Quotas for paid operations per year. How to obtain and apply for a quota for surgery (treatment, IVF, VMP)? Schedule of meetings of subcommittees on the provision of medical care

Sometimes situations arise when a seriously ill patient needs high-tech medical care, but does not have the necessary financial resources. It is for this category of citizens that the quota is designed - a document through which, at the expense of state appropriations, the patient is provided surgery.

This document applies only to government agencies.

What operations can you get a quota for - the main types of diseases that give you the right to receive a free quota

All points regarding the provision of quotas to the population for treatment are prescribed in Order of the Russian Ministry of Health of December 29, 2014 (No. 930n).

The list of ailments for which a patient can receive a quota is very long. You can find out more about this list from your doctor, or search online sources - Appendix 4 to the Order of the Ministry of Health and Social Development.

Quotas for treatment are provided only disabled people ! Those who do not have a group must first undergo a Medical and Social Examination.

In general terms, the pathologies for which benefits for surgical intervention are requested from the state can be characterized as follows:

• Serious disruptions internal organs, which requires their transplantation.
• Various
• Carrying out manipulations on the open heart.
• Errors in the functioning of the brain, which can be eliminated through surgery.
• Congenital pathologies, diseases endocrine system, leukemia.
• Surgical procedures on the spine.
• Violation of the functions of the visual organs.

In the above mentioned Order of the Ministry of Health and Social Development there is a column about emergency situations.

For example, if a patient massive heart attack myocardium, which requires the installation of a stent, but relatives cannot give the clinic guarantees about payment for this very operation, the administration of this medical institution does not have the right to refuse hospitalization.

The patient is required to provide necessary help with further informing the health authority (at the place of registration) about the procedures performed.

Full list therapeutic measures is formalized, and in the future the clinic is paid money for the work performed.

Preparatory examination for obtaining a quota - where to undergo a medical examination?

To obtain the quota in question, patients with a serious illness should visit several medical commissions:

1. Commission at the clinic at the place of registration

Here the relevant specialist prescribes an examination, after which a meeting of the first commission is held. At positive result the patient is given a document signed by the head physician of the clinic stating that the patient needs high-tech treatment. An extract from the medical history is attached to this document.

2.Commission of the regional health department

If the decision is made in favor of the patient, he is provided with a document-coupon with detailed information about the diagnosis and medical history.

3. Commission at the medical institution where they plan to provide treatment

The main points that are clarified during the meeting:

• Is this institution capable of providing the patient with the necessary medical care?
• Does the patient have any contraindications to hospitalization?

List of documents for obtaining a quota for a free operation

When planning to begin the procedure upon receiving a quota for surgical treatment, the patient should prepare the following documents:

• Statement , which contains the patient’s full name, home address, contact phone number, Email(if any), series and number of passport/birth certificate.
• Written consent to the processing of personal data .
• Photocopy of passport or birth certificate (if the patient is under 14 years of age).
• Extract from medical card patient about the history of his illness. This document is issued by the clinic at the place of residence on behalf of the head physician.
• Results of hardware and laboratory tests , on the basis of which the diagnosis was established. According to regulations Russia, the patient has the right to keep the originals of these documents, and the commission is provided with copies.
• Photocopy of compulsory health insurance and/or pension insurance policy . This applies to patients who have such evidence. In the absence of policies, the package necessary documents comes without them.

If the patient does not have the opportunity to personally prepare and submit documents, and uses the services legal representative , to the list discussed above are additionally attached:

1. A copy of the legal representative's passport.
2. Statement on his behalf.
3. Official confirmation of representation. It may also be a duly certified power of attorney.

Instructions for obtaining a quota from the Department of Health - where to go and what will be needed?

The procedure in question is as follows:

1. Visiting your doctor (at the clinic at the place of registration). The doctor decides what tests need to be taken and writes out a referral for diagnostics.
2. Execution of an extract from the medical history by the doctor mentioned above. The results of the survey are also included here. The specified document must be certified by the signature of the head physician and the seal of the medical institution.
3. Sending the prepared set of documentation to the local health department. This is done by the clinic staff upon completion of the medical examination. It would not hurt the patient to clarify and remember the date of dispatch. If a negative decision is made, the applicant is given a protocol explaining the reasons for the refusal.
4. The Department of Health makes a decision on issuing a quota. In some cases, this procedure requires the patient’s personal presence, but often they do without it. This all takes 10 working days: after this period, the applicant must contact his clinic and find out about the answer. In emergency situations, when surgical intervention must be performed urgently, the attending physician attaches a corresponding note to the package of documents: this speeds up the process of obtaining a quota.
5. Sending documents to a specialized clinic. Often the patient has to wait in line for hospitalization. The date of appearance at the medical institution can be found on the website talon.gasurf.ru. Upon hospitalization, the patient must present originals medical documents.

Instructions for obtaining a quota in the clinic through the quota committee

This method of obtaining a quota is more preferable: the patient can personally choose a medical center for treatment, and the procedure itself lasts, on average, 2 weeks.

The algorithm of actions in this situation is as follows:

1. After receiving the necessary package of documents from the clinic at the place of registration with a positive decision of the commission, the patient independently looks for an institution where he will be provided high-tech treatment.
2. Specialists from the specified medical institution consider the patient’s request and convene a “quota committee”, which considers the possibility of hospitalization under a quota.
3. An officially issued decision, along with a list of other documents, is sent to the local health department.

Queue for quota surgery – what do you need to remember?

Those who are planning to receive a quota for surgical treatment need to remember the following points:

• It is better to start the procedure for obtaining a coupon at the beginning of the year. These days there are quite a lot of seriously ill patients who need urgent operations: quotas run out quickly.
• You can find out how the queue is progressing on special websites (one of them has already been mentioned above) or in the clinic where assistance will be provided.
• You can find out about the availability of quotas from your local health department or medical facility. , where high-tech treatment will be carried out. Each such institution has its own quota department, where specialists will tell you whether there are still coupons for free operations and how many are left.
• If surgery is needed urgently , and the quotas have ended, the patient can pay all expenses, and in the future - submit a set of documents to the health department. In this way, you can offset the costs of treatment.
• In difficult situations, when surgery is urgently needed and there is a quota, the clinic has no right to refuse help. In other cases, patients will wait their turn: the legislation does not provide for any benefits to help speed up the provision of treatment.

The most popular questions about obtaining quotas for free surgery - answered by specialists

— What is the best way to get a quota - in the department or through the clinic?

— It is definitely better to receive a quota through the clinic: the patient will have the opportunity to personally familiarize himself with the institutions, and processing the request will take less time than carrying out the same procedure through the department.

— How to find out about the availability of quotas and what to do if there are no longer quotas for the operation?

— Vouchers for free surgical intervention are distributed among several medical institutions. If some institutions have run out of them, this does not mean that the opportunity to get the help you need lost as soon as possible.

You can find out exactly how many quotas remain and which clinics have them at your local health department.

If quotas have expired, the patient must still go through the procedure for obtaining them. If the answer is positive, they are put on a waiting list.

Applicants will receive the long-awaited quota as soon as the state allocates a new portion of coupons.

— What may be charged for during a free operation under a quota?

— If the medical institution where the operation will take place is located in another city, the patient must pay for travel independently. Although these expenses may be covered by a mandatory insurance policy health insurance.

To receive a coupon for free pass you need to contact the Foundation with a package of documents.

In addition, the quota is not always completely free. For some nuances of treatment, the patient will have to pay out of his own pocket.

Rendering medical care in Russia it is organized according to a compulsory or voluntary health insurance policy. Any policy contains a list of medical procedures that are carried out in accordance with it.

For all types of medical care that go beyond this list, it is necessary to receive additional funding, in other words, a quota for treatment is needed. These are expensive operations and high-tech examinations that, due to technical capabilities, cannot be carried out in your city, district, or region.

Some people think that a quota is needed for any complex operation, but that's not true. Many labor-intensive operations and medical procedures are included in the compulsory medical insurance register. For example, reimplantation subclavian artery the doctor will perform a carotid or stomach removal free of charge, although this will require considerable skill (unfortunately, the skill and efforts of doctors are not additionally paid). According to quota they carry out only high tech operations:

• for implementation, which requires large expenses;
• you need complex and expensive equipment.

That is, everything is logical: operations are expensive, they require additional money, this money is allocated by special order at the beginning of the year. Such high-tech operations can be provided by a limited number of clinics in the country. Today there are more than 150 of them and they are located not only in Moscow and St. Petersburg, but in many large cities.

What diseases require a quota for treatment, and which are treated under compulsory medical insurance or voluntary medical insurance (voluntary insurance)? First of all, in order to count on providing you with such assistance, you must enter into federal program, that is, they must have a disability group (). Full list diseases, the treatment of which is carried out according to the quota, is available from the doctor. The list is very large, it can be found in the appendix to annual order Ministry of Health and Social Development (Appendix No. 4).

What to do if you need quota treatment?

First of all, you need to clearly understand that clinics receive permission to perform such operations different levels. If you do not have a group, you need to pass a special commission () which determines your disability. There are Moscow clinics, and there are regional ones. This situation can be compared to the distribution of grades among students in a class. Scores from “3” to “5” are considered “passing”, but the difference between an excellent student and a “C” student is significant. Level of medical care in different centers may differ, but it is not necessary to focus on the best and most famous clinic. When choosing, it is necessary to take into account various circumstances:

For example, a trip to a Moscow clinic will not be cheap: travel, accommodation for a relative or accompanying person.

• Experience shows that treatment in Moscow takes much more money, and all the payments that have to be made are completely legal. Money in Moscow or St. Petersburg and in the periphery are different, so it may be difficult to pay for such treatment even taking into account the quota.
• The presence of a quota does not guarantee the availability of free space in the selected clinic. In many famous clinics there are waiting lists for surgery. Whether to stand in line for surgery or have it done at a nearby hospital is up to everyone to decide for themselves. It is necessary to take into account, first of all, the urgency surgical intervention. If we're talking about about joint replacement or IVF, you can wait, but for cancer patients, every day of delay can irreparably change the situation for the worse. Therefore, whether to seek treatment in the capital or not must be decided on an individual basis.
• The operation is performed by a doctor. He a real man with advantages and disadvantages. In large clinics there are more highly qualified professionals, but also more trainees. If you want a specific doctor to perform the operation, it is better to negotiate with him personally. It’s even better to interest him financially.

How to get a quota

There are two ways to do this. It all starts with diagnosis. Suppose that at an appointment with a local therapist, the doctor suspected a disease. He sends you to see a specialist, and he sends you to hospital with his conclusion. The assumption is confirmed: the patient needs expensive treatment according to quota.

Method 1

You must contact your local health department with the following documents:

• passport,
• compulsory medical insurance policy,
• hospital report,
• test results and expert opinions.

It is better to make a photocopy of all documents. It is necessary to provide the maximum amount of data for feedback: address, zip code, telephone. All documents are submitted to the department, and a request for a quota is submitted. The department's documents are reviewed by a commission that determines the justification of such a step. If this is proven, the patient is given a coupon to receive a quota, and his documents are sent to the clinic where the operation is supposed to be performed. There they are considered by the “quota committee” and a decision is made. When the quota is allocated, the patient is contacted by his department supervisor. The quota usually already indicates the clinic where the treatment will be carried out.

Method 2

If the patient wants to choose a clinic himself, then he goes there with all the documents. A “quota” committee meets at the clinic, reviews the patient’s papers and, possibly, examines the patient himself. After this, a decision is made indicating that this clinic is ready to accept for treatment of this patient. After such a conclusion, the process of obtaining a quota is simplified and takes only a few days. You need to submit the same documents: insurance policy, passport, doctors’ reports.

Could quotas not be enough?

The Ministry of Health and Social Development annually allocates a large number of quotas, but still they may not be enough. If it turns out that there are no quotas, it is worth checking the situation at a neighboring clinic. For example, in a well-known federal clinic, quotas run out much faster than in a city hospital. And this is quite understandable. It is quite possible that there are still places left in the city clinic and it is possible to operate. If there are no quotas at all, and the situation is urgent, it is worth filing a petition for the allocation of an additional quota. But usually all these are lengthy procedures, decisions are not made instantly. Therefore, in some cases, it is rational to perform the operation for a fee, and then try to return the money through the Ministry of Health.

You will need

• To receive a quota:
• - statement of treatment performed;
• - results of clinical diagnostic tests;
• - written appeal;
• - a copy of a passport or birth certificate, for children a copy of the passport of one of the parents or legal representative;
• - a copy of the compulsory medical insurance policy;
• - a copy of the pension insurance policy;
• - a copy of the insurance number of the individual personal account.
• To receive a coupon for free travel to the place of treatment:
• - pension insurance certificate;
• - compulsory health insurance policy;
• - copies of the first page and the registration page of your passport;
• - a document confirming the right to the benefit;
• - a referral from a medical institution signed by the city’s chief specialist in this profile.

Instructions

Quotas are allocated for the most major operations. The list of diseases eligible for the quota was approved by order of the Ministry of Health and Social Development of the Russian Federation. Although the number of quotas is increasing, it will still not be possible to avoid paperwork. You will have to spend some time going through the authorities, but there is no other way out.

Contact the clinic to which you are assigned at your place of residence. The local physician or specialist treating you will conduct the necessary medical examination. Based on the data obtained as a result of the examination and clinical diagnostic tests, the doctor will decide on the direction of all necessary documents for consideration by the commission of the health care management body of the constituent entity of the Russian Federation. The documentation must include information about the procedure and the patient’s health status. The extract must be accompanied by a written request from the patient, a copy of his passport or birth certificate, a copy of the passport of one of the parents or legal representative, a copy of the compulsory medical insurance policy, a copy of the pension insurance policy and a copy of the insurance number of the individual personal account.

The commission of the health authority will review your documents and send them to the chief specialist in your disease in the constituent entity of the Russian Federation. The specialist will also give an opinion on the need for surgery.

Then the commission meeting itself will take place. It will review the opinions of your attending physician and chief specialist. The commission will decide which medical institution at the regional or federal level to send you to receive medical care.

After a favorable decision is made, the health authority commission will transfer all your medical documents to a specialized medical institution. There, specialists will confirm the indications for surgery and set a date for hospitalization. You will need to present yourself to a medical facility at specified period. You must have the originals of all medical documents and examination results with you. Information about the progress of document review and the date of hospitalization can be found on the portal talon.gasurf.ru.

A patient is sent for treatment abroad only if the necessary technologies are not available in Russia. You will have to prove the feasibility of treatment abroad not to one, but to several commissions. Their composition is approved by the Ministry of Health and Social Development. If you are denied an operation abroad, you will definitely be offered treatment in a specialized clinic in Russian Federation, including according to quota.

If you have the right to receive state social assistance, the territorial Social Insurance Fund will give you a coupon for which you can obtain documents for free travel to the place of hospitalization and back. To do this, you must provide the Fund with a pension insurance certificate, a compulsory health insurance policy, copies of the first page and page of your passport, a document confirming your right to benefits and a referral from a medical institution signed by the city’s chief specialist in this profile.

Video on the topic

Sources:

• Procedure for citizens to receive high-tech medical care
• what documents for quota

Behind last decades level medical equipment has grown sharply. Leading clinics in the country use modern equipment based on the latest materials, technology and physical principles.

Devices such as tomographs began to appear in hospitals not only in regional and regional centers, but even in district centers. However, with the increasing availability of modern equipment and effective technologies, the cost is inevitable, and many people simply cannot afford modern high-tech medical care.

In our country high-tech assistance dated by the state at the expense of the federal budget, and everyone in need can receive a quota for.

To obtain a quota for high-tech medical care, the Ministry of Health and Social Development recommends:

1. First of all, contact the clinic at your place of residence. It was carried out here, and if its results require high-tech medical care, then your medical documents will be sent to the commission of the regional health authority.


2. The commission will forward the received documents for consideration to the region’s chief specialist in this disease, what he will give his conclusion.


3. At the next meeting of the commission, the conclusion of the chief specialist of the region and documents sent from the clinic will be considered, after which the commission will decide whether the high-tech medical care needed by the patient can be provided by regional medical institutions, or whether it is necessary to send him to a federal clinic. The documents are sent to the appropriate medical institution.


4. A regional or federal medical institution receives and reviews documents, confirms the availability necessary indications to provide high-tech medical care and sets a date for hospitalization.


5. The commission may also issue the patient a coupon to receive documents for free travel to and from the place of treatment, if the patient has the right to receive social assistance from the state. Travel documents are issued by the territorial body of the Social Insurance Fund.

Video on the topic

Sources:

• How to get a quota for an operation - useful tips specialists

Regardless of the type of activity that a particular company is engaged in, its management faces a choice: who to hire. Entrepreneurs often hire foreign workers, which can be explained by several factors. Firstly, a foreign employee may have much best level preparation. Secondly, many foreigners are simply cheap labor.

Instructions

In order to attract foreign workers, obtain the appropriate permit. This is stipulated in paragraph 4 of article 13 Federal Law dated July 25, 2002 No. 115-FZ “On the legal situation in the Russian Federation.”

The only exceptions are those for which a visa is not required for entry into Russia.
Before permission to carry out labor activity foreign persons, you will have a quota, if one is established by the Government of the Russian Federation in paragraph 6 of article 13.1 of the above-mentioned law.

To receive a quota and determine its size, write an application in which you describe your need to attract foreign labor. Serve this document to executive bodies state power. All powers vested in this body are described in Decree of the Government of the Russian Federation dated December 22 No. 783.

If the MVK has decided to allocate a quota to your enterprise, after about two weeks you have the right to receive an extract from its decision from the Department of the Ministry of Health and Social Development on Kolokolnikov Lane.

Based on the positive decision of the MVK, you submit to the FMS (Grafov Lane) a package of documents for permission and attraction of foreign labor. And after 5 weeks, the FMS issues you the appropriate permit, while you must not lose contact with the Employment Centers and confirm that necessary specialists there were no reports from them among Russian citizens. Only after this can you hire foreign labor.

Please note that a firm that orders no more than 20 and has a good case for its bid has a better chance of success. For more places in the International Exhibition Committee, letters from the Moscow Prefecture, documents confirming tenders won and the availability of government orders are also provided. In addition, there are a number of countries that are not subject to quotas. These include the position general director, Information Security, Automation Engineer, Director.

Sources:

• labor quota
• Quotas for foreign workers in 2013-2014

If your organization or enterprise employs foreign workers, then you are obliged annually from January 1 to May 1 of the current year to submit an application to the employment service for a labor quota for the next year.

Instructions

Please note: the absence of a labor quota does not give you the right to attract foreign specialists and will not allow you to obtain a work permit for them.

Submit the following documents to the employment service: - a certified copy of the registration certificate (OGRN);
- a certified copy of the TIN;
- a certified copy of the document on registration with the tax authorities;
- a certified copy of the passport;
- Bank details;
- documents establishing the amount of wages and regulating social guarantees;
- , the number, professions and positions of foreign citizens you want to hire.

Carefully and accurately fill out the application using the form provided. Corrections and blots in the application are not allowed.

Indicate the name of your enterprise in column 1, and the types of activities in column 2 (in accordance with OKVED codes). The 3rd column is intended for the list of blue-collar professions and employees for which they are involved. In the 4th column, indicate OKPR codes by profession and position.

Column 5 indicates the number of foreign citizens recruited by profession. This figure must match the figure you enter in box 10. Boxes 6-11 are intended to indicate:- total number employees at the enterprise;
- the number of foreign citizens working at your enterprise;
- the number of foreign citizens who will continue to work in next year(in accordance with those concluded earlier);
- additional needs for Russian and foreign workers.

The definition of a quota for treatment or surgery means medical assistance to a needy citizen of the Russian Federation, which is provided at public expense.

Those citizens who require expensive treatment can apply for a quota. medical equipment or expensive medications.

Give this service Only those clinics that have a special license are eligible.

Legislative regulation

It is worth noting that the provision of quotas, including their quantity (how much is allocated for 1 calendar year), is handled exclusively by the Ministry of Health.

If we talk about legislation, the receipt of quotas is regulated by:

1. Decree of the Government of the Russian Federation, which guarantees the provision of free medical care to needy citizens of the Russian Federation;
2. Federal Law No. 323, in particular Article 34, which regulates the issue of obtaining a quota for treatment/operation, as well as the conditions for obtaining it;
3. The Ministry of Health, which regulates the procedure for obtaining a quota.

Types and who are entitled to them

The right to receive a quota is any citizen of the Russian Federation, regardless of his financial condition and age.

There are several types of quotas:

• for surgery;
• on VMP;
• for treatment;
• on IVF.

Let's look at each of them in more detail.

Operation

Citizens who are in dire need of financial support for the treatment of diseases prescribed by Federal Law have every right to receive this quota.

The registration of this type of quota occurs in accordance with the legal standards established by the Ministry of Health. Citizens who have received a quota carry out their treatment at the expense of the state budget.

VMP

The definition of VMP means high-tech medical care. You can apply for this quota only after the patient is recognized as needy by a special commission of the Ministry of Health.

The provision of these quotas is regulated by Article 34 of Federal Law No. 323, as well as by the Decree of the Government of the Russian Federation.

Treatment

Providing this quota implies financial support from the state budget for the purchase of expensive medications.

If we talk in simple words, then all necessary expensive drugs are provided to the patient free of charge.

ECO

If we decipher the concept of IVF, then it means in vitro fertilization , which helps infertile women have their long-awaited child.

It is worth noting that IVF includes a method of stimulating ovulation by cultivation, including transfer of an embryo into the uterine cavity of an infertile woman.

The possibility of obtaining this quota is regulated by Order of the Ministry of Health No. 930.

What types of diseases are there a quota for?

First of all, it is necessary to understand that the provision of such quotas is provided for citizens who have a disability group.

The Government of the Russian Federation in its resolution clearly defines the medical area in which quotas are provided. Today there are about 20 of them.

Main types of disease, which have the following quotas:

Conditions for granting a quota for surgical intervention

According to current legislation, the following is provided: procedure for obtaining a quota for an operation:

• the applicant should receive a referral with the obligatory signature of the chief physician of the clinic at the place of residence, including an extract from the personal medical history with recommendations for surgical intervention and provide this to a specialized commission that will refer for surgery;
• if the answer is positive, this commission issues a coupon for hospitalization in a specialized medical institution in the region of residence of the patient. It can review documents up to 10 times. calendar days. After this, the documents will be transferred to a specialized clinic located in the Russian Federation. It is also worth noting that a mandatory condition is an examination in a regional clinic, regional, and then directly in a specialized one;
• in the specialized clinic, after receiving the necessary package of documents, the issue of the possibility of performing the operation is decided and if the decision is positive, the patient will receive a notification when it is necessary to appear.

It is worth noting that these are the only requirements and conditions under which quotas can be obtained. If we talk about the age category, then there are no restrictions. The only caveat is that there are a large number of applicants, so the quota may simply not be enough.

Step-by-step procedure for obtaining

ECO

Process obtaining a quota for IVF is as follows:

1. Contact the antenatal clinic at your place of residence.
2. Pass the necessary medical examination. The examination plan is drawn up by the attending gynecologist and is purely individual. Here it is necessary to take into account that some tests are paid and are paid for at this stage directly by the applicant himself.
3. Formation of a package of documents and submission of them to the medical commission.
4. Waiting for the commission to make a decision. The maximum period for making a decision is 3 days. If the answer is positive, the documents are sent to the regional commission.
5. Waiting for a response again, only this time from the regional commission.

Necessary package of documents:

• copy of the passport;
• social security card;
• application for a quota;
• original medical history extract, which must be certified by the chief physician;
• originals of test results that were prescribed during the medical examination.

Treatment and surgery

Process obtaining a quota for treatment or surgery is as follows:

1. Contact your healthcare provider.
2. Pass the necessary medical examination. The examination plan is drawn up by the attending physician depending on the specific disease present. The examination can be carried out on a paid basis and payment is made directly by the patient himself.
3. Collecting the necessary package of documents and submitting them to the medical commission.
4. Waiting for a decision to be made, the maximum period is no more than 3 days.
5. Waiting for a response again, only this time from the regional commission. In this case, the maximum period is up to 10 days.
6. If the answer is positive, the commission provides a referral to a specialized clinic for further treatment according to quota.

If we talk about necessary list of documents, then it is as follows:

• extract from the patient's card. It must be certified by the chief physician at the place of treatment;
• originals of test results (if they were prescribed during the examination by the attending physician);
• statement;
• a copy of the child’s passport or birth certificate (if the case concerns a minor child);
• a copy of the compulsory medical insurance policy;
• a copy of the compulsory pension insurance policy;
• a copy of the insurance account of the personal account (individual).

In order to qualify for free travel voucher To specialized clinic, you must also provide:

• original referral for treatment/surgery under quota;
• a document that confirms receipt of this benefit (disabled person’s certificate, etc.).

Features of providing quotas in Moscow

Moskvich

If we talk about the procedure for obtaining a quota for treatment or surgery, it is standard and no different from other regions.

An applicant for a quota must contact the Moscow Department of Health. It is located at the address: Moscow, 2nd Shchemilovsky lane, building 4-a, building 4.

After the entire list of documents has been submitted to the department, their employee, after reviewing the application, will contact the applicant and inform him about which clinic is ready to provide him with free medical care.

For non-residents

According to the Decree of the Government of the Russian Federation, you can receive a quota for treatment/operation only at your place of residence. This is due to the fact that a limited number of these quotas are provided for each specific region. If more applicants from other regions are added, the situation may get out of control.

But there is a small nuance that allows you to get benefits in another region. It lies in the fact that not all years have necessary equipment for the treatment of a particular disease.

In this state of affairs, local health authorities have the right to prescribe the receipt of a quota in another region, including Moscow.

In order to get on the waiting list for non-residents in the capital, you must have referrals from your local health authority for a specific region of residence.

It is acceptable to have such a referral directly from the Ministry of Health.

If this direction is available, the registration procedure is standard.

Speeding up the procedure

Today, there are several options that can help speed up the receipt of these quotas.

First option

According to the first method, no serious steps should be taken. The applicant for a quota goes through the standard application process.

But at the same time he:

• regularly inquires about the consideration of the application;
• often calls those responsible for providing quotas;
• draws up a statement indicating a request to reduce the period for consideration of his issue;
• carries out visits on visiting days to officials on whom the speed of decision-making depends.

Of course, there are no guarantees that this issue will be resolved in short time, No. But it is necessary to take into account the fact that this approach to business often plays a role psychological role on officials, and they, trying to rid themselves of such a contender as quickly as possible, try to resolve his issue themselves as quickly as possible.

Second option

The second way to speed up the process of obtaining a quota is a little more complicated, but as practice shows, it is more effective.

It consists in the fact that the applicant for this quota ignores the stage of consideration of his application by a special commission. In this case, he must independently collect all necessary list documents, find medical clinic, which is treating his illness, and send your documents there.

In this case, one nuance must be taken into account: the clinic must have permission to treat patients under a quota.

As practice shows, in 75% of cases, such medical institutions are ready to meet patients halfway and provide them with quality treatment according to quota, at the expense of the state.

The quota rules for heart surgeries are described in the following video:

The disease often comes unnoticed, and it is not possible to prepare to fight it. In modern reality, in order to emerge victorious from this war, it is necessary to mobilize all available resources, and financial resources can play a decisive role here, since the most effective treatment, based on the latest scientific developments, is very expensive, and it cannot be obtained in any clinic.

What is a treatment quota?

Not every citizen is informed that in such a case there is a certain state assistance that he can count on, and it comes in the form of an allocated medical quota.

The treatment quota is cash allocated from the state budget to provide healthcare services to its citizens using high technologies. For the rational formation and distribution of quotas, a state system of high-tech medical care (HTMC) was created, within which diagnostics are carried out and treatment is provided in more than 100 clinics at the regional and federal levels. Every year, more than 50 billion rubles are allocated from the federal and regional budgets for the work of these healthcare institutions. This amount is on average divided into 350-450 thousand quotas - approximately the same number of Russians will be able to use VMP for free during the year.

• complex surgical interventions;
• open heart surgery;
• organ transplantation;
• leukemia treatment;
• removal of brain tumors;
• assistance with complex forms of endocrine pathologies;
• treatment of genetic and systemic diseases;
• application reproductive technologies, including IVF;
• nursing newborns using modern methods, etc.

How to get a quota for treatment?

There is a strictly established procedure for issuing a referral for medical treatment, which is full of bureaucratic obstacles. In order for the outcome of the case to be successful, you must be prepared for possible difficulties. Obtaining a quota for surgery or treatment is a long and complex procedure that requires registration large quantity documents and passing a series additional examinations. All this is necessary in order to government bodies, authorized to resolve these issues, were able to assess the feasibility of using high-frequency MP in a particular case.

Step one

In each region, the quota for treatment is drawn up according to its own regulations, which in minor aspects may differ from the general one. Therefore, it is better to start with consulting a specialist by contacting the Ministry of Health of a constituent entity of the Russian Federation. There you can find out about the availability of quotas for obtaining VMP for an existing diagnosis and clarify the application procedure.

Step two

The main package of documents is usually collected at the municipal clinic at the patient’s place of observation with the participation of the attending physician, who gives a referral, makes an extract from the medical history indicating the tests and examinations performed (based on the results of which a recommendation is made to hospitalize the citizen to a specialized clinic for the provision of VMP). Copies of the passport, compulsory medical insurance policy and compulsory medical insurance certificate are also attached.

Important procedure

The generated package of documents is certified by the signature of the chief physician and sent for consideration by a commission under the Ministry or another health authority in the region. To make a decision on a specific case, 10 days are given, during which the submitted documents are considered, as a rule, without the participation of the applicant.

The final stage

If a positive decision is made, the documents are sent to a specialized medical institution licensed to provide medical treatment. There they are considered by the next commission, which is also given 10 days to make a decision, during which it must give an answer about the date of hospitalization of the patient. Usually the period after which it must begin hospital treatment, limited to 3 weeks.

Bureaucratic traps

When wondering how to get a quota for treatment, do not forget to consider the following points.

Firstly, the right to choose a specialized clinic for the provision of primary care remains with the health care authority in the region; the citizen’s preferences are not taken into account.

Secondly, the treatment quota in reality often takes longer to issue than stated in the rules. This is due to the fact that the time allocated for the consideration of applications by commissions is not maintained, and the medical institution, due to workload, is not always able to due date admit the patient. Unfortunately, the nature of the disease may be such that urgent surgical intervention is required, for which the patient does not have the funds, so a quota for surgery is needed immediately. In this case, everyone should possible ways speed up the work of officials.

How to speed up the procedure for obtaining a medical quota?

There are two possible options speeding up the stated process. According to the first of them, the citizen carries out the steps prescribed by the procedure and described above, but at each stage he is actively interested in the progress of the consideration of the application, makes calls to officials, writes applications asking for a reduction in the time frame for making a decision, and makes visits during office hours. Perhaps some of the officials will want to quickly send documents for further consideration, so as not to be the target of a massive attack. But, of course, there are no guarantees that these measures will have any effect and that the time will be reduced.

According to the second option, the citizen ignores all stages of consideration of the application by commissions. He independently collects documents for a quota for an operation, for example, searches for all necessary information about specialized clinics licensed to provide medical care and specializing in the necessary surgical intervention, and contacts the selected institution. There is a possibility that the clinic will accommodate the patient and agree to hospitalize him, providing the required treatment against the quota available to the subject of the Russian Federation.

Reasons for refusal

Firstly, the commission may not find grounds for using VMP in a particular case. Secondly, the presence of severe concomitant diagnoses and the special nature of the course of the underlying disease often serve as reasons for refusal. Thirdly, at the regional level they may have their own requirements when issuing a quota. For example, in Moscow and St. Petersburg, a quota for IVF surgery is issued to women aged 22 to 38 years; in other regions, these limits may be different.

If the commission makes a negative decision, you must receive a refusal in writing indicating the reason. If you disagree, you can contact the Ministry of Health and Social Development of the Russian Federation to appeal.

Treatment abroad

If domestic medicine is not able to conduct a full diagnosis or adequate therapy existing disease, then you have the right to request a quota for treatment abroad. Only in this regard, the list of required documents will expand, and the number of commissions that must be passed will also increase by one.

If you receive a refusal to travel abroad under your quota, you will be required to offer an alternative to providing medical care in Russia.

The problem of additional payments

A very common situation occurs when a patient has to cover a considerable part of the costs of his treatment, although it is officially stated that it is carried out at the expense of the state. You usually have to pay for preparatory procedures before surgery, tests, examinations.

For example, on average, the cost of a course of therapy for one cancer patient is 200-250 thousand rubles, and the quota for oncology treatment is 109 thousand rubles. Often a person does not have the funds to cover what they refuse to pay for from the budget. Of course, a large part in financing the costs of such patients is played by charities, but in fact it turns out that these are unfulfilled obligations of the state, and this must be fought. A constant flow of written complaints and the involvement of the media are effective in solving such problems.

Queues: how to avoid them?

It is no secret that there are many more people who want to receive high medical care than the state has the ability to provide this assistance. Therefore, in the regional health authority you can hear information that there is no quota for treatment for this diagnosis, since the amount of funding from the budget provided for this year has been exhausted, or you can receive an answer from the clinic that there are no places for the near future and hospitalization is postponed . But in any case, you shouldn’t give up. It is possible to find one way or another.

First, you collect documents using the same scheme and enter your name in the quota waiting register or stand in line for hospitalization. If the disease progresses quickly, try asking local health authorities additional quota, contact the media, involving the public. Then it will be little chance that funds will be found, or it turns out that suddenly one of the patients refused treatment, and a place in the medical institution became vacant.

If all your actions were ignored, health problems will have to be solved at your own expense, especially if there are no promises that there will be a quota soon.

For eye surgery, for example, to replace a lens, you can try to raise funds yourself. The cost of such an intervention, unlike most others, does not exceed 70 thousand rubles. The amount is also quite large, but in its advanced state, cataracts threaten 100% blindness, and it’s not worth the risk of losing precious time in queues. Moreover, having retained all supporting documents, a citizen has the right to apply for compensation for the costs of providing medical care at the expense of the Ministry of Health and Social Development of the Russian Federation. In order for the return to be approved, you must prove that you are registered as awaiting help, and the course of the disease has become threatening and requires immediate surgical intervention, and the quota for the operation was unavailable due to reasons beyond your control.

It won't work anonymously

There are diagnoses that people try not to advertise because negative attitude society and related restrictions in Everyday life. Such diseases include hepatitis C, the treatment of which is very expensive (about 750 thousand rubles). The state allocates funds to combat this disease, but in order to use them, the patient must register officially. On the one hand, there is a possibility of receiving therapy on a budgetary basis, on the other hand, there is a risk of disseminating information about the presence of the disease.

A quota for hepatitis C treatment is issued to citizens registered with specialized medical institutions, most often in AIDS Centers, which operate in many cities. Only by decision of a special commission of a given institution can a patient be added to the waiting list, since there are not enough quotas for everyone. Therefore, anonymous treatment can only be done at your own expense.