Providing medical services in healthcare institutions. Regulations on the procedure for providing paid medical services. Sample rules for the provision of services

Rules for the provision of paid medical services by medical organizations

I. General provisions

1. These Rules determine the procedure and conditions for the provision of paid medical services to citizens by medical organizations.

2. For the purposes of these Rules, the following basic concepts are used:

“paid medical services” – medical services provided on a reimbursable basis at the expense of personal funds citizens, funds of legal entities and other funds on the basis of contracts, including voluntary health insurance contracts (hereinafter referred to as the contract);

“consumer” – individual intending to receive or receiving paid medical services personally in accordance with the contract. A consumer receiving paid medical services is a covered patient. Federal Law“On the basics of protecting the health of citizens in Russian Federation”;

“customer” is an individual (legal) person who intends to order (purchase) or order (purchase) paid medical services in accordance with an agreement in favor of the consumer;

“Provider” is a medical organization that provides paid medical services to consumers.

The concept of “medical organization” is used in these Rules in the meaning defined in the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation.”

3. Paid medical services are provided by medical organizations on the basis of a list of works (services) that constitute medical activities and specified in the license to carry out medical activities, issued in the prescribed manner.

4. Requirements for paid medical services, including their volume and timing of provision, are determined by agreement of the parties to the contract, unless federal laws and other regulatory legal acts of the Russian Federation provide for other requirements.

5. These Rules are brought to the attention of the consumer (customer) in a clear and accessible form by the contractor.

II. Conditions for the provision of paid medical services

6. When concluding an agreement, the consumer (customer) is provided with information in an accessible form about the possibility of receiving the appropriate types and volumes of medical care without charging a fee within the framework of the program of state guarantees of free provision of medical care to citizens and the territorial program of state guarantees of free provision of medical care to citizens (hereinafter - respectively program, territorial program).

A consumer’s refusal to enter into an agreement cannot be the reason for a reduction in the types and volumes of medical care provided to such a consumer without charging a fee within the framework of the program and territorial program.

7. Medical organizations participating in the implementation of the program and territorial program have the right to provide paid medical services:

a) on conditions other than those provided for by the program, territorial programs and (or) target programs, at the request of the consumer (customer), including but not limited to:

establishment of an individual medical observation post during treatment in a hospital setting;

application medicines, not included in the list of vital and essential drugs, if their prescription and use is not due to vital indications or replacement due to individual intolerance to drugs included in the specified list, as well as the use of medical devices, therapeutic nutrition, including specialized medical nutrition products not provided for by the standards of medical care;

b) when providing medical services anonymously, except for cases provided for by the legislation of the Russian Federation;

c) citizens of foreign states, stateless persons, with the exception of persons insured under compulsory health insurance, and citizens of the Russian Federation who do not permanently reside on its territory and are not insured under compulsory health insurance, unless otherwise provided by international treaties of the Russian Federation;

d) when independently applying for medical services, with the exception of the cases and procedures provided for in Article 21 of the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”, and cases of emergency, including specialized emergency, medical care and medical care provided in an urgent or emergency manner.

8. The procedure for determining prices (tariffs) for medical services provided by medical organizations that are budgetary and state-owned state (municipal) institutions is established by the bodies exercising the functions and powers of the founders.

Medical organizations of other organizational and legal forms determine prices (tariffs) for the paid medical services provided independently.

9. When providing paid medical services, the procedures for providing medical care approved by the Ministry of Health of the Russian Federation must be observed.

10. Paid medical services can be provided in full to the standard of medical care approved by the Ministry of Health of the Russian Federation, or at the request of the consumer in the form of individual consultations or medical interventions, including in a volume exceeding the standard of medical care provided.

III. Information about the contractor and the medical services he provides

11. The Contractor is obliged to provide information containing the following information by posting on the website of the medical organization on the Internet, as well as on information stands (stands) of the medical organization:

a) for a legal entity – name and company name (if any);

for an individual entrepreneur - last name, first name and patronymic (if any);

b) address of the location of the legal entity, data from the document confirming the fact of entering information about the legal entity into the Unified State Register legal entities, indicating the body that carried out state registration;

the address of the place of residence and the address of the place of medical activity of the individual entrepreneur, data from a document confirming the fact of entering information about the individual entrepreneur into the Unified State Register of Individual Entrepreneurs, indicating the body that carried out the state registration;

c) information about the license to carry out medical activities (number and date of registration, list of works (services) that constitute the medical activities of a medical organization in accordance with the license, name, address and telephone number of the licensing authority that issued it);

d) a list of paid medical services indicating prices in rubles, information about the conditions, procedure, form of provision of medical services and the procedure for their payment;

e) the procedure and conditions for the provision of medical care in accordance with the program and territorial program;

f) information about medical workers involved in the provision of paid medical services, about the level of their professional education and qualifications;

g) the operating hours of a medical organization, the work schedule of medical workers involved in the provision of paid medical services;

h) addresses and telephone numbers of the executive body of the constituent entity of the Russian Federation in the field of protecting the health of citizens, the territorial body of the Federal Service for Surveillance in Healthcare and the territorial body of the Federal Service for Supervision of Consumer Rights Protection and Human Welfare.

12. Information posted on information stands (stands) must be available to an unlimited number of people during the entire working hours of a medical organization providing paid medical services. Information stands (stands) are located in a place accessible to visitors and are designed in such a way that they can freely familiarize themselves with the information posted on them.

13. The Contractor provides for review at the request of the consumer and (or) customer:

a) a copy of the constituent document of a medical organization - a legal entity, regulations on its branch (department, other territorially separate structural unit) involved in the provision of paid medical services, or a copy of the certificate of state registration of an individual as an individual entrepreneur;

b) a copy of the license to carry out medical activities with the attachment of a list of works (services) that constitute the medical activities of a medical organization in accordance with the license.

14. When concluding an agreement, at the request of the consumer and (or) customer, they must be provided in an accessible form with information about paid medical services, containing the following information:

a) procedures for the provision of medical care and standards of medical care applied in the provision of paid medical services;

b) information about a specific medical worker providing the relevant paid medical service (his vocational education and qualifications);

c) information about the methods of providing medical care, the risks associated with them, possible types of medical intervention, their consequences and the expected results of providing medical care;

d) other information related to the subject of the agreement.

15. Before concluding a contract, the contractor notifies the consumer (customer) in writing that failure to comply with the instructions (recommendations) of the contractor (medical worker providing a paid medical service), including the prescribed treatment regimen, may reduce the quality of the paid medical service provided and result in entails the impossibility of completing it on time or adversely affecting the health of the consumer.

IV. The procedure for concluding an agreement and paying for medical services

16. The agreement is concluded by the consumer (customer) and the contractor in writing.

17. The agreement must contain:

a) information about the performer:

name and trade name (if any) of the medical organization - legal entity, address of location, data of the document confirming the fact of entering information about the legal entity into the Unified State Register of Legal Entities, indicating the body that carried out the state registration;

surname, name and patronymic (if any) of the individual entrepreneur, address of the place of residence and address of the place of medical activities, data of the document confirming the fact of entering information about the individual entrepreneur into the Unified State Register of Individual Entrepreneurs, indicating the body that carried out the state registration;

number of the license to carry out medical activities, the date of its registration indicating the list of works (services) that constitute the medical activities of the medical organization in accordance with the license, the name, address of the location and telephone number of the licensing authority that issued it;

b) last name, first name and patronymic (if any), residential address and telephone number of the consumer (legal representative of the consumer);

last name, first name and patronymic (if any), residential address and telephone number of the customer - an individual;

name and address of the location of the customer - legal entity;

c) a list of paid medical services provided in accordance with the contract;

d) the cost of paid medical services, terms and procedure for their payment;

e) conditions and terms for the provision of paid medical services;

f) position, surname, first name, patronymic (if any) of the person concluding the contract on behalf of the contractor, and his signature, surname, first name, patronymic (if any) of the consumer (customer) and his signature. If the customer is a legal entity, the position of the person concluding the contract on behalf of the customer shall be indicated;

g) liability of the parties for failure to comply with the terms of the agreement;

h) the procedure for changing and terminating the contract;

i) other conditions determined by agreement of the parties.

18. The agreement is drawn up in 3 copies, one of which is kept by the contractor, the second by the customer, and the third by the consumer. If the contract is concluded by the consumer and the contractor, it is drawn up in 2 copies.

19. An estimate may be drawn up for the provision of paid medical services. Its preparation at the request of the consumer (customer) or contractor is mandatory, and it is an integral part of the contract.

20. If the provision of paid medical services requires the provision of additional medical services on a reimbursable basis that are not provided for in the contract, the contractor is obliged to warn the consumer (customer) about this.

Without the consent of the consumer (customer), the contractor has no right to provide additional medical services on a reimbursable basis.

21. If, when providing paid medical services, it is necessary to provide additional medical services for emergency indications to eliminate the threat to the consumer’s life in case of sudden acute diseases, conditions, exacerbations chronic diseases, such medical services are provided free of charge in accordance with the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation.”

22. If the consumer refuses to receive medical services after concluding the contract, the contract is terminated. The contractor informs the consumer (customer) about the termination of the contract at the initiative of the consumer, while the consumer (customer) pays the contractor the costs actually incurred by the contractor related to the fulfillment of obligations under the contract.

23. The consumer (customer) is obliged to pay for the medical service provided by the contractor within the time frame and in the manner specified in the contract.

24. In accordance with the legislation of the Russian Federation, the consumer (customer) is issued a document confirming the payment made for the medical services provided (cash receipt, receipt or other strict reporting form (standard document)).

25. After execution of the contract, the contractor issues to the consumer (legal representative of the consumer) medical documents (copies medical documents, extracts from medical documents) reflecting the state of his health after receiving paid medical services.

26. The conclusion of a voluntary medical insurance agreement and payment for medical services provided in accordance with the specified agreement are carried out in accordance with Civil Code Russian Federation and the Law of the Russian Federation “On the organization of insurance business in the Russian Federation”.

V. The procedure for providing paid medical services

27. The Contractor provides paid medical services, the quality of which must comply with the terms of the contract, and if there are no conditions in the contract regarding their quality, the requirements for services of the corresponding type.

If federal law or other regulatory legal acts of the Russian Federation provide for mandatory requirements for the quality of medical services, the quality of paid medical services provided must comply with these requirements.

28. Paid medical services are provided subject to the informed voluntary consent of the consumer (legal representative of the consumer), given in the manner established by the legislation of the Russian Federation on the protection of the health of citizens.

29. The Contractor provides the consumer (legal representative of the consumer), upon his request and in a form accessible to him, with information:

about his state of health, including information about examination results, diagnosis, treatment methods, associated risks, possible options and the consequences of medical intervention, expected treatment results;

about medicines and medical devices used in the provision of paid medical services, including their expiration dates (warranty periods), indications (contraindications) for use.

30. When providing paid medical services, the Contractor is obliged to comply with the requirements established by the legislation of the Russian Federation for the preparation and maintenance of medical documentation and accounting and reporting statistical forms, the order and timing of their submission.

VI. Responsibility of the performer and control over the provision of paid medical services

31. For failure to fulfill or improper fulfillment of obligations under the contract, the contractor bears responsibility as provided for by the legislation of the Russian Federation.

32. Harm caused to the life or health of a patient as a result of the provision of low-quality paid medical services is subject to compensation by the contractor in accordance with the legislation of the Russian Federation.

33. Monitoring compliance with these Rules is carried out by federal Service for supervision in the field of consumer rights protection and human well-being within the established powers.

Citizens receive paid services according to at will. Regulatory acts establish the rules in accordance with which medical services must be provided to patients in health care institutions.

Any citizen can receive paid medical services in healthcare institutions. This right is enshrined in the federal law on public health protection. Also, the rights and interests of persons insured in the compulsory medical insurance system, as well as those who pay for services, are regulated by the law on the protection of consumer rights.

Basic rules enshrined in legal documents:

After the contract is signed and the survey is carried out, the customer is given full information about the results. At the request of the client, additional consultations and procedures can be included in the contract. The brochures and the official website contain information not only about the organization itself, but also about all medical workers.

The procedure for providing services in accordance with Federal Law standards

There is a statutory general order, which guides all medical institutions that provide services on a paid basis:

All additional services requested by the client must be specified in the contract. To do this, you can use an attachment to the main document.

Sample rules for the provision of services

Paid medical services in healthcare institutions are provided to the population only if they meet the basic requirements set out in Federal Law No. 1006.

Sample official document:

Basic rules contained in Russian legislation:

The citizen must be provided in written and oral form with all information about the treatment, disease and diagnosis. In addition, the doctor must notify what types of assistance can be received free of charge.
If a person applies for help on a free basis and has a compulsory insurance policy, this assistance must be provided to him in full and free of charge. It is unacceptable for a doctor to refuse assistance due to the fact that the patient did not want to pay for additional tests or examinations.
Everything that is not included in the program Compulsory insurance, is regarded as paid services - anonymous treatment, individual medical post, use of medications not required to maintain life.
Medical nutrition and medical products, hygiene items that are not provided according to the standards of medical care must be paid for by the patient.
The founders of state, budget and government organizations independently, but in accordance with the rules, set prices for medical services.
There is a certain form and list of data that must be provided to the client. The direct responsibility of receptionists in a clinic or hospital is to provide visitors with all the information that is of interest to them - about the cost of services, the qualifications of doctors. This data is confirmed by licenses and other documents.
When concluding an agreement for the provision of services on a paid basis, the employee of the institution must inform the client which doctor will perform the procedures and what methods can be used. A warning is also given about all possible consequences and risks.

All information is provided to consumers in a concise, accessible form. There must be not only an oral form (consultations), but also a visual one - brochures, an Internet site, leaflets and a price list, drawn up in accordance with the rules. A list of services and the names of doctors are also posted on a separate stand for visitors.

When it is prohibited to provide paid services

Paid medical services cannot be provided in health care institutions, or find themselves with restrictions in several cases (for public clinics):

The head of a medical institution is responsible for how paid medical services are provided. They should only be provided when necessary and for high level. The head of the department also reviews the patients' files and decides whether certain services are required in a particular case.

Organization of paid services

Before providing medical services to the population on a paid basis, the organization – a clinic or hospital must prepare a standard, unified agreement form following the example:

All data is included in the estimate, which is one of the mandatory documents for private and public hospitals and clinics, where you can receive services upon request. Data is transferred into the contract from the estimate, which the client can review at any time.

A medical institution is obliged to provide paid services only after receiving the written consent of the client.

If, during the provision of standard services described in the contract, an emergency situation arises, and it becomes necessary to add other services in order to eliminate the threat to life, doctors of any medical institution are obliged to provide these services free of charge.

Organization of services on other terms

Medical (paid) services to the population under other conditions can only be provided:

upon personal appeal from a citizen, at his request;
according to the terms of the territorial program;
within the framework of targeted programs introduced by the state.

Other conditions mean:

Citizens of foreign countries and stateless persons can only count on emergency free assistance. In other cases, they are required to pay for treatment and consultations.

Organization of anonymous services

Paid anonymous medical services must be provided in accordance with the norms of Russian legislation.

In health care settings where clients can receive care in anonymity, the following requirements must be met:

Anonymous medical services are provided for a fee, after concluding an agreement, provided that the organization has the necessary permits.
If a medical organization operates within the framework of a government program, then clients can receive anonymous services.
Treatment can also be obtained on conditions of anonymity in private medical clinics, but in some cases, for example, if we are not talking about AIDS or other dangerous diseases.

The client selects the necessary services according to the price list, which must include prices.

Rules for the provision of services to foreigners and stateless persons

Procedure for providing medical care foreign citizens, temporarily or permanently located or staying in Russia:

Any person located in Russia has the right to receive emergency medical care according to indications. But when you independently apply to a medical institution - private or public, you must pay for services according to the price list.

The procedure for providing services when applying independently

Paid medical services in healthcare institutions are provided in the following order:

The client is provided with a price list and, upon request, additional documents - a license issued to the clinic and individual medical workers.
An agreement is drawn up, which indicates all the selected services, the full name of the performing doctor, cost and terms.
All therapeutic measures are carried out.
A medical report is issued. The doctor must tell the patient about the results of the studies and the diagnosis. Treatment is prescribed.

The clinic or hospital issues receipts to the client Money, checks and a copy of the contract. All this documentation is necessary for the organization to maintain accounting and statistical reporting.

Is a refund possible and under what conditions?

Money spent on treatment under paid programs can only be returned in the form of social benefits. tax deduction, or, under the contract, if the service was not provided or was not provided according to the standard.

Refunds when making a deduction:

Who can return?

Legal regulation

Conditions

How to issue a return

All citizens paying income tax - 13% (officially employed), provided that the treatment was carried out at their own expense

Part 3, Article 219, Clause 3 of the Tax Code of the Russian Federation

A citizen who purchased medicines or paid for treatment in a public clinic has the right to issue a refund.

It is also issued when paying for the treatment of children or a spouse.

Documents provided:

declaration in form 3NDFL (completed);
certificate of taxes paid - 2NDFL;
contract for the provision of medical services, certificate confirming payment.

If you used a VHI policy, you must provide the policy, a receipt, a doctor’s report and all payment documents.

All documents are submitted to the Federal Tax Service department.

The total amount of refunded funds cannot exceed RUB 120,000. For low-cost treatment, a different deduction limit has been set - 15,600 rubles. You can apply for a deduction before the expiration of 3 years from the date of treatment.

Price list for medical services

Paid medical services are provided according to the price list in private and public institutions. Each health care institution that provides additional services on a paid basis provides the client with a price list with full set procedures and their costs.

The Civil Legislation of the Russian Federation states that the execution of a contract for the provision of medical services must be paid at the price that was agreed upon by the parties. However, initially, the cost is set by the organization and indicated in the price list, which is provided to the client for review.

If a state municipal medical institution sets certain prices for specific types of services, then these prices are indicated in the price list, and cash transactions must be carried out on them.

Medical institutions, including state-owned ones, have the right to independently set prices for paid, but not medical, services, as well as for all services that involve medical intervention, but taking into account the established requirements.

A prerequisite is that the price list must be at the reception desk. Customers can obtain it upon request.

There is no official requirement in the legislation regarding the price list, but there are instructions given in paragraph 3 of Decree No. 1006 that must be followed. The law states that any services provided for a fee must be specified in the license. The same requirement applies to price markings in the price list.

For the same services in different clinics can be set different prices. The basis for this is several factors - the type of equipment, the qualifications of doctors, the type of service - consultation or assistance, different levels of costs. In addition, services can be provided in cash or by bank transfer, in a clinic or at home, which also significantly affects the final cost.

The price list should indicate all options - for example, a consultation with a therapist at home or in a clinic - the cost of one service in this case will be different.

Any paid consultations, tests, studies performed at the client’s request during a voluntary visit to the clinic must be formalized under a contract. At the same time, the same client can receive free medical services if an emergency arises.

In healthcare institutions where care is provided on a paid basis, there must be a brochure and price list, which the client can review at any time.

Article format: Mila Friedan

Video about paid medical services

About paid medical services:

This regulation “On the procedure and conditions for the provision of paid medical services” (hereinafter referred to as the Regulations) in the State autonomous institution healthcare "Moscow Scientific and Practical Center medical rehabilitation, rehabilitation and sports medicine of the Moscow Department of Health" (hereinafter referred to as the Center) was developed in accordance with the Constitution of the Russian Federation, the Civil Code of the Russian Federation, the Federal Law of the Russian Federation of November 21, 2011 No. 323-FZ "On the fundamentals of protecting the health of citizens in the Russian Federation", Federal Law of the Russian Federation dated November 29, 2010 No. 326-FZ "On compulsory health insurance in the Russian Federation", Law of the Russian Federation dated February 7, 1992 No. 2300-1 "On the protection of consumer rights", Decree of the Government of the Russian Federation dated October 4, 2012 N 1006 “On approval of the Rules for the provision of paid medical services by medical organizations”, by Order of the Moscow Department of Health dated October 2, 2013. No. 944 “On approval of the rules for the provision of paid services to citizens and legal entities government organizations healthcare system of the city of Moscow", Decree of the Moscow Government of December 24, 2013 No. 892-PP "On the Territorial program of state guarantees of free medical care to citizens in the city of Moscow for 2014 and the planning period of 2015 and 2016", Budget Code of the Russian Federation, Tax Code of the Russian Federation, Charter of the Center, license to carry out medical activities.

The Regulations determine the procedure and conditions for the provision of paid medical services to the population in the Center, as well as the procedure for spending the funds received, including for remuneration of workers involved in the provision of paid medical services.

The provision of paid medical services by the Center helps to better satisfy the population's needs for medical and medical-social care, as well as attract additional financial resources for the material and technical development of the Center and material incentives for its employees.

1. Basic concepts

Paid medical services are medical services provided on a reimbursable basis at the expense of the personal funds of citizens, funds of legal entities and other funds on the basis of contracts, including voluntary health insurance contracts.

Consumer is an individual who intends to receive or receives paid medical services personally in accordance with the contract. A consumer receiving paid medical services is a patient who is subject to the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation.”

Legal representative– a person acting in the interests of a patient - a person who has not reached the age of legal capacity determined by civil law, and citizens recognized in the manner prescribed by law as incompetent, partially capable, etc.

Customer– an individual (legal) person who intends to order (purchase) or order (purchase) paid medical services in accordance with an agreement in favor of the consumer.

Medical service is a medical intervention or a set of medical interventions aimed at the prevention, diagnosis and treatment of diseases that have an independent, complete meaning and a certain cost.

Medical care is a set of measures (including medical services, organizational and technical measures, sanitary and anti-epidemic measures, drug provision, etc.) aimed at maintaining and restoring health.

Medical services (paid non-medical services) – household, service, transport and other services to patients, provided additionally in the branches of the Center in the process of providing medical care, but not being elements of medical care.

The program of state guarantees for providing the population of the Russian Federation with free medical care (hereinafter referred to as the Program) is a program of medical care to the population provided by a medical institution on a free basis for the population and financed from the state budget.

Territorial program of state guarantees for the provision of free medical care to the population of the city of Moscow is a program of state guarantees for the provision of free medical care to the population of the city of Moscow (hereinafter referred to as the Territorial Program), which includes a territorial program of compulsory health insurance established in accordance with the legislation of the Russian Federation on compulsory health insurance.

State targeted medical assistance programs are programs of targeted medical assistance to certain populations (usually socially significant diseases or those for which expensive treatment methods are used) in terms of the prevention and treatment of diseases for which targeted funding is allocated from budgets of different levels.

Medical insurance policy is a document issued to the insured, certifying the fact of insurance in a given insurance organization and determining the scope of medical care in accordance with the contract of compulsory or voluntary medical insurance.

The price (tariff) for a medical service is the amount of money that the consumer (customer) must pay, and the medical organization must provide a certain medical service for this amount.

2. The procedure for providing paid medical services

2.1. The basis for the provision of paid medical services is:

2.1.1. lack of appropriate medical services in the Program, Territorial Program and (or) targeted medical assistance programs; no obligation to pay for this type of medical care (medical service) from the budget and state extra-budgetary funds;

2.1.2. provision of medical services on conditions other than those provided for by the Program, Territorial programs and (or) target programs at the request of the consumer (customer), including but not limited to:

– establishment of an individual medical observation post during treatment in a hospital;

– the use of drugs not included in the list of vital and essential drugs, if their prescription and use is not due to vital indications or replacement due to individual intolerance to drugs included in the specified list, as well as the use of medical devices, medical nutrition, in including specialized medical nutrition products not provided for by the standards of medical care;

2.1.3. provision of paid medical services to citizens of foreign states, stateless persons, with the exception of persons insured under compulsory health insurance, and citizens of the Russian Federation who do not permanently reside on its territory and are not insured under compulsory health insurance, unless otherwise provided by international treaties of the Russian Federation ;

2.1.4. independent application for paid medical services, with the exception of cases and procedures provided for in Article 21 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, and cases of emergency services, including specialized emergency services, medical care and medical care provided in an urgent or emergency form.

2.1.5. provision of medical services: individual medical post, as well as additional services provided in the process of providing medical care, including household and service: individual preparation or ordering of dishes at the request of the patient, accommodation in a superior ward and other services provided additionally during the provision medical care.

2.2. Paid medical services cannot be provided in the branches of the Center:

2.2.1. in exchange for services performed within the framework of a state (municipal) task, except for cases of its fulfillment in full and on the conditions specified in paragraphs. 2.1.1. – 2.1.5.;

2.2.2. It is not allowed to provide additional services for a fee without the consent of citizens, and also to condition the provision of some services on the mandatory performance of others;

2.2.3. When receiving medical care in the branches of the Center within the framework of the Territorial program for the provision of free medical care, the following services are not subject to payment:

– purpose and use according to medical indications medications (in cases of their replacement due to intolerance, rejection) that are not included in the list of vital and essential medications;

– placement of patients in small wards (boxes) for medical and (or) epidemiological reasons;

– medical transport services in the provision of medical care within the framework of medical care standards (examination and treatment of a patient in a 24-hour hospital setting) in the absence of the possibility of their provision by a medical or other organization providing medical care to the patient.

2.2.4. Medical services cannot be provided for a fee when providing emergency medical care, which is provided immediately in conditions requiring medical intervention for emergency reasons (in case of accidents, injuries, poisoning and other conditions and diseases).

2.3. The procedure for the provision of paid medical services in the Center is regulated by the Regulations on the procedure and conditions for the provision of paid services in the Center, developed on the basis of the “Rules for the provision of paid services to citizens and legal entities by state organizations of the Moscow healthcare system” and approved by the director of the Center by internal regulatory documents (orders, internal rules labor regulations, collective agreements, work schedules, etc.), as well as other requirements of current legislation.

2.4. The start date for the provision of paid medical services, the list of paid medical services provided by the branches of the Center, prices (tariffs) for paid medical services, as well as changes in the list of paid medical services and changes in prices (tariffs) are approved by order of the Director of the Center.

2.4.1. The list of paid medical services is compiled indicating the codes of the paid services provided in accordance with the approved nomenclature of medical services and is approved by order of the Director.

2.4.2. In case of termination of the provision of paid services, the Center within 3 days sends the relevant information to the Moscow Department of Health in order to make changes to the register of government organizations providing paid services on the official website of the Moscow Department of Health.

2.5. The provision of paid medical services can be carried out in all structural units (departments, wards, offices) of the Center's branches, including in specially organized structural units (departments, wards, offices).

2.5.1. A specially organized structural unit (department, ward, office), providing exclusively paid services, is guided in its activities by the regulations “On the department (ward, office) for the provision of paid medical services to the population.”

2.6. The provision of paid medical services in the branches of the Center is carried out by specialists approved by order of the head of the branch.

2.6.1. The number of employees taking part in the provision of paid medical services in the branches of the Center may include specialists from the scientific departments of the Center, if they have the appropriate medical education on a part-time basis.

2.6.2. To carry out the work of providing paid medical services, the Center may introduce additional positions for medical and other personnel, whose wages are paid from funds received from the sale of paid medical services.

2.7. The provision of paid medical services by employees of the Center’s branches on an outpatient basis can be carried out in the main work time and at the main workplace by increasing the intensity of the specialist’s work with a slight increase (up to 3 patients per shift) in the workload norm, or failure to fulfill the planned workload. In case of a large volume of paid services - according to a separate schedule for specialists. In inpatient settings and paraclinical units, it is allowed to provide paid medical services during regular working hours and at the main workplace.

2.7.1. In specially organized structural units (departments, wards, offices), paid medical services are provided according to the work schedule in these units.

2.7.2. When providing paid medical services, the operating hours of branches can be established according to a separate schedule, subject to its approval by the Moscow Department of Health.

2.7.3. At the same time, the accessibility, quality and volume of medical services provided at the Center within the framework of the Program, the Territorial Program of State Guarantees for the provision of free medical care to the population of Moscow, and targeted comprehensive programs should not deteriorate.

2.8. Paid medical services, their types, volumes and conditions of provision must comply with licensing requirements, contract terms, standards and procedures for the provision of medical care, regulatory documents (requirements) established by the Ministry of Health of the Russian Federation and other requirements established by law.

2.9. Paid medical services can be provided in full to the standard of medical care, or as one-time consultations, procedures, diagnostic tests and other services, including those in excess of the standards met.

2.10. Requirements for the provision of paid medical services, including the content of standards, procedures and conditions for the provision of medical care, services, and other services are determined by agreement of the parties and may be higher than provided for by the standards, procedures and other regulatory documents (requirements) approved The Ministry of Health of the Russian Federation, as well as standards, procedures, conditions and requirements established on their basis by other federal and regional executive authorities.

2.11. Paid medical services provided to the population must comply with the requirements for diagnostic methods, prevention, treatment, medical technologies, medicines, immunobiological preparations and disinfectants permitted on the territory of the Russian Federation.

2.12. Sources of financing for the provision of paid medical services are:

– funds of insurance organizations operating in the voluntary health insurance system;

– funds of organizations, enterprises, institutions;

– personal funds of citizens;

– funds from the Social Insurance Fund;

– other means permitted by law.

2.13. Paid medical services to the population are provided by the Center within the framework of contracts. Agreements are concluded in writing in accordance with the requirements for their content established by federal legislation on the procedure for the provision of paid services by state organizations.

2.14. The Center is not allowed to enter into agreements for intermediary services to attract patients by third-party organizations.

3. Conditions for the provision of paid medical services

3.1. Availability of a concluded agreement for the provision of paid medical services. When concluding an agreement, the consumer (customer) is provided with information in an accessible form about the possibility of receiving the appropriate types and volumes of medical care without charging a fee within the framework of the program of state guarantees of free provision of medical care to citizens and the territorial program of state guarantees of free provision of medical care to citizens.

3.2. A prerequisite for the provision of paid medical services at the Center is the provision of accessible and reliable information by posting it on the Center’s website on the Internet, as well as on information stands (stands) in the Center’s branches.

3.2.1. Information posted on information stands (stands) must be available to an unlimited number of people during the entire working hours of the Center's branches and contain the following information: name and address of the branch location; availability of a valid license to carry out medical activities; price list of paid medical services; information about medical workers involved in the provision of paid medical services; operating hours of the branch; work schedule of medical workers involved in the provision of paid medical services; addresses and telephone numbers of the executive authority in the field of protecting the health of citizens and the service for supervision in the field of protecting consumer rights and human well-being of the city of Moscow.

3.2.2. Information stands (stands) are located in a place accessible to visitors and are designed in such a way that they can freely familiarize themselves with the information posted on them.

3.3. At the request of the consumer and (or) customer, employees of the Center’s branches provide for review:

3.3.1 a copy of the constituent document of the state organization (Charter of the Center), regulations on the branch participating in the provision of paid services;

3.3.2. a copy of the license to carry out medical and other activities subject to licensing with a list of works (services) attached in accordance with the license.

3.4. When concluding an agreement, at the request of the consumer (customer), information about paid services must be provided in an accessible form, containing the following information:

3.4.1. procedures for the provision of medical care and standards of medical care applied in the provision of paid medical services;

3.4.2. information about a specific medical worker providing the relevant paid medical service (his professional education and qualifications);

3.4.3. information about methods of providing medical care, associated risks, possible types of medical intervention, their consequences and expected results of medical care;

3.4.4. a list of categories of consumers entitled to receive benefits, as well as a list of benefits provided in the provision of paid medical services in accordance with federal laws and other regulatory legal acts and other information related to the contract.

3.5. The provision of paid services to citizens is carried out with the informed voluntary consent of the patient before the provision of medical services. If it is impossible to obtain such consent from the patient himself, it must be obtained from his legal representatives (guardians). The fact of informed voluntary consent to the provision of paid medical services is recorded in the patient’s medical record.

3.6. Upon completion of the provision of paid medical services to the patient, he is issued a medical certificate in the established form, and in the presence of temporary disability - a certificate of temporary disability.

Prices (tariffs) for paid medical services and payment procedures

4.1. Prices (tariffs) for medical services provided to the population for a fee are determined in accordance with Chapter 25 of the Tax Code of the Russian Federation.

4.2. The price list (prices) for medical services at the Center is approved by the Director of the Center.

4.3 The Center’s employees pay 70% of the cost of paid medical services in the Price List.

4.4. Payment for medical services is carried out by non-cash payments through credit organizations or by depositing cash directly into the Center's cash desk and issuing to the consumer (customer) a document confirming payment (cash receipt, receipt or other strict reporting form (standard document).

4.5. Collection of money directly by Center employees providing paid medical services is strictly prohibited.

4.6.. At the request of the person who paid for the services, the Center is obliged to issue a Certificate of payment for medical services for submission to the tax authorities of the Russian Federation in the form established by order of the Ministry of Health of the Russian Federation and the Ministry of the Russian Federation for Taxes and Duties dated July 25, 2001 N 289 /BG-3-04/256 “On the implementation of the Decree of the Government of the Russian Federation of March 19, 2001 N 201 “On approval of lists of medical services and expensive types of treatment in medical organizations of the Russian Federation, medicines, the amounts paid for at the expense of the taxpayer’s own funds are taken into account when determining the amount of social tax deduction.”

4.7. Requirements for paid medical services, including their volume and timing of provision, are determined by agreement of the parties to the contract, unless federal laws and other regulatory legal acts of the Russian Federation provide for other requirements.

4.8. If for some reason beyond the control of the Center it is impossible to provide medical care to the patient (in whole or in part), then the funds must be returned in non-cash form to the account of the legal entity according to the reconciliation report, or to the patient (Customer) in cash at his request , signed by the head of the branch.

4.9. Funds received for paid medical services provided are credited to the Center’s personal account in the Moscow Department of Finance to account for funds received from income-generating activities.

Responsibility and control over the provision of paid medical services in the Center

6.1. In accordance with the legislation of the Russian Federation, the Center is responsible for non-fulfillment or improper fulfillment of the conditions for the provision of paid medical services, non-compliance with the requirements for methods of diagnosis, prevention and treatment, training, as well as for causing harm to the health and life of the patient.

6.2. Control over the organization of work on the provision of paid medical services, the quality of their implementation in the branches of the Center, prices and the procedure for collecting funds from the population is carried out by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare, the Moscow Health Department, as well as other government bodies, which, in accordance with laws and other legal acts of the federal and regional level, are entrusted with verifying the activities of government organizations.

6.3. In case of detection of violations in the work of the Center for the provision of paid medical services, officials bear responsibility in accordance with the current legislation of the Russian Federation.

6.4. Harm caused to the life and health of the patient as a result of the provision of low-quality paid medical services is subject to compensation by the contractor in accordance with the legislation of the Russian Federation.

6.5. These Regulations are approved by the Director of the Center, changes and additions to these Regulations are made by orders of the Director of the Center.

The government of Moscow
MOSCOW HEALTH DEPARTMENT

ORDER

On approval of the Rules for the provision of paid services to citizens and legal entities by state organizations of the Moscow healthcare system

Document with changes made:
by order of the Moscow Department of Health dated September 9, 2015 N 764;
by order of the Moscow Department of Health dated March 2, 2017 N 148;
;
by order of the Moscow Department of Health dated June 14, 2017 N 427.
____________________________________________________________________

In pursuance of Decrees of the Government of the Russian Federation dated October 4, 2012 N 1006 “On approval of the Rules for the provision of paid medical services by medical organizations” and dated August 15, 2013 N 706 “On approval of the Rules for the provision of paid educational services”, as well as the resolution of the Moscow Government dated December 21, 2010 N 1076-PP "On the procedure for the implementation by executive authorities of the city of Moscow of the functions and powers of the founder of state institutions of the city of Moscow"
(Preamble as amended, put into effect by order of the Moscow Department of Health dated April 14, 2017 N 283.

I order:

1. Approve the Rules for the provision of paid services to citizens and legal entities by state organizations of the Moscow healthcare system (hereinafter referred to as the Rules) (appendix to this order).

2. Heads of organizations state system Healthcare of the city of Moscow, when providing paid services, be guided by the rules approved by resolutions of the Government of the Russian Federation dated October 4, 2012 N 1006, dated August 15, 2013 N 706.
by order of the Moscow Department of Health dated April 14, 2017 N 283.

3. The Head of the Administration and Coordination of Activities, E.L. Nikonov, must ensure that this order is posted on the official website of the Moscow Department of Health.
(Clause as amended, put into effect by order of the Moscow Department of Health dated April 14, 2017 N 283.

4. The following orders of the Moscow City Health Department shall be considered invalid:

- dated December 9, 2011 N 1608 “On approval of the rules for the provision of paid services to citizens and legal entities by government institutions of all types of the Moscow Health Department”;

- dated 07/04/2013 N 677 “On amendments to the order of the Moscow Department of Health dated 12/09/2011 N 1608”

5. Control over the implementation of this order is entrusted to the first deputy head of the Moscow Department of Health, V.V. Pavlov.
(Clause as amended, put into effect by order of the Moscow Department of Health dated April 14, 2017 N 283.

Minister of the Moscow Government,
head of department
health care of the city of Moscow
G.N. Golukhov

Application. Rules for the provision of paid services to citizens and legal entities by state organizations of the Moscow healthcare system

Application
to the order of the Department
health care of the city of Moscow
dated October 2, 2013 N 944

These Rules establish the procedure for the provision of paid services to citizens and legal entities by medical, educational and other government organizations of the Moscow healthcare system.

The rules are developed in accordance with current legislative and regulations federal and regional levels.

1. Paid services are provided by medical, educational and other government organizations of the Moscow healthcare system (hereinafter referred to as government organizations) to citizens and legal entities in accordance with the legislation of the Russian Federation and the types of income-generating activities permitted by the charters of government organizations. The provision of paid medical, educational and other services subject to licensing is carried out on the basis of a list of works, services that constitute medical, educational and other activities and are specified in the license to carry out activities issued in the prescribed manner.

The Moscow City Health Department maintains a register of subordinate government organizations that provide paid services (official website www.mosgorzdrav.ru)."

2. The start date for the provision of paid services, the list of paid services provided by the state organization, prices (tariffs) for paid services, as well as changes to the list of paid services and changes in prices (tariffs) for paid services are approved by order of the state organization. Lists of paid services and price lists of prices (tariffs) for paid services are compiled indicating the codes of the paid services provided in accordance with the approved nomenclature of medical and educational services.

Before issuing an order from a government organization to approve the list of paid services or to make changes to this order the list of paid services that a government organization intends to provide is subject to approval by the Moscow Health Department.

In case of termination of the provision of paid services, government organizations within 3 days send the relevant information to the Moscow Department of Health in order to make changes to the register of government organizations providing paid services on the official website of the Moscow Department of Health.

3. The provision of paid services to citizens is carried out with the voluntary informed consent of the patient. The fact of voluntary informed consent to the provision of paid medical services is recorded in the patient’s medical record.

4. State medical organizations of the Moscow Department of Health (hereinafter referred to as medical organizations), providing the appropriate types and volumes of medical care without charging a fee within the framework of the Program of State Guarantees for the free provision of medical care to citizens and the Territorial Program of State Guarantees for the free provision of medical care to citizens (hereinafter - respectively Program, Territorial Program), have the right to provide paid medical services:

a) on conditions other than those provided for by the Program, territorial programs and (or) target programs, at the request of the consumer (customer), including but not limited to:

- establishment of an individual medical observation post during treatment in a hospital;

- the use of medications that are not included in the list of vital and essential medications, if their prescription and use is not due to vital indications or replacement due to individual intolerance to medications included in the specified list, as well as the use of medical devices, medical nutrition, in including specialized medical nutrition products not provided for by the standards of medical care;

b) when providing medical services anonymously, except for cases provided for by the legislation of the Russian Federation;

d) when independently applying for medical services, with the exception of the cases and procedures provided for in Article 21 of the Federal Law of November 21, 2011 N 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation”, and cases of emergency services, including ambulance specialized, medical care and medical care provided in an urgent or emergency form."

5. Medical organizations can provide medical services for a fee: individual medical post, provision of medical services at home (except for cases when medical care at home is provided for medical reasons), medical and social assistance and other services, as well as additional services services provided in the process of providing medical care, including household and service ones: delivery of medicines, rental of medical products, individual preparation or ordering of dishes at the request of the patient, accommodation in a superior ward and other services provided additionally during the provision of medical care.

6. Paid services, their types, volumes and conditions of provision must comply with licensing requirements, the terms of the Agreement, standards and procedures for the provision of medical care, educational and other services, regulatory documents (requirements) established by the Ministry of Health of the Russian Federation, the Ministry of Education and Science of the Russian Federation and other requirements established by law.

7. Paid medical and educational services can be provided in full to the standard of medical care, state educational standards, or as one-time consultations, procedures, diagnostic tests and other services, including in excess of the standards met.

8. Requirements for the provision of paid services, including the content of standards, procedures and conditions for the provision of medical care, service, educational and other services are determined by agreement of the parties and may be higher than those provided for by the standards, procedures and other regulatory documents (requirements) , approved by the Ministry of Health of the Russian Federation, the Ministry of Education and Science of the Russian Federation, as well as standards, procedures, conditions and requirements established on their basis by other federal and regional executive authorities.

9. When providing paid services, the operating hours of a state organization can be established according to a separate schedule, subject to its agreement with the Founder.

At the same time, the availability, quality and volume of medical services provided within the framework of the Program, the Territorial Program of State Guarantees for the provision of free medical care to the population of the city of Moscow, targeted comprehensive programs and, in terms of educational services provided free of charge in accordance with federal state educational standards, should not deteriorate.

10. The procedure for the provision of paid services in state organizations is regulated by the Regulations on the procedure and conditions for the provision of paid services in a state organization, developed on the basis of these Rules and approved by the head of the state organization, internal regulatory documents (orders, internal labor regulations, collective agreements, work schedules and etc.), as well as other requirements of current legislation.

11. To provide paid services, taking into account the population’s demand for relevant types of services and the availability of necessary funds, it is possible to organize special structural units (departments, chambers, offices for the provision of paid services), which are created by order of the head of the state organization. To carry out work on the provision of paid services, additional positions of medical and other personnel may be introduced, supported by funds from the sale of paid services, as well as specialist consultants from other medical institutions, research institutes, higher education institutions, etc. educational institutions, with whom employment contracts or civil contracts are concluded.

12. When providing paid medical services, methods of prevention, diagnosis, treatment, medical technologies, medicines, immunobiological preparations and disinfectants approved for use in the manner prescribed by law must be used.

13. Paid services (work) are provided under contracts at the expense of citizens’ personal funds, insurance premiums for voluntary health insurance, funds of enterprises, institutions and organizations and other funds permitted by law.

14. The conclusion of contracts by government organizations for intermediary services to attract patients by third-party organizations is not allowed.

15. Medical services cannot be provided for a fee when providing emergency medical care, which is provided immediately in conditions requiring medical intervention for emergency reasons (in case of accidents, injuries, poisoning and other conditions and diseases); as well as during a forensic medical examination and forensic psychiatric examination (with the exception of examinations carried out in civil and arbitration cases, cases of administrative offenses); pathological-anatomical autopsy of corpses and military medical examination.

16. When receiving medical care within the framework of the Territorial program for the provision of free medical care, the following services are not subject to payment:

- prescription and use of medications for medical reasons (in cases of their replacement due to intolerance, rejection) that are not included in the list of vital and essential medications;

- placement of patients in small wards (boxes) for medical and (or) epidemiological reasons;

- joint stay of one of the parents (other legal representative) or another family member in a medical institution when providing medical care in an inpatient setting with a child under four years of age inclusive throughout the entire period of treatment, and with a child over four years of age - if indicated;

- medical transport services in the provision of medical care within the framework of medical care standards (examination and treatment of a patient in a 24-hour hospital setting) in the absence of the possibility of their provision by a medical or other organization providing medical care to the patient;

- transportation, storage in the morgue of biological material received for research, corpses of patients who died in medical and other organizations, disposal of biological material.

17. The provider of paid services is obliged to provide information about the provider of paid services and the services provided by him in accordance with the list approved by the federal legislation on the procedure for providing paid medical and educational services.

Information posted on information stands (stands) must be available to an unlimited number of people during the entire working hours of a government organization providing paid services. Information stands (stands) are located in a place accessible to visitors and are designed in such a way that they can freely familiarize themselves with the information posted on them.

In addition, at the request of the consumer and (or) customer, the service provider provides for review:

a) a copy of the constituent document of the state organization, regulations on its branch participating in the provision of paid services;

b) a copy of the license to carry out medical, educational and other activities subject to licensing with a list of works (services) attached in accordance with the license.

When concluding an agreement, at the request of the consumer and (or) customer, they must be provided in an accessible form with information about paid services containing the following information:

a) procedures for the provision of medical care and standards of medical care applied in the provision of paid medical services;

b) information about a specific medical worker providing the relevant paid medical service (his professional education and qualifications);

d) a list of categories of consumers entitled to receive benefits, as well as a list of benefits provided in the provision of paid medical, educational, including paid additional educational services in accordance with federal laws and other regulatory legal acts.

e) basic and additional educational programs, the cost of educational services for which is included in the basic fee under the contract;

f) additional educational programs, special courses, cycles of disciplines and other additional educational services provided for a fee only with the consent of the consumer.

The contractor is obliged to provide the consumer, at his request, with other information related to the contract.

18. Paid services cannot be provided by the contractor in exchange for services performed within the framework of a state (municipal) assignment.

19. State organizations do not have the right to provide additional services for a fee without the consent of citizens, and also to condition the provision of some services on the mandatory performance of others.

20. The procedure for concluding contracts for the provision of paid services and the requirements for their content are established by federal legislation on the procedure for the provision of paid services by state organizations.

21. When concluding an agreement, the consumer (customer) is provided with information in an accessible form about the possibility of receiving the appropriate types and volumes of medical care and educational services without charging a fee within the framework of state guarantees established by the legislation of the Russian Federation.

A consumer’s refusal to enter into an agreement for the provision of paid services cannot be the reason for a reduction in the types and volumes of medical care provided to such a consumer without charging a fee.

22. Prices at which government organizations (except autonomous ones) provide paid services, with the exception of those specified in paragraph 23 of these Rules, are established in accordance with the procedure approved by a separate order of the Moscow Health Department.

23. Prices for orthopedic dental services provided in dental clinics and dental prosthetic departments of medical organizations of preferential categories of citizens at the expense of the Moscow city budget are subject to state regulation in the manner established by the Moscow Government.

24. Payment for services is carried out by non-cash payments through credit organizations or by depositing cash directly into the cash desk of a state organization with the issuance to the patient or client of a document confirming payment (cash receipt, receipt or other strict reporting form (standard document).

25. At the request of the person who paid for the services, the medical organization is obliged to issue a Certificate of payment for medical services for submission to the tax authorities of the Russian Federation in the form established by order of the Ministry of Health of the Russian Federation and the Ministry of the Russian Federation for Taxes and Duties dated July 25, 2001 N 289/ BG-3-04/256 "On the implementation of the Decree of the Government of the Russian Federation of March 19, 2001 N 201 "On approval of lists of medical services and expensive types of treatment in medical organizations of the Russian Federation, medicines, the amounts of payment for which at the expense of the taxpayer's own funds are taken into account when determining the amount of social tax deduction."

26. Accounting for funds received by state organizations from the provision of paid services is carried out in the manner established by the budget legislation of the Russian Federation, the Moscow Government, and the provisions of the Budget Code of the Russian Federation.

27. State organizations providing paid services are required to keep accounting records separately for their main activities and for the provision of paid services.

28. State organizations have the right to carry out revenue-generating activities consistent with these goals only insofar as this serves the purposes for which they were created, provided that such activities are specified in their constituent documents.

The income received by the state organization from these activities goes to the budget of the city of Moscow.

Income received by state budgetary and autonomous organizations from these activities and property acquired from these incomes are at the independent disposal of the organization.

29. The item is excluded - order of the Moscow Department of Health dated June 14, 2017 N 427..

____________________________________________________________________
Paragraphs 29, 30 and 31 of the previous edition are considered respectively paragraphs 30, 31 and 32 of this edition - order of the Moscow Department of Health dated September 9, 2015 N 764.

____________________________________________________________________

30. In accordance with the legislation of the Russian Federation, state healthcare organizations are responsible for failure to fulfill or improper fulfillment of the conditions for the provision of paid services, non-compliance with the requirements for methods of diagnosis, prevention and treatment, training, as well as for causing harm to the health and life of the patient.

31. Control over the organization of work on the provision of paid services and the quality of performance by state organizations of paid services to the population, prices and the procedure for collecting funds from the population is carried out by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare, the Moscow Health Department, as well as other government bodies that, in accordance with laws and other legal acts of the federal and regional levels, are entrusted with checking the activities of state organizations.

32. Harm caused to the life and health of the patient as a result of the provision of low-quality paid medical services is subject to compensation by the contractor in accordance with the legislation of the Russian Federation.

Revision of the document taking into account
changes and additions prepared
JSC "Kodeks"

I approve

CEO

_________________________________V.V. Kosheleva

RULES

PROVISION OF PAID MEDICAL SERVICES

Limited Liability Company

MULTI-SPECIFIC MEDICAL CENTER "EUROCLINIC 24 - ZHULEBINO"

I. General provisions

1. These Rules for the provision of paid medical services (hereinafter referred to as the Rules) determine the procedure and conditions for the conclusion, execution and termination of contracts for the provision of paid medical services between the Limited Liability Company MULTI-SPECIFIC MEDICAL CENTER "EUROCLINIC 24 - ZHULEBINO" (LLC "EUROCLINIC 24 - ZHULEBINO"), and an unlimited number of consumers.

These Rules were developed in accordance with the Federal Law of November 21, 2011 N 323-F “On the fundamentals of protecting the health of citizens in the Russian Federation”; “Rules for the provision of paid medical services by medical organizations”, approved by Decree of the Government of the Russian Federation of October 4, 2012 N 1006; Law of the Russian Federation of 02/07/1992 N 2300-1 “On the protection of consumer rights” and the current legislation of the Russian Federation.

2. For the purposes of these Rules, the following basic concepts are used:

“Paid medical services” - medical services provided on a reimbursable basis at the expense of the personal funds of citizens, funds of legal entities and other funds on the basis of contracts, including contracts of voluntary medical insurance;

“Consumer” is an individual who intends to receive or is receiving paid medical services personally in accordance with the contract. A consumer receiving paid medical services is a patient who is subject to the Federal Law “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”;

“Customer” is an individual (legal) person who intends to order (purchase) or order (purchase) paid medical services in accordance with an agreement in favor of the consumer;

"Contractor" - Limited Liability Company MULTI-SPECIFIC MEDICAL CENTER "EUROCLINIC 24 - ZHULEBINO" (LLC "EUROCLINIC 24 - ZHULEBINO"), providing paid medical services to Consumers.

“Agreement” is a written agreement between the Contractor and the Consumer (Customer) on the establishment, modification or termination civil rights and responsibilities in connection with the provision by the Contractor of paid medical services.

3. Paid medical services are provided by the Contractor on the basis of these Rules, the Agreement and the list of works (services) that constitute the medical activities of the Contractor, specified in Appendix 1 to License No. LO-50-01-010130 dated 10/02/2018. for the implementation of medical activities issued by the Ministry of Health of the Moscow Region (Address: 127006, Krasnogorsk, Stroiteley Blvd., 1, Telephone +7 498 602‑03-01).

The Contractor provides paid medical services to the Consumer from the moment the Agreement is concluded and in accordance with the Contractor’s work schedule at the address: 140008, Moscow region, Lyubertsy, 3rd street Post office, no. 102, room No. 220, and when the Consumer (Customer) calls the Contractor’s specialist to the home, at the place specified in the call.

4. Requirements for paid medical services of the Contractor are determined on the basis of these Rules, and a specific list of paid medical services and the timing of their provision to the Consumer are determined in the directions-estimates, which are an integral part of the Agreement concluded between the Contractor and the Consumer (Customer).

5. These Rules are an integral part of the Agreement and contain:

Information about the Contractor;

Conditions for the provision of paid medical services;

The procedure for the provision of paid medical services;

The procedure for concluding, amending and terminating the Agreement;

Rights and obligations of the Contractor, Consumer and Customer;

List, cost, terms and procedure for payment of the Agreement;

Responsibility of the Contractor and the Consumer (Customer);

Consent of the Consumer (Customer) to the processing of personal data;

Procedure for resolving disputes;

Contract time.

Before signing the Agreement, the terms of these Rules are brought to the attention of the Consumer (Customer) in a clear and accessible form by the Contractor.

II. Conditions for the provision of paid medical services

6. When concluding an agreement, the Consumer (Customer) is provided with information in an accessible form about the possibility of obtaining the desired types and volumes of medical care.

A complete list and cost of paid medical services is contained in the Price List of paid medical services of the Contractor.

7. The Contractor determines and sets prices for the paid medical services provided independently.

8. When providing paid medical services, the Contractor complies with the procedures for providing medical care approved by the Ministry of Health of the Russian Federation.

9. Paid medical services can be provided by the Contractor in full to the standard of medical care approved by the Ministry of Health of the Russian Federation, or in the form of individual consultations or medical interventions, including in a volume exceeding the scope of the standard of medical care, as agreed with the Consumer.

III. The procedure for providing paid medical services

10. Upon the Consumer’s initial request, the Contractor’s reception staff will first ask the Consumer (Customer) about the medical service or set of medical services that the Consumer (Customer) wishes to purchase;

11. Introduce the Consumer (Customer) to these Rules and the Contractor’s Price List.

12. If the Consumer (Customer) agrees with the conditions and cost of providing paid medical services set out in these Rules, the Agreement and the Contractor’s Price List, expressed in orally, the Contractor's reception staff opens a medical record.

Filled out from the words of the Consumer (Customer) and provided by him necessary documents The medical card is a confirmation of the consent and voluntary acceptance by the Consumer (Customer) of the terms and conditions for the provision of medical services of the Contractor, including these Rules.

13. For the convenience of Consumers and recording of their visits at the registry, the Consumer may first be given a coupon for an appointment with a doctor in the established form indicating the name of the doctor and the time of appearance, and an appointment with the doctor may also be made at a time convenient for the Consumer by calling the Contractor.

14.V difficult situations to implement differential diagnosis a specialist doctor prescribes repeated or additional methods of laboratory or instrumental research, as well as consultations with other specialists.

15. In cases where the necessary medical care cannot be provided to the Consumer by the Contractor due to the lack of necessary specialists, special equipment and other reasons, as well as in cases where non-emergency hospitalization of the Consumer is necessary, the Contractor’s specialist doctor issues a medical report in which he indicates that he recommends contact the appropriate treatment and prevention institutions according to your profile.

16. Emergency medical care is provided to the Consumer by treatment and preventive institutions of the state and municipal system health care, as well as medical workers or persons obliged to provide first aid by law or special rule in the event of conditions that pose an immediate threat to their life or require urgent medical intervention.

IV. Procedure for concluding, amending and terminating the Agreement

17. Before signing the Agreement, the Contractor familiarizes the Consumer (Customer) with these Rules, the Price List of paid medical services containing the cost and a full list of services, the provision of which is possible under the Agreement, and also notifies the Consumer (Customer) that non-compliance with the instructions (recommendations) of the Contractor , including the prescribed treatment regimen, may reduce the quality of the paid medical services provided, lead to the impossibility of completing them on time or adversely affect the health of the Consumer.

18. The agreement between the Contractor and the Consumer (Customer) is concluded in writing.

19. To conclude the Agreement, the Consumer (Customer) provides the Contractor with the following information:

Last name, first name and patronymic (if any), residential address and telephone number of the Consumer (legal representative of the Consumer);

Last name, first name and patronymic (if any), residential address and telephone number of the Customer - an individual;

Name and address of the location of the customer - legal entity;

List of paid medical services that the Consumer wishes to receive;

20. After receiving the information specified in clause 19 of the Rules from the Consumer (Customer), the Contractor prints out the Agreement containing the list, cost and terms of provision of paid medical services.

21. The printed Agreement is handed over to the Consumer (Customer) for preliminary review, verification and signing.

22. The Consumer (Customer), in case of full agreement with all the terms of the Agreement, transfers the signed Agreement to the Contractor.

23. If the Agreement is signed by the Consumer (Customer), the Contractor signs the Agreement on his part and transfers the signed copy(s) of the Agreement to the Consumer (Customer).

24. If the Consumer (Customer) does not agree with the terms or part of the terms of the Agreement and the Contractor agrees with the changes proposed by the Consumer (Customer), the Contractor makes appropriate changes to the Contract.

25. After making changes to the Agreement, in accordance with clause 24 of these Rules, the Contractor and the Consumer (Customer) act in accordance with the rules established in clauses 21, 22 and 23 of these Rules.

26. All subsequent changes and additions to the Agreement, including cost estimates, must be in writing, signed by the Consumer (Customer) or their authorized representatives and are an integral part of the Agreement.

27. Before and after the conclusion of the Agreement, the Contractor and the Consumer (Customer) may agree to amend or exclude certain provisions of these Rules by introducing the appropriate conditions into the text of the Agreement.

28. Upon the initial application of the Consumer, the Contractor issues a medical card for him, in accordance with the requirements for the preparation and maintenance of medical records established by the current legislation of the Russian Federation.

V. Rights and obligations of the Contractor, Consumer and Customer

29. The Contractor undertakes:

29.1. When concluding an Agreement, at the request of the Consumer (Customer), provide in an accessible form information about paid medical services containing the following information:

Procedures for the provision of medical care and standards of medical care applied in the provision of paid medical services;

Information about a specific medical worker providing the relevant paid medical service (his professional education and qualifications);

Information about methods of providing medical care, associated risks, possible types of medical intervention, their consequences and expected results of medical care;

Information about current discounts and benefits for certain categories of citizens;

Other information related to the subject of the Agreement.

29.2. Provide the Consumer with high-quality medical services stipulated by the Agreement, in full the standards of medical care approved in accordance with the legislation of the Russian Federation, or in the form of separate consultations or medical interventions, including in a volume exceeding the standards of medical care, in accordance with the terms of the Agreement .

29.3. Do not disclose information constituting medical confidentiality without the written consent of the Consumer.

29.4. Cooperate when providing services to the Consumer with other medical institutions and specialists.

29.5. Provide the Consumer (Legal Representative of the Consumer), upon his request and in a form accessible to him, with information:

About his state of health, including information about the results of the examination, diagnosis, treatment methods, associated risks, possible options and consequences of medical intervention, expected results of treatment;

About medicines and medical devices used in the provision of paid medical services, including their expiration dates (warranty periods), indications (contraindications) for use.

29.6. Issue to the Consumer (Customer), in accordance with the legislation of the Russian Federation, a document confirming the payment made for the medical services provided (cash receipt, receipt or other strict reporting form).

29.7. After execution of the Agreement, issue to the Consumer (Legal Representative of the Consumer) medical documents (copies of medical documents, extracts from medical documents) reflecting the Consumer’s health status after receiving paid medical services.

29.8. Provide explanations to the Consumer (Legal Representative of the Consumer) about the progress of the provision or rendered medical services.

29.9. Provide, upon written request, to officials of state, law enforcement and judicial authorities information on the progress of the provision or rendered medical services to the Consumer, in accordance with the current legislation of the Russian Federation.

29.10. Issue a certificate of incapacity for work to the Consumer in case of temporary disability in the manner established by the legislation of the Russian Federation. Other categories of citizens are issued properly executed certificates in the established form.

29.11. Issue, at the request of the Consumer (Customer), who paid for the services, a “Certificate of payment for medical services for submission to the tax authorities of the Russian Federation” in the established form.

29.12. Apply methods of prevention, diagnosis, treatment, medical technologies, medications, immunobiological preparations and disinfectants approved for use in the manner prescribed by the laws of the Russian Federation.

30. The consumer undertakes:

30.1. Comply with the requirements and recommendations of doctors and other specialists of the Contractor, ensuring timely and high-quality provision of medical services, including undergoing a set of laboratory and diagnostic examinations, observing the dates and times of visits (appointments).

30.2. Provide all information about your health status that is known and necessary for the Contractor to provide quality medical services, including family history, previous and existing diseases, including chronic ones, the presence of diabetes mellitus, hypertension, tuberculosis, mental, oncological diseases, the presence of families of children with congenital and hereditary diseases.

30.3. Observe the Contractor’s internal work schedule, silence, cleanliness and order.

30.4. In order to comply with the medical and protective regime, do not conduct unauthorized photo, video and filming on the Contractor’s territory.

30.5. Comply with fire safety requirements (If sources of fire or other sources that threaten public safety are detected, the Consumer must immediately notify the Contractor’s personnel and leave the danger zone, avoiding the risk of harm to his life and health).

30.6. Collaborate with the attending physician at all stages of medical care.

30.7. To formalize in the prescribed manner your refusal to receive information against your will about your state of health, examination results, the presence of a disease, its diagnosis and prognosis, including, in cases of an unfavorable prognosis for the development of the disease, refusal of medical intervention or its termination;

30.8. Treat medical staff with respect and show a friendly and polite attitude towards other patients.

30.9. Treat the property of the Contractor and other patients with care.

30.10. Pay for the Contractor's services in the manner, terms and conditions established by these Rules and (or) the Agreement.

30.11. After the provision of paid medical services by the Contractor, sign certificates of work performed.

30.12. Recognize facsimile reproduction of signature General Director The performer is an analogue of his handwritten signature.

31. The customer undertakes:

31.1. To facilitate the Consumer's compliance with the requirements and recommendations of doctors and other specialists of the Contractor, ensuring timely and high-quality provision of medical services, including assisting the Consumer in undergoing a set of laboratory and diagnostic examinations and the Consumer's compliance with the dates and times of visits (appointments).

31.2. Provide all information about the health status of the Consumer that is known and necessary for the Provider to provide quality medical services to the Consumer, including family history, previous and existing diseases, including chronic ones, the presence of diabetes mellitus, hypertension, tuberculosis, mental, oncological diseases, in a family of children with congenital and hereditary diseases.

31.3. Observe the internal work schedule of the Contractor, silence, cleanliness and order;

31.4. In order to comply with the medical and protective regime, do not conduct unauthorized photo, video and filming on the Contractor’s territory.

31.5. Comply with fire safety requirements (If sources of fire or other sources that threaten public safety are detected, the Consumer must immediately notify the Contractor’s personnel and leave the danger zone, avoiding the risk of harm to his life and health).

31.6. Pay for the Contractor's services in the manner, terms and conditions established by these Rules and (or) the Agreement.

31.7. After the provision of paid medical services by the Contractor, sign certificates of work performed.

31.8. Recognize the facsimile reproduction of the signature of the Contractor's General Director as an analogue of his handwritten signature.

32. The performer has the right:

32.1. Require the Consumer (Customer) to comply with all the terms of these Rules and the Agreement.

32.2. In order to ensure the safety of patients and the Contractor's staff, as well as the safety of inventory items, carry out access control, as well as video monitoring in the internal premises and territory of the Contractor, as well as along its perimeter.

32.3. Receive from the Consumer (Customer) any information necessary to fulfill its obligations under the Agreement.

32.4. Suspend the provision of medical services:

In case of failure to provide or incomplete or incorrect provision of information by the Consumer (Customer) before providing the necessary information;

In case of non-payment by the Consumer (Customer) for the medical services provided before full payment;

In other cases of violation by the Consumer (Customer) of the terms of these Rules and the Agreement, with the exception of emergency indications in order to eliminate the threat to the life of the Consumer.

32.6. Send copies of medical documentation to the Consumer (Customer) to the email addresses specified in the Agreement. The Contractor is not responsible for the disclosure of medical confidentiality in the event of authorized or unauthorized access of third parties to the email specified by the Consumer (Customer) in the Agreement.

32.7. Receive remuneration for services rendered under this Agreement.

32.8. Provide information to the Customer that constitutes medical confidentiality, as well as transfer this information to other medical organizations for the purpose of medical examination and treatment of the Consumer, scientific research, their publication in scientific publications, use in the educational process and for other purposes.

32.9. For facsimile reproduction of the signature of the General Director of the Contractor on the Agreement and its annexes, as an analogue of the handwritten signature of the General Director of the Contractor.

32.10. Refuse the Consumer to provide paid medical services in the event of:

Disagreement of the Consumer (Customer) with the terms of these Rules and the Agreement, expressed orally or in writing;

Refusal of the Consumer (Customer) to pay for the medical services provided by the Contractor, expressed by him orally or in writing before the start of their provision;

Receiving from the Consumer (Customer) a written application to revoke consent to the processing of personal data;

The Contractor’s inability to provide paid medical services due to the lack of required specialists, equipment and licenses for this type services.

32.11. Refuse or suspend the provision of paid medical services in the event of:

Rude or disrespectful attitude of the Consumer (Customer) towards the staff and other patients of the Contractor;

Failure to appear or untimely attendance of the Consumer for an appointment with a doctor or for a procedure;

Failure by the Consumer to comply with the requirements and recommendations of the doctor;

The Consumer takes medications at his own discretion (without a doctor’s prescription);

Unauthorized abandonment by the Consumer of the Contractor's territory before completion of the course of treatment (medical service);

Simultaneous treatment of the Consumer in another medical organization without notification and permission of the attending physician of the Contractor,

The Consumer (Customer) is in a state of alcohol, drug or toxic intoxication at the time of provision of medical services.

The Contractor's refusal to provide paid medical services in accordance with clause 32.10. and clause 32.11. of these Rules is impossible only if the Consumer develops conditions that pose an immediate threat to his life and require urgent medical intervention.

33. The consumer (Customer) has the right:

33.1. Receive medical services from the Contractor in accordance with these Rules and the Agreement.

33.2. Determine the necessary types of paid medical services based on the full list of paid medical services of the Contractor contained in the Contractor’s Price List, and the recommendations of doctors and other specialists of the Contractor.

33.3. The Consumer may at any time notify the Contractor in writing of his reluctance to provide information constituting medical confidentiality, limiting or completely excluding any volume of information and circle of persons, including the Customer, and also refuse to receive information and advertising messages (SMS) from the Contractor verbally or written statement.

33.4. Receive in an accessible form information provided for by the current legislation of the Russian Federation.

33.5. Require the Contractor to comply with the terms of these Rules, the Agreement and the current legislation of the Russian Federation.

34. The Contractor and the Consumer (Customer) undertake to keep confidential medical, financial and other confidential information received from the other party when fulfilling the terms of the Agreement and these Rules.

VI. List, cost, terms and procedure for payment of the Agreement

35. The list, cost and timing of the provision of paid medical services are determined in the Contractor’s cost estimates, which are an integral part of the Agreement, in accordance with the Contractor’s Price List valid on the date of provision of medical services.

36. The cost of all paid medical services provided to the Consumer is indicated in the work completion certificate.

37. Payment for medical services is made by the Consumer (Customer) on an advance payment basis or on the same day after the provision of services, by depositing cash into the Contractor's cash desk, paying using plastic payment cards or transferring to the Contractor's bank account.

38. The date of payment for medical services by the Consumer (Customer) is considered to be the day funds are credited to the Contractor’s current account or the day funds are deposited into the Contractor’s cash desk.

VII. Responsibility of the Contractor and the Consumer (Customer)

39. For failure to fulfill or improper fulfillment of obligations provided for in the Agreement and these Rules, the Contractor and the Consumer (Customer) are liable in accordance with the current legislation of the Russian Federation.

40. For failure to fulfill or improper fulfillment of the deadlines for payment for medical services provided for in clause 37 of these Rules, the Consumer (Customer) pays the Contractor a penalty in the amount of 0.5% of the unpaid amount for each day of delay. Payment of a penalty (fine) does not relieve the Consumer (Customer) from fulfilling other obligations provided for by these Rules and the Agreement. Repayment of debt to the Contractor is paid by the Consumer (Customer) in the following order: first the amount of the accrued penalty (penalty), then the amount of the principal debt.

41. If the Consumer refuses to receive medical services after concluding the Agreement, the agreement is terminated. The Contractor informs the Consumer (Customer) about the termination of the contract at the initiative of the Consumer, while the Consumer (Customer) is obliged to pay the Contractor the costs actually incurred by the Contractor related to the fulfillment of obligations under the Contract.

42. The Contractor or Consumer (Customer) will not be liable for complete or partial failure to fulfill their obligations if the failure is a consequence of force majeure circumstances, such as fire, flood, earthquake, strikes and other natural disasters, war and hostilities or others circumstances beyond the control of the Parties that impede the implementation of this Agreement, arising after the conclusion of the Agreement, as well as on other grounds provided by law.

43. A Party to the Agreement for which it has become impossible to fulfill its obligations under the Agreement is obliged to notify the other Party in writing of the occurrence, expected duration and termination of the above circumstances.

44. In case of non-compliance or improper compliance by the Consumer with the recommendations and requirements of the Contractor’s doctors, as well as in other violations by the Consumer (Customer) of the terms of these Rules and the Agreement, the Contractor is not responsible for the occurrence of negative consequences.

45. Harm caused to the life or health of the Consumer as a result of the provision by the Contractor of low-quality paid medical services is subject to compensation by the Contractor in accordance with the legislation of the Russian Federation.

46. Despite the obligations assumed by the Contractor to fully use all its capabilities to provide quality medical services, the possibility of various kinds of complications not related to the quality of medical and other services provided to the Consumer cannot be ruled out. The occurrence of such complications does not entail the Contractor's liability unless the Contractor's direct guilt in the occurrence of such consequences is established.

VIII. Consent of the Consumer (Customer) to the processing of personal data

47. The Consumer (Customer), accepting the terms of the Agreement and these Rules, gives consent to the Contractor to process his personal data freely, of his own free will and in his own interest.

48. The Consumer (Customer) consents to the Contractor’s processing of personal data, photos and video images that are necessary to fulfill the obligations of the parties under the Agreement and these Rules, including (without limitation) collection, recording, systematization, accumulation, storage, clarification (updating, changing ), extraction, use, transfer (distribution, provision, access), depersonalization, blocking, deletion, destruction of personal data, as well as implementation of any other actions of the Contractor provided for by the current legislation of the Russian Federation.

The Consumer (Customer) expresses his voluntary consent to receive from the Contractor notifications about upcoming appointments with medical specialists, prescribed medical procedures and manipulations, as well as advertising materials related to the promotion of the Contractor’s medical services, through direct contacts specified in the Agreement, using all means of communication, including, but not limited to: mailing, SMS mailing, voice mailing, email mailing.

49. The Consumer (Customer) is informed that the Contractor will process personal data using both manual and automated processing methods in accordance with the current legislation of the Russian Federation.

50. The Consumer (Customer), by putting his signature on the Agreement, gives his consent to the Contractor’s processing of personal data for an indefinite period, and also gives his consent to inform the Consumer (Customer) about promotions, discounts, new services and other information of the Contractor, including including: the upcoming time of appearance for the appointment, the readiness of the studies, analyzes and other services provided for and not provided for in the Agreement.

51. The consumer (Customer) may at any time withdraw his consent to the processing of personal data in whole or in part by sending a written application to the Contractor in a manner that allows one to reliably determine the date of receipt of this application.

52. In the event that the Consumer (Customer) completely withdraws consent to the processing of personal data, the Agreement in relation to the Consumer (Customer) is terminated completely from the date the Contractor receives the said withdrawal.

53. After termination of the Agreement due to the withdrawal by the Consumer (Customer) of consent to the processing of personal data, the Contractor undertakes to destroy such personal data within a period not exceeding 100 (one hundred) years from the date of termination of the Agreement or from the date the Contractor receives the corresponding application for withdrawal of consent to processing of personal data.

IX. Procedure for consideration of disputes

54. All disputes, claims and disagreements between the Contractor and the Consumer (Customer) are resolved through negotiations, and if settlement is impossible, such disputes are subject to judicial review in accordance with the current legislation of the Russian Federation.

X. Contract time

55. The Agreement between the Contractor and the Consumer (Customer) is concluded for 1 (One) year from the date of its signing by the parties, unless otherwise provided by the Agreement.

56. The Agreement between the Contractor and the Consumer (Customer) is automatically extended for 1 (One) year, if 30 days before the end of the Agreement, neither party declares its refusal to prolong the Agreement.

57. The contract between the Contractor and the Consumer (Customer) may be terminated by mutual agreement of the Parties or on other grounds provided for by the current legislation of the Russian Federation.