<p>A reciprocal healthcare arrangement operates between the UK and Russia. This gives British nationals free treatment in a Russian hospital, much as the EHIC (European Health Insurance Card) works across the EU and nearby states. However the FCO warns that any treatment you receive is likely to be very limited.</p>
<p>The common view is that private medical insurance with emergency evacuation cover is essential for any expatriate outside the large cities in western Russia. There are very few adequate facilities outside the capital except in Leningrad. Expats working in the east of the country &ndash; many in the oil and gas industries &ndash; are evacuated to Japan and China in a medical emergency.</p>
<p>According to AXA PPP treatment is private and foreign operated facilities is good but expensive. The best treatment available is in Moscow and Leningrad. Expatriates tend to travel outside of Russia for anything other than routine care. Standards within the public healthcare system vary greatly, especially in the more rural areas.</p>
<p>Bupa International launched in to the Russian market in 2009. They have had a number of members treated in Moscow and have found good clinical services. Problems that have been reported are standards of service, language difficulties and costs. Reports from Moscow and other parts of the country mention widespread corruption. A practice of carrying out a wide range of tests on patients is deeply embedded in Russian medical tradition.</p>