Federal program for vision restoration. Treatment of astigmatism according to the compulsory medical insurance policy. Where are free surgeries performed?

Frequently asked questions FAQ

Our service is in demand in Russia and the CIS countries and is regulated by Russian legislation

The program “Eye surgeries accessible to everyone!”

This program was developed by Our Partner LLC (TIN 2129071033)

Division - Hotline "Eye Microsurgery" in Russia.

Purpose of the program: Make eye surgeries accessible.

Program objectives:

1. Increase the efficiency of medical institutions in Russia.

2. Reduce the import of contact lenses to Russia.

3. Improve the quality of life of Russian residents.

Why this price?

Laser vision correction 13,500 rubles for both eyes - an affordable price in the world.

This price is achieved by:

1. More effective use of laser equipment- Most clinics in Russia perform up to 50 operations per month. The operation lasts up to 20 minutes. It turns out that equipment worth several tens of millions of rubles works for several hours a month. It's like buying a KAMAZ for a construction site, and it will work 20 minutes a day. With a larger number of patients, the efficiency of the equipment increases.

2. By coordinating and offering to work with partner clinics under our program “Eye surgeries available to everyone” for 13,500 rubles for both eyes - operations become REALLY Affordable due to the price.

3. We constantly learn and use different, most effective marketing tools to communicate information about our offer.

4. Due to the volume it is possible reduce costs for consumables in the context of 1 person.

Consequently - The clinic's efficiency increases due to an increase in the volume of transactions. Every day we work on our own efficiency at all stages of working with clients. All clinics with which we cooperate undergo, among other things, our inspection. Each of the surgeons is highly professional and has extensive experience. We understand the value of the health of EACH of our patients and accompany them at all stages of the operation and after. For us, the reference point is Pobeda Airlines. While maintaining quality, make eye surgeries affordable.

Why do we need the Eye Microsurgery Hotline?

We are engaged in directing large flows of patients to clinics, marketing, promotion, and organizing services for our clients.

The clinic is engaged in production, that is, diagnostics and operations and is not distracted by attracting clients or promoting its services.

The patient receives complete and reliable information about laser vision correction about the clinic, without distracting the staff of the medical institution. They are waiting for him at the clinic, and they are always happy to answer any questions that arise in the Hotline.

Tell me, honestly, please, is this really the final amount and you won’t have to pay a penny more?​​​​​​​

All your expenses will be:
Diagnostics RUR 3,500
Laser vision correction for both eyes RUB 13,500
Total for medical services: 17,000 rubles (you pay this amount at the clinic. Payment only by credit card! )
If you are offered to pay more than indicated, call the Eye Microsurgery Hotline at 88001009876.

If you have someone to live with (friends, acquaintances, relatives), you can live with them. If you have nowhere to stay, we can offer accommodation in a hotel or hostel located near the clinic.
Accommodation in a hostel located in the clinic building 650 - 2500 rubles / day.

After the operation, the doctor prescribes drops that you will instill for 1-2 months. The cost of drops after surgery is 500-1000 rubles.

I'm from another region. How and where can I undergo surgery according to the program?

The program operates on the territory of the Russian Federation.

Clinics where you can have laser correction under the “Eye surgeries available to everyone!” program:

Moscow. Clinic "Vision 2100".

Kazan. Clinic "Safe Hands".

Ulyanovsk Clinic "New Look".

Patients from other regions can undergo surgery in these clinics. (Patients with registration in Tatarstan do not undergo surgery at the Safe Hands clinic).

How many days will the entire event take?

If you are prescribed Lasik, you will be able to return home after 3 days. If Magic, then in 5 days.

If you have been prescribed Lasik:

First day. Diagnostics

Second day. Laser vision correction (Lasik) for both eyes.

The third day. Postoperative examination, obtaining documents. Departure home.

If you have been prescribed Magic:

First day. Diagnostics

Second day. Laser vision correction (Magic) for both eyes.

The third day. Postoperative examination,

Fourth day. Postoperative examination,

Fifth day. Postoperative examination, obtaining documents. Departure home.

Why is it longer under Magic?

With Magic, the area of ​​restoration of the corneal epithelium is larger; it heals in 1-3 days.

How everything happens step by step

2. Confirmation of entry

3. Receive necessary documents by email

4. Testing

5. Arrival at the clinic

6. Diagnostics

7. Check-in to the hotel

8. Operation

9. Postoperative examination

10. Obtaining the necessary documents at the clinic

11. Departure home

Confirmation of entry​​​​​​​

When your application is processed, you will receive a letter to the specified email with a list of tests required for the operation, as well as all other documents.

Taking tests

You have received a list of tests from us.
Your actions:
Print out the list of tests and submit this document to:
1. Go to a therapist at your place of residence and take these tests under the compulsory medical insurance policy (the result is usually ready in 3-7 days)
2. Go to any private clinic/laboratory and take tests for money (the result is usually ready in 1-3 days)
You put the finished test results into a file and present them at the clinic before the operation.
If you are planning to have laser vision correction in Moscow at the Zrenie 2100 clinic, then you can take all tests after diagnosis. The cost of tests is 1,500 rubles. The result will be ready in 1-3 hours

Diagnostics (takes 2-3 hours)

What to take with you for diagnostics:

Sunglasses;

Paper napkins.

Come to the clinic.

Contact the administrator and say that you are seeking diagnostics and subsequent surgery from the Eye Microsurgery Hotline.

Draw up contracts for the provision of medical services

To complete the contract, you will need a document confirming your identity: Passport or military ID for citizens of the Russian Federation, foreign. passport for foreign citizens.

You pay for diagnostics in the amount of 2,500 rubles.

You can pay only from a bank card .

Loans, installment plans and other banking services are not provided at the clinic.

First, the refraction is checked (what is your minus/plus) on the device.

Checking intraocular pressure (to rule out glaucoma)

Checking the thickness of the cornea (assessment of corneal parameters to clarify the possibility of laser vision correction and exclude keratoconus)

Biomicroscopy. The doctor examines the eyes under a special microscope (Slit lamp) to rule out other eye diseases, incl. cataract.

Fundus examination. The doctor examines the fundus of the eye to exclude retinal pathology.

Drops are instilled to dilate the pupil and relax the internal eye muscles.

Again, refraction and vision are checked against the background of relaxed eye muscles. To clarify the degree of myopia/farsightedness.

Basically everything.

At the last stage, the doctor tells you about the possibility/non-possibility of laser vision correction. Here you can discuss with him the prognosis of the operation, how to behave during the operation, and ask the remaining questions you have to your future surgeon.

Possible diagnostic test results

1. Admitted to the operation(You will be informed of the type of surgery Lasik/EpiLasik/PRK/Magek). Presumably the next day, laser vision correction may be performed.

2. To laser vision correction admitted, but retinal strengthening is required(Laser coagulation of the retina/LKS). In this case, the first step is LKS (you pay separately, NOT included in the price of 13,500). And after LKS, vision correction is possible in 1-60 days, depending on the condition of the retina, the doctor will inform you about this.

3. To laser vision correction not allowed, You will be given a conclusion describing the diagnosis and recommendations. In this case, you can contact the Eye Microsurgery Hotline in the Russian Federation 88001009876, we will consider other alternative options for resolving your issue.

4. If a diagnostic examination reveals Cataract or lens replacement required, this type of operation in most cases can be carried out under the policy Compulsory medical insurance – Free, You can contact the Eye Microsurgery Hotline in the Russian Federation 88001009876, we will advise you and refer you to another medical center for the operation.

Strengthening of the retina is required (Laser photocoagulation of the retina)

If you have been told that you have degenerative areas on your retina and you need to strengthen the retina, then this must be done so that there is no threat of retinal detachment.

After strengthening the retina, laser vision correction can be performed every other day, 3, 7, month, three, depending on the degree of changes in the retina. You need to ask the Doctor who will strengthen the retina about this.

If you have been told that you suspect keratoconus

It's good that you got tested. It is better to know and be prepared than not to know and end up with complications.

According to our data, suspicion of keratoconus occurs in 5-10% of patients who decide to undergo examination for laser vision correction. And almost 90% of them used contact lenses for more than a year.

Your actions:

You will need to get a report from the doctor who performed the diagnosis.

This conclusion must indicate all measurements of eye parameters that were carried out.

Also, be sure to receive a printout of the keratotopograph with your data.

Report refusal of surgery to the Eye Microsurgery hotline. You will be scheduled for a follow-up appointment.

Further. If keratoconus is suspected, you will need to undergo a re-examination, preferably in the same clinic after 6 months to confirm/refute the diagnosis. If the diagnosis is not confirmed, then laser vision correction can be done.

If the diagnosis is confirmed, report it to the Eye Microsurgery Hotline; you will be offered a medical facility that specializes in the treatment of keratoconus.

Questions about diagnostics

After the diagnosis, you may experience discomfort in your eyes.

During the diagnosis, drops are instilled into you to examine the fundus of the eye.

Discomfort after diagnosis is associated with dilated pupils.

Behind the wheel

It is not recommended to get behind the wheel immediately after the diagnosis (about three hours after the diagnosis, your pupils will be dilated, against the background of this there will be photophobia, discomfort, and it is not safe to drive). Wait until the effect of the drops ends and the pupils narrow.

Is an accompanying person required for diagnostics or surgery?

As a rule, after diagnostics and laser vision correction surgery, an accompanying person is not required. If the patient cannot move independently in everyday life (problem with the musculoskeletal system - wheelchair, crutches), then an accompanying person will be required.

Tickets and travel

If you live in another city, you can get to the clinic by train, plane, intercity bus or car (but not by driving).

It is better not to buy return tickets.

We do not recommend getting there using services like Bla-Bla Car, since it is unknown who will be driving and in what state. This is a matter of your safety.

Arrival at the clinic.

It is better to get from any station to the clinic by metro or taxi. We recommend using Yandex Taxi / Gett taxi / Uber. Since the cost of the trip will be clear.

Download any of these apps while at home. Check how it works.

In another city, calling a taxi may require Internet access.

play.google.com (for Android)

App Store (for Apple)

Gett Taxi: https://itunes.apple.com/us/app/gett-nyc-black-car/id449655162?mt=8

Moscow city – Clinic “Zrenie 2100” (Akademika Anokhin St., 13)

To the Yugo-Zapadnaya metro station (red line). 15 minutes walk.

How can I live in another city?

If you live in another city, then during the operation you can stay with friends, acquaintances, relatives or in a hotel/hostel located near the clinic.

Hotel accommodation. The choice of hotels in the area is great, for any budget.

Accommodation in the hostel "HostelyRus" (address: Moscow, Anokhin St., 13)
Code phrase for check-in at reduced prices: “From the Eye Microsurgery Hotline.”
Phone for reservation: 89259066294 time for reservation 06:00-24:00 Moscow time.
Accommodation in:

6-8 bed rooms Cost - 650 rubles/day/bed (accommodation for men and women separately)
4-bed room Cost – 750 rubles/day/bed (accommodation for men and women separately)
Double room, two separate beds Cost – 1000 rubles/day/bed (with the possibility of sharing any gender)
Family room large double bed Cost – 2500 RUR/day/room (can accommodate 2 adults + 2 children if necessary)
Living conditions: Toilet/shower, The kitchen has a microwave, refrigerator, stove, Bed linen and towel, unlimited WI-FI, Closed wardrobe area, with personal drawers for shoes and hangers for outerwear, Tea, coffee, light breakfast (cereals milk ), Video surveillance of lockers, Co-working area in the corridor, availability of seating in common areas, Disposable slippers are provided, but it is better to take your own.

Book your hotel room TODAY

(LKZ) - the procedure is expensive, not everyone can afford it, especially patients with disabilities and WWII veterans.

In Russia, this operation is performed free of charge under the compulsory medical insurance policy or with a quota from the Ministry of Health.

Eye surgery centers carry out operations on a quota basis if the patient has a certain list of documents. It is impossible to get treatment right away; there is a waiting list of patients who also need it.

Is it possible to get laser vision correction for free?

Free refractive surgery possible. According to the compulsory health insurance policy, laser vision correction is not included in the list of free operations and is not paid for. The procedure is performed on patients with severe visual impairment, a corneal cataract, or keratoconus.

If the patient decides to undergo surgery to get rid of glasses or contact lenses, then he will have to pay himself. This is considered a cosmetic procedure; the Ministry of Health does not provide quotas for it.

The state guarantee program can provide Russian citizens with free health care within the framework of the compulsory health insurance system, but such assistance will not be available in all regions of the Russian Federation.

Who is entitled to free laser vision correction?

High-tech surgical intervention is carried out according to the quota of the regional Ministry of Health/compulsory medical insurance policy to the following group of patients:

• The PV is 40–50% (they are treated on a first-come, first-served basis, and operate immediately in extremely advanced cases);
• labor veterans;
• pensioners;
• disabled people of groups 1, 2 and 3;
• participants of the Great Patriotic War.

First of all, patients who require lens replacement receive the opportunity to undergo LKZ under a policy or quota. Next, people with cataracts, glaucoma, severe myopia and hypermetropia, congenital anomalies and retinal trauma are referred for the procedure.

Where to contact

The list of procedures carried out at the expense of the insurance company is contained in Government Decree No. 1402 of December 19, 2016. It is requested from the attending physician. Order of the Ministry of Health No. 930n dated December 29, 2014 states that the clinic does not have the right to condemn a citizen to death (this also refers to the need for urgent refractive surgery to prevent complete blindness) if urgent medical care is required.

If indicated, the treating ophthalmologist will provide a referral for high-tech care. It is not handed out. The hospital employee independently sends a package of required documents for consideration by the commission of the territorial department of the Ministry of Health.

The order is:

1. Get a referral from your local doctor.
2. For a referral, contact the regional Ministry of Health or independently look for hospitals that have quotas for this procedure.
3. Pass laboratory tests. The commission meeting will determine whether this service is provided to the patient or whether he does not fall into the category of persons to whom it is provided free of charge. Then the doctor will refer you for laser correction.
4. The person is put on a waiting list. When the time for surgery comes, the patient undergoes the remaining tests and is sent for treatment.

Simultaneously with taking the tests, you will need to collect the required list of documents presented below.. LKZ is carried out free of charge in some state clinics in Novosibirsk. The patient is assigned a number and a website where they can track their turn. The queues are long, some have to wait for several years.

The New Vision Clinic provides the “Money Refund for Laser Vision Correction” service. It is valid from 07/01/2018. For each patient referred to the clinic, a bonus of 40–100 euros is paid. Thus, it will be possible not only to return the funds for the operation, but also to save up for a great vacation at sea.

It will be possible to restore visual perception using an insurance policy in Arkhangelsk. In the main ophthalmology clinic of the region, visual perception is restored under the compulsory medical insurance policy. She was the first to introduce refractive surgery as part of the compulsory health insurance program. They receive help by providing a referral from a local ophthalmologist. Then the question of whether eye surgery can be performed free of charge is decided.

List of required documents

To obtain a quota or to carry out a procedure under a compulsory medical insurance policy, you need to collect the following documents:

• passport of a citizen of the Russian Federation;
• provide a valid compulsory medical insurance policy;
• ID card of a pensioner/disabled person/WWII participant;
• extract from the medical card;
• application (it indicates the name of the applicant for treatment, home address, telephone number and passport details);
• consent to the processing of the patient’s personal data.

The package of necessary documents includes a referral from the treating ophthalmologist, which should be signed by the chief physician of the clinic.

A lot of time passes before the onset of refractive intervention.

They do it after a month, three or 2 years (sometimes the queues are long). Accordingly, the patient will have to conduct additional examinations and update data on the state of the visual analyzer. Thus, an applicant for a free operation proves that he suffers from a serious illness, and the procedure can be scheduled faster.

Reasons for refusing a free correction

A quota for laser vision correction is not provided to children under 18 years of age, unless there is a serious deterioration in vision and a threat to life.. Until the age of 18, the eyeball continues to form. In order for the LKZ to be of high quality, it is not necessary to repeat the procedure; it is necessary to wait until it is fully formed.

The operation is not performed for retinal detachment and glaucoma. They interfere with quality vision correction. After getting rid of these conditions, it is possible to receive a quota for a personal account.

Patients who are contraindicated for surgery for the following reasons are refused:

• bearing a fetus;
• natural feeding of the child;
• diabetes;
• malignant tumors;
• unstable mental state.

The reason for refusal is often the possibility of correcting the disease with glasses or contact lenses. In addition, it should be understood that compulsory health insurance provides this service if there is a budget. If funds for laser correction are exhausted in the current year, the operation is postponed to the next year.

What to do if you are refused

If you receive a refusal to undergo refractive surgery, do not despair. The medical commission does not refuse all patients. Refusal is granted to persons who have contraindications and the ability to correct visual perception with glasses or contact lenses.

If an applicant for LC has collected all the documents and received a referral from an ophthalmologist, he believes that he has the right to receive surgery due to serious eye problems - contact the regional Ministry of Health. An application/complaint is submitted and considered in order of priority.

Then the patient is scheduled for a second examination and his fate is determined.

Useful video

08.10.18 73 371 75

And they returned part of the money towards the deduction

I have severe myopia and have been wearing glasses since elementary school.

Natalya Zhutova

had laser vision correction

I tried a lot: I went to sophisticated procedures, did eye exercises, took eye drops, changed my glasses to contact lenses. Nothing helped, and the lenses only got in the way. By the time I was twenty, I could barely see the top lines at the eye doctor.

When I was completely tired of all this, I decided to undergo laser vision correction. On the recommendations of friends, I went to a well-known government clinic - and for four years now I can see perfectly without glasses.

What will you learn

How myopia is treated and how it is not treated

Modern medicine is not yet able to restore vision without surgery. Myopia, farsightedness and astigmatism are different conditions of the optical parameters of the eye, in which the relationship of anatomical structures is disrupted: the eye is too long, short, or has curved optics. Because of this, a person sees worse.

Natalia Maychuk

ophthalmic surgeon

During vision correction surgery, the surgeon uses a laser to change the shape of the cornea according to a pre-calculated program - and brings the optics of the patient’s eye to ideal. Anatomical changes in the eye remain for life, but a person begins to see as if they were not there, and sometimes better than healthy people.

The operation does not help everyone equally well, because the result depends on the initial condition of the eye. There are also contraindications when the operation cannot be performed. But they have not yet come up with another way to rid a person of glasses or contact lenses.

Myopia cannot be cured by training and drops. There are stories on the Internet and the media about the “cure” of myopia, but usually we are talking about something else. Young people experience a so-called accommodation spasm - this is when the muscles inside the eye become too tense and “forget how” to relax. Muscle spasm causes “false myopia”: instruments show it and the person actually sees worse, but for some time the relationship of the anatomical structures in the eye remains normal. If the doctor diagnosed “habitual excessive stress of accommodation”, this is exactly the case. This most often happens to those who sit on the phone or at the computer for too long.

Muscles can be relaxed with training or drops - and vision improves. But this only affects that part of the dioptres that arose due to muscle spasm. If changes have already begun in the eye and myopia has developed, they will not help. Therefore, it is incorrect to call it a treatment for myopia.

Preparing for surgery

As the doctor explained to me, not everyone gets laser vision correction. For example, myopia should not progress too quickly: no more than 0.5 diopters in six months, and preferably in a year. Also, the length of the eye should remain the same, whatever that means.

The progress of myopia is assessed by medical history, the rest is checked before surgery during the initial examination.

In my clinic, the examination could be done under compulsory medical insurance, or it could be done for money. But according to compulsory medical insurance, everything was booked for two weeks in advance, so I decided to pay. In addition, it turned out that the compulsory medical insurance policy does not cover everything: for example, photographs of the anterior and posterior surface of the cornea are still taken for money. I paid 5300 RUR for a paid examination. According to compulsory medical insurance it would cost 1300 RUR.

The examination took most of the day. The doctors checked the acuity and field of my vision, intraocular pressure, the shape of the cornea, and probably something else. I was asked to look at the dot, read the letters, and be patient while drops were put into my eyes. The doctor also asked if I wore contact lenses. It turned out that before the operation the eyes needed a rest from them. And if you wear lenses for many years, the cornea becomes thinner and laser correction can no longer be done.

I did not find any contraindications to laser correction. We discussed the surgical options with the doctor and chose Femtolasik - it is somewhere in the middle in terms of complexity and price. The operation was scheduled for the next day.

I left the clinic half-blind: everything was foggy from the drops, and in order to see the bus number, I had to come close to it. I regretted that I didn’t ask anyone to pick me up.

Before the operation, I also took three days off from work and agreed that then I would be without a computer for a week. Meetings, discussions - yes, emails - no. As it turned out later, this was a mistake: I was only getting in the way of my colleagues. Now I would take this week at my own expense.

Contact lenses and laser correction

Before laser vision correction, we always ask if the patient wears contact lenses, and if so, for how long. The operation is performed on the cornea, and the lenses do not have a very good effect on it: they reduce the access of oxygen, “rub”, and disrupt metabolic processes and cellular composition. The sensitivity of the cornea decreases, tear production is worse. All this prevents you from undergoing the operation well and recovering quickly.

Natalia Maychuk

ophthalmic surgeon

In addition, recently removed lenses may distort examination data. If the doctor does not know about them, there is a risk that the correction will be less accurate.

Day of surgery

The operation itself lasted about ten minutes, but I spent almost the entire day in the hospital: from 10 am to 4 pm. They checked my vision again, told me what would happen and how it would happen, dressed me in a robe and took me to the operating room. There they dropped local anesthesia into my eyes, and they stopped feeling anything, although I could blink.

When the anesthesia took effect, I was taken into the operating room, placed on a table and asked not to move. I was afraid that if I moved, the laser would harm my eyes, but they reassured me: in this case, it would simply turn off. They glued one eye shut and put a spacer on the other one. After that, the apparatus was brought in, and it became dark: during the operation, only a pinpoint light was visible. I also felt a slight pressure on my eye - it was unpleasant, but not painful. Then they repeated everything with the second eye.

After the operation, I immediately began to see well, but at first everything was in a fog. They put something in my eyes again, asked me to sit, and then checked my vision. After that they sent me home.

Visual acuity before and after surgery

Before surgery

Right eye

Left eye

After operation

Right eye

Left eye

After operation

On the advice of the doctor, I took sunglasses with me: without them, the light seemed too bright at first. The eyes are comfortable in the dark, behind curtains and without a monitor. On the street I could see well in the distance, but up close everything was still foggy, so I couldn’t immediately enjoy the result.

The first day after the operation, I was offered to wait in the dark and quiet of the ward for 4,750 RUR. But I turned out to be more prudent than the day before: I was taken from the clinic and taken home. At home, I realized that I was happy early: I was not prepared for leisure in the dark and without a computer, so it was very boring.

The doctor advised me to stay away from the phone and computer at first. It takes a week or a week and a half for your eyes to adjust to working close up, so it’s better not to look at screens at all. You can’t put on makeup, go to the pool or play sports at all for two weeks. It’s better not to touch your eyes either, even if it seems like grains of sand have gotten into them. At first, this is how it should be.

I came to the clinic for two more scheduled examinations: one day and one month after the operation. The first time I was prescribed two types of drops, the second time they checked what came out of it. These visits were included in the cost of the operation.

During the year I was asked to come several more times. The first year after surgery, examination with consultation cost 1300 RUR. From the second year the price increased to 2300 RUR. It is believed that by this time the eyes have recovered and mandatory examinations are not necessary. Therefore, then I had my vision checked at the district clinic, free of charge.

Before the operation, my friends doubted that their vision would last long. So, friends: it depends only on me. After the operation, the surgeon gathered all the patients together and explained: the laser corrected the visual impairment, but this does not mean that now we will always see well. At a minimum, you need to get rid of the myopic habit of burying your nose in your phone, train yourself to take breaks from work, and master eye exercises. Without this, myopia will increase, and the correction will no longer be enough to compensate for it. Vision will deteriorate again.

Myopia after surgery

Myopic people have weakened muscles that are responsible for near vision. This is especially true for those who before surgery used glasses with insufficiently strong lenses or did without them at all. Therefore, after surgery, the muscles need to be spared and the load should be increased gradually. I ask patients not to do anything at close range for a week, and then switch to a gentle regime - the only correct one from the point of view of visual hygiene.

Natalia Maychuk

ophthalmic surgeon

The total load in the vicinity should be no more than 6 hours a day. After 40 minutes of work, you should take at least a five-minute break and switch your vision to distant objects. If your work requires you to constantly look at something close up, your eyes should rest from this in the evening.

How much did I spend

Vision correction operations are aesthetic surgery: they are performed at the request of the person, and not for medical reasons. Therefore, they are not covered by compulsory medical insurance and In 2015, my operation cost 89,800 RUR, and I spent another 10 thousand on examinations and medications.

Briefly: how to do laser vision correction

1. Consult your doctor. Laser vision correction is an aesthetic operation: you decide for yourself whether to do it or not. But it's still an operation, so always listen to what the doctor says.
2. Agree that you will not be anywhere for three days. The first day will be spent on examinations, the second on surgery, the third you will sit in the dark. Then you won’t be able to use the computer for another week.
3. Sign up for an initial examination. In a public clinic, this can be done under compulsory medical insurance, but you will still have to pay for some tests.
4. On the day of surgery, do what your doctor says.
5. After surgery, do what your doctor says.
6. For the operation to help for a long time, do what the doctor says.
7. Laser vision correction is not performed under compulsory medical insurance or quota, but part of the money can be returned using a tax deduction. When you pay, ask to prepare documents for him.

Hello Diana.

Compensation for astigmatism treatment and ways to partially cover costs

Regional compulsory health insurance funds are guided by the standards of medical care for a specific disease. If we talk about the standards of state medical care for patients with astigmatism, the policy covers only some therapeutic measures. These include: laser stimulation of the ciliary muscle, scleroplasty, contract vision correction, as well as the selection of glasses to correct visual function.

Laser correction of astigmatism, unfortunately, is not included in the list of free therapeutic measures. Consequently, this operation cannot be carried out under a compulsory health insurance policy. I’ll explain why: almost all insurers are confident that laser vision correction is a cosmetic procedure, so the owner of the compulsory medical insurance policy is obliged to pay for such operations independently. This norm is also indicated by the current legislation, therefore exceptions can only be among private insurers.

Considering that you will still have to do the operation for a fee, the state offers another way out. If you are officially employed, you can apply for a tax deduction, the amount of which will be 13%. To do this, you need to write an application using a special form. Don’t forget that many medical clinics or ophthalmology offices hold discount promotions for their regular customers or certain categories of the population (pensioners, students, disabled people, etc.).

If we talk about the average cost of such an operation, then it all depends on the level of the clinic, the region of the country, concomitant diseases or complications, as well as the method of correction. So, PRK will cost on average 15 thousand rubles, but Lasik will cost at least 20 thousand, but in some clinics the cost of the operation can reach up to 35 thousand rubles.

Regarding those clinics where such operations are carried out under the compulsory medical insurance policy (perhaps there are such, but you need to search carefully), I cannot say anything specific, because you do not indicate either the region of residence or the approximate range for searches.

Indications and contraindications for laser correction of astigmatism

Astigmatism is a problem with clear vision due to problems in the cornea, lens, or shape of the eye. With this impairment of visual function, the focus of the image does not form on the retina, and accompanying disorders develop (migraines, rapid fatigue when reading, painful syndrome in the eyes). Astigmatism is an absolute indication for laser vision correction if the pathology cannot be eliminated by wearing special glasses.

If you are undergoing laser surgery to treat astigmatism, then you should be aware of the present contraindications:

• Concomitant ophthalmological diseases (cataracts, glaucoma, retinal detachment). These diseases interfere with the accurate diagnosis of astigmatism and prevent full laser correction.
• Keratotonus. The presence of this disorder, in which constant thinning of the cornea occurs, can lead to the development of complications after laser exposure.
• Dry eye syndrome and any disorders of corneal sensitivity.
• Age restrictions. The operation is performed only after 18 years of age, when the formation of the eyeball is completely completed.
• Pregnancy and breastfeeding.
• Vascular pathologies, inflammatory diseases, mental disorders, diabetes mellitus, oncology.

Sincerely, Natalia.

Compulsory health insurance is a component of the system of insurance services provided at the state level. It is needed to ensure equal opportunities in terms of providing qualified medical care to patients of different social categories. The compulsory medical insurance policy includes a wide range of services, including expensive surgical operations. Read on to learn about which areas of intervention are included in compulsory insurance, how to get them for free, and when a refusal is usually granted and the operation is not performed.

What is a compulsory medical insurance policy - definition

Compulsory medical insurance is compulsory health insurance, the most important component. Thanks to this policy, all citizens of the Russian Federation receive equal access to medicines and medical care (this is made possible by attracting). The procedure for provision and list of services is specified in No. 326-FZ dated November 29. 2010 “On compulsory health insurance in the Russian Federation.”

Free assistance is provided throughout the country in the amount specified in the basic program, and at the place of residence - in the amounts specified in the territorial rules.

The basic program is developed and approved by the Government of the Russian Federation, the territorial program is developed by official representative offices of the subjects (regions). Medical care within the scope of the policy is provided by those organizations that are part of the register of the Territorial Compulsory Medical Insurance Fund.

Read what is included in the free policy maintenance.

What does the basic package include?

The program of state guarantees clearly defines the list of preferential services that should be provided free of charge to citizens of the Russian Federation. They are paid for from budgets of different levels (city, regional, federal) and from the compulsory medical insurance fund.

Treatment and under what conditions it is provided

Under the policy, you have the right to receive treatment in the following areas free of charge:

Read where you can get a medical insurance policy.

In accordance with the provisions of the current state program, citizens of the Russian Federation can receive treatment for most diseases free of charge.

List of preferential ambulance and outpatient services

Emergency medical and outpatient care services are included in. This also includes carrying out diagnostic and therapeutic measures in a day hospital, in a clinic or at home.

Drug provision during treatment in the outpatient department is not included in the compulsory medical insurance program.

What services are included in the program within the state insurance system

Within the framework of the state insurance system, inpatient care is provided free of charge for:

1. Childbirth, abortion, pregnancy pathologies.
2. Injuries requiring intensive care, poisoning, exacerbations of chronic diseases, the need for acute treatment of pathologies, isolation for epidemiological reasons.
3. Planned hospitalization as part of therapy and rehabilitation programs, including when constant medical supervision is needed.

The list of additional paid inpatient services is specified in the order of the Health Committee.

The following services can be provided on a paid basis (voluntary or voluntary) during your stay in a medical institution:

• stay in a room with an increased level of comfort, other individual services;
• examination, treatment for concomitant diseases in the absence of exacerbations;
• observation, examination, treatment at home (except for those cases when the patient does not have the physical opportunity to visit a medical facility on his own);
• anonymous services (except for free AIDS diagnosis);
• assistance to persons who are not entitled to receive free assistance under the territorial state program;
• medical care using alternative (but necessarily approved at the state level) technologies and treatment methods;
• consultation on the personal initiative of citizens.

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They do not provide free preventive vaccinations at the request of citizens, they do not provide homeopathic treatment, dental prosthetics, and some.

Cosmetology services and sexological therapy are provided only for a fee.

What free operations are performed under the policy and who pays for them - a list of the main areas in surgery

A number of surgical operations within the compulsory medical insurance policy are performed free of charge. The main areas in which they operate:

1. Gynecology and obstetrics.
2. Abdominal surgery.
3. Treatment of severe burn injuries.
4. Transplantation.
5. Traumatology, orthopedics.
6. And others - surgery of the chest organs, blood vessels, heart, rheumatology, ophthalmology, hematology, etc.

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Thus, under the compulsory medical insurance policy, most surgical operations are performed free of charge. Rehabilitation activities are also in most cases provided free of charge (you will find a list of exceptions below).

If you are forced to pay for an operation that should be performed free of charge, call the MHIF hotline.

How to obtain a voucher for surgical intervention - sign up for a planned operation

Free operations are carried out using a coupon. To receive it and begin the operation, you need to collect a complete package of documents:

1. Extract from the protocol of the doctors' commission.
2. Extract and medical record justifying the need for treatment.
3. Passport, copy, application from a citizen who wants to use the service.
4. Compulsory medical insurance policy and copy.
5. Certificate of disability (for those persons who have it).
6. with a copy (if available).

How to get a referral for hospitalization at a clinic and begin surgery

A referral for planned or emergency hospitalization can be obtained from the attending physician - he will also draw up the necessary documents. It is sent to the Ministry of Health or a specific medical institution within three days; if the commission approves the request, the patient will receive a coupon.

Can a patient choose a clinic? No, but he has the right to express his wishes - if possible, they will be taken into account.

Please note that the list of free operations is updated annually and depends on the region. At the moment, you can apply and sign up for a compulsory medical insurance policy for free:

1. Endocrine surgical interventions are surgical treatment of the parathyroid glands, adrenal glands, and thyroid glands.
2. Cardiovascular, cardiac operations – on peripheral arteries, including vertebral and carotid arteries.
3. Urological treatment – ​​endoscopic interventions for prostate adenoma, urolithiasis, reconstruction of the pelvic floor organs in case of prolapse, urinary incontinence.
4. Neurosurgical interventions – on the spine.
5. General surgical operations – laparoscopy for abdominal hernias, cholelithiasis, inguinal, umbilical hernioplasty, etc.
6. Oncological treatment – ​​combined techniques are used.
7. Assisted reproductive surgeries – in vitro fertilization.
8. Gynecological interventions - plastic surgery for vaginal prolapse, removal of fibroids or fibroids while preserving the uterus, hysterectomy, laparoscopy, surgery on the uterine appendages, plastic surgery of the genital organs of the third category.
9. Coloproctology – removal of hemorrhoids, excision of the epithelial coccygeal tract, perianal tissue with fistula.
10. Otorhinolaryngological operations – septoplasty, polypotomy, tonsillectomy, endoscopic maxillary sinusotomy.
11. Laser vision correction is not cosmetic surgery for the treatment of myopia, cataracts, and astigmatism.

In these cases, the intervention will be free for the owner of the compulsory medical insurance policy; he pays for the medicines himself. If a Russian-made lens (for cataracts) offered to a patient as part of the insurance policy does not suit him, he has the right to order an imported one, but at his own expense.

In what cases can they refuse to operate?

A free surgical operation, even if it is included in the list of mandatory services, may be refused. Main reasons:

1. The patient can be cured without intervention.
2. Indications for therapy using high-tech methods.
3. The limit on benefits in the Ministry of Health for the year has been exhausted.

If you received a refusal due to the exhausted limit of benefits, find out which medical institutions have budget places. If there are none at all, issue a coupon and quota.

Read about how to restore a policy if lost.

When there are no free places, and the operation is urgently needed, it is better to do it on a paid basis, and then apply for compensation.

You may also be denied free rehabilitation. It is issued for severe anemia, postoperative complications, patient disability, sexually transmitted diseases, hypertension, drug addiction, alcoholism, severe mental disorders, and oncology.

If you think that you were wrongfully denied rehabilitation at the expense of budget funds, call the Compulsory Medical Insurance Fund - and a specialist will help clarify the situation.

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conclusions

Under the compulsory medical insurance policy, you can receive a large list of medical services free of charge. Please note that some inpatient treatment services require an additional fee, and surgery may be denied if the budget space limit is reached, or the patient can be treated without surgery. For any controversial issues, you can call the MHIF hotline.