Situations arise when money for an operation is urgently needed, a person's life may depend on it. And often the funds are not enough. And so it happens that the necessary assistance is provided only in the capital. It is for such cases that a quota for an operation in Moscow is needed. How to get it, we will describe below.
The concept of quota
It is a cash transfer that goes to cover the costs of the operation, if the patient needs it. A list of diseases approved by the Ministry of He alth and Social Development of Russia has been compiled, for which the operation can be paid for with a quota. Taking into account the fact that the number of allocated quotas is increased every year, it can be quite difficult to get it. First of all, we are talking about paperwork, which cannot be avoided. This also applies to trips to various authorities.
What kind of treatment is possible under the quota
What can be done with the quota:
- manipulations performed on the heart;
- transplantation of various organs;
- neurosurgicaloperations;
- joint replacement;
- therapy of inherited diseases;
- leukemia therapy;
- treatment of complex pathologies of the endocrine system;
- highly complex surgical operations.
For example, a quota for eye surgery in Moscow can be issued to a patient who does not have the financial ability to pay for it himself.
To date, this list has been expanded and contains 22 profiles and 137 types of high-tech medical care. In addition, every year the Ministry of He alth and Social Development of the Russian Federation approves a list of medical centers in Moscow where you can get the necessary assistance under a quota. It also contains the number of indicators allocated to each institution, such as the quota for an operation in Moscow.
How to get and what documents are needed to get a quota
To obtain a quota, you will need to be patient and time to collect the necessary papers.
The following are the documents required for the operation quota:
- proof of identity;
- medical policy;
- the results of the survey that have been completed recently;
- medical history.
How to get a quota in 2015
If previously high-tech medical care was provided only under a quota, then since 2015 it has been provided under the CHI policy. In practice, this means that free operations will be provided only where the citizen lives. Only in rareexceptions, the possibility of free treatment can be obtained in Moscow, for example, a quota for heart surgery.
Getting a quota
Specialists of the Ministry of He alth and Social Development claim that citizens of the Russian Federation have the opportunity to have a free operation thanks to the He alth project. It must be remembered that paid medicine does not accept patients according to quotas.
To get a referral for a free operation, you can go two ways:
1. Registration of a quota "from below".
Need:
- Come to the he alth department of the region of residence, having with you a passport, a social security policy, a pension policy, an extract from the medical card of the clinic in which the study was conducted. You also need copies of the main documents.
- Get your curator, who can be appointed from the employees of the department.
A request for a quota is being considered and then, if the decision is positive, the patient is informed of the coupon number and the name of the clinic where he will be treated.
2. Registration of a quota "from above".
The patient himself, based on his criteria, determines the medical institution where he would like to receive assistance under the quota. Do not forget that paid medicine does not take part in this program and will not be able to perform the operation according to the quota. In this institution, you need to consult with the necessary specialists, get an extract from your personal card and go through a committee that meets specifically to decide whether you approve the quota or not. In case of positivethe answer in the received document will be written that this particular institution can operate on a quota. It will also be signed by the head physician and stamped. Then, with the received documents, you go to the Moscow Department of He alth and provide them with all the documentation that is indicated in paragraph 1.
In general, the second option is much faster and can take an average of 1 to 3 weeks. In addition, it will give the opportunity to choose a medical institution.
Commission passing
In order to get free help, the patient will have to go through several medical commissions:
- Contact the clinic by registration, where the doctor will conduct all the necessary studies. After the resolution issued by the first commission, he will issue a referral. Then you need to go to the He alth Department of your region with this referral signed by the head doctor of the polyclinic and an extract from the medical record with the conclusion that the patient needs a quota for an operation in Moscow.
- How to get it: in the Ministry you need to visit another commission, it will determine whether the patient has indications for the provision of VMP. In the case of a positive response, the patient is given a document, according to which he will be provided with free assistance. It will contain detailed information about the disease, all the results and results of examinations.
- The third commission will need to be passed where the direction was issued. The commission convened in this medical institution determines the correctnessreferrals to this clinic and the presence of any contraindications for the operation. Result - a quota for an operation in Moscow is issued.
How to get it faster? Patients during the agonizing wait ask this question. Since, in general, the adoption of a final decision is stretched for a long time, although the decision itself for obtaining the right to free medical care can be made in one day.
Possible problems
Unfortunately, quotas for treatment at the expense of the state are running out. If you need it, you can contact the Moscow Department of He alth and request information on the availability of quotas in all medical institutions.
If there are still no quotas left, you can queue up to receive them. If the situation is acute and the operation needs to be performed as soon as possible, for example, the quota for eye surgery is extremely important to you, you can perform it for money, but then return these funds through the Ministry of He alth, presenting all the necessary documents.
In addition to the fact that quotas can run out, it is not uncommon for a particular clinic to run out of space. For example, a patient needs a joint replacement, waiting is still acceptable, but if we are talking about removing a tumor and there is simply no time, standing in line is unacceptable. Unfortunately, the assistance system is formed in such a way that the waiting time for a quota operation is not specified anywhere. In this case, you can try to contact another clinic or raise a fuss by writing to the media.
Often in clinics whererefer patients according to the quota, there are additional payments. For example, a patient who needs a bone marrow transplant must pay for the search for a donor in foreign registries. Money for this is not included in any budget. In other words, the operation under the quota is at the expense of the state, all additional steps are paid by the patient.
Unfortunately, this is impossible to fight. First of all, due to the fact that the patient does not have the strength to additional struggle, except with the disease. It is also scary to spoil relations with the doctors who will operate. Here you can only advise to write letters, complaints to various authorities with requests to deal with additional payments. Perhaps the huge flow of correspondence will help officials to look at the problem differently and change it.
Conclusion
The number of allocated quotas for the implementation of the GMP is determined at the beginning of the year, and often they are all "selected" long before it ends. Thus, sometimes, in order to quickly get the necessary help, it is better to seek help from paid clinics. And only then try to return the funds by standing in line for a quota for the operation.