In order for a person to receive a disability, it is necessary to undergo a special examination, which will confirm the fact of disability. This examination is called medical and social examination - ITU.
It is not easy to pass this examination. You should start with the fact that to start the passage you need a full package of documents.
Legislative regulation
The legislation clearly regulates the procedure and conditions for granting disability. Those who apply for disability for the first time have to face a lot of incomprehensible nuances, moments that make a person fall into apathy or panic.
In particular, grounds for disability is the availability of confirmation on three facts:
Moreover, it is important to note that getting a disability possible only if available two of the above signs, since one of them may not be enough.
Only medical and social expertise which represents the main or federal bureau.
Direction for examination is issued by medical and prophylactic institutions, regardless of property rights, as well as by the bodies of pension provision or social protection. It is important to understand that a person can independently apply to the ITU bureau if earlier one of the organizations refused to issue him a referral.
At the same time, passing the examination provides for the establishment one of three degrees of disability, namely:
Obtaining disability status presupposes strict observance of all the norms of the law. Regulation in this matter is carried out at the expense of the Federal Law on the social protection of disabled people in Russia, as well as the PP on the procedure and conditions for recognizing a person as a disabled person.
List of required documentation
To apply for a disability, you must submit following documents:
Step-by-step order of passage
Disability registration is a painstaking process that requires a huge amount of patience, and, of course, time.
In addition to the fact that it is necessary to collect the necessary documents, it is important to defend your rights. In some cases, an applicant for disability is faced with a reluctance on the part of health workers to provide assistance and assistance in a difficult matter, despite the fact that this is their direct responsibility. However, in view of the fact that this is required by the state of health, it is important to overcome all obstacles.
Medical checkup
Before applying for disability, the applicant undergoes a medical examination, according to which the diagnosis is confirmed, and the presence of a disease is substantiated, which interferes with living and working fully.
The first action that an applicant needs to do is to visit his attending physician, who is obliged to record all complaints in an outpatient card and issue a referral to narrow-profile specialists in order for a person to undergo a full examination.
The doctor gives the patient an appropriate form, in which there are marks which specialists need to be visited, as well as which examinations to undergo. It is important to note, however, that the results of some surveys are valid for only two weeks. In some cases, it may be necessary to undergo an examination in a hospital setting.
Also, the attending physician draws up a package of documents for further passage of the ITU commission. If a doctor refuses to issue an appropriate referral, a written refusal must be issued with a reference to the reasons for the refusal. Only in this case, a person is allowed to apply independently to the ITU commission. If the doctor refuses to write a documentary refusal, the person has the right to apply to the judicial authorities.
The documents that are drawn up by the attending physician are called messengers. They should record the state of health at the time of application, test results, as well as the necessary funds for rehabilitation. In particular, to rehabilitation means includes a wheelchair, special orthopedic shoes, diapers or walkers, hearing aids or spa treatment, etc. In addition, a referral form for passing the ITU commission is issued, which is certified by the seal of the hospital or medical institution, and also has the signature of three doctors.
Collecting the necessary documentation
After the date for passing the commission is set, you must have all the necessary documents, in particular:
Commission passing
After collecting the necessary documentation, it is very important to arrive at the ITU regional office on time. As a rule, the waiting period for an appointment at the bureau is one month from the date of submission of documents.
The ITU commission is attended by a patient who needs to obtain disability status, as well as specialists, in the amount of three people. They can examine the patient, if necessary, ask questions that relate to the topic of the patient's health and material condition. The commission may also be interested in living conditions, social skills, education, characteristics from the place of work, etc.
All questions and answers during the meeting are recorded in the minutes, after which a vote is taken. If there is disagreement, an additional examination may be ordered.
Terms and results of registration
The disability registration process takes place in stages. It takes at least 7-10 days to collect documents and pass the examination. The decision on the assignment of disability is made on the day of the examination.
If the commission is satisfied with everything, a disability group is assigned, which is formalized with an appropriate certificate and the development of an individual rehabilitation system.
In fact, disability registration should not take more than two and a half months, taking into account all the nuances and problems.
Registration of disability for a child
The assignment takes up to four months. At the same time, an ITU examination is carried out, to which the attending physician is sent.
In the ITU Bureau the following documents must be provided:
- A doctor's note.
- Outpatient card.
- Registration.
- Parent's identity documents or.
- Identity documents of the child.
Children are not assigned any degree of disability, that is, there are no degrees of severity.
What to do in case of refusal
When passing the commission, a situation may arise when the patient is refused. In this case, the patient has the right to appeal the decision. It is important to observe deadline for appeal- not later than one month from the date of such a decision.
V a statement indicates:
- Full name of the bureau to which the application is sent.
- Applicant details.
- Statement of the essence, indicating the composition of the commission.
- Requirement for a re-examination.
The consideration of the application takes place within three days. If the answer is positive, a new examination is appointed within 30 days after the application is considered
Re-examination
Re-examination takes place annually, since the ITU commission annually examines persons who have been assigned the status of a disabled person.
Order of passage Re-examination involves three types:
- For the first group of disabled people - once every two years.
- For the second and third groups of disabled people, they undergo re-examination once a year.
- For children, once during a specified period.
It is categorically impossible to skip the re-examination procedure, since a person may lose the right to be considered disabled. When passing a re-examination, there is every chance of getting a change of category if the doctors consider that the person is recovering or his health condition has deteriorated. In a satisfactory state of health, a person may lose their disability status.
For re-examination need to provide:
Registration of disability is a painstaking task that requires a lot of patience and effort, but if you are not afraid of difficulties and know your rights and all the rules for registration, the procedure will take place almost without hindrance, allowing you to receive additional benefits and payments.
The ITU passage rules are described in the following video:
- Appendix N 1. Form of a certificate confirming the fact of establishing disability, issued by federal state institutions of medical and social examination Appendix N 2. Form of an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social examination Appendix N 3. Procedure for drawing up certificate forms , confirming the fact of establishing disability, and an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social examination
Order of the Ministry of Health and Social Development of the Russian Federation of November 24, 2010 N 1031n
"On the forms of a certificate confirming the fact of establishing a disability, and an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social examination, and the procedure for drawing them up"
With changes and additions from:
the form of an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social expertise, in accordance with Appendix No. 2;
the procedure for drawing up forms of a certificate confirming the fact of establishing a disability, and an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social examination, in accordance with Appendix No. 3.
2. Establish that the form of a certificate confirming the fact of establishing a disability, and the form of an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social expertise, approved by this order, refer to protected printing products of level "B".
3. To declare invalid:
Resolution of the Ministry of Labor and Social Development of the Russian Federation of March 30, 2004 N 41 "On approval of forms of a certificate confirming the fact of establishing disability, an extract from the certificate of examination of a citizen recognized as a disabled person, issued by federal state institutions of medical and social expertise, and recommendations on their order filling in "(registered by the Ministry of Justice of the Russian Federation on April 19, 2004 N 5758);
Order of the Ministry of Health and Social Development of the Russian Federation of August 29, 2005 N 543 "On Amending the Resolution of the Ministry of Labor and Social Development of the Russian Federation of March 30, 2004 N 41" certificate of examination of a citizen recognized as a disabled person, issued by institutions of the state service of medical and social expertise, and recommendations on the procedure for filling them out "(registered by the Ministry of Justice of the Russian Federation on September 14, 2005 N 7004);
Order of the Ministry of Health and Social Development of the Russian Federation of May 22, 2009 N 263n "On Amending the Resolution of the Ministry of Labor and Social Development of the Russian Federation of March 30, 2004 N 41" certificate of examination of a citizen recognized as disabled, issued by federal state institutions of medical and social expertise, and recommendations on the procedure for filling them out "(registered by the Ministry of Justice of the Russian Federation on June 29, 2009 N 14158).
Last updated April 2019
Registration of disability gives the right to receive a special pension, as well as various benefits. However, in order to be able to use them, it is necessary to go through certain bureaucratic procedures. We will talk further about what documents are required to obtain a disability and where to apply to them.
Disability documents
Original and photocopy of passport - for adults, birth certificate - for child
Instead of a passport, another identity document can also be provided:
- diplomatic passport;
- service passport;
- seafarer's identity card;
- serviceman's identity card;
- military serviceman ID;
- temporary identity card of a citizen of the Russian Federation, if the passport is replaced.
If a foreigner wants to apply for a disability group, he needs to provide his national passport, documents confirming their TRP or residence permit, as well as a refugee certificate or a forced migrant certificate.
A copy of the employment document certified by the employer
If the employer is on vacation, business trip, etc., a copy can be certified by an official authorized by the employer to perform such actions. When certifying copies, each sheet must be signed and stamped, which is at the head or in the personnel department. On the last page, be sure to put the inscription "True" indicating the position, surname and initials, the signature of the person who certified the document, as well as the date. If a non-working person wants to register a disability group, he / she provides the original work book, since all non-working people have it in their hands.
Income statement (sometimes required)
Outpatient card
It will be given to you by the attending physician who will conduct the initial examination.
Extracts from hospitals and their photocopies confirming violations in the functioning of organs
These can be extracts from hospitals where a person was treated, X-rays, opinions of narrow specialists from medical institutions (both public and private), ambulance call coupons, epicrisis, tests confirming health disorders.
Referral to ITU on form 088 / u-06
After the examination, the decision to issue a referral is made by a medical commission, and in some cases - by specially authorized persons from the social security or pension fund. If the competent person believes that there is no reason to issue you a referral, you have the right to independently apply to the ITU (medical and social examination). You should apply there with a certificate of refusal to issue the 088 / y-06 form, which must be required from the attending physician, as well as the documents specified in this list. Plus, the head of the ITU bureau will have to draw up a statement. If it is necessary to establish a disability for a child, the application is filled out by his legal representative (parent or guardian).
In case of refusal to issue a referral and even a certificate confirming the refusal, you can also contact the head physician of the hospital with a written application addressed to him.
Application for ITU
Written by the applicant or representative. This is the same statement described above, which you will also apply to ITU if your referral is denied. It is required as an attachment to the package of documents, even if a referral is given. Thus, a person's voluntary desire to undergo an examination is expressed.
SNILS
Performance characteristics from work (study)
It should reflect not only the qualities of a person as a worker, but also the conditions in which he works, their harmfulness to the body, etc.
Certificate from the place of work or a document confirming that the person does not work
Sick leave
In case the employee is on sick leave.
Act on industrial injury form H - 1 or on occupational disease or the conclusion of the military medical commission
These documents are provided if the deterioration in health is associated with the performance of work or military service. If the injury occurred at work, the head forms a commission that conducts an investigation. Based on the results of the investigation, an act is issued, that is, you can get it at work.
A step-by-step algorithm for registering a disability
Step 1. Go to the local clinic for an examination by the doctor who is observing you. He examines and decides if there are sufficient grounds for referral to ITU. The final decision is made by the medical commission (HF), however, the doctors who are members of it express their subjective opinion in this way and do not bear any responsibility for it in fact. Therefore, if you do not receive a referral, you can apply to the head physician or demand a written certificate of refusal to issue a referral from a physician and go with it to the ITU.
To persons without a fixed abode, referrals are issued by the social security authorities.
In the Pension Fund, it is received by those who have documents confirming that the deterioration in health was due to an injury received during the work process.
Step 2. With the folder of the documents listed above, go to the ITU. It is hosted by the ITU Bureau, which has a multi-tiered structure.
The examination is carried out by a board of specialists, whose actions are recorded. Upon completion, a decision is made in the form of an act, which is adopted by a majority of votes. You will be handed a certificate confirming the fact of the establishment of disability, which is an extract from this act.
If the specialists could not make a decision due to the need for additional examinations, then you will be given referrals to the ITU of the next level (main or federal, depending on where you took the examination).
What to do if you disagree with the ITU decision
There are two options:
Appeal against the decision to the ITU main bureau
The solution is the most profitable in terms of saving money and time. You write an application for certification or at the branch, from where it will be transferred to the main office within three days, or directly refer it to a higher authority. No later than one month, the validity of the decision will be verified and you will be invited for a new examination. The examination is free of charge.
Appeal against the decision in court
In this case, you will need to spend money on a lawyer, plus wait until the proceedings begin on your case, because the courts are often overloaded with claims. The judge is not an expert doctor, which means that to make a decision on the claim, he will still have to involve all the same experts from the main bureau.
Which ITU to contact: at the place of registration or at the place of residence
Many people wonder how to get a disability if they are registered in another city. According to clause 20 of the Decree of the Government of the Russian Federation of February 20, 2006 No. 95 "On the procedure and conditions for recognizing a person as a disabled person", a medical and social examination of a citizen is carried out at the bureau at the place of residence residence outside the Russian Federation). It seems to be clearly indicated that the survey may not necessarily be carried out at the place of registration, but there are also some nuances here ...
The fact is that by region there are orders of local leaders of the Chief Experts on ITU, which specific polyclinics issuing forms 0-88 / y are assigned to certain ITU bureaus that serve them.
Example # 1... Patient Gorovenko N.I. issued a referral to the ITU in the polyclinic number 8 in Ivanovo and he was sent to undergo examination ONLY at the ITU bureau # 4 (another bureau will not accept him, as this would be a violation of the local order of the chief expert on the distribution of supervision zones).
Let's assume that N.I. registered in Ivanovo, and lives in Moscow. He has two options for how to get tested:
- Go to Ivanovo, go to the clinic, get a referral and be examined in Ivanovo.
- Stay in Moscow, register at a polyclinic (if necessary, apply to the head physician with an application), where they will get an outpatient card for him, get a referral for passing the ITU in Moscow.
But Gorovenko N.I. it will not be possible to get a referral to Ivanovo, but to be examined in Moscow and vice versa.
How to register a disability for a bedridden patient
If the patient does not move and his transportation is not desirable, the patient or his legal representative during the examination by a doctor in a polyclinic may raise the issue of conducting ITU at home. VCh issues the corresponding certificate, which is an addition to the 088 / u-06 form. It is submitted to ITU along with the rest of the documents. Already directly in the ITU bureau, a decision is made where exactly the examination will be carried out:
- at the patient's home;
- in the hospital where the treatment is carried out;
- in absentia, without the presence of the patient.
Registration of disability for a child: important points
The procedure for registering a child's disability is not much different from the standard one, except that instead of the child, all documents are submitted and filled by his legal representative. In addition, instead of a production characteristic, it is necessary to provide a characteristic from an educational or preschool institution.
But there are a few things that parents still need to know:
- disability group is not established for children, they are assigned the status of “disabled child”;
- in practice, there are situations when doctors refuse to give a referral to ITU, arguing that until the child is 3 years old, it is difficult to draw conclusions about the nature of disorders in the body. You have the right to challenge their inaction by applying to the head physician for a referral to the ITU.
Important! When passing the examination, the parents of a young child must be present in the office without fail. When a child aged 14 to 18 undergoes ITU, experts often ask the parents to wait outside the door, but keep in mind that you have every right to be present at this procedure, since you are a legal representative until the child reaches 18 years of age. This means that he can not only be present, but also ask any questions, as well as answer instead of the child to the questions posed.
List of diseases for which disability is given
One and the same disease in one case may become a sufficient reason for a person to be recognized as a disabled person, in another case, the granting of disability may be denied. This is due to the fact that the disability group is assigned not depending on the diagnosis, but depending on the nature of the course of the disease, its influence on the ability to serve oneself, etc. That is, as such, there is no list of diseases in which patients are assigned a disability. Each situation requires an objective assessment by the ITU, after which an appropriate decision is made.
But there is still a list of diseases in which a person receives disability indefinitely, that is, defects, injuries, health disorders are so obvious that they do not even require regular re-examination:
| Malignant tumors |
|
| Malignant neoplasms of lymphoid, hematopoietic and related tissues | If intoxication and severe general condition are observed |
| Inoperable benign neoplasms of the brain and spinal cord | With persistently expressed disorders of motor, speech, visual functions (pronounced hemiparesis, paraparesis, triparesis, tetraparesis, hemiplegia, paraplegia, triplegia, tetraplegia) and severe liquorodynamic disorders. |
| Absence of the larynx after its prompt removal | ____________ |
| Congenital and acquired dementia |
|
| Diseases of the nervous system with a chronic progressive course, with persistent severe disorders of motor, speech, visual functions |
|
| Progressive neuromuscular diseases |
|
| Severe forms of neurodegenerative diseases of the brain | Parkinsonism plus |
| Diseases associated with vision |
|
| Complete deaf-blindness | ___________ |
| Congenital deafness with impossibility of hearing endoprosthetics | Cochlear implantation |
| Diseases characterized by high blood pressure | With severe complications from the side:
|
| Cardiac ischemia | With coronary insufficiency III - IV functional class of angina pectoris and persistent circulatory disorders IIB - III degree. |
| Diseases of the respiratory system with a progressive course | Accompanied by persistent respiratory failure II - III degree, in combination with circulatory failure IIB - III degree. |
| Cirrhosis of the liver | With hepatosplenomegaly and grade III portal hypertension |
| Fatal fecal fistulas, stomas | ____________ |
| Severe contracture or ankylosis of large joints of the upper and lower extremities in a functionally disadvantageous position |
If arthroplasty is impossible |
| End-stage chronic renal failure | ____________ |
| Fatal urinary fistulas, stomas | ____________ |
| Congenital malformations of the musculoskeletal system | With pronounced persistent violations of the function of support and movement, with the impossibility of correcting. |
| Consequences of traumatic brain (spinal) cord injury | With persistent severe disorders:
|
| Upper and lower limb defects |
|
It is possible to get disability due to illness from other diseases not from this list, but not in every case. In addition, you will have to regularly undergo re-examination. Let's look at the most common health problems that make patients want to be disabled.
Stroke
Disability after a stroke can be assigned depending on:
- The severity of the disease;
- Stroke type - ischemic (“age-related”, about 80% of cases) or hemorrhagic (rupture of cerebral vessels);
- The degree of damage to vital organs;
- Dynamics of recovery;
- Overall well-being.
As a rule, if, as a result of a stroke, coordination of movements is impaired, speech cannot be restored to a part of the brain, the ITU bureau assigns a disability in the direction of HF.
Heart attack
After a heart attack, not all patients receive disability. ITU mainly assesses the patient's condition with an eye to the possibility of returning to their previous job. They study in detail the production characteristics in order to assess the conditions in which the patient worked. If they were associated with serious physical or psychological stress, then returning to them is unacceptable, and in such cases, ITU assigns a disability group.
Vision problems
A blind or visually impaired person is unable to perform many vital functions. When passing the ITU, vision disabilities can be obtained by:
- Group 1 - people who are blind in both eyes or with a visual acuity of no more than 0.04;
- Group 2 - with visual acuity from 0.05 to 0.1;
- Group 3 - people with moderate visual impairment and acute vision from 0.1 to 0.3.
Postponing an operation
The operation itself is not a basis for recognizing a person as disabled. Rather, on the contrary, in many cases it is performed to improve a person's health conditions. For example, if you have had appendicitis cut out, then no one will recognize you as disabled after the operation. But if, for example, there was an amputation of an arm or a leg, or after the operation there is no positive dynamics of recovery, then the decision on disability is made at the discretion of the ITU bureau. That is, the condition of each patient is assessed during the ITU on an individual basis - there are no general rules on the assignment of disability after surgery.
Term for establishing disability
Disability can be established urgently and indefinitely. The indefinite establishment of disability is provided for those diseases that are listed above.
In other cases, the disability must be "confirmed" after a certain period of time.
In order to prove your disability, you must pass a certification. The procedure is exactly the same as when obtaining a status for the first time, only to the documents it is still necessary to add a certificate of disability and an IPR (individual rehabilitation program), which is issued along with the certificate.
By the way, the disability is considered to be established from the day of submission of the application and documents for passing the ITU to the relevant bureau, and not from the date of the decision. This is important when calculating a pension.
How to get a disability pension
Registration of a disability pension is possible only after passing the ITU and receiving a positive decision. That is, you should have in your hands an extract from the act, which contains information about the establishment of a disability group.
Disability pensions are divided into three types:
- insurance;
- social;
- state.
Who can apply for which of them and how to arrange it, the table will help to understand.
| Types of pensions | |||
| Insurance | Social | State | |
| Who can get | Persons who have work experience, regardless of its duration | All citizens who have not acquired the right to a labor pension:
|
Certain categories of people with disabilities:
|
| Where to go | Pension Fund Department | _________ | _________ |
| What documents will be needed | Standard package + documents confirming the duration of the insurance period | Standard package | Standard package, as well as depending on the profession:
|
The applicant can submit documents in person to the offices of the Pension Fund of Russia or the MFC, and if it is not possible to appear in person, use the opportunity to submit online, send them by mail or transfer them through a legal representative.
If you have any questions about the topic of the article, please do not hesitate to ask them in the comments. We will definitely answer all your questions within a few days. However, carefully read all the questions and answers to the article, if there is a detailed answer to such a question, then your question will not be published.
Strength and health are far from eternal values. However, life does not end with the departure of youth. Disability retirement is paperwork, and getting a medical examination quickly and successfully depends on your knowledge. This article will look at the ITU Help. What it is will become clearer.
ITU certification
This is a medical examination of a person's condition, determination of the ability to work and the degree of limitation of his capabilities. In other words, the commission determines whether a person is disabled and to what extent he needs social support from the state. Defining the category of “disabled child” is also within the purview of ITU. The study of the causes of disability and the identification of factors affecting the degree of disability is also in the competence of medical examination.
Disability Commission
What is ITU Help for, what is it? Many people are interested in these questions. More on this below.
ITU bureaus are divided into territorial, federal or main. A citizen can pass the examination in any. Referrals to ITU can be issued:
- the municipality;
- the clinic or hospital where the candidate received therapy recently;
- By the tribunal's decision;
- it can be a person's own decision.
The commission must be provided with certificates and conclusions that confirm the loss of ability to work. A citizen himself or a proxy (who has a power of attorney certified by a notary) submits an application and finds out the time of the ITU meeting.
The documents
In addition to the application, the following documents are required:
- direction according to the established form No. 188-y;
- outpatient card of the patient;
- analyzes, X-ray images, certificates;
- the conclusion of the sending institution, the medical commission;
- passport of a citizen of the Russian Federation;
- or original;
- the conclusion of the departmental examination;
- an act in the form of N-1 (about an accident at the workplace);
- educational diploma (or other document);
- power of attorney if the documents are not submitted in person.
Only after the commission has been passed, a certificate of disability VTEK ITU is issued.
It is possible to call the commission at home to a patient who is unable to arrive on his own, upon providing a doctor's conclusion that the person does not move independently.
Is it possible to pass VTEK not by registration?
A sick leave from the ITU Bureau can be issued to a person who is not recognized as a disabled person, and who will still return to duty. In this case, the sick leave is issued with a renewal period of at least 30 days or until the next examination.
You shouldn't be nervous while waiting for an expert examination. The state is doing everything to help citizens live, not exist. But you should not remain indifferent, if you have questions or doubts, contact the specialists, they will check the completion of the ITU certificate.
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