministry communications]