How Russia's health insurance covers free and subsidised medication

Russia’s mandatory health insurance system provides financial support for essential and life-saving treatments. Patients can access free or subsidised medication, medical devices, and specialised nutrition for children with disabilities. The process involves prescriptions, state-run pharmacies, and reimbursement claims for already purchased drugs. Eligibility for free medication extends to several groups, including patients with severe illnesses, children under a set age, and people with disabilities. Veterans, victims of radiation exposure, and liquidators of the Chernobyl disaster also qualify. Those receiving minimal old-age or disability pensions can receive a 50% discount on certain medications.

To obtain free or subsidised drugs, patients must first get a prescription from their doctor. They then visit a state-run pharmacy that offers discounted medication. A list of these pharmacies is available from local clinics or regional health ministry websites.

For reimbursement of already purchased medication, patients submit an excerpt from their medical record or a prescription, along with receipts or copies. Claims are processed through regional health ministries or the Social Fund. The system ensures access to vital treatments for eligible groups while requiring specific documentation. Patients must follow the prescribed steps—obtaining prescriptions, visiting approved pharmacies, or submitting receipts—to receive support. The process aims to reduce financial barriers for those in need of critical medical care.