There are situations when money for an operation is urgently needed, a person’s life may depend on this. And often there are not enough funds. And it so 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.
Quota concept
It is a money transfer that goes to cover the costs of the operation, if the patient needs it. A list of diseases has been compiled, approved by the Ministry of Health and Social Development of Russia, the operation for which can be paid for with a quota. Taking into account the fact that the number of allocated quotas is increased annually, 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 treatment can be obtained by quota
What can be done by quota:
- manipulations performed on the heart;
- transplantation of various organs;
- neurosurgical operations;
- joint replacement;
- therapy of inherited diseases;
- leukemia therapy;
- treatment of complex forms of endocrine system pathologies;
- highly complex surgical operations.
For example, a quota for an 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 provided. In addition, every year the Ministry of Health and Social Development of the Russian Federation approves a list of medical centers in Moscow where you can get the necessary help with a quota. It also contains the number of indicators allocated to each institution, such as a 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 have time to collect the necessary papers.
The following is what documents for the operation quota are needed:
- identity documents;
- 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 by quota, then since 2015 it has been provided under the compulsory medical insurance policy. In practice, this means that free operations will be provided only where the citizen lives. Only with rare exceptions, the possibility of free treatment can be obtained in Moscow, for example, a quota for heart surgery.
We get a quota
Specialists of the Ministry of Health and Social Development claim that the citizens of the Russian Federation have the opportunity to free surgery thanks to the Health 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 in two ways:
1. Making the quota "from the bottom."
It is necessary:
- Come to the health department of the region of residence with a passport, social insurance policy, pension policy, and an extract from the medical card of the clinic in which the study was conducted. Also need copies of the main documents.
- Get your curator, who can be appointed from the employees of the department.
The request for the allocation of quotas is considered and then, with a positive decision, the patient is informed of the coupon number and the name of the clinic where he will be treated.
2. Registration of quotas "from above".
Based on his criteria, the patient himself determines the medical institution where he would like to receive help with a quota. Do not forget that paid medicine does not participate in this program and will not be able to perform a quota operation. In this institution, you need to consult with the necessary specialists, get an extract from your personal card and go through a committee that is going to specifically to decide whether to approve the quota or not. In the case of a positive answer, the received document will state that this particular institution can operate on a quota. There will also be a signature of the head physician and a seal. Next, with the documents received, you go to the Moscow Department of Health 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 the opportunity to choose a medical institution.
Commission passage
In order to get free help, the patient will have to go through several medical commissions:
- Go to the clinic by registration, where the doctor will conduct all the necessary studies. After the resolution issued by the first commission, he will write a direction. You must then go to the Health Department of your region with this direction signed by the chief physician of the clinic and an extract from the medical record with the conclusions that the patient needs a quota for surgery 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 issued a document by which he will be provided with free help. It will provide detailed information about the disease, all the results and results of the examinations.
- The third commission will need to go where the direction was written. The commission convened in this medical institution determines the correctness of the referral to this particular 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, over a longing wait, ask this question. Since, in general, the final decision is stretched for a long time, although the decision to register 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 ending. If you need it, you can contact the Moscow Department of Health and request information on the availability of quotas in all medical institutions.
If there are still no quotas, you can queue for them. If the situation is acute, and the operation must be carried out as soon as possible, for example, an eye surgery quota is extremely important for you, you can conduct it for money, but then return these funds through the Ministry of Health, presenting all the necessary documents.
Besides the fact that quotas can end, there are often cases when there are no places in a particular clinic. For example, the patient needs a joint replacement, the expectation is still acceptable, but if it is a question of removing the tumor and there is simply no time, standing in line is unacceptable. Unfortunately, the assistance system is designed 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 fuss by writing to the media.
Often in clinics where patients are referred by quota, there are additional payments. For example, a patient who needs a bone marrow transplant must pay for a donor search in foreign registries. Money for this is not included in any budget. In other words, the quota operation 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 has no strength for an additional fight, except with the disease. It is also scary to spoil relations with doctors who will operate. Here you can only advise you to write letters, complaints to various authorities with requests to deal with additional payments. Perhaps a colossal flow of correspondence will help officials take a different look at the problem and change it.
Conclusion
The number of allocated quotas for the implementation of 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 quickly receive the necessary help, it is better to turn to paid clinics for help. And only then try to return the funds, standing in line for processing quotas for the operation.