Obtaining a free spa voucher for Moscow beneficiaries. How to get a preferential ticket to a military sanatorium What you need to get a ticket to a sanatorium

Sanatorium-resort recovery at all times was considered one of the best ways to restore your body after illness and to prevent the exacerbation of chronic ailments. During the existence of the USSR, vouchers for treatment were more affordable financially. Now their purchase can hit the wallet well, so those who want to improve their health are interested in: how to get to the sanatorium under the CHI program and is it possible to relax there for free?

How to get to a sanatorium under the CHI program and who is eligible

Unfortunately, not every owner can get a ticket to a health resort under the CHI policy. You can get to the sanatorium for recovery only for certain indications on the basis of the conclusion of the medical commission. You can get a green light for a free ticket to one of the health resorts of the Russian Federation in 2020 under the following circumstances:

  • the patient is insured in the system of compulsory insurance of the Russian Federation and has a valid MHI policy;
  • the patient was subject to surgical intervention or suffered a serious illness.

Among the ailments that are cured in a sanatorium-resort institution, there are the following:

  • diseases of the heart and blood vessels: myocardial infarction, cerebrovascular accident, angina pectoris, operations on the heart and blood vessels;
  • diseases of the digestive system: removal of the gallbladder, surgery for gastric and duodenal ulcers, diabetes mellitus;
  • pathologies of the musculoskeletal and central nervous system: orthopedic operations, defects and malformations of the spinal column, operations on the spine, plastic surgery of joints, prosthetics;
  • diseases of pregnant women who are at risk.

Good to know! Many mistakenly believe that the above is a complete list of diseases, in the presence of which you can get a free ticket for preventive treatment in a sanatorium. However, it is not. A complete list of indications for spa treatment is given in the Order of the Ministry of Health of Russia dated 05.05.2016 No. 281n. Here you can see such an exhaustive enumeration of various diseases that they can be found in anyone, since this includes even insomnia, bronchitis and scoliosis.

The patient is admitted to the sanatorium for a course of rehabilitation if he has a referral in the form No. 057 / y-04 in his hands. The medical commission gives an opinion in the presence of the above indications and in the absence of contraindications.

What is the procedure for rehabilitation in a sanatorium

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

  • reflexology, physiotherapy and a course of healing massages;
  • physiotherapy exercises;
  • diet food;
  • psychotherapy sessions.

This list may change depending on the conditions of the regional compulsory medical insurance program and the capabilities of the institution that provides the insured with a course of medical rehabilitation. In the last days of the patient's stay in the sanatorium according to compulsory medical insurance, an analysis of the effectiveness of the measures is carried out, and it is assessed whether the patient's condition has improved.

How to get a ticket to a sanatorium under the CHI program: step by step instructions

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

  1. Contact your doctor at the clinic at the place of residence, taking the CHI 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.
  2. When the insured is or has been in hospital, he will need a discharge summary confirming the diagnosis. In this case, it is enough to simply provide it to your therapist, and as a rule, there is no need to undergo an additional examination.
  3. Based on the examination, the attending physician issues a referral for medical selection for rehabilitation in a sanatorium.
  4. Then you need to wait for the consideration of the documents by the medical commission, according to which a conclusion is issued on the presence or absence of indications and contraindications for the course of treatment in a medical institution.
  5. Based on this conclusion, the patient turns to his therapist for help in order to obtain a tour. . Its validity period is 6 months.

When it comes to free treatment under the CHI system, the insured cannot choose the institution on his own. It all depends on what tickets are available at the time of issuing the referral. However

Documents for the commission

To successfully pass the medical commission, it is necessary to properly prepare, because the absence of any one document can be a reason for refusal. The following papers are submitted for consideration:

  • CHI insurance policy (copy);
  • civil passport or other identity card (copy);
  • referral from the attending physician;
  • an epicrisis from the hospital or the conclusion of a therapist and other narrow 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 a negative conclusion. The duration of treatment varies between 14-24 days.

On a note! After receiving a referral for treatment, the insured must receive from the therapist a sanatorium card with indications for the selection of a rehabilitation course for recovery. In a prophylactic institution, the procedures performed and the results of treatment will be entered here.

The main reasons for refusing treatment

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

Refusal to issue a referral for free rehabilitation under the MHI program can be obtained in the following cases:

  • in the presence of sexually transmitted diseases;
  • if necessary, urgent surgical treatment;
  • the impossibility of self-care;
  • oncological diseases;
  • disorders and disorders of the psyche;
  • the presence of alcohol or drug addiction;
  • serious violations of the heart rhythm, hypertension 3 tbsp.;
  • severe form of bronchial asthma;
  • the period of exacerbation of the disease or the postoperative period;
  • anemia, poor circulation;
  • the presence of any pathology that does not allow for wellness procedures.

If the insured believes that the refusal is unlawful, it is necessary to call the insurance company and clarify the nuances of providing free sanatorium treatment under compulsory medical insurance from its employees.

Program limitations you should be aware of

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

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

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

Considering that recovery is 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 recovery of the body 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 health in general.

The good news is that if you have a compulsory health insurance policy, you can do this for free. To do this, you need to get the conclusion of the medical commission and pre-examined for indications and contraindications. It should be noted that not only seriously ill patients, but also insured persons with widespread ailments, including children, have the right to undergo a course of treatment.

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

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State assistance for pensioners implies not only cash payments, but also a number of other services, including preferential vouchers to health-improving sanatoriums. According to the legislation of Russia, some categories of citizens who have gone on a well-deserved rest can receive free vouchers for treatment or recreation in the sanatorium complexes of the country.

Let us consider in more detail who is entitled to benefits for sanitary-resort services.

Who can get a free ticket to the sanatorium in 2020

The conditions for obtaining free vouchers are prescribed in article No. 6 1 of Law No. 178-FZ. As stated in this document, the following categories of pensioners can count on state assistance in organizing sanatorium treatment or rehabilitation:

  • participants and invalids of the Great Patriotic War;
  • employees of the penitentiary system (including retired and reserve citizens), employees of the Ministry of Internal Affairs and who participated in hostilities in international and local conflicts of the USSR or the Russian Federation;
  • military personnel of battalions and automobile troops who took part in the delivery of goods to Afghanistan from 1979 to 1989;
  • members of the families of the dead and the Second World War, as well as;
  • persons residing in Leningrad during the blockade (you must have an appropriate certificate and badge);
  • invalids.

Please note that free vouchers to the sanatorium rely only on non-working pensioners.

How to get a free ticket in 2020

The issues of registration of free vouchers to the sanatorium are dealt with by the Department of Social Protection of the Population. In order to express their desire to use this type of state assistance, a pensioner must contact the territorial office related to his place of residence. You should have the following set of documents with you:

  • application for granting a preferential voucher;
  • pensioner's ID;
  • passport;
  • a document confirming the right to a benefit;
  • medical certificate form 070 / y-04 (certificate is issued in the direction of the local therapist).

If a ticket is issued by a disabled person, the package of documents must be supplemented by the conclusion of a medical and social examination. This is necessary in order to exclude diseases in which sanitary-resort treatment is contraindicated. In addition, some regions of the Russian Federation oblige beneficiaries to present a certificate of the amount of pension provision.

In 2005, a system of monetization of benefits began to operate in Russia, therefore, in order to receive a ticket to a sanatorium, a pensioner will have to issue an official waiver of monetary compensation for this type of state support.

Within 20 days from the date of submission of the application and documents, a decision will be made to grant a ticket or to refuse to issue it. However, the direction to the sanatorium is not issued immediately, but in turn.

How often does the state provide pensioners with preferential vouchers?

According to the law "On State Social Assistance", you can use a free ticket to a sanatorium no more than once in two years. However, for disabled people and children with disabilities, this type of benefit is provided annually. If a person has special medical indications, a voucher can be provided to him on demand, that is, more often than once a year.

Fringe benefits

Together with the payment for sanatorium treatment, the state undertakes to pay for travel to the location of the sanatorium and back. Benefits apply to commuter and intercity rail travel.

Disabled people of the 1st group and disabled children can get a second free ticket to a sanatorium with a railway ticket for an accompanying person.

Preferential vouchers for military pensioners in 2020

According to the order of the Ministry of Defense No. 333 of March 15, 2011, military pensioners can once a year buy a ticket to a sanatorium belonging to the Ministry of Defense, paying 25% of its real cost. In this case, the family members of the beneficiary will have to pay 50% of the total cost of the tour. But please note that in this case, the term “family members” means the spouse of a military pensioner and children under the age of 18 (if the children of the beneficiary are full-time students, they can take advantage of a 50% discount up to 23 years).

The same vouchers are provided free of charge if the former military man belongs to one of the following categories:

  • Hero of the USSR and Russia;
  • Hero of Socialist Labor;
  • full cavalier of the Order of Glory;
  • full holder of the Order of Labor Glory.

For a quarter of the price, vouchers to departmental sanatoriums can also be purchased by widows of military pensioners - Heroes and holders of Glory and Labor Glory.

Tours and weekend excursions for pensioners in 2020

There are no provisions in the legislation providing for pension benefits for tourist trips. However, almost all domestic tour operators provide special discounts and programs for citizens who have gone on a well-deserved rest.

Most often, preferential vouchers apply to off-season holidays and accommodation in economy class hotels.

Also, state support does not apply to sightseeing cultural events. But, despite this, in every Russian region there are social programs for organizing weekend excursions for people who have gone out on. Depending on the decision of the local authorities, such vouchers are partially or fully paid from the city's funds.

To find out if there are such programs in your city, and what are the conditions for participating in them, contact the regional tourism development center.

How can a pensioner get a free (preferential) ticket to a sanatorium

Many pensioners believe that it is pointless to expect social assistance from the state. To some extent, we can agree with this.

However, quite often pensioners simply do not know their social rights and have no idea how to get this or that social benefit, even if it is due to them under current social legislation.

This also applies to the possibility of a pensioner receiving a free (preferential) voucher to a sanatorium.

Where can a pensioner apply for a free (preferential) voucher to a sanatorium.

    For these categories of pensioners, it is necessary to apply for a free ticket to a sanatorium to the Social Insurance Fund of the Russian Federation

    Regional budget finances full (free voucher) or partial (preferential voucher) payment for sanatorium treatment of any pensioners who need follow-up care after their stay in a hospital (may be provided during a stay in a hospital) at the place of registration of the pensioner.

    The list of diseases for which a free or preferential voucher is required, in this case, is determined by local social legislation in force within a particular region.

    Also, the regional budget pays for sanatorium and resort treatment of pensioners - recipients of pensions under the regional state pension provision.

    These categories of pensioners need to apply for a free (preferential) voucher to a sanatorium in regional bodies of social protection of the population.

    Power department finances payment for preferential sanatorium-and-spa treatment of military pensioners (pensioners of the Ministry of Defense of the Russian Federation, the Ministry of Internal Affairs, the Federal Security Service, etc.).

    It is necessary for military pensioners to apply for a free (preferential) voucher to a sanatorium in the relevant structures of these departments involved in sanatorium and resort provision for employees of their departments.

    Free or discounted voucher to the sanatorium

    Remember, if a pensioner receives a preferential ticket to a sanatorium through the Social Insurance Fund of the Russian Federation, then he will be fully paid for the ticket ( free ticket) for a period of 18-24 days.

    The fee includes a round-trip trip to a sanatorium located on the territory of the Russian Federation and accommodation in a sanatorium.

    When a pensioner receives a preferential voucher to a sanatorium through the regional bodies of social protection or through his own department that pays him a pension, the amount of payment and the procedure for financing a preferential voucher to a sanatorium is established separately for each region and department.

    Therefore, you must first contact your department or social protection authorities to clarify the details of paying for a ticket to a sanatorium.

    In which sanatorium can I get a free or reduced ticket

    You can only go to certain sanatoriums with free vouchers:

    • if the preferential voucher is financed at the expense of the Social Insurance Fund of the Russian Federation, then a pensioner can only go to a sanatorium with which the Social Insurance Fund of the Russian Federation has entered into an agreement. These sanatoriums are located in different resort regions of the country;

      if a pensioner needs aftercare after inpatient treatment, then he will be given a ticket to a local specialized sanatorium;

      employees and pensioners of departments and departments receive vouchers to sanatoriums assigned to these structures.

    In order for a pensioner to begin to arrange a ticket to a sanatorium, contact the structure through which the financing will be provided. Try to apply in advance, especially if you plan to go for treatment during the high season.

    Free vouchers to the sanatorium for preferential categories of pensioners

    Apply for a free ticket to the sanatorium can not any pensioner. Our legislators have established a very specific list preferential categories of pensioners to whom a ticket to the sanatorium is provided free of charge at the expense of the state.

    According to Art. 6.1 and 6.7 of the Federal Law of July 17, 1999 No. 178-FZ "On State Social Assistance" FREE spa treatment can be provided only 10 categories of pensioners - federal beneficiaries who are entitled to receive state social assistance in the form of a set of social services.

    Which categories of pensioners are provided with free vouchers to the sanatorium

      invalids of war;

      participants of the Great Patriotic War;

      combat veterans (specified in subparagraphs 1-4 of paragraph 1 of article 3 of the Federal Law of 12.01.1995 N 5-FZ "On Veterans");

      military personnel who served in military units, institutions, military educational institutions that were not part of the army in the period from June 22, 1941 to September 3, 1945 for at least 6 months;

      residents of besieged Leningrad;

      persons who worked in the Second World War at air defense facilities, local air defense, in the construction of defensive structures, naval bases, airfields and other military facilities within the rear borders of the active fronts, operating zones of the operating fleets, on the front-line sections of railways and roads, and also members of the crews of the ships of the transport fleet, interned at the beginning of the Second World War in the ports of other states;

      family members of war veterans who died (deceased), veterans of the Great Patriotic War and war veterans, family members of persons who died in the Great Patriotic War from among the personnel of the self-defense groups of the facility and emergency teams of the local air defense, as well as family members of the dead workers of hospitals and hospitals in the city of Leningrad;

      disabled people;

      disabled children;

      persons exposed to radiation as a result of the catastrophe at the Chernobyl nuclear power plant, as well as as a result of nuclear tests at the Semipalatinsk test site, and categories of citizens equated to them.

    you must refuse material compensation for this benefit, that is, if you also receive money for refusing this benefit, then it will be impossible to get a free ticket to a sanatorium.

Citizens residing in the city of Moscow can act as applicants:

Receiving a monthly cash payment from the federal budget, having the right to receive social services;

Non-working pensioners receiving monthly city cash payments at the expense of the budget of the city of Moscow;

Non-working pensioners (women over 55, men over 60) who do not belong to other privileged categories;

Citizens who have received damage to their health as a result of terrorist acts, who are not entitled to free sanatorium treatment for other reasons;

Spouse (wife) who was (was) on the day of death (death) in a registered marriage with the deceased (deceased) as a result of terrorist acts and who did not remarry (did not remarry), who does not have (does not have) the right to free sanatorium and resort treatment for other reasons;

Parents of those killed (deceased) as a result of terrorist acts, who are not entitled to free sanatorium treatment for other reasons;

Children under the age of 18 killed (deceased) as a result of terrorist acts, who are not entitled to free sanatorium-and-spa treatment on other grounds;

Persons awarded with the badge "Honorary Donor of Russia" or the badge "Honorary Donor of the USSR", who are not entitled to free spa treatment for other reasons.

List of required documents:

An identity document of the applicant;

A document confirming the place of residence in the city of Moscow;

Pension certificate or other document confirming the fact of receiving a pension or life maintenance (in case of receiving a pension not in the GU - the branch of the Pension Fund of the Russian Federation in Moscow and the Moscow Region);

A document on the right to a benefit or a document confirming the inclusion in the preferential categories specified in paragraphs 4–8 (if the document has not previously been submitted to the social protection authorities of the city of Moscow);

Medical certificate in the form No. 070 / y-04 on the need for sanatorium treatment;

Certificate (information) on non-receipt of a monthly cash payment from the federal budget in case of receiving a pension not in the State Institution - the branch of the Pension Fund of the Russian Federation in Moscow and the Moscow Region (for the applicants specified in paragraph 1);

Employment book (for applicants specified in paragraphs 2, 3);

A document confirming the change of full name in case of discrepancy F.I.O. in the documents specified in paragraphs 1-7 (if the document was issued by the registry office outside of Moscow or in Moscow before 1990).

Terms of service - 1 business day.

If scanned copies of documents are attached to the application, then you need to submit the original documents within 2 working days from the date of registration of your application with the social protection authorities (with the exception of a certificate for obtaining a ticket in the form No. institution) to the department of social protection of the population, to which your application will be sent.

How to find the service "Application for registration of citizens of preferential categories for obtaining a free sanatorium-resort voucher" on the portal of public services in Moscow?

1. Log in to the portal. To do this, in the address bar of the browser you need to specify the portal address mos.ru and go to the portal (press Enter):

2. In the list of services, select the section "Health, medicine":

3. Select "Other services" - "Sanatoriums" - "Register for a free spa voucher":


Step 1. Applicant details

In the "Personal Data" block, some of the information is automatically filled in from the "Personal Account" (last name, first name, patronymic). In the "Gender" field, you must specify one of the proposed options: "Male" or "Female", if the field is not filled in your account. The Date of Birth field can be filled in manually or by selecting a date from the interactive calendar if the field is not filled in in the Personal Account. The fields "E-mail" and "Phone" are filled in manually if the information is not available in the "Personal Account".

Next, you must specify the address of registration of the applicant (according to the passport). To do this, in the "Street" field, enter several letters of the street name. Select the desired street from the drop-down list. In the "House" field, select a number from the list provided. In the "Apartment" field, enter the number of the apartment. The fields "County" and "District" will be filled in automatically.

In the "Document proving the identity of the applicant" block, you must select the type of document and specify its attributes. All fields in this block are required. In the "Select from saved" field, it is possible to select passport data entered and saved in the "Personal Account". In this case, the data on the passport of the Russian Federation will be substituted on the form automatically from the previously entered ones. When choosing another document, the data in the fields is entered manually. The "Date of issue" field is filled in using an interactive calendar or manually.

If you are registered with the social security authorities, then you must indicate the actual address specified during registration. To do this, in the "Street" field, enter several letters of the street name. Select the desired street from the drop-down list. In the "House" field, select a number from the list provided. In the "Apartment" field, enter the number of the apartment. The fields "County" and "District" will be filled in automatically.

If the registration address matches the actual one, you can check the box "Copy the registration address (according to the passport)". The fields will be filled in automatically with the data entered earlier.

In the "Select the category of the applicant" block, indicate the category from the proposed list of options. To do this, check the box next to the desired category. When choosing “I receive a monthly cash payment (UDV) from the federal budget as a federal beneficiary”, you must confirm that you are entitled to receive free sanatorium treatment as part of a set of social services by using the checkbox next to the corresponding field. The service cannot be provided if there is no right to receive free sanatorium treatment as part of a set of social services.

In case of receipt of the EDV in the departmental pension department or other department of the Pension Fund of the Russian Federation, it is necessary to attach a scanned copy of the certificate of the right to receive social services for sanatorium-and-spa treatment, provided for in clause 1.1 of part 1 of article 6.2 of the Federal Law of July 17, 1999 No. 178- Federal Law "On State Social Assistance".

In the "Select one of the categories" block, select a category from the proposed list of options. To do this, check the box next to the desired category.

To proceed to step 2 "Applicant Documents", click the "Continue" button.

Step 2. Documents of the applicant

At this stage, you must indicate whether you are a pensioner of the Pension Fund of the Russian Federation branch for the city of Moscow and the Moscow Region by selecting the options "Yes" or "No".

If it is confirmed that you are a pensioner of the branch of the Pension Fund of the Russian Federation in the city of Moscow and the Moscow Region, then you need to indicate the name of the territorial unit of the Pension Fund of the Russian Federation that pays the pension.

If it is not confirmed that you are a pensioner of the Pension Fund of the Russian Federation branch for the city of Moscow and the Moscow Region, then you need to attach a scanned document in the field “Pension certificate or other document confirming the fact of receiving a pension or life maintenance”.

In the “Document on the right to a benefit” block, it is necessary to indicate whether the document was issued by the social protection authorities of the population of the city of Moscow or was previously provided to the social protection authorities of the population of the city of Moscow by selecting the options “Yes” or “No”.

If it is not confirmed that the document was issued by the social protection authorities of the city of Moscow, and has not previously been submitted to the social protection authorities of the city of Moscow, then you need to attach a scanned copy of the document.

In the "Identification Document" block, you must specify its attributes; if the child's birth certificate was issued outside the city of Moscow, you need to attach a scanned document "Birth Certificate". All fields in this block are required. The data in the fields is entered manually. The "Date of issue" field is filled in using an interactive calendar or manually. In the future, the original of this document must be submitted to the USZN of the city of Moscow, from which a notification was received that your application was accepted for consideration.

When choosing the category “Citizens who received damage to their health as a result of terrorist acts, who are not entitled to free sanatorium-resort treatment for other reasons” or “Members of the family of the victims (deceased) as a result of terrorist acts, who are not entitled to free sanatorium-resort treatment for other grounds” You need to attach a scanned copy of the document “A copy of the conclusion of the Bureau of Forensic Medical Examination or a copy of the decision on recognition as a victim in a criminal case initiated on the grounds of crimes under Article 205 of the Criminal Code of the Russian Federation”.

When choosing the category “Members of the family of those killed (deceased) as a result of terrorist acts who are not entitled to free sanatorium treatment for other reasons”, you need to fill in the data “Certificates of the death of the deceased (deceased) as a result of a terrorist act”. The fields "Date of birth" and "Date of death" are filled in using the interactive calendar or manually. If the death certificate was issued outside the city of Moscow or in Moscow before 1991, a scanned document must be attached. In the future, the original of this document must be submitted to the USZN of the city of Moscow, from which a notification was received that your application was accepted for consideration. Next, you must specify the details of the marriage certificate issued in the city of Moscow after 1990. If the document confirming family relations with the deceased (deceased) is not a marriage certificate, then it is necessary to attach a scanned copy of the birth certificate or other documents confirming the relationship or property.

Next, you must specify the details of the certificate for obtaining a voucher in the form No. 070 / y, issued by a medical institution at the place of residence. If the certificate is issued by a medical institution not at the place of residence, then an additional certificate of service in this medical institution must be submitted.

In the block "Other documents provided at the request of the applicant" you can attach scanned documents. If you need to attach multiple documents, use the Add Document button.

If for any reason you do not agree, the service will not be provided.

To apply, click the "Submit" button.

You can view the status of the submitted application in the "Personal Account".

HOW TO TREAT IN THE SANATORIUM FOR FREE

Many do not know that now everyone who works under employment contracts has such a benefit.

(“Komsomolskaya Pravda” 07/01/2009)

Anna DOBRUKHA

However, only with certain diseases.

ULCERS AND CORE, FOR REHABILITATION!

So, the first condition necessary for obtaining a free ticket to a sanatorium: you need to be insured in the system of compulsory social insurance (because it is at the expense of social insurance that sanatorium treatment is paid). Everyone who works under employment contracts, both open-ended and concluded for limited periods (in practice, these are most often one-year contracts), is considered insured.

The second important condition: today only those workers who have suffered certain illnesses (operations) and need aftercare and (or) rehabilitation are sent to sanatoriums free of charge. The list of diseases and operations, after which free sanatorium vouchers rely, is as follows:

operations on the heart and main vessels,

acute myocardial infarction,

operations for gastric ulcer, duodenal ulcer, pancreatitis (pancreonecrosis),

gallbladder removal,

orthopedic, traumatological operations for defects and malformations of the spine, joint plastics,

endoprosthesis and re-endoprosthetics, limb replantation,

acute violation of cerebral circulation,

treated unstable angina,

treated diseases of pregnant women at risk,

treated diabetes mellitus.

WHILE YOU ARE IN THE HOSPITAL, HOSPITAL PAY OFF

The decision on referral to a sanatorium is made by the medical commission of the medical institution (hospital, hospital, etc.) in which the patient is being treated or operated on for the relevant diseases (see above). Since all survey data is already available here, no additional documents need to be collected independently.

The ticket is issued for up to 24 days. It includes the cost of living, food, and the necessary set of procedures for treatment and rehabilitation.

As for travel expenses, patients who have undergone operations on the digestive organs, diabetics and pregnant women travel to and from the sanatorium at their own expense. But all other groups of patients are entitled to free transportation by ambulance, accompanied by a medical worker.

Before going to a sanatorium, a patient in a medical institution (hospital, hospital, etc.) must be given:

certificate of incapacity for work (note: for the entire time you stay in a sanatorium at work, you will have to pay "sick leave"!),

a sanatorium card with a detailed description of the examination carried out in the hospital, treatment and recommendations for further treatment in the sanatorium,

an extract from the medical history.

WHAT IS FUTURE MOTHER REQUIRED

Free vouchers rely on pregnant women at risk. The order of the Ministry of Health and Social Development (see "Important!") specifies that expectant mothers can be sent for sanatorium aftercare and rehabilitation in the following cases:

with malformations of the uterus in uncomplicated pregnancy;

with concomitant uterine myoma without signs of malnutrition of myomatous nodes;

if necessary, continue treatment of placental insufficiency;

in the presence of a full-fledged scar on the uterus with a gestational age of up to 23 weeks;

with anemia with hemoglobin not lower than 100 g / l without concomitant diseases;

with diseases of internal organs in the stage of stable remission;

with neurocirculatory dystonia;

with a history of miscarriage;

with a history of infertility;

in the presence of fetal hypotrophy in history;

during pregnancy of primiparas at the age of 28 years and older;

during pregnancy of young primiparas under the age of 18 years;

during pregnancy in terms of 12 - 30 weeks;

with a lack of body weight;

with hormonal disorders (hyperandrogenism, hypothyroidism, diabetes mellitus).

Please note: expectant mothers with such indications can be sent to sanatoriums for aftercare and rehabilitation only after treatment in a hospital, not earlier than 7-10 days from the moment of hospitalization.

At the same time, for pregnant women, in addition to general contraindications (see "Note"), additional conditions are provided when referral to a sanatorium is contraindicated. Vouchers are not issued if the expectant mother has:

bleeding,

the threat of premature termination of pregnancy,

placenta previa,

polyhydramnios or oligohydramnios,

signs of insolvency of the scar on the uterus during caesarean section in history,

malformations with a complicated course of pregnancy, neoplasms of the female genital organs,

extragenital diseases in the acute stage,

blood diseases,

exacerbation of sexually transmitted viral infections (herpes, cytomegaly, HIV / AIDS, hepatitis),
as well as some other diseases and symptoms (the full list is in the order of the Ministry of Health and Social Development).

ON A NOTE

For what diseases will not give a ticket

Direction to a sanatorium is contraindicated mainly in acute diseases, as well as in the exacerbation of certain chronic diseases.

The list of main contraindications for referral to sanatoriums for all groups of patients is as follows:

acute infectious and venereal diseases,

mental illness,

acute blood diseases

malignant tumors

acute renal or hepatic failure.

The rules and procedure for sending working citizens to sanatoriums for aftercare and rehabilitation are established by order of the Ministry of Health and Social Development of the Russian Federation dated January 27, 2006 No. 44 (last edition - dated November 21, 2008). See the full text of the order on our website.

If you think that your rights are being violated - the hospital refuses to issue a referral, the sanatorium is poorly fed, they require additional payment for procedures, etc., then you need to complain to the social insurance authorities (recall, it is the Social Insurance Fund that pays for vouchers). The coordinates of the territorial body of the Social Insurance Fund in your region can be found at the help desk or found on the website http://www.site/

QUESTION TO THE TOPIC

Is it possible to pay for the procedures, and then receive compensation?

Quite often, patients who do not know their rights or do not want to “go through the chains of command” pay for medical services on their own, including sanatorium aftercare. The question arises: is it possible then to collect the documents and receive compensation?

Unfortunately no. The legislation provides only for the issuance of free vouchers. Moreover, the patient can receive a ticket only directly at the medical institution IMMEDIATELY after the operation or course of treatment, after which a sanatorium follow-up treatment is necessary.