Assistance for rehabilitation in a sanatorium. Medical rehabilitation of patients with consequences of injuries and diseases of the musculoskeletal system and peripheral nervous system. to resolve the issue of hospitalization in the Rehabilitation Center under the compulsory medical insurance program
Social activities aimed at supporting various categories of citizens include health measures. As part of the implementation of social policy, beneficiaries are issued vouchers for sanatorium and resort treatment. This measure is necessary for additional medical and social rehabilitation of certain categories of citizens.
Legislative principles
The main regulations governing the allocation of funds for health restoration are:
- Law No. 178-FZ, which came into force on July 17, 1999.
- Order of the Ministry of Health and Social Development of the Russian Federation No. 328 dated December 29, 2004, containing the procedure for allocating preferential treatment for health improvement.
In the above normative act contains important (for the population) principles for introducing social measures to organize health improvement. They are as follows:
- referral to a sanatorium is allocated at the initiative of the applicant;
- in the form of a standard document;
- The applicant must meet the following criteria:
- have medical indications for referral for treatment (prevention);
- there must be no contraindications for spa treatment;
- belong to one of the preferential categories.
Let's look at the criteria in more detail. Many people believe that a discount form is a way to relax in a resort area for free. This is only partly true. In fact, it is necessary to have a disease that is treated in a sanatorium. There are many diagnoses for social recovery.
Namely the treatment:
- tuberculosis;
- diseases of the blood, hematopoietic organs;
- diseases of the endocrine system;
- mental and behavioral disorders;
- diseases of the eye and its adnexa;
- diseases of the ear and mastoid process and much more.
In addition to the list of indications for sanatorium-resort treatment, there is a list of contraindications for such treatment. The doctor must also take this into account when providing social services, and if at least one of the contraindications is present, the issuance of a voucher will be refused. Contraindications include:
Important: the doctor issues a referral for preference only to patients:
- who filed relevant complaints;
- having a specific diagnosis;
- undergoing treatment regularly.
Rules for the allocation of health subsidies
- Health activities, as well as stay in a medical institution, are financed from the Social Insurance Fund of the Russian Federation and the federal budget.
- It follows that each subsidy must be justified with documentary evidence:
- preferential category;
- the need for health benefits (doctor’s certificate);
- no contraindications.
- A report on the use of funds for the intended purpose (tear-off coupon) is also required.
Categories of beneficiaries
- WWII participants.
- Disabled people of war:
- soldiers and officers;
- that period;
- former blockade survivors with award badges;
- (from 1 to 3 and disabled since childhood);
- veterans of combat operations in hot spots;
- family members of deceased disabled veterans of the Great Patriotic War, participants of the Great Patriotic War and combat veterans, family members of deceased workers of hospitals and clinics in the city of Leningrad;
- persons who worked at military facilities during the war;
- military personnel undergoing military service in military units, institutions, institutions that were not part of the active army during the Second World War;
- persons awarded the badge “Resident of besieged Leningrad”;
- :
- military;
- equal;
- reserve officers;
- labor veterans;
- Heroes of Russia and the USSR.
Hint: in addition to the voucher, beneficiaries receive compensation for travel to the place of recovery by land transport, and where this is not possible, by airlines.
Important! In 2019, the expenditure indicators per 1 social assistance recipient were as follows:
- sanatorium-resort treatment - 133.62 rubles;
- travel by intercity transport and suburban railway transport to the place of treatment and back - 124.05 rubles;
- provision of necessary medicines according to doctor's prescriptions - 863.75 rub.
Which sanatoriums can you go to?
Government agencies involved in allocating preferences enter into agreements with institutions providing health services. You can only get a ticket to a holiday home:
- an agreement with which was reached by the body to which the applicant applied;
- operating in the Russian legal field, located anywhere in the Russian Federation;
- if necessary, specialists will try to find an institution in the region of residence (if it is difficult to move);
- military pensioners and equivalents are sent only to departmental health institutions.
Who distributes vouchers in 2020
In general, the Social Insurance Fund (SIF) is responsible for distributing the budget for treatment. This organization works with citizens through social security authorities. But there are exceptions. Thus, the Moscow Region independently supports pensioners. To receive a health benefit, you must address the application to the appropriate Department of the Ministry of Defense.
Therefore, you should contact:
- to the social security department on a territorial basis;
- to the Department of the Ministry of Defense, which is responsible for the distribution of departmental subsidies.
The algorithm for obtaining a subsidy for sanatorium treatment is as follows:
- Visit your doctor and express your desire to go to a sanatorium. The doctor will send you for examination. Based on its results, if there are indications and no contraindications, a special document is issued - a certificate in form No. 070/u-04.
- With a certificate and passport, you should go to the social security or military commissariat at your place of residence to write an application.
- Wait for a response about queuing.
- As soon as everyone who has previously made a claim for the privilege is satisfied, receive a voucher.
- No earlier than 2 months before the start of the voucher, the person who received it must contact the attending physician for an additional examination, based on the results of which the doctor fills out and issues a sanatorium-resort card to the patient.
- Go for treatment.
What documents to prepare
To receive a subsidy for health resort treatment, a minimum package of papers is required. These are the confirmations:
- identity - passport;
- fact of medical insurance - a mandatory and/or additional policy health insurance;
- preferential category:
- with the corresponding certificate for almost everyone:
- WWII participants of different groups;
- Chernobyl victims;
- pensioners;
- retired officers;
- disabled people provide a medical and social examination certificate;
- Heroes are required to provide award documents;
- labor veterans - the corresponding book;
- with the corresponding certificate for almost everyone:
- the need for recreational activities - form No. 070/u-04.
- SNILS.
What is a trip?
After reviewing the application, the applicant receives a document. It confirms the right to receive services at the expense of the state budget:
- A specific institution (name and address are indicated on the voucher).
- Within a certain time frame (the start and end dates of the course are also entered in the form).
- Confirms the fact of payment with the appropriate budget. To do this, a confirmation stamp is placed on the document.
Besides, the voucher is a personal document. It cannot be transferred or sold to another person. It is also prohibited to divide the period of treatment between individuals (this was previously done in order to go to a rest home with a family). The form states:
- Recipient's full name;
- diagnosis;
- Course duration is from 18 to 42 days.
Hint: accompanying persons may go to the sanatorium with some beneficiaries:
- with disabled minors;
- with disabled people of group 1.
Accompanying persons are given preference for different conditions. They depend on the category of the beneficiary. The tour can be free or with a discount of 25-50%. Thus, military retirees can take their spouse with them. Her recovery will cost 50% of the full cost.
Important: the voucher is valid once a year (there are exceptions).
Prerogatives of certain groups of citizens
Reserve officers are entitled to treatment preferences if their service period is more than twenty years. Military pensioners are given a subsidy once a year. At the same time, they can take their spouse with them to the departmental dispensary (for 50% of the cost).
The same rule applies to retirees with sufficient length of service. The rest are not provided with preferences. Military pensioners include law enforcement officers who left service and some other categories of government employees.
Important: if there are several reasons, the social direction (free) is allocated only once a year at the choice of the beneficiary.
Is there a subsidy for pensioners?
According to the norms of current legislation, referrals can be received through the FSS branch:
- Veterans of Labor;
- Pensioners, including working people.
The circulation algorithm is described above. Only documents should be submitted to the FSS. The basis for the application is:
- pensioner's certificate;
- certificate No. 070/у-04.
additional information
The above general rules allocation of health subsidies are sometimes violated. Yes, according to medical indications a beneficiary can be provided with a referral to a sanatorium at the expense of the state budget twice a year:
- the doctor makes the decision;
- he issues a certificate with a special mark.
Sometimes you have to wait in line for quite a long time. This is due to the small number of institutions providing rare treatments. It is advisable to submit an application in advance, immediately after receiving the certificate. This increases the chance of her quick satisfaction.
Attention: specialists are required to notify the applicant two weeks in advance of the availability of a voucher. True, sometimes they have to look for a client for a last-minute tour when a person suddenly refuses the trip.
Last changes
In mid-2018, military pensioners received their previously abolished right to free pass to the place of treatment in a departmental sanatorium. Now retirees and reserve officers of the Armed Forces and Navy, including midshipmen and warrant officers with 20 years of service, as well as their families, can count on free travel to the place of treatment once a year. For vouchers, you must contact the military registration and enlistment office at your location. military registration. This applies to any type of public vehicle.
Attention potential patients!
During the period from May to September, patients are not accepted under the compulsory medical insurance program!
ATTENTION to patients undergoing rehabilitation under the compulsory medical insurance fund in the spring-winter period!
In the absence of contraindications, for patients staying for medical rehabilitation under the compulsory medical insurance fund, the volume of medical massage and physical therapy increased:
massage - up to 30 minutes (up to 3 units)
Exercise therapy - up to 30 minutes (individual lessons) (up to 3 units)
Attention potential patients!
During the period from May to September, patients are not accepted under the compulsory medical insurance program!
For residents of Evpatoria, the Republic of Crimea, Sevastopol and other regions Russian Federation From January 15, 2018, the sanatorium began accepting patients under the compulsory medical insurance program, which includes:
As part of the implementation of the territorial program of compulsory health insurance of the Republic of Crimea and the territorial program of compulsory health insurance of the city of Sevastopol, the sanatorium accepts patients from all regions of Russia for medical rehabilitation in a 24-hour hospital, who have undergone neurosurgical surgery and surgery on musculoskeletal system, traumatic brain injury, spinal fracture, injury to the musculoskeletal system and peripheral nervous system and corresponding to 3-5 gradations of the Rehabilitation Routing Scale, developed by the Union of Rehabilitologists of Russia for adults and children, as well as children with an established diagnosis of cerebral palsy and other diseases of the central nervous system.
For residents of the Republic of Crimea and other regions of Russia, medical rehabilitation is also carried out in a day hospital for the same indications, but corresponding to grades 2-3 Rehabilitation routing scales.
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Is it possible not to pay at the medical center? cash, but is observation free? Can! One of these centers is located in the city of Odintsovo (Moscow region, Belarusian direction of electric trains).
Where is the medical center located?
Different branches are located in different places in the city of Odintsovo.
Address:
Medical center on Zhukova.
Moscow region, Odintsovo city, Zhukova street 9. Entrance from right side. Stop public transport"Marinka".
Medical center on Tolubko.
Moscow region, Odintsovo city, Marshala Tolubko street 3, building 4.
Hospital (sanatorium) in Dorokhovo:
Moscow region, Ruzsky district, village Staroruzskoe, territory of the Dorokhovo sanatorium, 5th building.
Travel to the territory by car for 5-10 minutes is free. There is a fee to leave your car in the parking lot. 50 rubles per day.
You can simply come to the Dorokhovsky sanatorium (building 5 or other buildings), go to the reception desk and leave a request for treatment. They will call you before the appointed day and tell you what documents to bring. Accommodation per room for 2 people.
Hearing aids.
Moscow region, Odintsovo city, Vokzalnaya street 3 B.
Documents for registration for day hospital:
- documents with analyzes (a complete list will be provided);
- documents on the disease: fluorography, extracts from the card, etc.
- for women, a certificate from a female doctor is required;
- ECG;
Pros and cons of treatment at the world of sounds center.
Pros:
Treatment is absolutely free;
The only thing is that upon admission you can get tested for 1,500 rubles. Or you can hand them over at your place of residence at a clinic for free, or for money elsewhere and bring the documents to the center.
They can give you a ticket to the Dorokhovo sanatorium.
- polite staff;
- there is a dressing room and a toilet room;
- there are several branches in Odintsovo;
Minuses:
Sometimes there are a lot of people;
For the most part, this is the elderly generation who want to skip the line, take a place on the couch in advance, skip the line and be invited to the treatment room where they give injections.
There are not all doctors;
- not near Odintsovo station;
The center is not very advantageously located geographically. There are no free minibuses. From the center of Odintsovo you need to take 2 minibuses or walk, but it takes time.
When you arrive at the sanatorium for tests, you have to take the same tests again. The queues are like at a clinic.
There is a free bus on site that takes patients to the other side, where the main building is for procedures, or you can use it and walk across the suspension bridge.
Accommodation in a hospital for 2 people, which is very inconvenient, because this is a stranger who can snore, talk on the phone, watch TV, and interfere with rest and sleep.
There are film screenings on site, a dance evening every 2 days, you can buy food, clothes, get to a neighboring city or museum by public transport.
Additionally:
For an additional fee, without a doctor’s prescription, you can get an ECG, ultrasound, massage, hardware massage, magnetic therapy session, put on an IV, or give an injection with a doctor’s prescription document (an official document with a stamp and signature).
During observation at a day hospital (this is when you come for procedures, usually in the first half of the day, and then you go home), an agreement is signed that for this period of treatment the person is observed only in this place.
The cash comes from your insurance company's policy.
Unfortunately, there is no direct connection to the Dorokhovo sanatorium from Odintsovo. You can get there by train in the Belarusian direction, and then by minibus or by taxi.
You can see it on the official website full information, telephone numbers, and also see the vacancies section.
I will add on my own behalf. The mother-in-law was treated for arthrosis knee joint, her friend had a stroke. A family friend came for treatment because he had back pain. Depending on the diagnosis, different treatments are prescribed. But mainly these are IV drips, injections, magnetic therapy, massage and exercise therapy (therapeutic and preventive physical education).
My story of meeting the world of sound medical center.
I was riding a bike and fell. I came to the trauma center and they took an x-ray, it turned out that my big toe was broken. They put a plaster cast on. They told me to see him at a local clinic. We don't have a clinic, we have an outpatient clinic. In 2 weeks, they never changed the bandage, didn’t give me any injections, didn’t tell me that I needed to buy a crutch or anything at all.
After 2 weeks, the plaster was removed, but my finger was motionless and needed to be worked out (massaged). No one was going to do this at the outpatient clinic due to the lack of doctors.
I made an appointment with an orthopedist at the medical center, brought all the pictures (fluorography) and the doctor’s report. Since my foot hurt when walking, I was told to stay at home for another week and then come for treatment. During this time, collect everything Required documents. Then I arrived in the first half of the day - this is called a day hospital. I received injections in the buttock, massage, magnetic therapy, and went to exercise therapy procedures. By the end of the second week, the finger began to bend a little (after that it began to bend at all).
I am registered in another Moscow region, but I live near the city of Odintsovo. I don’t know how much this affects anything, but for information. Many people came from the neighboring town of Golitsino, saying that the local medicine was bad and the service was rude.
After treatment, I received a ticket to the Dorokhovo Sanatorium for 2 weeks. They gave me a ticket, but I stopped by after 6 months from the date of treatment at the center. I came home for the weekend. Thus, treatment can be completed once every 6 months.
Thanks a lot this center rehabilitation in Odintsovo! And that there is such an opportunity to be treated under the compulsory medical insurance policy for free. If we converted everything into money, the treatment would be expensive.
Why is treatment free? Because there is a law according to which any person can choose insurance organization, doctor and medical institution. But this rule does not work everywhere and does not always work.
Currently, you can avoid being seen in regular clinics, or sit in line, but find a medical center that cooperates under the compulsory medical insurance policy. This program works in many cities, just not all people know about it.
How to get to the center rehabilitation medicine to Odintsovo? Call on hotline, choose a place and make an appointment with a doctor.
Any disease leads to malfunctions in the functioning of individual organs or the human body as a whole. As a result of therapeutic measures, the main symptoms of the problem are relieved, but complete restoration of the normal functioning of the body is achieved over a long period, during which other pathological changes may develop. Therefore, rehabilitation procedures or restorative treatment are of great importance.
What does the rehabilitation procedure consist of?
Rehabilitation is a set of medical measures designed to restore body functions that were impaired during a previous or congenital disease, injury or surgery. The duration and intensity of the procedures depends on the severity of the disease and includes several stages. At the initial stage, during diagnostic procedures, the general clinical condition of the patient, the characteristics and reserves of the body are determined. Next, a rehabilitation program is formed taking into account the final goal of the proposed measures in the form drug therapy and non-drug methods, including:
- physical therapy and massage;
- psychotherapy and reflexology;
- physiotherapeutic methods and dietary nutrition.
Upon completion of a set of procedures, an analysis of the effectiveness of rehabilitation measures and treatment is carried out, and recommendations are determined.
Significant results are achieved during rehabilitation treatment in a sanatorium. Any citizen of the Russian Federation, if there is a need for rehabilitation after suffering an illness and receiving specialized treatment, has the right to apply for free travel to the sanatorium, if he is the holder of an insurance document. A list of sanatoriums under compulsory medical insurance can be obtained from each territorial division of the fund.
What is needed to enter the inpatient department of the sanatorium?
Medical procedures under the compulsory medical insurance package include planned placement of clients in rehabilitation sanatorium departments. The volume of assistance provided is established by the structures that control the implementation of the territorial compulsory medical insurance program.
Clients are accepted by the sanatorium commission with the results of examinations for a specific type of disease, if there are medical prerequisites and there are no contraindications for specialized recovery.
Those wishing to receive vouchers to the sanatorium under compulsory medical insurance and rehabilitation services must contact the clinic for a referral for planned hospitalization, agree on the date of arrival and contact the registry of the sanatorium on the specified day.
The attending physician prescribes a list of treatment procedures for the patient’s disease. Appointments are made in accordance with the procedural schemes for patient care developed by the Ministry of Health in organizations participating in compulsory medical insurance. Prescriptions are made in the absence of contraindications.
What documents are provided to the commission?
The decision on admission to the rehabilitation department is made by a medical commission based on the documents provided, including:
- identity card (passport) of the applicant - a citizen of the Russian Federation;
- insurance policy;
- referral from the clinic (to a sanatorium under the compulsory medical insurance program);
- a document containing a description of the patient’s main diagnosis and others (if any);
- ECG (if the examination is no more than 30 days old);
- results of urine and blood tests, glucose indicator (for a period of no more than 30 days);
- examinations of NS, HIV, RW, HBs-AG (up to 3 months old);
- fluorography performed within 12 months before treatment;
- a gynecologist's report (for women) if the examination was less than 30 days old;
- a urologist's report (for men) with a limitation period of no more than 30 days.
Features of voluntary insurance for newborns are described on the page.
Can be easily obtained since 2015 according to the legislation of the Russian Federation.
The patient is provided with additional examinations on the underlying disease, including:
- cardiovascular – echo ECG, ECG, ultrasonography limbs, prothrombin index;
- gynecological – ultrasound (mammary glands, pelvis), PCR, smear, marker analysis data;
- musculoskeletal system - data from biochemical and radiological tests (less than 12 months ago);
- neurological - MRI, CT, electroencephalography (not older than 30 days ago), ultrasound of some organs (if necessary);
- conclusion of an examination by a dermatovenerologist.
Contraindications for rehabilitation measures
Treatment in a sanatorium under compulsory medical insurance is not carried out if the patient has certain types of diseases or their conditions, including the following main ones:
- acute period, post-operative complications or decompression stage for any disease;
- the need for surgical intervention;
- venereal diseases;
- the patient's inability to move and care for himself;
- anemia (with a hemoglobin level less than 100 g/l), circulatory failure grade 2-3;
- conduction and heart rhythm disturbances;
- hypertension (grade 3), hypertension (uncontrolled with medications);
- bronchial asthma, respiratory failure (3 degrees);
- mental illness;
- alcohol/drug addiction;
- oncological diseases;
- the presence of concomitant pathology that does not allow the use of physiotherapeutic treatment due to a threat to the patient’s life.
Individual prescriptions when performing medical rehabilitation, procedures using modern medical equipment using special techniques make it possible to accelerate the restoration of damaged functions of the patient’s body and improve the psycho-emotional state. As a result, a return to a normal lifestyle and usual professional and physical activities is achieved.
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