Obtaining a quota for Monica's operation. Types of quotas for treatment and operations. Diseases for which you can receive high-tech medical care

Modern medicine is extremely expensive, especially surgical interventions, dental procedures and treatment of serious and fatal diseases. Despite the existing system in Russia health insurance, you often have to pay for treatment yourself, since the policy does not cover even part of the costs. In this regard, residents of the country have the right to count on a quota for operations, which require modern equipment, which is not available in regional hospitals. The number of quotas and the scope of their application are reviewed by the Ministry of Health of the Russian Federation annually. The procedures for providing free treatment determine the completion of examinations and medical procedures at the patient’s place of permanent residence, and only sometimes it is possible to get the opportunity to get an operation in the capital. Let's figure out how to get a quota for surgery in Moscow for nonresidents in 2019.

Types of quotas for treatment and operations

The law guarantees any citizen of the country to receive a quota if the need for treatment or surgical intervention arises. Social status, financial situation and age are not important. Distinguish the following types quotas:

• to carry out an operation (organizing the necessary surgical intervention for citizens in need of material support at the expense of the federal budget);
• for the treatment of disease ( free provision all necessary for the treatment of the patient medicines);
• for IVF or in vitro fertilization(free procedure artificial insemination);
• to high-tech medical care or VMP (provided to patients whose candidacy was approved by the commission of the Ministry of Health).

In what cases can you get a quota?

Everyone cannot get a quota, otherwise the queues would be so long that the patients who need help most would not wait for surgery. Therefore, the Russian Ministry of Health has developed a closed list of diseases, if identified, you can receive a quota for treatment. To the main types of diseases and surgical interventions relate:

• complex surgical operations, requiring high professionalism of the doctor, extensive experience of the specialist, high-tech equipment (including operations on the eyes, spine);
• serious illnesses inherited, leukemia (bleeding);
• neurosurgical operations to detect a brain tumor;
• installation of a prosthesis hip joint(for dysplasia) or another type of prosthesis (endoprosthetics only);
• transplantation internal organs(priority is heart, liver, kidney transplantation);
• nursing firstborns during the first days of life;
• operations carried out on open heart(including repeated ones).

In total, the list includes 140 diseases and types of operations, the identification of which is subject to a quota for treatment in Moscow.

Each medical institution in the capital receives a certain number of quotas and undertakes to organize treatment or surgery only if the medical center has an appropriate specialist with experience, as well as all the required equipment. The clinic must meet the requirements and standards.

How to get medical care in Moscow for nonresidents

Residents of many Russian cities believe that it would be fair to receive medical care in the capital as soon as the need arises, since, unlike small cities, Moscow has a huge number of clinics that have equipment that has no analogues in any other locality. That is, the capital has the opportunity to provide medical care to all Russians, however, the number of quotas is still limited.

At the legislative level, it is determined that the quota is allocated exclusively at the place of registration, since their number for each city is limited. And since in major cities There are waiting lists for operations; quotas for out-of-towners would force patients to wait for treatment for years.

To obtain a quota in Moscow, you must receive a referral from the Ministry of Health or the regional health authority, and you must also provide all documentary evidence of the diagnosis.

You can get a quota for an operation in Moscow only if there is no suitable specialist or equipment in the patient’s city of residence. Otherwise, it will be impossible to get a referral to the capital.

Conditions for obtaining a quota for surgery in Moscow

There is a certain procedure for registering a quota for an operation, it is as follows:

1. The patient must receive a referral for surgery signed by the head physician of the clinic at the place of registration. You will also need an extract from the medical history, which will be studied by a commission authorized to refer patients for surgery.
2. The commission, if the application is approved, issues a coupon for hospitalization in a regional clinic located in the region of registration of the applicant. There, the papers will be examined by a second commission for no more than 10 days, after which they will be sent to a clinic specializing in this disease, located in any city in the country. That is, first the patient is examined in a local hospital, then in a regional one, and only then in a specialized one.
3. Specialized clinic will independently decide through the third commission whether it is possible to carry out the operation. If the decision is made in favor of the patient, he will receive a notification indicating the timing of his appearance.

The procedure for obtaining a quota for an operation in Moscow, the necessary documents

In order for you to be allocated a quota to conduct medical procedures or operation, you must proceed as follows:

1. Go to the attending physician at the clinic at your place of registration, ask him to write you a individual plan examinations.
2. Take the examination, even if it is paid (no one will compensate for its cost, even if the quota is not received in the end).
3. Collect all the required documents (the list will be discussed below), send the papers to the local medical commission.
4. Wait for the commission’s decision (you won’t have to wait more than 3 days).
5. If the commission approves your candidacy, you will have to wait about 10 more days while the papers are reviewed by the regional commission.
6. If the second commission confirms the need to allocate a quota, your documents will be sent to a specialized clinic, where you will undergo treatment or wait for surgery.

Document	Where to get it
	–
Photocopy of Russian passport (for adult patients)	Ministry of Internal Affairs of the Russian Federation
Child's birth certificate (for children under 14 years old)	Civil registry offices
Photocopy medical policy	Insurance Company
Certificate of compulsory pension insurance (SNILS)	Pension Fund
Photocopy of insurance account	FSS
Extract from the medical history (signed by the chief physician of the local clinic)	At the place of observation of the course of the disease
Original certificates with the results of examinations and analyzes	Medical laboratory
If you plan to receive a free travel voucher to the clinic, please also prepare:
Original referral for surgery or treatment under the allocated quota	Medical commission
A document indicating the existence of rights to such a benefit (conclusion medical and social examination for disabled people, pension certificate for pensioners, veteran’s certificate and so on)	USZN and others government agencies, depending on the type of certificate

A quota for IVF can be obtained by following the following instructions:

1. Contact your local gynecologist or antenatal clinic.
2. Complete the prescribed medical examination (payment for procedures and tests is at the patient’s expense).
3. Collect all the necessary documents (the list will be presented below), send the papers for consideration by the medical commission.
4. Wait first for the decision of the regional commission, then the regional one (in total no more than 2 weeks).
5. If the decision is positive, you will receive a quota for IVF in a specialized clinic.

You will need to prepare the following documents:

• statement about the need for IVF under a quota;
• photocopy of Russian passport;
• social security card;
• original extract from the medical history (signed by the chief physician);
• original certificates of medical examination and laboratory tests.

Write to us

If you have a referral to receive VMP and your waiting list is more than 14 days, or send us copies of your documents to the address: . Be sure to include your contact phone number, our specialists will contact you.

Required documents

1. IDENTITY DOCUMENT OF THE APPLICANT.
2. EXTRACT FROM THE MEDICAL DOCUMENTATION OF THE PATIENT SIGNED BY THE HEAD OF THE MEDICAL ORGANIZATION (OR AUTHORIZED OFFICIAL) AT THE PLACE OF OBSERVATION AND (OR) TREATMENT OF THE PATIENT (Must contain information about the state of health and the examination and treatment performed, recommendations on the need for referral to a medical institution for the provision of VMP, results performed clinical diagnostic examinations according to the profile of the disease).
3. DIRECTION FOR HOSPITALIZATION FOR VMP (Minutes of the meeting of the commission on the provision of VMP).
4. CERTIFICATE OF COMPULSORY PENSION INSURANCE (SNILS), if available.
5. COMPULSORY HEALTH INSURANCE POLICY (if available).

Submit an application on the portal

On the portal of state and municipal services of the Moscow region (hereinafter referred to as the Portal), you can fill out online Applications for services provided by the State budgetary institution healthcare of the Moscow region "Moscow Regional Research Clinical Institute named after M.F. Vladimirsky", namely: Quota for receiving high-tech medical care. After submitting the application, the Applicant can track the status of consideration of the application through the Portal. More detailed information information about services can be found at

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 malfunctions in the functioning of 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 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. All this 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 carried out 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 can be covered by a compulsory health insurance policy.

To receive a free travel voucher, 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.

Nowadays, the cost of treatment is very high, especially when it comes to serious illnesses and operations. Often we're talking about about diseases where compulsory health insurance cannot cover even part of the amount. That is why many Russian citizens can receive a quota for surgery or other treatment that requires high-tech equipment.

Every year the Ministry of Health distributes budget resources, in other words, each year the number of quotas and the scope of their application may be revised. This is not a dimensionless quantity, so the population always experiences a certain lack of such benefits, due to which queues are constantly created for one or another type of operation.

In 2019 free treatment will be provided only at the patient’s place of residence. IN in rare cases It is possible to obtain a quota in Moscow without being a resident of the capital or region. But let's look at all aspects in more detail.

When can I get a quota?

It is worth understanding that getting a quota is not so easy. Any illness does not become a reason for extradition - there is a specific list. You can receive such federal assistance if you can confirm one of the diagnoses. Their list is as follows:

1. Open heart surgery (including if it needs to be repeated).
2. Transplantation of internal organs.
3. Prosthetics of the hip joint or any other, if we are talking about endoprosthetics.
4. Operations in the field of neurosurgery.
5. Heavy hereditary diseases, leukemia.
6. Extremely complex surgical operations, including eye surgeries and spinal surgeries.

These are only the main types of diseases and surgical interventions for which you can receive a quota. In general, this list now includes up to 140 different items. A certain number of quotas are issued to each institution where each specific operation can be performed if the hospital or medical center meets all standards and requirements, has the necessary equipment and experienced staff.

How to get help in Moscow for nonresidents

Many citizens have a question: is it possible to immediately receive high-tech assistance in Moscow? The latter, as is known, has many developed medical centers with equipment that has no analogues in Russia. And here the situation is quite controversial. Let's try to figure out whether you can get help if you are registered in another city, but want to be treated in Moscow.

So, the law quite clearly states that it is possible to obtain a quota only at your place of residence. This is due to their limited number in each city, because in any municipal center you can find large queues of people wishing to apply for such benefits. If people from other cities are added to them, the situation will be catastrophic, especially if we are talking about the capital.

On the other hand, most cities simply may not have the proper equipment, medicines and specialists. For example, many operations related to organ transplantation are carried out only in the capital. In this case, it is quite possible that local health authorities will issue a referral to receive a quota in Moscow. The basis for joining the queue in the capital is either a referral from the local health authority, or a direct referral from the Ministry of Health. Also, the patient must have all the documents confirming the diagnosis and the need for treatment.

Registration and necessary documents

The very first stage of obtaining a quota involves going to the clinic to receive primary diagnosis. The attending physician performs an examination and, based on diagnostic procedures, issues permission to conduct a medical commission at the place of residence. As a result of such a commission, a referral is issued to the regional health authorities, because they must also make their verdict on the need for a quota. At this stage, the document confirming the diagnosis must contain the signature of the chief physician of the local hospital, the attending physician, extracts from the medical record and conclusions about the need for the operation to be carried out at the expense of budgetary funds.

The regional health authorities appoint a second commission based on these documents. If the decision is positive, the patient is issued a special coupon stating the need to provide a quota. A third commission is also carried out - the final one, directly at the medical institution where the operation will be performed. This takes time, because the meeting makes a request for regional papers. Although in theory the review should take only one day. We can conclude about the documentation that you need to have with you at the first stage of obtaining:

• application or appeal of the patient with a request to issue him a quota for treatment;
• citizen's passport;
• health insurance policy;
• insurance account;
• pension insurance policy, if any.

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;
• - copy 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;
• - direction from 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 receive 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

The current legislation of the Russian Federation allows a citizen of another state who has the right to visa-free entry to legally register for work in the country. To do this you need to have permission to work, which is issued at the FMS division at the place of residence of the foreigner for migration registration.

You will need

• - passport with notarized translation into Russian;
• - migration card with marks on border crossing and migration registration;
• - conclusion about the state of health;
• - photos;
• - money.

Instructions

First you need to find the address at which to register for migration. It's easiest if this own apartment(house) or housing belonging to relatives, friends or acquaintances.
There are chances to register for migration in rented housing, but often its owners refuse this.
Any resident who has permanent registration in it is required to contact the FMS or post office with his passport, passport, in the absence of a Russian version - notarized translated, and a migration card and their copies and fill out an application.
If a foreigner plans to work in Russia, his profession must be indicated in the migration card and migration registration coupon.

A foreigner must contact the Federal Migration Service with a note on migration registration. He will need to fill out an application, the form of which will be given at the department where he is registered for migration (the forms will also be posted on stands there), take a photo, undergo a medical examination, and pay state fees.
Amounts of the fee, details for its payment and requirements for photographs, as well as addresses medical institutions The FMS department will tell you where you can undergo a medical examination. Usually they are also posted on stands there.