A working person during an illness requires a sick leave. The medical organization must also issue a sick leave in case of illness of the child. How to get a sick leave at the clinic, the article will tell.
Who can go on sick leave
Sick leave is issued to all citizens of the Russian Federation who have a compulsory medical insurance policy. When issuing a sick leave at the clinic, one of the following conditions must be met:
- presence of an employment contract;
- the person is in the public service;
- injury or prolonged illness 30 days after being fired;
- IP registration;
- registration at the employment center;
- injury.
Sick leave should be given to the employer. For days of illness, payment will be charged, which depends on the length of service of the employee. Sick leave is also issued for pregnancy and childbirth.
The doctor issues a leaflet based on the patient's condition. A person cannot perform labor duties during a period of illness or becomes dangerous forsurrounding.
Employer notice
After the sick leave is open at the clinic, the employer should be warned. This rule is usually prescribed in the employment contract or in other documents. When a child is sick, management should also be reported.
If for some reason you do not warn the boss, this will not lead to the dismissal of the employee. But as a human being, you should report your absence from work.
You can warn in person or by phone. It is best to do this in the morning, so that there is an opportunity to redistribute the duties of an absent employee. In a serious condition, injury, urgent hospitalization, relatives or, in extreme cases, a doctor can warn at work.
Step-by-step instructions for getting sick leave
Step-by-step instructions allow you to understand how to open a sick leave in a clinic. To do this, you need to see a doctor. In case of injury, a surgeon will help, in an emergency, an ambulance is needed.
If you have a cold, you need to make an appointment with a therapist, have a policy and a passport with you. For some diseases, you should call a doctor at home:
- high temperature;
- rash on body;
- high blood pressure.
Procedure for issuing a sick leave in a polyclinic:
- Sick leave issued by a doctor on the day of treatment.
- If the patient himself came to the appointment, then the sheet is given to him in his hands.
- If the patient called the doctor to the house, then the certificate of incapacity for workwill receive when he comes to the reception.
- When hospitalized, the sick leave is handed over at discharge.
- Re-appointment is scheduled after 5 days, the patient must bring sick leave.
- On the certificate of incapacity for work, it is necessary to check the completed data: the name of the enterprise, last name, first name, patronymic, gender, date of issue.
- At the time of discharge, the hospital must have a stamp of the clinic and a seal.
- The patient must sign for receiving the document.
Employer Procedure
After receiving a sick leave at the clinic, it should be given to the accounting department of the enterprise. The employer's actions will look like this:
- The accountant checks the completed document. If errors are found, the sick leave is returned to the employee.
- After receiving sick leave, the accounting department determines what payments should be made. If an employee is employed in several places, then sick leave is paid for all enterprises.
- The allowance is calculated based on the average earnings of each employer. If the employee is employed in one place, then the payment is charged one. The accounting department must calculate the amount within 10 days.
- Payment of benefits occurs on the next pay day. The employee is required to pay personal income tax from benefits, other contributions are not withheld.
- The accountant fills in the back of the sick leave. After accrual and payment of benefits, he enters data about this.
- The employer pays for the first 3 days of sick leave. The remaining days of the FSS reimburse the company. Employeereceives money from the cash desk of the organization. The FSS maternity benefit fully compensates the employer.
To reimburse the cost of sick leave, the employer applies to the FSS. In this case, a package of documents should be prepared: an application, calculation and a copy of the sick leave. The FSS refunds the amount to the company within 10 days.
Who issues sick leave
Knowing how to get a sick leave at the clinic, you should know who has the right to issue a document. A state clinic or hospital can provide the patient with a disability certificate. Private hospitals issue a document with a license issued by the state.
Ambulance does not have the right to issue sick leave. If an insured event occurs unexpectedly, you still have to contact a doctor who decides whether to issue a sick leave.
The blood transfusion station does not issue sick leave to donors. In this case, a certificate for providing it to work is possible. The dentist in difficult cases has the right to open a sick leave. In small towns, this can be done by a paramedic or a responsible he alth worker.
How to open a sick leave in a clinic if the treatment takes place in a sanatorium? If you have a referral from the attending physician, you can get a ticket to the sanatorium. The disability certificate will be issued for the entire period of treatment, including travel there and back. After the end of the course, the attending physician must provide a ticket, an extract and a sanatorium card.
Sick leave in a hospital
The procedure for issuing a sick leave in a clinic is different from the procedure in a hospital. The head nurse is responsible for the paperwork. The sick leave is not issued to the patient. The completed document is kept in the hospital until the patient is discharged.
If after a hospital a person can start working, then the disability certificate is closed and issued to the patient. Sometimes it happens that a person after the hospital is treated on an outpatient basis. In this case, the sick leave should be transferred to the attending physician for extension. After the sheet is completely closed, the document is provided for work.
Sick leave deadlines
Regardless of how the sick leave is opened in the clinic, the doctor can write out a document for 5 days. The patient must strictly adhere to the terms of visiting the doctor, otherwise the sick leave can be closed for violating the regulations.
If there is no improvement in 5 days, then the sheet is extended for another 5 days. In some cases, an extension is possible immediately for 10 days. This rule applies to surgical or neurological diseases. In severe condition, the extension reaches 30 days.
A patient with tuberculosis after a complex operation can extend the sick leave for a year. If the illness lasts more than 10 days, then the decision on the extension is made by the medical commission.
Features of getting sick leave in a private clinic
How to get sick leave at a clinic if it is private? The scheme is the same:
- should see a doctor;
- tell about the reasons;
- the doctor will issue a sick leave.
Before the appointment, you should make sure that the clinic has a license and the right to issue documents to patients. Hospital forms are subject to strict reporting, so the very availability of free copies indicates that the clinic has the right to do so.
In a private clinic, you will have to pay for the services rendered. The cost of visiting a doctor depends on the category of specialist and the range of services provided. Reception is by appointment, so you do not have to waste your time in queues. The patient has the right to choose where to be treated and receive a disability certificate. The employer is obliged to accept the document, regardless of which clinic issued the sheet.
Sick leave not at the place of registration
How to get a sick leave in a clinic that is not registered? The he alth insurance policy is valid throughout the territory of the Russian Federation. Registration doesn't matter. In order to avoid problems, you should attach in advance to the clinic that is closer to the place of stay.
To do this, you must apply to the head physician and provide the data. After that, a card is entered in the registry and you can get a coupon for visiting a doctor. Sick leave will be issued regardless of the place of registration.
If the disease caught up on vacation or a business trip, then it is not necessary to attach to the clinic. Upon presentation of the policy and passport, all types of medical services specified in the CHI policy will be provided free of charge.
There are problems with getting sick leave in this casewill not occur, but you must close the document in the same place where it was opened. It will not work to leave with an uncovered sick leave - they will not pay for it.
Sick leave to student
The student is not a working person, how to get a sick leave in the clinic for a student? The student does not need such a document. It is enough to provide a certificate of illness to an educational institution in order to avoid absenteeism and subsequent reprimands.
Sick leave is required for working students if they are registered under an official employment contract. In this case, the employer pays deductions and the student can count on the payment of benefits.
If the employment contract is not formalized, then there is no need for sick leave.
An exception to the rule is the payment of sick leave to a student for pregnancy and childbirth. In this case, a certificate of incapacity for work is issued to an educational institution and submitted to the accounting department. Students of the budget form of education can take advantage of this opportunity. The FSS will fully reimburse the costs.
For students on a paid basis, payments will be made from the fund of the institution itself.
What to do in case of refusal
Under what circumstances and how to get a sick leave at the clinic:
- pregnancy;
- ECO;
- abortion;
- disease;
- injury;
- caring for a sick child or other family member;
- official quarantine in kindergarten;
- treatment in a hospital or sanatorium.
In some cases, the doctor may refuse tosick leave:
- chronic disease without exacerbation;
- arrest;
- passing medical examination;
- simulating a patient.
Regardless of how the sick leave is issued in the clinic, they cannot be refused due to the lack of registration or link to this clinic. In this case, you must call the insurance company that issued the medical policy and report the incident.
If the doctor does not issue sick leave, claiming that the patient is absolutely he althy, then you can try to change the doctor or go to a paid clinic.
If you disagree with the doctor's actions, you should contact the Ministry of He alth by sending a registered letter with documents and a statement.
