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Health insurance Russia

Russia has a healthcare system inherited from the Soviet era, which has undergone numerous reforms since the 1990s. Today, this system combines compulsory public coverage with private insurance to provide healthcare for its population. Good health…

By the careXpat editorial teamUpdated on 28 October 2025
Russia

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Health care and insurance in Russia: what you need to know

Russia has a healthcare system inherited from the Soviet era, which has undergone numerous reforms since the 1990s. Today, this system combines compulsory public coverage with private insurance to provide healthcare for its population. Good health insurance will be a plus for your expatriation to Russia.

The Russian healthcare system

Initially, the Russian healthcare system offered free access to care for almost the entire population. However, since the reforms of the 1990s, funding has been shared between the state and the regions, which manage their own health centers. Some care, such as treatment of infectious diseases and accident-related care, remains free of charge.he regions can also finance other types of care according to their priorities. This insurance, partially financed by employer and employee contributions, only covers a basic package of care determined by the state. For access to well-equipped facilities and a wide range of medical services, international private insurance is strongly recommended.

See a doctor in Russia

In Russia, there are no private doctors. Consultations are carried out in public hospitals or clinics, generally by appointment, with often long waiting times. In case of emergency, it is preferable to turn to a private clinic, where services are of better quality, albeit more costly.

Hospitalization in Russia

Russian public hospitals often suffer from a lack of resources, inadequate equipment and understaffing. On the other hand, private hospitals in major cities such as Moscow and St. Petersburg offer modern equipment, qualified staff and quality care. In case of emergency, the number to call is 103.

Buying medicines in Russia

It’s important to note that counterfeit medicines are a problem in Russia. It is therefore advisable to choose carefully the pharmacy (аптека) where you buy your medicines to guarantee their authenticity.

Health insurance for expatriates

For expatriates in Russia, it’s essential to take out international health insurance.As high-quality medical care is expensive, such insurance guarantees access to the best medical services and covers costs in the event of an emergency or illness. It is advisable to choose a policy offering comprehensive coverage, including medical repatriation if necessary. Although Russia has a public healthcare system, its limitations make private health insurance essential, especially for expatriates. This ensures access to quality care and peace of mind in the event of medical need.

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