How to register to find out the queue for VMP. High-tech medical care (HMC). What types are included in the compulsory medical insurance list?

VMP is a high-tech health care , using unique treatment methods, thanks to the latest developments in science and technology. VMP includes not only treatment services, but also diagnostic services in specialized hospitals.

All citizens of the Russian Federation have the right to VMP, if there are appropriate medical indicators. Today, the list of services includes 134 types of medical care in more than 20 areas. High-tech medical care is provided in the following areas:

abdominal surgery (treatment of the gastrointestinal tract and abdominal cavity);
obstetrics and gynecology;
gastroenterology;
hematology;
dermatovenerology;
combustiology (treatment of severe burns varying degrees severity and area of damage);
neurology;
neurosurgery;
oncology;
otorhinolaryngology;
ophthalmology;
pediatrics;
rheumatology;
cardiovascular surgery;
thoracic surgery (chest surgery);
traumatology and orthopedics;
organ and tissue transplantation;
urology;
Maxillofacial Surgery;
endocrinology.

The Ministry of Health has approved a commission to consider applications for VMP. The selection is made based primarily on the medical indicators and condition of the patient, as well as other factors that may affect the course of the disease.

In case of a positive decision, the patient receives a coupon for the provision of medical treatment. A list must be attached to the coupon diagnostic studies, which are necessary for hospitalization in the recommended medical institution. Every year, the Ministry of Health of the Russian Federation approves a list of medical institutions that provide various high-tech services for treatment, prevention and diagnosis serious illnesses various spheres.

VMP services are provided free of charge in any medical institution in the Russian Federation. Payment for travel, accommodation and maintenance of the patient is paid independently. Separate category Citizens who belong to a socially vulnerable segment of the population are given the opportunity to travel free of charge both ways; the patient bears all other expenses for food and maintenance.

Receiving a queue ticket

To receive VMP, a person in mandatory must comply with the rules for submitting documents to the commission. The following documents are required:

Referral for the provision of medical treatment from the medical institution where the patient is being observed. The attending physician must fill out a referral for hospitalization, which clearly indicates the type of treatment required. The document is approved by the seal and signature of the attending doctor. The referral must indicate the disease code according to ICD-10, the name of the type of high-tech care that needs to be provided to the patient.
A written statement from the patient, if necessary, from a trusted person, agreeing to the processing of his personal data with the following information:
- Patient's name;
- Legal and actual addresses;
- Number, series of passport or other document that confirms the patient’s identity;
- Contact details for feedback with the patient (telephone, mailing address or email address);
Copies of identification documents, for children under 14 years of age, a copy of the birth certificate.
A copy of the compulsory health insurance policy, if available.
Providing an extract from the medical history, which indicates all the tests carried out diagnostic measures to confirm the diagnosis.

If the application to the commission comes from a trusted person, the application must indicate the personal data of the person who represents the interests of the patient. In addition to the above documents, the commission must submit a document that indicates the authority of the representative.

The entire package of information provided is reviewed by a territorial commission depending on the region where the patient lives and is being treated. In case of a positive result, within 10 working or 14 calendar days the patient is issued a voucher for VMP.

How to find out the VMP coupon number by last name

If for some reason a person has not received a response about the consideration of an application for a VMP, you can contact directly the authority where the documents were submitted for consideration.

There, using the patient’s last name and identification documents, you can get a coupon number for VMP, in case of an approving decision.

All subsequent stages of status control can be obtained on the official website of the Ministry of Health of the Russian Federation - the portal talon.rosminzdrav.ru.

VMP official website

In the specialized information system of the Ministry of Health of the Russian Federation talon.rosminzdrav.ru you can find out about the quota. To do this, you need to use any browser, go to a specialized website of the Russian Federation, enter the coupon number in the appropriate request form.

After, search system will give out full information by service, data of the medical institution where VMP will be performed, quota status and planned date of hospitalization.

It is important to know that even if you have a coupon for VMP, the service is provided only when the corresponding medical institution in the Russian Federation has places for hospitalization and activities for the recommended treatment.

The operation of the portal can be checked using a demo coupon with the number “00.0000.00000.000”.

How to check quota status on the VMP patient portal

Within 10 days from the date of application, the commission reviews the application and makes a decision on the provision of VMP services. With any decision, a person receives written notice O positive result or refusal of help.

Notification about the status of the VMP is sent to the postal address or email, depending on the type of notification selected by the patient.

If the authorized territorial commission for some reason refuses to provide VMP to a person, he can re-apply to the appropriate commission of the Ministry of Health of the Russian Federation. Appeal to the Ministry of Health of the Russian Federation is possible only in 3 cases:

If the patient does not live in the Russian Federation.
The person is not registered at his place of residence in the Russian Federation.
The medical institution does not issue a referral for VMP.

If at least one of the above factors is present, the relevant authority of the Ministry of Health will consider the application for VMP on a first-come, first-served basis.

“Blocked” status - what does it mean and what to do

If, when checking the status of the coupon on the patient portal, information about its blocking appears, this does not indicate a refusal to perform VMP. For clarification, you must contact the coupon issuing authority, or directly to the medical institution where the patient is on the waiting list for hospitalization.

The coupon number changes annually, so you need to check the new number and track the status using the new data.

Status “Documents are under consideration”

There are standards for consideration; generally, an answer can be received within 30 days after receiving the coupon. During this time, specialists contact clinics and medical institutions and agree on the possibility of hospitalization of the patient, within the framework of the quota allocated by the state.

Sometimes, in order to place a patient on the waiting list for treatment, a longer period is required, but no later than 6 months from the date of issue of the coupon

Patient voucher validity period

The voucher for VMP is valid until the appointment of hospitalization and the necessary treatment, and loses its validity after completing the course therapeutic measures. Every year the list of medical institutions that provide VMC services grows, but there are quite a lot of people who seek help. Sometimes you have to wait in line for services for a long time, but it will definitely fit.

If for some reason the patient does not exercise his right to assistance on the approved date, his place is not saved and he is automatically placed in a new queue.

Leave a review (32)

I was given an electronic coupon number in June 2017. Spine surgery. The current status of the Ministry of Health is: hospitalization has been postponed until next year. The wait will be more than two years. But we allocate money to countries and peoples in need.

Hello!
My documents were sent back in September 2018.
The coupon was created on October 22, 2018.
In January 2019, my coupon number was blocked and a new one was created. Why?
How much longer should I wait? The waiting period should be no more than 6 months. Almost 5 months have already passed.

Hello. The coupon was issued in November 2017 and everything is under review. It feels like there is no movement! How much longer to wait? And what happens if I don’t have time to track the ticket. There are no messages to me, although all the data is left.

Hello, we are also waiting for a call. The documents have been under consideration since August 3, 2018, the coupon number has been changed. How long does this review take, I'm tired of waiting

Hello! I'm waiting for the call too. I would just like to know how long you can walk with an osteomyelitis fistula, because the rotting products inside are also not good to eat!? Fistula since the end of November. Documents are being reviewed from January 16, 2019.

Hello, I’m also waiting for the status to change, I’m tired of the pain and the expectations. All this is difficult.

Please tell me, does the Ministry of Health read our reviews on its website and give answers? By the way, there are so many questions. It’s the second month since I received the coupon and I really hope I’m tired of enduring the pain. Good luck and health to everyone!

Hello. In mid-November, I was issued a voucher for VMP services. Until the new year, the status did not change - the documents are under consideration. 12/29 status - hospitalization postponed to next year. On January 09, the coupon number was changed and, accordingly, the date of issue of the coupon became 01/09. And everything has a new status - the documents are under consideration. How long does this review take and won’t the same documents be passed around in circles for years?

Coupon 75.0000.06490.185 created on March 20, 2018 endoprosthetics knee joint city of Barnaul on this moment status - the document is under consideration although it should be reviewed within six months - I’m worried about the queue.

Hello, I was told in the quota department that coupons will wait up to two years. I've been waiting since January 2018, the second year has begun. Replacement hip joint(second time)

I submitted documents for ex in August, the status is “under consideration since 09/19/218” according to the law, 30 days today 12/3/2018 the status has not changed, it’s not clear the quota was not issued. What should I do?

We received a quota for hip replacement in regional hospital Tver region 08/14/2018. Coupon 28 0000 05398 186 to the Pirogov clinic in Moscow. My son can barely control the pain, neither pills nor ointments help, and he is still 46 years old. When the notification for the operation arrived, they called the clinic several times, but it was impossible to get through to them; it was easier to call the President than there. You wait and wait for the operator, only some calls and no answer. I beg you to give me an answer as to when to expect a call. At least know what date the operation will be scheduled for

Write to the website of the clinic where you should be hospitalized

There is a coupon for VMP. Issued 07/10/2018. There is no movement of the coupon, Last update 07/10/2018. It is indicated that the documents are under consideration. How to proceed? How much to wait?

Call the clinic where the coupon was created.

What to do if you are denied hospitalization under the VMP quota?

Hello, I received the coupon on 06/09/2018, five months have already passed, and as it was written “the documents are under consideration”, and there are no shifts or movements... I live on painkillers, and I have no patience for the pain

Hello. The Department of Health of the Voronezh Region issued me a coupon for replacing the left knee joint N 20.0000.05554.181 on 06/09/18 at the Federal State Budgetary Institution "Russian Research Institute of Traumatology and Orthopedics R, R Vreden" Saint Petersburg(code 1450) I go to the website; the date of registration is June 9, 2018; the date of creation of the coupon is June 9, 2018. And so it has been for 5 months without any change. I read that the coupon is valid for 6 months. I would like to receive comments What to do and what to do next? In 2016, on August 2, I already had an operation to replace the right knee joint for a fee. The operation was performed by Kornilov N, N 17th Department of the Vreden Institute. For which a huge THANK YOU to him! WITH right foot everything is fine Sincerely Petrova G.I.

It’s downright difficult to get in line at a hospital for knee replacement for free. By itself surgical intervention It costs a lot of money - at least fifty thousand rubles (plus a prosthesis!), and it’s a rare family in our country that can afford it. The state program makes it possible for some people in need to receive services without financial compensation, but to do this they will have to collect the necessary documents confirming the need for surgery, take tests and wait their turn. There are restrictions on the number of people accepted per state program annually. How to be among the lucky ones?

General overview

The cost of knee replacement surgery is currently quite high - from 50,000 rubles only for the intervention itself, and, in addition, you will have to pay for the hospital stay used medications, all the studies that will be carried out, as well as the prosthesis. Many believe that the intervention is worth the money, because we are talking about an operation in which the damaged parts of the knee are successfully restored, and the person is able to move normally. The question is extremely relevant; many of our compatriots suffer from knee problems. For some, the cause is injury, for others - age-related changes, destroying joint tissue.

By waiting your turn under the quota for knee surgery, you can count on full compensation for the money spent on surgery or a partial refund of the amount. As can be seen from the responses of people who managed to get into the program, such an intervention restores the quality of life, and the state program gives hope to those whose financial capabilities would never allow them to accumulate such a significant amount on their own.

What to do?

Perhaps the most actual question- how to apply for a quota for knee replacement. Bureaucracy in our country is one of the important enemies, and we have to fight it almost every day, especially in a situation when it comes to medical services. The legislation establishes a list of sequential actions that allow you to gain access to the desired program. It all starts with a full medical examination at the place of residence. The doctor’s task is to correctly complete the documentation and write a conclusion indicating the need for knee replacement. Based on such paper, you can already count on being included in the queue.

The documentation on the basis of which knee joint replacement is performed requires provision to medical institution not only a medical report, but also a statement written personally by the patient, as well as the transfer of a copy of the passport, insurance policy, identification number. It will be necessary to conclude an agreement with the institution. If a person has disabled status, a document confirming this fact must be provided.

Appearances and passwords

The described documents must first be submitted to a commission assembled by local government agencies responsible for healthcare and social protection population. The participants' task is to determine to what extent a person needs urgent knee replacement and whether he should be given access to the program under a quota. The duration of consideration of the case is 10 days. If the outcome is positive, the documentation is automatically forwarded to the clinic responsible for providing the relevant medical services.

The next stage of paperwork is the responsibility of the medical institution. Clinic managers study the received documentation and then decide how long to wait for the knee replacement quota. The facility usually already has a waiting list of patients who need such intervention. Data on a new person is analyzed to understand which date will be optimal for him. As the decision is made, information about it is officially transferred to the medical commission, which notifies the citizen who has requested help about when and where endoprosthetics will be performed, and what additional measures need to be taken to prepare for the intervention.

So, where are knee replacements done on a quota basis? Medical institutions in Moscow are listed below:

Urban clinical Hospital №67.
KB MSMU im. Sechenov.
Hospital named after N. Semashko.
Medical and Surgical Center named after. N. Pirogova

About the timing. Who should

The laws establish that the waiting time in line is about a quarter of a year. In reality, the period increases significantly due to the high demand for participation in this program.

Currently, knee joint replacement is a quota for adults, children, and patients with cancer that negatively affects the capabilities of the musculoskeletal system. A person who is suffering from severe pain, and conservative treatment methods do not show effectiveness, can contact a medical commission. Those who have already received a prosthesis, but it has worn out or collapsed completely or partially, have certain opportunities. You should also try to get in line if a prosthesis was previously placed, but this area is inflamed.

There are certain opportunities for knee replacement under a quota for those who have suffered a fracture or experienced unsuccessful surgery. If the situation is complicated by rheumatism, arthrosis and other similar pathologies, or the limbs are subject to destructive changes, you should try to submit documents to be included in the queue.

Is it possible or not?

In some cases, knee replacement is not carried out under a quota (or without it, on a general basis). This applies to situations where doctors identify contraindications to intervention. In particular, a ban on surgery is established for patients suffering from cardiac disorders or vascular diseases, functioning problems nervous system. Surgery should not be performed on a person with diabetes.

In some cases, the indications are absolute, sometimes temporary. In each individual option, doctors tell you exactly why knee replacement is currently not possible under the quota, and also tell you whether the condition will change over time. There is a possibility that the operation will be allowed once the person’s position has stabilized, when the risk of negative outcomes is reduced. A good example: when blood glucose levels are stabilized in diabetes mellitus, surgery can be performed.

What about the money?

According to reviews, knee replacement is an operation for which it is not easy to calculate how large the costs will be. This largely depends on the hospital chosen by the medical commission. If this is a government agency, then in most cases payment is due only for the prosthesis installed on the patient. If the choice fell on a private owner, then you need to pay for the intervention, and for the drugs and prosthesis used, and for being in the ward. Often the amount depends on qualification level the doctor performing the intervention.

Another important point related to financial aspects mentioned in reviews of knee replacement: the price of the prostheses used by doctors varies quite a lot. If this product is made in our country, it will cost relatively cheap, but imported models are many times more expensive. Additionally, the increase in price may be explained by special types of examination, if any are prescribed to the patient.

Will I be on the list?

Currently, the quota program involves providing the opportunity to receive relatively inexpensive medical care only to a strictly limited number of patients. From year to year, everyone turns to medical institutions more people in need of urgent surgery, but only a small percentage receive access to the government program.

Usually quotas are distributed at the beginning of the year. If the request, for example, to replace the meniscus of the knee joint was later, you will have to wait. As a rule, this lasts for long time. There is a possibility that someone who has already been allocated a quota will refuse the operation. This doesn't happen often, but it is possible. Such an event somewhat shortens the waiting period for those who are in line after the refusenik.

What to do?

Two aspects are quite relevant for many: deadlines and which knee joints are placed according to the quota. The first one is clear: not everyone has the opportunity to wait their turn. If the approximate waiting period is years, during this time organic tissues can be destroyed very much, and the person himself will completely lose the ability to move. In such a situation, many try to find an alternative option, looking for funds to pay for the operation themselves. Timely medical care significantly increases the chances of restoring quality of life.

The second aspect is related to the prostheses that will be installed. It is usually assumed that those who go to the clinic at their own expense have a choice. People who get an appointment under a quota can only rely on those prostheses that are currently available in the institution. Of course, this is in any case better than nothing, especially for patients who objectively do not have the opportunity to pay for an operation that allows them to choose what and how to perform it. At the same time, no one can guarantee that at the right time, the doctors of the institution will actually have the best and most modern prostheses.

To find out the current legal standards regarding the issue under consideration, you should study the order issued in 2013 by the Ministry of Health, issued under number 565n. It indicates all the features of the provision of quotas, as well as a list of persons eligible to participate in the program. Additional official information is also contained in the government decree issued a year later. This document was published under number 1273. It also discusses the features of inclusion in the waiting list, possible diagnoses, with which you can get to the clinic for free (or partially free).

How to save money?

If you cannot find out for yourself how knee replacement surgery works under a quota, and you need to carry out the event entirely at your own expense, you can take advantage of several opportunities to reduce the cost of the event. The cheapest way available to our compatriots is to go to a state surgical clinic. In this case, you will not have to pay for hospital and surgical services - these amounts are covered by an insurance policy, which all citizens of the country must have. But the cost of the prosthesis will have to be reimbursed.

Sometimes the situation develops in such a way that the operation is required very urgently, and the person simply does not have the opportunity to collect all the documentation required by the rules. A public clinic does not always have the right to admit such a patient, so the risk of refusal is high. free help. If the circumstances are this way, the only option is to use the services of a private organization, where you will have to pay both the price of the prosthesis and the costs of the operation.

Disability and some features

The rehabilitation program after knee replacement, in accordance with current legislation, is intended for patients who have become disabled precisely due to the disease for which they were referred for prosthetics. IPR allows you to somewhat reduce the financial costs associated with surgery. The federal budget undertakes to reimburse the cost of prostheses if they were secured by rights that came into force before the beginning of 2015. It does not matter in what year the intervention itself will be carried out - in 2018 or later. True, there is also a subtle point: the budget is ready to provide only 160,000 rubles; if the price of the prosthesis is higher, you will have to pay extra on your own.

If the patient entered the rehabilitation program after knee replacement after the end of 2014, then the prostheses are installed in accordance with the Compulsory Medical Insurance, and are guided by the decree issued under number 1776, signed by the government of the country. It contains full list funds that the budget can provide to disabled people, and endoprostheses are not included in it. Using the IPR, you can gain access to other rehabilitation devices - crutches, individual hygiene products and so on. At the same time, lawyers point out that many aspects are still not clearly regulated by laws, so it is likely that at the stage of reimbursement of expenses you will have to make a lot of effort to defend your interests.

Help is needed!

As experts note, in order to learn from your own experience how a knee joint replacement operation goes, without going broke and without waiting several years, it is best to try to use the assistance charitable foundation. Currently there are several operating public organizations ready to help raise funds for surgery.

Price of dentures: what to expect

Most inexpensive option- cement. This design will cost from 120,000 rubles. Systems without cement will cost 45,000 more.

From 130,000 rub. the price for prostheses created on the basis of metal and polyethylene begins. From 170,000 rub. and completely metal products and those where metal is in contact with ceramics are more expensive.

What's in the future?

The prices are, of course, terrifying, but there is one aspect that scares many even more: the service life of the prosthesis. Modern systems are not eternal help. As the years pass, they gradually deteriorate. The service life is determined by several parameters. One of the most important is the method of attaching the artificial system to bone tissue. In some cases, the components of the prosthesis are literally driven into the bone, and gradually the objects grow together. In medicine this is called osseointegration. When using this technique, the joint elements are firmly fixed, so the system will last quite a long time.

This technique is not always feasible. Often, the quality of the bone simply does not allow for such prosthetics, but there may be other reasons. Alternative option- the use of bone cement, that is, a hardening mass that allows you to quickly fix the prosthesis.

Friction pair

This parameter of the prosthesis directly determines the length of its service life and the effect on the patient’s organic tissues. In fact, a joint is a joint whose components rub against each other. If in technology the process is smoothed out by the presence of lubricant, then in the human body there is none, so the components wear out significantly over time. The degree of wear is directly related to the survival of the joint. It is determined by the materials used and the number of movements made by a person.

In order for the joint to live longer, it is necessary to install systems with the most effective friction parameters, as well as reduce the number of motion cycles. The longest wear periods are typical for systems that use ceramics, but the price for such prostheses is the highest.

What to choose?

Not every material is suitable for a particular patient. In some cases, polyethylene is the most profitable option; for others, ceramics will be the optimal solution. Sometimes doctors may recommend using metal prostheses. To choose the best option, you should seek advice from an experienced doctor. Only a qualified specialist can evaluate all the positive, negative sides different types prosthesis in relation to specific situation person, on the basis of which a reasonable decision will be made - both in terms of quality and financial investments.

This is interesting

Just a few years ago, there were only five types of prostheses. Currently, about seven dozen species are used in European clinics. This allows you to select best option, taking into account age, gender, body type. Having access to the latest technologies, you can truly regain your quality of life with surgical intervention performed in a timely and professional manner.

There are situations when usual treatment Does not help. At such moments, unique techniques, expensive drugs and the latest equipment, which are part of VMP, save you.

What it is? How is it different from conventional medicine? How to get quotas for high-tech medical equipment in 2018, what documents to prepare?

Look for answers to these and other questions in our next article.

What is VMP, and for what high-tech medical care are quotas allocated in 2018?

It should be noted right away that VMP is an expensive pleasure. And for some drugs or operations, money within the framework of the RMS ordinary person lacks.

To solve the problem, the concept of VMP was introduced.

What is VMP?

Firstly, VMP is an abbreviation formed from the initial letters of three words - high-tech medical care.
Secondly, this abbreviation stands for state-of-the-art medical care. It is provided in the case of complex diseases such as oncology, leukemia and other serious pathologies, in the treatment of which highly professional specialists perform operations and other manipulations, using high medical technologies, minimizing the risk to the health and life of the patient.

High-tech medical care differs from conventional care:

Methodology.
Treatment approach.
A (wider) list of services provided.

By quota we mean the amount of money that the Compulsory Health Insurance Fund allocates each year for the treatment of a specific number of people living in a particular region.

State support in the form of a quota covers citizens’ expenses for treatment, incl. - stay in a specialized clinic, rehabilitation and provision of medications.

NEED TO KNOW: A common disease is not subject to quotas. Only that type of assistance that requires specialized equipment and certain training of specialists.

What high-tech medical care will receive quotas in 2018?

For the state to allocate funds to rid a person of a disease, only compelling reasons are needed.

The list of diseases subject to quotas published by the Ministry of Health contains up to 140 diseases. We will name only a few of them. And we're talking about:

Internal organ transplantation.
Neurosurgical operations.
Treatment of hereditary diseases, including leukemia, oncology, etc.
Diseases of the thyroid gland.
Problems with the liver and kidneys.
Operations on the eyes, spine, etc., which require specialized equipment, etc.

BY THE WAY: Russian Ministry of Health determines the number of quotas for each medical institution operating under the appropriate license, i.e. which will accept only a certain number of patients for budgetary treatment.

Sources of financing quotas for high-tech medical care in 2018 - are treatment and operations completely free under quotas?

Until recently, VMP was financed from the federal budget.

And after 2014, high-tech medical care was divided into 2 main parts, which financed:

Federal Compulsory Medical Insurance Fund (i.e., which was included in the state compulsory medical insurance program).
Only the federal budget.

Due to this, the availability of treatment has become higher, and the waiting time for hospitalization has become shorter.

In 2018, all high-tech assistance financed only from the MHIF budget. And the principle of financial support is simple.

On VMP:

Which is part basic program Compulsory medical insurance, finances are received by transferring amounts as subventions to territorial funds.
Which is not part of the state program, finances within the framework of fulfilling the state task for providing treatment are directly transferred by federal government agencies.

Some types of treatment are paid for by the regional budget of territorial units of the Russian Federation. There is co-financing of expenses Russian subjects, which appear when providing such high-tech assistance, from the Compulsory Medical Insurance Fund.

The Ministry of Health fully determines:

List of clinics with the latest equipment and specialists of the highest category.
Number of patients who will receive VMP in 2018
Calculation of the base rate.

The medical institution is determined taking into account whether the therapy the patient needs is included in the basic program:

The therapy, which is included in the state compulsory medical insurance program, will be carried out where they work under the terms of this type of insurance.
If VMP is not included in the basic system, then it is provided in private centers and government institutions of the Ministry of Health.

BY THE WAY: VMP is also provided to small patients. Thus, consultations with a uroandrologist, endocrinologist and gynecologist will be provided by the Center reproductive health children and teenagers of Morozov Children's.

How to get high-tech medical care under the compulsory medical insurance policy in 2018 - what to do if high-tech medical care is not included in the compulsory medical insurance policy?

This process is not as simple as we would like. At each of the three main stages, the patient must undergo a specialized commission.

First, they pay a visit to the doctor and inform him of their decision.

Stages of registration

To apply for a quota for surgery or treatment when providing high-tech medical care in 2018, you must:

Get a referral from a doctor.
If necessary, undergo additional manipulations and examinations.
Obtain a certificate from a doctor indicating the diagnosis, treatment method, diagnostic measures, general condition patient.
Submit the certificates to the commission of the medical institution involved in quotas for consideration.
Wait 3 days and get a decision.

The decision by the health department of a particular entity is made within 10 days.

If it is positive, the commission remains:

Indicate the medical institution where high-tech care is provided in 2018.
Send a package of patient documents.
Tell him about your decision.

IT IS IMPORTANT TO KNOW: Most patients are matched with a clinic located closer to their place of residence.

This medical institution, operating under a license to perform VMP in 2018, sends:

Voucher for the provision of high-tech medical care.
Copy of the protocol.
Information about the patient's condition.

Within ten days, the quota commission of the clinic to which the documents were sent makes a decision after the meeting.

BY THE WAY: If the money was used to treat the patient, the voucher for VMP remains in the clinic as proof of funding from the budget.

It may take about 23 days. A very long time. And it’s not a fact that the decision will be positive. This is for situations where you can’t wait, it’s just a disaster.

But there is another option for obtaining a quota. Those. - go to the clinic yourself, licensed for high-tech treatment.

The algorithm of actions is as follows:

Sign the documents at the local clinic (with the attending physician and the head physician) where the diagnosis was made.
Go to the clinic with these papers.
Write an application for a quota.
If the decision is positive, then you need to go again with the coupon to the health department.

If VMP is not included in the compulsory medical insurance policy, you must make an appointment with the department.

The procedure for obtaining a quota for surgical VMP in 2018 - list of documents and registration stages

The main document for referring Russian residents to specialized clinics for the provision of primary care is the corresponding order of the Ministry of Health and Social Development of the Russian Federation.

The procedure for applying for a quota is as follows.

The Ministry of Health distributes “quotas” for treatment to specified regional clinics. And each region has the right to send residents only to where the quota has been allocated.

To receive the so-called coupon-referral for VMP, the person contacts the local Department of Health or regional ministry Ministry of Health.

List of documents

After visiting the doctor who confirmed the diagnosis, the patient in need of treatment must collect a number of documents.

The regional health department expects him to submit:

Passports and their copies.
Statements.
Written consent to the processing of personal data.
Minutes of the commission meeting from the medical institution whose specialists made the initial diagnosis.
Extracts from the medical record, where examinations and diagnosis are entered.
Compulsory medical insurance policy and its photocopies.
Insurance certificate.
Certificates of disability (if any).

As a rule, citizens who need expensive treatment but do not have extensive financial resources think about how to obtain a quota for an operation. Treatment involving surgical intervention is paid for by the state for the lucky quota holder. Every year the number of quotas for operations in Russia increases, and now free high-tech medical care is no longer “science fiction”, but a reality.

Free treatment: legislative basis

How to obtain a quota for an operation and what is included in the quota for an operation is stated in Order of the Ministry of Health No. 930n dated December 29, 2014. This document regulates all aspects regarding quotas. The list of operations carried out under the quota is contained in Government Decree No. 1403 of December 19, 2016. The list is very voluminous; You can find it in its entirety on the Internet or request it from your doctor. Most often, with the support of the state, citizens are provided with high-tech medical care of the following types:

Open heart surgery.

Heart, liver, kidney transplantation.

Removal of brain tumors.

Treatment of leukemia.

Treatment of congenital pathologies.

Surgical procedures on the spine.

Treatment of eye dysfunctions. People suffering from glaucoma, retinal detachment, the consequences of cataracts, and congenital visual defects should think about how to get a quota for eye surgery.

Joint prosthetics.

In vitro fertilization.

Nursing newborns using modern methods in the first days of life.

Order of the Ministry of Health No. 930n also mentions emergency situations. The clinic does not have the right, through inaction, to condemn a citizen to death if he or she needs urgent medical care. The patient must be provided with assistance - the clinic’s services are paid for after the fact, but only if the medical institution promptly informs the territorial health authority about the procedures performed.

Registration process

The procedure for obtaining a quota for an operation in Moscow, as in any other region, is quite complex and requires the presence huge amount bureaucratic obstacles, obviously aimed at boring the citizen and forcing him to pay for treatment at the expense of own funds.What should you do to still get in line for surgery under the quota?

First of all, it is necessary to clarify whether the state provides the opportunity to cure for free the illness from which the citizen suffers. You can study the list of diseases yourself, but in this case there is a risk of simply not understanding the intricacies medical terms. It is better to seek specialist advice from your local Ministry of Health office. A specialist from the Ministry of Health will give reliable information about whether you should count on medical care at the expense of the state, and will tell you step by step how to get a quota for heart surgery or other types of treatment. It is worth noting that registration procedures may vary slightly depending on the region.

If a citizen believes that his chances are great, he needs to contact his doctor at his place of registration. The attending physician decides what tests the citizen should undergo and issues a referral for diagnostics. Simultaneously with taking the tests, a citizen should begin collecting mandatory documents, the list of which will be given below.

If, based on the results of a medical examination, it is confirmed that a citizen needs surgical intervention, the attending physician issues a referral for surgery according to the quota. In 2018, a referral is not issued to the patient - the clinic staff themselves send a package of required documents (after the citizen provides them) for consideration by the commission of the territorial branch of the Ministry of Health.

The commission checks the documentation and issues its decision regarding the advisability of providing a quota within 10 days. Another 10 days can be spent selecting a suitable medical facility. In total, a maximum of 20 days are spent on consideration of the candidacy.

If the patient needs urgent help and 20 days is an unaffordable luxury for him, the attending physician attaches a special note to the package of papers. If there is such a mark, documents are considered as a priority.

If the decision of the Ministry of Health commission is positive, the patient is given a coupon to receive preferential treatment. With this coupon, the citizen goes to the clinic where the operation is planned to be performed.

In a specialized medical institution, the patient will have to undergo the last commission, as a result of which it becomes 100% clear whether the citizen will receive the right to be treated at public expense or not. This commission is also given 10 days to make a decision. After approval by the commission of the specialized clinic, a date for hospitalization of the patient is set. Often a citizen has to wait in line for a quota for an operation. It is no secret where to look up the date of appearance for hospitalization - information is available on the website www.talon.gasurf.ru.

Many citizens are interested in the question of whether it is necessary to pay at least partially for the operation according to the quota. The operation itself is free, but the patient will probably still have to incur some expenses - for example, to find a donor for organ transplantation.

What documents will be needed?

The required documents for an operation quota include:

An application containing the full name of the applicant for treatment, his home address, contact phone number, and passport details.

Passport. If we are talking about treating a child under 14 years old, you need a passport of one of the parents and the child’s birth certificate (with photocopies).

Written consent to the processing of personal data.

Extract from medical card. This document is issued by the clinic at the place of registration of the citizen.

results laboratory research. The patient receives them based on the results of the diagnosis prescribed by the attending physician of the clinic.

Health insurance policy and pension insurance certificate. If the patient has these documents, copies of them are also attached to the package. If these documents are missing, the package is generated without them.

The set of papers also includes a referral for surgery, signed by the head doctor of the clinic, but the staff of the medical institution apply it themselves.

As a rule, from the moment a citizen first contacts the attending physician and before the operation, from 3 weeks to one and a half months pass. This, unfortunately, is quite an impressive period of time - during the waiting period the patient’s condition can worsen to critical. It is quite obvious that the procedure for obtaining a quota for an operation needs adjustments. Forcing a person suffering from a serious illness to collect an impressive package of papers and undergo 3 medical examinations is completely inhumane.

Medical care provided to the population can be primary health care, specialized, emergency and palliative. At the same time, specialized care includes high-tech medical care.

What is VMP

VMP is medical care that is provided using the latest developments, technologies and equipment. It is used in cases of treatment of complex and severe diseases by specialists with the necessary qualifications.

A medical institution providing treatment with VMP is required to have a license for this type of activity.

A complete list of types of VMP and quotas is indicated in Order No. 916n of the Ministry of Health of the Russian Federation.

The initial decision on the need to use VMP is made in a clinic or hospital.
The documents are then reviewed at the regional level within 10 days, where a final decision is made.

If the outcome is positive, the documents are sent directly to the institution where the treatment will take place.

Over the next 10 days for electronic applications and within 3 days for personal consultations, the documents will be reviewed by the clinic’s commission.

Several months may pass from the moment of submitting documents to hospitalization. This is due to the queue, the urgency of treatment and the availability of available places.

Sometimes another abbreviation is used to denote high-tech medical care - VTP.

Help with the compulsory medical insurance system

The provision of high-tech medical care is regulated by order of the Ministry of Health of Russia dated December 10, 2013 No. 916n“On the list of types of high-tech medical care” and Decree of the Government of the Russian Federation dated December 19, 2016 No. 1403“On the program of state guarantees of free medical care to citizens for 2017 and for the planning period of 2018 and 2019.”

The resolution is adopted by the Chairman of the Government at the end of each year and contains a detailed list of diseases and conditions, types of high-tech medical care, indicating treatment methods for which assistance is free.

Next to each type of high-tech assistance there is a standard financial costs per unit volume. In simple words– this standard is the estimated cost of a procedure, operation, treatment. In the list of high-tech care (HTP), the overwhelming number of procedures are valued at 50-100-150-200 thousand rubles.

The same resolution defines the average per capita standards for treatment, for the current year – 2018, and planned for 2019 and 2020:

To some extent, they can be adjusted (we hope to be increased) by territorial programs, but one should not hope for a large increase.

Looking at these amounts, it becomes clear that a case where a patient was provided with VMP under compulsory medical insurance can be considered a great success.

Until 2014, VMP was financed exclusively from the federal budget. Later changes were made, as a result of which funds from the system of compulsory health insurance funds were added to the existing provision.

For VMP from the basic program, money comes in the form of part of subventions in, and for VMP, which is not related to the state program, funds are accrued from federal institutions directly. In some cases, the regional budget also participates in financing.

Any citizen of Russia has the opportunity to receive high-tech assistance free of charge or under a quota (both adults and children). But for this there must be medical indications.

In some cases, after reviewing the documents, the patient may be denied VMP.
The reason could be, for example, high risk or treatment failure. In this case, alternative methods will be proposed.

If a citizen wants to appeal the decision, he needs to write a complaint to local authorities Roszdravnadzor.

For some diseases, there is no time to prepare documents, since help is needed immediately.

In such situations, the citizen receives the necessary VMP, but it is carried out according to compulsory medical insurance only for one area (vital procedure, operation), not including full medical care.

According to research, for 2015-2016. VMP is most in demand for treatment coronary disease heart surgery, joint replacement, operations for oncology, glaucoma and installation of a pacemaker.

What types are included in the compulsory medical insurance list?

According to the compulsory health insurance program, the types of high-tech medical care provided are classified by region. The list of diseases and methods of their treatment using VMP is given in the resolution.

VMP is used in therapeutic, surgical and combined treatment of diseases in the following areas:

abdominal surgery;
obstetrics and gynecology;
gastroenterology;
hematology;
pediatric and neonatal surgery;
combustiology;
neurosurgery;
neonatology;
oncology;
otorhinolaryngology;
ophthalmology;
rheumatology;
pediatrics;
thoracic surgery;
traumatology and orthopedics;
transplantation;
urology;
endocrinology.

In total, the resolution lists 1,435 types of HFMP. Some of them:

microsurgery;
reconstructive plastic and restorative operations;
surgical and combined treatment of neoplasms;
surgical organ-preserving treatment;
radiation therapy (including external beam, interstitial, radionuclide, etc.);
laser and intensive therapy;
nursing newborns;
video endoscopic intrastitial and intraluminal interventions;
chemotherapy;
radiological interventions;
organ transplantation;
multicomponent immunomodulatory therapy;
plastic surgery of large vessels of the extremities;
therapeutic treatment of complex systemic diseases;
implantation of temporary electrodes;
endoprosthetics and bone reconstruction;
video thoracoscopic operations;
robot-assisted operations.

VMP not included in the basic compulsory medical insurance program

Not all types of high-tech medical care are included in the basic compulsory medical insurance program.

The second section of the resolution provides a list of diseases and treatment methods that are carried out using federal budget funds from the Compulsory Medical Insurance Fund in the form of other interbudgetary transfers.

Will there be compulsory medical insurance reform in Russia?

What is a quota and how is it allocated?

The VMP quota is the amount of funds allocated by the Compulsory Medical Insurance Fund for treating people with VMP separately in each region.

This amount covers the cost of living in the clinic, drug provision, rehabilitation and treatment.

The number of quotas for each medical institution is limited. This number is determined by the Ministry of Health. Funds are distributed among regional clinics.

To obtain a quota, you need to go through the following steps:

take a doctor's referral;
undergo additional examination (if necessary);
receive a document from the clinic containing information about the diagnosis, treatment, diagnostics and health status;
submit documents to the commission for issuing quotas (the decision is made within 3 days).

If the outcome is positive, the documents are sent to the regional health care management institution. If this body agrees with the issuance of a quota for VMP, the commission determines the clinic where the treatment will take place and sends the documents.

The second option for obtaining a quota is to independently contact a medical institution that has a license for VMP.

To do this you need:

collect a package of documents confirming the need for VMP;
apply with these documents directly to the clinic and write an application for a quota;
If the decision is positive, you need to contact the health department with a coupon.

The direction to receive VMP is called a coupon.

How to get a coupon

Citizens of the Russian Federation have the right to receive a VMP coupon both in person and through legal representative.

Receiving a coupon is a free service. After submitting the application, the coupon must be provided within 10 days.

If the required medical care is included in the basic compulsory medical insurance program, then the coupon is issued by the medical institution that will provide the treatment.

In order to obtain a voucher for VMP that is not included in the basic program, you need to contact the health department or the local branch of the Ministry of Health.

In both cases, you need to have a package of documents with you, which includes:

ID card (passport), its copy;
statement of the recipient or representative;
consent to the processing of personal data;
conclusion of the medical commission of the OHC (protocol required when receiving VMP not included in the basic program);
extracts with diagnosis and examinations;
compulsory medical insurance policy;
SNILS;
certificate of disability (if available);
journal entry.

The OHA Commission is a commission from the regional executive authority in the field of healthcare. Her responsibilities include selecting patients for referral to VMP. The selection of patients is based on the indications for treatment.

The coupon is issued using an electronic system.

How to check the status of a coupon

The received VMP coupon looks like a document drawn up in the form and containing an identification number, information about the organization that issued it and information about the recipient.

Using the identifier number, you can find out the number of quotas, information about the review of documents and the date of hospitalization.

In order to verify the necessary information, you need to contact your regional health department. By providing the coupon number, you can get all the information you need.
It’s even easier to check the progress of the case by using the service on the RosMinistry of Health website.

VMP portal for compulsory medical insurance

The portal was developed by the Ministry of Health to provide information support to citizens in the provision of high-tech medical care.

The reference information section contains complete information about the Ministries of Health and medical institutions licensed to provide VMP:

actual address;
email address;
telephone and fax number;
Full names of ministers of health and chief physicians;
links to the official website.

At the top of the window there is a search bar with which you can find the desired medical institution.

The next section is regulatory and reference information. This page contains orders, resolutions and federal laws that regulate relations in the field of medical care, and information about the Ministry of Health of the Russian Federation.

The news section indicates important events in the field of providing high-tech medical care.

In the surveys section, you can leave your opinion about receiving a referral, the quality of medical care and the results.

On the search page for a medical organization by type of medical treatment, you can find a specific institution that provides this or that treatment.

In the first term, a section is selected (a service included in the basic compulsory medical insurance program or not), and in the second, you need to select the type of VMP.

On the main page of the portal there is a field where you need to enter the coupon number. After this, all available information on this coupon (date of creation, medical institution, etc.) will be presented on the screen.

Helpful information

VMP is an opportunity to save health, and in some cases, life. Thanks to the compulsory medical insurance system and federal budget, citizens can receive free complex treatment, subject to evidence and necessary documents.

There are situations when conventional treatment does not help. At such moments, unique techniques, expensive drugs and the latest equipment, which are part of VMP, save you.

What it is? How is it different from conventional medicine? How to get quotas for high-tech medical equipment in 2018, what documents to prepare?

Look for answers to these and other questions in our next article.

What is VMP, and for what high-tech medical care are quotas allocated in 2018?

It should be noted right away that VMP is an expensive pleasure. And an ordinary person does not have enough money for some medications or operations under the RMS.

To solve the problem, the concept of VMP was introduced.

What is VMP?

Firstly, VMP is an abbreviation formed from the initial letters of three words - high-tech medical care.
Secondly, this abbreviation stands for state-of-the-art medical care. It is provided in the case of complex diseases such as oncology, leukemia and other serious pathologies, in the treatment of which highly professional specialists perform operations and other manipulations, using high medical technologies, minimizing the risk to the health and life of the patient.

High-tech medical care differs from conventional care:

Methodology.
Treatment approach.
A (wider) list of services provided.

By quota we mean the amount of money that the Compulsory Health Insurance Fund allocates each year for the treatment of a specific number of people living in a particular region.

State support in the form of a quota covers citizens’ expenses for treatment, incl. - stay in a specialized clinic, rehabilitation and provision of medications.

NEED TO KNOW: A common disease is not subject to quotas. Only that type of assistance that requires specialized equipment and certain training of specialists.

What high-tech medical care will receive quotas in 2018?

For the state to allocate funds to rid a person of a disease, only compelling reasons are needed.

The list of diseases subject to quotas published by the Ministry of Health contains up to 140 diseases. We will name only a few of them. And we're talking about:

Internal organ transplantation.
Neurosurgical operations.
Treatment of hereditary diseases, including leukemia, oncology, etc.
Diseases of the thyroid gland.
Problems with the liver and kidneys.
Operations on the eyes, spine, etc., which require specialized equipment, etc.

BY THE WAY: The Russian Ministry of Health determines the number of quotas for each medical institution operating under the appropriate license, i.e. which will accept only a certain number of patients for budgetary treatment.

Sources of financing quotas for high-tech medical care in 2018 - are treatment and operations completely free under quotas?

Until recently, VMP was financed from the federal budget.

And after 2014, high-tech medical care was divided into 2 main parts, which financed:

Federal Compulsory Medical Insurance Fund (i.e., which was included in the state compulsory medical insurance program).
Only the federal budget.

Due to this, the availability of treatment has become higher, and the waiting time for hospitalization has become shorter.

In 2018, all high-tech assistance is financed only from the MHIF budget. And the principle of financial support is simple.

On VMP:

Which is part of the basic compulsory medical insurance program, finances are received by transferring amounts as part of subventions to territorial funds.
Which is not part of the state program, finances within the framework of fulfilling the state task for providing treatment are directly transferred by federal government agencies.

Some types of treatment are paid for by the regional budget of territorial units of the Russian Federation. There is co-financing of expenses of Russian entities that arise when providing such high-tech assistance from the Compulsory Medical Insurance Fund.

The Ministry of Health fully determines:

List of clinics with the latest equipment and specialists of the highest category.
Number of patients who will receive VMP in 2018
Calculation of the base rate.

The medical institution is determined taking into account whether the therapy the patient needs is included in the basic program:

The therapy, which is included in the state compulsory medical insurance program, will be carried out where they work under the terms of this type of insurance.
If VMP is not included in the basic system, then it is provided in private centers and government institutions of the Ministry of Health.

BY THE WAY: VMP is also provided to small patients. Thus, consultations with a uroandrologist, endocrinologist and gynecologist will be provided by the Center for Reproductive Health of Children and Adolescents at Morozov Children's.

How to get high-tech medical care under the compulsory medical insurance policy in 2018 - what to do if high-tech medical care is not included in the compulsory medical insurance policy?

This process is not as simple as we would like. At each of the three main stages, the patient must undergo a specialized commission.

First, they pay a visit to the doctor and inform him of their decision.

Stages of registration

To apply for a quota for surgery or treatment when providing high-tech medical care in 2018, you must:

Get a referral from a doctor.
If necessary, undergo additional manipulations and examinations.
Obtain a certificate from the doctor indicating the diagnosis, treatment method, diagnostic measures, and general condition of the patient.
Submit the certificates to the commission of the medical institution involved in quotas for consideration.
Wait 3 days and get a decision.

The decision by the health department of a particular entity is made within 10 days.

If it is positive, the commission remains:

Indicate the medical institution where high-tech care is provided in 2018.
Send a package of patient documents.
Tell him about your decision.

IT IS IMPORTANT TO KNOW: Most patients are matched with a clinic located closer to their place of residence.

This medical institution, operating under a license to perform VMP in 2018, sends:

Voucher for the provision of high-tech medical care.
Copy of the protocol.
Information about the patient's condition.

Within ten days, the quota commission of the clinic to which the documents were sent makes a decision after the meeting.

BY THE WAY: If the money was used to treat the patient, the voucher for VMP remains in the clinic as proof of funding from the budget.

It may take about 23 days. A very long time. And it’s not a fact that the decision will be positive. This is for situations where you can’t wait, it’s just a disaster.

But there is another option for obtaining a quota. Those. — go to the clinic yourself, licensed for high-tech treatment.

The algorithm of actions is as follows:

Sign the documents at the local clinic (with the attending physician and the head physician) where the diagnosis was made.
Go to the clinic with these papers.
Write an application for a quota.
If the decision is positive, then you need to go again with the coupon to the health department.

If VMP is not included in the compulsory medical insurance policy, you must make an appointment with the department.

The procedure for obtaining a quota for surgical VMP in 2018 - list of documents and registration stages

The procedure for applying for a quota is as follows.

The Ministry of Health distributes “quotas” for treatment to specified regional clinics. And each region has the right to send residents only to where the quota has been allocated.

To receive the so-called coupon-referral for VMP, the person applies to the local Department of Health or the regional ministry of the Ministry of Health.

List of documents

After visiting the doctor who confirmed the diagnosis, the patient in need of treatment must collect a number of documents.

The regional health department expects him to submit:

Passports and their copies.
Statements.
Written consent to the processing of personal data.
Minutes of the commission meeting from the medical institution whose specialists made the initial diagnosis.
Extracts from the medical record, where examinations and diagnosis are entered.
Compulsory medical insurance policy and its photocopies.
Insurance certificate.
Certificates of disability (if any).

According to current legislation, joint replacement with free of charge can be done in the following cases:

if a child or adult suffers from cancer that negatively affects the functioning of musculoskeletal system;
in the presence of severe pain in knee joints that cannot be cured conservative method;
if there are changes in the limbs after fractures or unsuccessful operations accompanied by diseases such as arthrosis, arthritis, rheumatism, gonarthrosis, etc.;
in the presence of inflammatory processes in the area of a previously installed prosthesis;
when the prosthesis wears out, its partial or complete destruction.

But not in all cases it can be prescribed surgery.

There are a number medical contraindications, in the presence of which intervention will not be carried out:

Serious disruptions to work of cardio-vascular system.
Severe disruptions in the functioning of the nervous system.
Diabetes, at this stage not responding to treatment.

Once the patient's condition has stabilized and the risk has decreased, surgery can be performed. For example, if blood sugar levels are equalized, this contraindication is canceled.

Procedure for obtaining a quota

How to get a quote for a knee replacement? To take advantage of this chance, you must go through certain steps:

You should consult a doctor for full examination. Only if you have officially documented conclusions from a specialist can you expect that a knee replacement operation will be performed free of charge.
You need to collect the necessary package of documents: a doctor’s report, a copy of your passport and identification code, a written statement from the patient, an insurance policy, proof of disability (if any). All papers must be submitted to the health authorities at your place of residence.
After this special medical commission decides whether the patient really needs endoprosthetics. It takes about 10 business days to process the case. If the experts make a positive decision, the materials will be sent to a specific clinic.
Next, the management of the medical institution studies the received documents and decides when exactly the operation will be performed. The patient is put on a waiting list and assigned a date and time for planned surgery. This information is communicated to the members of the commission, who, in turn, notify the patient.

Laws relating to quotas

1) orders of the Ministry of Health of the Russian Federation, which specify the quota process;

2) regulations that guarantee free medical care to citizens of our country;

3) Federal Law No. 323. Its article 34 describes the process of issuing quotas, as well as the conditions for the implementation of these state guarantees.

The issue of financing medical care is in the department of the specified ministry. Only this government agency has the right to decide how many quotas will be in this year, and in which health care facility they can be used. Such resolutions are issued by him regularly.

Of course, the state does not allocate funds to rid citizens of all their ailments. To obtain a quota, you need good reasons.

The Ministry of Health has published a document containing a list of diseases that can be treated with public money. The list of diseases for treatment under the quota in 2018 contains up to 140 names of diseases.

1.Heart diseases for which treatment is intended surgery(including repeated ones).

3. Joint replacement, if necessary, then endoprosthetics.

4. Neurosurgical intervention.

5.IVF (in vitro fertilization).

6. Treatment of hereditary diseases in severe form, including leukemia.

The Ministry of Health determines the number of quotas for each institution that has the appropriate license. This means that a certain clinic can only accept a certain number of patients for treatment at the expense of the state budget.

Lack of quotas

Unfortunately, the number of quotas allocated by the state is limited. And he goes to hospitals every day a large number of people in need of endoprosthetics. There is no way to perform surgeries for everyone for free.

Very rarely there are situations when the patient refuses to undergo surgery. In this case, patients who are in line behind him have a chance to receive treatment faster.

It is worth noting that not every patient has the opportunity to wait for his turn for several years. In order not to aggravate the course of the disease, people decide to undergo surgery at their own expense. After all, timely treatment increases the chances of recovery many times over.

How to pass the first commission (at the place where the person was observed)?

Unfortunately, the path to a medical institution that provides free medical care is not easy. The patient must wait until he receives a positive response from three commissions. These stages of obtaining quotas are approved by the Ministry of Health Russian Federation.

There are also workarounds. We'll talk about them a little later. Any request for a quota should always begin with the treating doctor.

To ensure preferential treatment, the diagnosis must first be confirmed. To do this, you may need to take paid analyzes and undergo examinations. The patient will have to pay for this with his own money.

The stages of initiating the receipt of quotas are as follows:

contact your doctor and describe your intention;
Take a referral from him if you need to undergo additional examination. If you refuse this, you will not receive a quota;
The doctor must draw up a certificate containing information regarding:

4) general condition of the patient;

the certificate should be considered by a commission created in a specific medical institution, which deals with quota issues;
the authority must make a decision within three days.

The attending physician is responsible for the “candidate” for the quota. He does not have the right to recommend to the commission a person who can do without VMP.

1) extracts from the minutes of the meeting with an explanation of the positive decision;

2) photocopies of the passport (or birth certificate if the patient is a child under 14 years old);

3) application, which must indicate full name, registration address, passport details, citizenship, contact information;

4) copies compulsory medical insurance policy(Compulsory health insurance);

5) pension insurance policy;

6) information about the insurance account (in some cases);

7) information about examinations completed and tests taken (originals);

extracts from the medical card, which contains a detailed diagnosis (this is prepared by the doctor).

You must agree to the processing of personal data by a medical organization. To do this, you need to write an additional application.

The regional level commission consists of five specialists. Its activities are supervised by the head of a certain department. The authority must make a decision within ten days.

1) determine the medical institution where the treatment will be carried out;

3) inform the applicant.

It is customary to choose a clinic that is located near the patient’s place of residence. But not all hospitals have a license to conduct special operations. It turns out that a citizen can be given a referral to another region or even to an institution in the capital.

The way this body works is recorded. The papers reflect the following information:

the reason for creating a commission of a constituent entity of the Russian Federation;
composition of persons present;
information about the patient whose application was considered;
conclusion, which deciphers:

1) all data on indications for further provision of quotas;

2) diagnosis, as well as its code;

3)reason for referral to the clinic;

4) is there a need to conduct additional examination;

5) reasons for refusal to receive VMP.

1) coupon for the provision of VMP;

3) medical information about the patient’s health status.

The medical institution itself where treatment is carried out also has a quota commission. After receiving the documents, it holds its own meeting, where at least three people must participate.

1) is engaged in researching the information provided for the possibility of providing needed by the patient treatment;

2) decides whether the patient needs this treatment or not;

3) determines specific deadlines;

4) he has ten days for all this.

The coupon, if used, is kept in the clinic. It is the basis for budgetary financing of treatment.

It turns out that in total the decision to include a person in the quota program takes at least 23 days. Also take into account the time for sending documents.

The state pays only for such medical services, which cannot be obtained at your local hospital. Namely: VMP, IVF, surgery and treatment.

Each type of assistance requires special equipment and appropriate training of specialists. Common illnesses are not subject to quotas.

Such support is provided to those patients whose diagnosis corresponds to the list of the Ministry of Health. They are sent to a clinic where the necessary manipulations are performed. All treatment is provided to the patient free of charge.

By the way, some citizens can travel free of charge by transport to the place of assistance.

For this type of government support, expensive drugs are purchased, which the patient cannot pay for himself. The procedure for such state support is determined by Federal Law No. 323 (Article 34). The Government of the Russian Federation is concretizing the implementation of the provisions of this normative act into practice. More detailed information Find out about the procedure for obtaining a quota for rehabilitation and treatment.

Women who have been diagnosed with infertility are referred for this operation. In vitro fertilization is a lengthy and high-cost procedure. Unfortunately, without this operation many women cannot become mothers. However, a referral for IVF is issued only to those patients who have undergone a difficult preliminary period of treatment and various examinations.

And this is not all types of assistance related to restoring the health and preserving the lives of citizens of the Russian Federation. There are many diseases, almost every one falls under one of the mentioned areas of medical technology. Although there are exceptions.

Often a person cannot afford to wait long for medical help.

Experts advise the following:

you need to call the people responsible for allocating quotas to find out how your issue is being resolved;
It would be useful to go to a meeting with the managers;
letters should be written and so on.

It must be said that the effect of this may be insignificant. Only experienced specialists participate in the commissions. They themselves are aware that delays in such matters are unacceptable. But it's still worth a try.

1) collect documentation (this was already discussed above);

2) bring her to the hospital and write a statement on the spot.

Unfortunately, clinics operating under quotas cannot help without complying with formalities. Such medical institutions will still need to account for the budget funds used.

High-tech medical care involves the use of complex, knowledge-intensive, expensive medical technologies to diagnose diseases and treat patients.

List of types of high-tech medical care determined by the Order of the Russian Ministry of Health dated December 29, 2014.
No. 930n “On approval of the Procedure for organizing the provision of high-tech medical care using a specialized information system.” (Full version of the order)

"National Medical Research Center surgery named after A.V. Vishnevsky" provides high-tech medical care in the following areas:

Abdominal surgery
Arrhythmology
Combustiology
Oncology
X-ray endovascular surgery
Cardiovascular surgery
Thoracic surgery
Traumatology and arthrology (endoprosthetics)
Urology
Endocrinology

The procedure for referring patients from regions of the Russian Federation to receive high-tech medical care is determined by Order of the Ministry of Health and Social Development of Russia No. 1689n dated December 28, 2011 - https://www.rosminzdrav.ru/documents/6966-prikaz-

To obtain a referral coupon (quota) to receive high-tech medical care at the FBGU National Medical Research Center for Surgery named after. A.V. Vishnevsky, the patient must contact the regional health authority with the following documents:

extract from the protocol of the decision of the medical commission
a written statement from the patient (his legal representative, proxy), containing the following information about the patient:
1. Full Name
2. information about place of residence and/or place of stay
3. details of the document proving identity and citizenship
4. mailing address for sending written responses and notifications
5. contact phone number
6. email address (if available)
consent to the processing of personal data of a citizen (patient)
copies of the passport of a citizen of the Russian Federation; the patient's compulsory medical insurance policy (if available); certificates of state pension insurance (if available).
extract from medical documentation The patient must contain information about his state of health, the examination and treatment performed, recommendations on the need for VMP, and the results of clinical diagnostic studies on the profile of the disease.

If the region of the Russian Federation does not have quotas for referring patients for treatment to the National Medical Research Center for Surgery named after. A.V. Vishnevsky, a citizen has the right to contact the Ministry of Health of Russia (Moscow, Rakhmanovsky lane, 3, Department of High-Tech Medical Care).

Residents of Moscow should apply for a quota to the city Department of Health (Moscow, 2nd Shchemilovsky lane, 4 A, building 4). Opening hours: Monday-Thursday from 9.00 to 17.30, Friday from 9.00 to 16.30 (lunch break from 13.30 to 14.30).

You must have the following documents with you:

conclusion of the commission of the medical institution
passport of the person for whom the referral coupon is issued
photocopy of passport (2.3 pages + registration)
photocopy of the compulsory health insurance policy
photocopy of the state pension insurance certificate
a photocopy of the disability certificate (if any).