Healthcare in Russian Federation
Medical facilities classification (private, western-oriented, state)
There are three types of medical facilities in Russia. Each has its vices and virtues. Quality of medical care in state facilities differs from excellent to unsatisfactory. Generally the image is one of poor equipment but experienced and enthusiastic staff. The bigger the hospital is, (especially regional), the better the equipment conditions are. Moreover, in most regions state facilities are way better than private. English-speaking staff is not widely available, bordering on exclusive – mostly in big cities.
Private facilities are slightly better balanced, more familiar to Insurance products, very pro-active and have a general tendency to provide client-oriented service. English-speaking personnel can also be found occasionally.
Western-oriented (private) facilities in reality have rather limited capabilities in comparison to state ones.Servicing foreign citizens and multi-language staff is an obligatory function, although such kind of medical centers mostly accept non-complicated cases or they send patients to state facilities.
Types of areas covered:
In Russia we distinguish several location types, with distinct peculiarities.
1. Capital towns: Moscow and Saint-Petersburg
- We rely upon: Western-oriented clinics and hospitals with English speaking staff
- In addition: state and half-private specialized clinics, Russian medical scientific institutes, medical structures oriented to Russian healthcare, ground ambulance companies
- Prices: generally high, reaching and sometimes exceeding the Western level
- Discounts: possible
- Agreements: both contract agreements and accepted payment guarantees
- General level of healthcare: high
2. Regional centers, towns with a population of more than a million: to name the few: Yekaterinburg, Kazan, Krasnodar, Samara, Rostov-on-Don etc.
- We rely upon: Private and semi-private medical centers with Russian-speaking staff
- In addition: state hospitals, ground ambulance companies (where available), specialized clinics
- Prices: generally low or below average
- Discounts: possible only if we are talking about a considerable volume of clients
- Agreements: mostly contract agreements, state hospital either treat for free, or accept payment guarantee
- General level of healthcare: from high to satisfactory
3. Small towns, distant locations
- We rely upon: state Hospitals with Russian-speaking staff
- In addition: private medical centers (where available)
- Prices: generally low
- Discounts: not possible, state clinics work basing on a fixed but very low-cost price lists
- Agreements: state hospitals might not need an agreement to treat the patient, payment guarantees are most of the time accepted
- General level of healthcare: from average to low
General health info
State Health Emergency Telephone is 03 / 112 from cell. phone/ – this number can be dialed from anyphone in Russia. Emergency treatment is free.
Nevertheless we advise – even in emergency cases – phoning Savitar Group directly.
Travelers to Russia are advised to have up-to-date vaccinations for hepatitis A, tuberculosis and typhoid fever (long-term travelers), as well as medications for travelers' diarrhea. An influenza vaccine is recommended for travel between November and April. There is also a risk of tick-borne encephalitis in rural and wooded areas, particularly in the Ural and Siberian regions.
HIV/AIDS is on the increase.
Measles outbreaks occur. Drinking water should be treated; bottled water is readily available. Local state medical facilities are of a low standard, however, and visitors are strongly advised to have full insurance for medical treatment and accidents should they require private care. Essential medications and supplies may be limited. There have been outbreaks of bird flu in a number of regions of Russia, including around Moscow, but there have been no reports of human infection.
During the last ten years three public departments have merged: State Police, Fire Services, and Emergency Services. This enhances medical services in emergency cases and makes them accessible in remote sites.
Dentist services of a good level are available only in big cities and mostly in private sector. They are rarely cooperative with Insurances and have a tendency for overtreatment.
State distribution of medicines is insufficient and there is still no commercial delivery service available outside big towns.