Quota for an operation in Moscow: how to get it? Quotas for treatment in Moscow

There are situations when money for an operation is urgently needed, this can depend on the life of a person. And often there is not enough money. And it so happens that the necessary assistance is provided only in the capital. It is for such cases that a quota is needed for the operation in Moscow. How to get it, we will describe below.

The concept of quota

It is a monetary transfer that covers the costs of the operation, if the patient needs it. A list of diseases approved by the Ministry of Healthcare and Social Development of Russia has been formed, the operation for which can be paid with a quota. Taking into account the fact that the number of allocated quotas increases every year, it can be quite difficult to obtain. First of all, we are talking about paper red tape, which can not be avoided. This also applies to trips to various instances.

What kind of treatment can be obtained by quota

What can I do by quota:

- manipulations carried out on the heart;

- transplantation of various organs;

- Neurosurgical operations;

- arthroplasty of joints;

- therapy of diseases transmitted by inheritance;

- therapy of leukemia;

- treatment of complex pathology of the endocrine system;

- highly complex surgical operations.

For example, the quota for eye surgery in Moscow can be issued to a patient who does not have the financial ability to pay for herself.

To date, this list has been expanded to include 22 profiles and 137 types of high-tech medical care. In addition, every year the Ministry of Healthcare and Social Development of the Russian Federation approves the list of medical centers in Moscow, where it is possible to obtain the necessary help on a quota. It also contains the number of indicators for 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 have the patience and time to collect the necessary papers.

Below is given what documents for the quota for the operation are necessary:

- documents proving the identity;

- medical policy;

- results of the survey, which have been completed recently;

- disease history.

How to get a quota in 2015

If previously high-tech medical care was provided only on a quota, then from 2015 it is provided under the MHI policy. In practice, this means that free operations will be provided only where the citizen lives. Only in rare cases, the possibility of free treatment can be obtained in Moscow, for example, the quota for heart surgery.

We get a quota

Specialists of the Ministry of Healthcare and Social Development affirm that the possibility of a free operation appeared among the citizens of the Russian Federation due to the "Health" project. It must be remembered that paid medicine does not accept patients on quotas.

To get a referral to a free operation, you can go in two ways:

1. Registration of the quota "from below".

It is necessary:

- To come to the health department of the region of residence, carrying a passport, a social insurance policy, a pension policy, an extract from the medical card of the clinic where the study was conducted. Also, you need a copy of the main documents.

- Get your curator, who can be appointed from the employees of the department.

The request for allocation of the quota is considered and further on, if the patient is positively resolved, the coupon number and the name of the clinic where he will be treated are reported.

2. Registration of quota "from above".

The patient himself, based on his criteria, determines the medical institution, where he would like to receive assistance on a quota. Do not forget that paid medicine does not participate in this program and will not be able to perform the operation on a quota. In this institution it is necessary to consult with the necessary specialists, get an extract from the personal card and go through a committee that meets specifically to decide whether to approve the quota or not. In case of a positive response, the received document will state that this particular institution can operate on a quota. Also will be the signature of the head physician and the seal. Further with the received documents you go to the Department of Health of Moscow 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, he will give an opportunity to choose a medical institution.

Passage of the commission

In order to receive free assistance, the patient will have to undergo several medical commissions:

- Contact the clinic for registration, where the doctor will conduct all necessary studies. After the resolution issued by the first commission, he will write out the direction. It is then necessary to go to the Health Department of your region with this direction signed by the chief doctor of the clinic and an extract from the medical card with the conclusions that the patient needs a quota for the operation in Moscow.

- How to get it: the Ministry should visit another commission, it will determine whether the patient has evidence for the provision of VMP. In the case of a positive response, a document is issued to the patient, under which he will be provided with free assistance. It will contain detailed information about the disease, all the results and results of the surveys.

- The third commission will be necessary to pass there, where the direction was written out. The commission, convened in this medical institution, determines the correctness of referral to this clinic and the presence of any contraindications for the operation. The result is a quota for the operation in Moscow.

How to get it faster? Patients for a long waiting time are asked this question. As a whole, the final decision is extended for a long time, although the decision for the right to free medical assistance can be rendered in one day.

Possible problems

Unfortunately, quotas for treatment at the expense of the state end. If you need it, you can contact the Moscow City Department of Health and ask for information on the availability of quotas in all medical institutions.

If the quota still does not remain, you can queue up to receive them. If the situation is acute, and the operation should be carried out in the shortest possible time, for example, you are extremely important to the eye operation, you can spend it for money, but then return these funds through the Ministry of Health, showing all the necessary documents.

In addition to the fact that quotas can end, it is not unusual for cases where there are no places in a particular clinic. For example, the patient needs a joint replacement, waiting is still acceptable, but if it is a question of removing the tumor and the time simply does not exist - standing in the queue is unacceptable. Unfortunately, the aid system is formed so that the waiting time for the quota operation is not specified anywhere. In this case, you can try to contact another clinic or make a noise by writing in the media.

Often in clinics, where patients are sent on a quota, there are additional payments. For example, a patient who needs a bone marrow transplant must himself pay a donor search in foreign registers. Money for this does not belong to any budget. In other words, the quota operation is at the expense of the state, all additional steps are paid by the patient.

Unfortunately, with this it is impossible to fight. First of all, due to the fact that the patient does not have the strength to fight extra, except with a disease. It is also terrible to spoil relations with doctors who will operate. Here you can only advise writing letters, complaints to various authorities with requests to deal with additional payments. Perhaps a colossal stream of correspondence will help officials look at the problem differently and change it.

Conclusion

The number of allocated quotas for the implementation of the VMP is determined at the beginning of the year, and often all of them are "selected" long before its end. Thus, sometimes, in order to promptly receive the necessary assistance, it is better to seek help from paid clinics. And only then try to return the funds, standing in line for the formulation of the quota for the operation.