Providing vouchers to the sanatorium. How to get a discounted ticket to a children's camp

11.03.2020 -

Sanatorium-resort recovery has always been considered one of the best ways restore your body after illness and prevent exacerbation of chronic ailments. During the existence of the USSR, treatment vouchers were more financially accessible. Now, buying them can hit your wallet hard, so those who want to improve their health are wondering: how to get to a sanatorium under the compulsory medical insurance program and is it possible to relax there for free?

How to get to a sanatorium under the compulsory medical insurance program and who has the right to it

Unfortunately, not every owner can get a ticket to a health resort under a compulsory medical insurance policy. You can go to a sanatorium for health improvement only for certain indications based on the conclusion of a medical commission. You can get the green light to apply for a free trip to one of the Russian health resorts in 2020 under the following circumstances:

the patient is insured in the system compulsory insurance RF and has a valid compulsory medical insurance policy;
the patient was exposed surgical intervention or suffered a serious illness.

Among the ailments that are treated in sanatorium-resort institution, the following are present:

heart and vascular diseases: myocardial infarction, violation cerebral circulation, angina pectoris, operations on the heart and blood vessels;
diseases digestive system: delete gallbladder, operations for stomach ulcers and duodenum, diabetes mellitus;
pathologies of the musculoskeletal and central nervous system: orthopedic operations, defects and malformations spinal column, spinal surgery, joint plastic surgery, prosthetics;
diseases of pregnant women who are at risk.

Good to know! Many people mistakenly believe that the above is full list diseases, in the presence of which you can get a free ticket to preventive treatment in a sanatorium. However, this is not true. Full list indications for sanatorium-resort treatment are given in Order of the Ministry of Health of Russia dated May 5, 2016 No. 281n. Here you can see such an exhaustive listing various diseases that they can be found in anyone, since this even includes insomnia, bronchitis and scoliosis.

The patient is admitted to the sanatorium to undergo a course of health improvement if he has a referral in his hands according to form No. 057/u-04. The medical commission gives an opinion if the above indications are present and provided there are no contraindications.

What does the rehabilitation procedure in a sanatorium consist of?

After admission to a treatment facility, the patient undergoes an examination so that they can select a rehabilitation program for him. This is a complex of preventive and therapeutic measures aimed at restoring the body’s strength after an illness or alleviating the consequences congenital pathology. The rehabilitation procedure includes the following main activities:

reflexology, physiotherapy and a course of healing massages;
physical therapy classes;
dietary food;
psychotherapeutic sessions.

This list may change depending on conditions regional program Compulsory medical insurance and the capabilities of the institution that provides the insured with a course of medical rehabilitation. IN last days During the patient’s stay in the sanatorium under compulsory medical insurance, the effectiveness of the measures is analyzed and it is assessed whether the patient’s condition has improved.

How to get a ticket to a sanatorium under the compulsory medical insurance program: step-by-step instructions

In order to receive a referral from the commission for health improvement in a sanatorium, preventive institution, a specific confirmed diagnosis is required. Therefore, you will have to go through several stages:

Contact your attending physician at the clinic at your place of residence, taking your compulsory medical insurance policy with you, and describe your complaints to him. If the diagnosis has not been confirmed earlier, the doctor will conduct an examination, give a referral for tests, and, if necessary, prescribe additional examinations.
When the insured is or has been in hospital treatment, he will need a discharge summary confirming the diagnosis. In this case, it is enough to simply provide it to your therapist, and there is usually no need to undergo additional examination.
Based on the examination, the attending physician issues a referral for medical selection for rehabilitation in a sanatorium.
Then you need to wait for the documents to be reviewed by a medical commission, which decides to issue a conclusion on the presence or absence of indications and contraindications for undergoing a course of treatment in a medical institution.
Based on this conclusion, the patient turns to his general practitioner for a certificate to obtain a travel voucher. . Its validity period is 6 months.

When it comes to free treatment under the compulsory medical insurance system, the insured cannot independently choose an institution. It all depends on what vouchers are available at the time the referral is issued. However

Documents for the commission

To successfully pass the medical commission, you need to be properly prepared, because the absence of any one document can be a reason for refusal. The following papers are provided for consideration:

compulsory medical insurance policy (copy);
civil passport or other identity card (copy);
referral from the attending physician;
epicrisis from the hospital or a conclusion from a therapist and other specialists indicating the diagnosis;
analysis for TORCH - infections and the presence of sexually transmitted diseases;
clinical blood and urine tests;
fluorography;
examination by a urologist (gynecologist).

Based on the results of consideration of the above documents, experts give either a positive or negative conclusion. The duration of treatment varies between 14-24 days.

Note! After receiving a referral for treatment, the insured must receive a sanatorium-resort card from the therapist with indications for selecting a course of rehabilitation for recovery. In a preventive institution, procedures completed and treatment results will be recorded here.

Main reasons for refusal of treatment

As mentioned earlier, to get a referral you need to see a GP. He will conduct a preliminary diagnosis and clarify in advance all the indications and contraindications for treatment at the sanatorium.

A refusal to issue a referral for free health improvement under the compulsory medical insurance program can be received in the following cases:

in the presence of sexually transmitted diseases;
if urgent surgical treatment is necessary;
inability to take care of yourself independently;
oncological diseases;
mental disorders and disorders;
presence of alcohol or drug addiction;
serious violations heart rate, hypertension stage 3;
severe form of bronchial asthma;
period of exacerbation of the disease or postoperative period;
anemia, poor circulation;
the presence of any pathology that does not allow for health procedures.

If the insured believes that the refusal is unlawful, you must call insurance company and clarify the nuances of providing free sanatorium treatment under compulsory medical insurance with its employees.

Program limitations you should be aware of

When applying for a free health course under the compulsory medical insurance program, the patient should know that some inconveniences await him.

Free treatment in a preventive institution has a number of features and limitations:

vouchers are issued on a first-come, first-served basis. Thus, you can wait up to 4 months for your turn to arrive, and it’s good, if not longer, since the referral is only valid for six months;
the wards accommodate several vacationers - you will have to pay extra for a separate room out of your own pocket;
treatment is carried out only by specific disease, i.e. there is a certain course that does not provide any additional procedures;
stay in a sanatorium does not exceed 16 days, even if the patient is indicated for a longer recovery.

Considering that recovery occurs free of charge, you can turn a blind eye to some discomfort, because according to reviews, the result is worth it.

Conclusion

You can speed up the body’s recovery after a long and serious illness by being treated in a medical institution. A two-week therapeutic course allows you to cope with the consequences of the disease much faster and improve your overall health.

The good news is that if you have a mandatory policy health insurance, you can do this for free. To do this, you need to obtain a conclusion from a medical commission and first be examined for indications and contraindications. It is worth noting that not only seriously ill patients, but also insured persons with widespread illnesses, including children, have the right to undergo treatment.

We are waiting for your questions in the comments. Tell us how you managed to get into the sanatorium under compulsory medical insurance, what difficulties did you encounter?

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Free vouchers for recreation and recreation are available to children in difficult situations. life situation, and persons from among orphans and children left without parental care who have a place of residence in the city of Moscow.

To children's health camps (for individual recreation)

1. Orphans and children left without parental care, under guardianship, trusteeship, including in a foster or foster family, aged 7 to 17 years inclusive;

from 7 to 15 years inclusive;

3. Children from low-income families aged 7 to 15 years inclusive;

In addition, provided that parents (legal representatives) receive a monthly child benefit in accordance with the Moscow City Law of November 3, 2004 No. 67 “On monthly child benefit”, free vouchers have the opportunity to receive:

4. Children are victims of armed and ethnic conflicts, environmental and man-made disasters, natural disasters between the ages of 7 and 15 inclusive;

5. Children from families of refugees and internally displaced persons aged 7 to 15 years inclusive;

6. Children caught in extreme conditions, aged 7 to 15 years inclusive;

7. Children - victims of violence aged 7 to 15 years inclusive;

8. Children whose life activity is objectively impaired as a result of current circumstances and who cannot overcome these circumstances on their own or with the help of their family, aged 7 to 15 years inclusive;

9. Children affected by terrorist attacks, aged 7 to 15 years inclusive;

10. Children from families of military personnel and persons equivalent to them who died or were injured (wounded, traumatized, concussed) while performing their duties military service or official duties, from 7 to 15 years of age inclusive;

11. Children from families in which both or one parent is disabled, aged 7 to 15 years inclusive;

12. Children with behavioral problems aged 7 to 15 years inclusive.

In organizing family-type recreation and recreation (joint recreation) free trips are provided to the following categories:

1. Orphans and children left without parental care, under guardianship, trusteeship, including in a foster or foster family, aged from 3 to 17 years inclusive;

2. Disabled children, children with disabilities health in age

from 4 to 17 years inclusive;

3. Children from low-income families aged 3 to 7 years inclusive.

To youth camps free vouchers are provided to orphans and children without parental care aged 18 to 23 years.

For the category of a child with disabilities “Children with disabilities”, the conditions are the same as for disabled children, that is, receiving a low-income benefit is not necessary.

However, each preferential category EXCEPT for orphans and disabled children, children with disabilities, information “on receiving monthly child benefits in accordance with Moscow City Law No. 67 of November 3, 2004 “On monthly child benefits” will be checked.

Don't worry if you received a status based on your submitted application: “Error while submitting your application. The application was filled out incorrectly. Please resubmit the application with correct information" due to the fact that one of the periods of rest does not correspond to the age of the child (for example, the child will turn 3 years old only in September, and you chose October, September, August).

PRIORITY must be indicated for the month of rest in which the child is already 3 years old. That's what he eats b If a child turns 3 years old in June, then only July and subsequent months can be indicated as priority.

Examples:

The child turns 3 years old in August. The priority period should be the month of September, and the additional periods should be October and August.
The child turns 8 years old in July. The priority period should be any month from May to June, and additional months May, June and July, for example

The denomination of the certificate remains the same (RUB 30,000).

The certificate can be used to pay in full the cost of services (if their cost is less than or equal to 30,000 rubles) or to pay their cost with a discount of 30,000 rubles. (if the cost of services is more than 30,000 rubles).

The funds under the certificates are transferred upon completion of the child’s vacation directly to the organization with which the corresponding agreement was concluded.

Will the procedure for providing a certificate for recreation and wellness change in 2020?

Yes, during the 2020 application campaign, you can choose the option of providing a certificate for recreation and wellness only at the first stage of the application campaign. There is no option to choose a certificate at the second stage of the application campaign in exchange for providing a free trip.

The above applies to legal spouses: the applicant’s spouse must have a notarized power of attorney for the right to represent the interests of the parent in government institutions.

What to do if your identity document is lost?

The procedure for replacing a document involves submitting the appropriate package of documents to receive public services. This can be done on the Internet (on the government services website), by contacting the territorial body of the Ministry of Internal Affairs (the functions of the Federal Migration Service are currently transferred to it), as well as by contacting the territorial branch of the MFC.

At the same time, for the period of registration of a new document, a certificate of temporary identification is issued. As mentioned above, the certificate can be issued in two types.

Many of us would like to receive discounted voucher from the state to spa treatment.

However, this opportunity is not provided for everyone.

So, who can get it? What is needed for this? What legal provisions govern this issue?

Legislative aspect

Question about the possibility of obtaining a discounted voucher for sanatorium treatment regulated:

Federal Law No. 178, which clearly defines the time frame for staying in a sanatorium, as well as possible reasons for refusal for various categories of citizens;
Order of the Ministry of Health, which regulates the procedure for obtaining this benefit;
Decree of the Government of the Russian Federation, which provides guarantees of receiving free treatment for certain categories of the population.

In addition, each region of the Russian Federation has its own regional laws, which cover in more detail the issues of registering free sanatorium and resort treatment for its residents.

Who is entitled to

The right to receive free visits to one of the sanatoriums are available to:

In addition to the indicated categories, people also have the right to count on a voucher patients, for whom it is extremely important to receive further treatment after an inpatient stay in medical institution(funds are allocated from the regional budget). Only officially employed citizens have this right after they have been provided with stationary medical care. The full list of diseases for which employed citizens can count on recovery is regulated by regional legislation. For example, in the capital this issue is regulated by Moscow Decree No. 591 of July 2010.

Also, employees of certain departments and departments (for example, law enforcement agencies) have the right to free visits to the sanatorium, in accordance with the regulatory documents adopted by the departments.

Terms of service

It is worth noting that when you book a voucher through the Social Insurance Fund, including when asking, it is provided completely free of charge.

Duration sanatorium-resort voucher varies from 18 to 24 days. The sanatorium must be located on the territory of the Russian Federation, and the voucher includes free travel in both directions. Details can be found at the territorial FSS office at your place of registration.

It is important to remember: o medicines that the applicant accepts, you need to think about it in advance, since no one will provide them.

As for departments and departments, they independently decide on the procedure for financing and the amount of payment for sanatorium-resort treatment for their current employees and retirees. To clarify all necessary information You must contact your department directly.

What institutions can you go to for health improvement?

As mentioned above, not all sanatoriums offer a free voucher.

In particular, can send:

If we're talking about at the expense of the Social Insurance Fund - will be provided only to one of those sanatoriums that previously entered into an agreement with the Social Insurance Fund. They are located throughout the Russian Federation, and specifically in resort areas, which is important;
as for vouchers for patients for whom it is extremely important to undergo a course of rehabilitation after hospital treatment. Such citizens are issued a voucher to local sanatoriums that provide their services for a specific type of disease. Moreover, the list of such institutions is regulated by regional regulatory documents and is reviewed regularly. This category of citizens can receive a referral exclusively to their region;
As for department employees, including retirees, the full list of institutions to which they can be sent directly depends solely on the capabilities of the organizations themselves. In simple words, they send people for treatment/rest only to those institutions that belong exclusively to them.

Maximum stay period

Duration of spa treatment provided to citizens of the Russian Federation in , is no more than 18 calendar days.

about 21 calendar days – for disabled children;
Citizens who have diseases of the spinal cord or brain have the right to count up to 42 calendar days.

Regarding free trips on the issue of completing a rehabilitation course - they do not exceed 24 calendar days.

Registration procedure

The registration process can be conditionally divide into several categories:

Directly through the FSS.
Patients who need to undergo rehabilitation.

Through the Social Insurance Fund

To receive a free trip, you must directly contact your attending physician at your place of residence.

To avoid possible errors When drawing up an application, it is recommended to use a special one.

In case there is medical indications and in parallel with this, there is no medical prohibition on spa treatment, the doctor must fill out certificate in form No. 070/у-4, which includes the following information:

name of the sanatorium;
Preferred visiting season.

The issued certificate has a validity period of six months from the date of issue.

With the received certificate and the corresponding application drawn up, you should visit the territorial department of the Fund social insurance RF.

In addition to these documents, you should be sure to prepare:

documents that confirm that the applicant belongs to one of the categories of citizens with benefits. They can be: a certificate of a disabled person, a certificate of recognition of incapacity, and so on;
a developed personal rehabilitation plan for an incapacitated applicant, which gives full right to receive state social assistance(provided as a kit social services);
original and a copy of all completed pages of the passport.

Based on the submitted package of documents, employees of the Social Insurance Fund will notify the applicant over the next few weeks about the possibility of providing a voucher for sanatorium treatment according to the type of disease with an exact indication of the time of arrival.

After registration, the voucher is given to the applicant with all the necessary information about the patient. It bears the note “It is impossible to resell the trip because it was paid for by the federal budget.”

After the applicant receives permission to visit the sanatorium, it is necessary no earlier than several months before the start of its validity, apply for a health resort card at the clinic, where a certificate was provided in form No. 070/u-4.

Upon completion of treatment at the sanatorium, it is necessary to return the remaining part of the coupon (it is issued upon departure by the sanatorium) to the clinic no later than one calendar month upon arrival. The sanatorium independently sends the other part of the voucher (tear-off part) to the territorial Social Insurance Fund, so there is no cause for concern. In simple words, you can be sure that the FSS will not have any questions.

Rehabilitation course

Those categories of citizens for whom it is extremely important to receive an additional course of rehabilitation upon completion of inpatient treatment must contact the medical commission of the medical institution where they were treated.

This is possible in accordance with the procedure for sending hired workers to undergo a rehabilitation course in specialized sanatoriums, the list of which was approved by the Ministry of Health No. 44 of January 2006.

Speaking in simple words, initially need to:

Check with your doctor about the need for a rehabilitation course.
Then contact the trade union representative at your official place of work.
Get approval.
The following procedure is identical to the first option.

As you can see, getting a referral for health improvement for free is not so difficult. It is enough to adhere to a clear algorithm of actions.

Possible reasons for refusal

Main reasons for refusal When applying for free treatment, it is generally accepted that:

an attempt to register by citizens who are not provided with such an opportunity;
not a complete package of necessary documentation was provided;
the completed application contains errors (incorrectly compiled).

A more detailed list with interpretation possible reasons refusal is specified in Federal law No. 178 “On the provision of state social assistance.”

Cash compensation

Initially, it is necessary to understand that children with disabilities and (they may be provided with free referrals in the presence of regional bills) have no legal basis to receive financial compensation.

They have two options:

take advantage of a free trip;
otherwise, it simply “burns out.”

If monetary compensation is issued serviceman, he has the right to receive about 25% of the cost of treatment. Moreover, if compensation is issued by one of his family members, the relatives receive 50% of the cost.

Many people wonder why it is necessary to issue compensation if the best option will be a sanatorium-resort treatment? The answer is banal: the problem is that in many regions of our country, beneficiaries are forced to wait for quite a long period of time for their turn to receive a voucher. Sometimes it may not be suitable for the current year. In order to somehow compensate for the lost opportunity, they are forced to issue compensation.

For information on granting the right to free health treatment in sanatoriums to residents of the Samara region, see the following video:

Benefits for sanatorium and resort treatment are established by the legislation of the Russian Federation as a measure of additional medical and social assistance to the population. Subsidies for preferential stay in a sanatorium are provided to certain groups of citizens recognized as needing sanatorium-resort treatment for medical reasons.

Fundamental legal framework, which establishes the procedure for providing this type of subsidy, is:

Federal Law of July 17, 1999 No. 178-FZ “On State Social Assistance”;
Order of the Ministry of Health and Social Development of Russia dated December 29, 2004 No. 328 “On approval of the procedure for providing a set of social services separate categories citizens."

Who prescribes spa treatment and how?

Issuing preferential vouchers to a sanatorium is an application process. That is, the person himself must express his desire and request a voucher. Sometimes the attending physician independently recommends sanatorium treatment, but this is not a necessary or sufficient condition.

In order to receive a subsidized voucher to a sanatorium, the applicant must simultaneously meet two requirements:

Belonged to the group of persons entitled to such a subsidy by law;
Had medical indications.

Many people mistake such subsidies for a free vacation package. In fact, benefits for spa treatment are directly related to the applicant’s health status. To receive a subsidy you must obtain certificate 070/U-04. The doctor issues it if he comes to the conclusion that staying in the sanatorium is really necessary. In addition, no earlier than 2 months before departure to the resort, the applicant must receive a resort card. It is issued by the same doctor who issued certificate 070/U-04.

It is important to remember that form 070/U-04 has a validity period of 6 months. After this period, the certificate will need to be issued again.

You must bring the following documents with you to the sanatorium:

Voucher;
Medical policy;
Sanatorium card;
Passport.

Categories of citizens entitled to receive free vouchers to sanatoriums

Russian legislation distinguishes two types of persons entitled to health resort subsidies. The following have the right to visit a medical sanatorium free of charge once a year:

Disabled people and WWII participants;
Combat veterans;
Disabled people of 1-3 degrees and disabled children;
Residents besieged Leningrad(you must have an award badge);
Home front workers during the Second World War;
Victims of radiation as a result of the Chernobyl disaster.
Family members of deceased disabled people and WWII veterans.

Along with the right to receive a free referral to a sanatorium specified persons have the right to:

Free travel to the sanatorium by ground transport. A coupon for purchasing a discount ticket is issued at the FSS office along with the voucher. In regions where travel by land is not possible, the FSS also pays for air tickets.
For disabled people of group 1 and disabled children, the law provides the right to take one accompanying person with them free of charge.

In addition to the above social groups Russian legislation also provides for:

Benefits for military pensioners in sanatoriums spa treatment;
Benefits for pensioners for sanatorium treatment;
Benefits for sanatorium treatment labor veterans;
Benefits for reserve officers for sanatorium and resort treatment;

It is important to remember that the sanatorium does not provide the necessary medicines except for those that will be issued at the institution itself. All necessary medications must be obtained according to existing prescriptions in advance at your place of residence.

Certain categories of citizens

Military pensioners and reserve officers

Order of the Minister of Defense of the Russian Federation dated March 15, 2011 No. 333 “On the procedure for sanatorium and resort provision in the Armed Forces Russian Federation"established the procedure and grounds for providing health resort treatment to military personnel.

Benefits for military pensioners for sanatorium and resort treatment are also provided to members of their families. The preferential voucher is issued by the decision of the Department of Sanatorium and Resort Treatment of the Ministry of Defense of the Russian Federation. To receive a subsidy, a military pensioner must submit an application directly to the Main Military Medical Directorate of the RF Ministry of Defense or to the administration of the sanatorium. The application must be accompanied by a certificate in form 070/U-04 confirming the presence of medical indications.

Benefits for reserve officers for sanatorium and resort treatment are provided according to a similar scheme, provided that the service period of the transferred officer in preferential terms is at least 20 years.

Pensioners and labor veterans

Under the same conditions as veterans of the Second World War and military conflicts, the following are provided:

Benefits for pensioners for sanatorium and resort treatment;
Benefits for sanatorium treatment for labor veterans.

Vouchers are issued by the FSS department on the basis of an application and certificate 070/U-04. Detailed Process Obtaining free vouchers to the sanatorium is covered at the beginning of the article.