OBJECTIVES: economic analysis of telemedical technologies application for regular medical examination among the adult population living far from hospitals in the Khanty-Mansi Autonomous Okrug – Yugra. METHODS: The study consisted of three steps: 1. Analysis of the population structure in the study region with selection of patients group who can not pass medical examinations in hospitals. 2. Determination of equipment needed for the1st stage clinical examination for entire region population. 3. Development of economic model to evaluate implementation of telemedical technologies for regular medical examination among the adult population living far from hospitals. The decision tree model compared two strategies for the clinical examination of patients: 1) with telemedicine complex, when physicians come to patient and 2) without telemedicine complex, when patient have to visit hospitals themselves. Sensitivity analysis was performed to analyze changes in the results when the duration of use of telemedicine equipment (time horizon) was varied. RESULTS: One-time costs of telemedicine complex was € 1,44 million. The amount of spending for the telemedicine complex strategy was € 65,08 million for 3 years. The cost of strategy without telemedicine complex was € 62,27 million for the same time period. The difference between strategies amounted € 4,24 million. Investments in the acquisition of telemedicine complex are payed off in 1.02 years. CONCLUSIONS: Application of the telemedical complexallows to compensate acquisition costs in less than one and a half years and improves access to medical care for handicapped and remoted population of Khanty-Mansi Autonomous Okrug – Yugra.