A working person during an illness requires a disability certificate. A medical organization must issue a sick leave in case of a child’s illness. How to get a sick leave at the clinic, the article will tell.
Who can go on sick leave
A sick leave certificate is issued to all citizens of the Russian Federation who have a medical insurance policy. When issuing a sick leave in a clinic, one of the following conditions must be met:
- the presence of an employment contract;
- the person is in the public service;
- injury or prolonged illness 30 days after dismissal;
- registration of IP;
- registration in the employment center;
- injury.
The sick leave should be given to the employer. During the days of illness, payment will be charged, which depends on the length of service of the employee. Also, sick leave is issued for pregnancy and childbirth.
The doctor issues a leaflet based on the patient's condition. A person cannot perform labor duties during a period of illness or becomes dangerous to others.
Employer Notice
After the sick leave is opened in the clinic, the employer should be warned. This rule is usually prescribed in the employment contract or in other documents. In case of illness, the child should also be reported to management.
If for some reason you do not warn the boss, then this will not entail the dismissal of the employee. But humanly should be reported on absence from work.
You can warn in person or by phone. This is best done in the morning so that you can reallocate the responsibilities of the absent employee. In serious condition, trauma, urgent hospitalization, relatives or, in extreme cases, a doctor can warn at work.
Step-by-step instructions for obtaining a sick leave
Step-by-step instructions allow you to understand how to open a sick leave in a clinic. To do this, you must consult a doctor. A surgeon will help with an injury; in an emergency, an ambulance is needed.
With a cold, you must make an appointment with the therapist, have a policy and a passport with you. For some diseases, you should call a doctor at home:
- heat;
- rash on the body;
- high pressure.
The procedure for issuing sick leave in the clinic:
- A certificate of disability is prescribed by the doctor on the day of treatment.
- If the patient himself came to the reception, then the sheet is issued in his hands.
- If the patient called the doctor to the house, then he will receive a certificate of incapacity for work when he arrives at the reception.
- During hospitalization in a hospital, the sick leave is handed over at discharge.
- A second appointment is prescribed after 5 days, the patient must bring sick leave.
- On the certificate of incapacity for work, it is necessary to check the completed data: company name, last name, first name, middle name, gender, date of issue.
- At the time of discharge, the sick-list must bear the stamp of the clinic and the seal.
- The patient must sign for receiving the document.
Employer Procedure
After receiving the sick leave in the clinic, it should be given to the accounting department of the enterprise. The actions of the employer will be as follows:
- The accountant checks the completed document. If errors are found, the sick leave is returned to the employee.
- After receiving hospital accounting, it determines what payments should be made. If the employee is arranged in several places, then sick leave payment is made for all enterprises.
- The allowance is accrued based on the average earnings of each employer. If the employee is arranged in one place, then the payment is charged one. Bookkeeping must charge the amount within 10 days.
- The payment of benefits takes place on the next payroll day. The employee is required to pay personal income tax with benefits, other contributions are not withheld.
- The accountant fills in the back of the sick-list. After accrual and payment of the allowance, it makes data about it.
- The first 3 days of sick leave are paid by the employer. The rest of the days the FSS reimburses the company. An employee receives money at the cash desk of the organization. The maternity benefit of the FSS fully compensates the employer.
To reimburse the costs of sick leave, the employer applies to the Social Insurance Fund. In this case, a package of documents should be prepared: a statement, calculation and a copy of the sick-list. FSS reimburses the company the amount within 10 days.
Who issues the sick leave
Knowing how to get a sick leave at the clinic, you should know who has the right to issue a document. A state clinic or hospital can provide the patient with a disability certificate. Private hospitals issue a document with a license issued by the state.
Ambulance issue sick leave has no right. If the insured event occurs unexpectedly, you will still have to consult a doctor who decides to issue a certificate of incapacity for work.
A blood transfusion station does not give sick leave to donors. In this case, a certificate is possible to provide it to work. In difficult cases, the dentist has the right to open a sick leave. In small towns, this can be done by a paramedic or a responsible healthcare provider.
How to open a sick leave in a clinic if treatment takes place in a sanatorium? If you have a doctor’s referral, you can get a ticket to the sanatorium. A disability certificate will be issued for the entire period of treatment, including round-trip travel. After completing the course, the attending physician must provide a ticket, an extract and a spa card.
Hospital registration
The procedure for issuing sick leave in a clinic differs from the procedure in a hospital. The head nurse is responsible for the paperwork. A patient is not given a patient’s hands. The finished document is stored in the hospital until the patient is discharged.
If after a hospital a person can begin to work, then the disability sheet is closed and issued to the patient. Sometimes it happens that a person after a hospital is treated as an outpatient. In this case, the sick leave should be referred to the attending physician for extension. After the sheet is completely closed, the document is submitted for work.
Dates of registration of sick leave
Regardless of how the sick leave opens at the clinic, the doctor can write a document for 5 days. The patient must strictly adhere to the terms of visiting a doctor, otherwise the sick-list can be closed for violation of the regulations.
If there is no improvement in 5 days, then the sheet is extended for another 5 days. In some cases, an extension is possible immediately for 10 days. This rule applies to surgical or neurological diseases. In severe condition, the extension reaches 30 days.
A patient with tuberculosis after a complex operation can be extended for a period of one year. If the disease lasts more than 10 days, then the decision on the extension is made by the medical commission.
Features of obtaining sick leave in a private clinic
How to get sick leave in a clinic, if it is private? The scheme is the same:
- should consult a doctor;
- talk about the reasons;
- the doctor will write a certificate of disability.
Before admission, you should make sure that the clinic has a license and the right to issue documents to patients. Hospital forms are subject to strict reporting, so the very availability of free copies suggests that the clinic has the right to do so.
In a private clinic you have to pay for the services provided. The cost of visiting a doctor depends on the category of specialist and the range of services provided. Reception is by appointment, so you don’t have to waste your time in the queues. The patient has the right to choose where to be treated and receive a disability certificate. The employer is obliged to accept the document, regardless of which clinic issued the sheet.
Hospital out of place of residence
How to get a sick leave in a clinic, which is not registered? The medical insurance policy is valid throughout the Russian Federation. Registration does not matter. In order not to cause problems, you should attach in advance to the clinic that is closer to the place of stay.
To do this, you need to apply to the head doctor and provide the data. After that, a card is started in the registry and you can get a ticket to visit a doctor. The sick-list will be discharged regardless of the place of registration.
If the disease catches up on vacation or a business trip, then attaching to the clinic is not necessary. Upon presentation of the policy and passport, all types of medical services specified in the MHI policy will be provided free of charge.
In this case, there will be no problems with getting sick leave, but it is necessary to close the document in the same place where it was opened. It will not work to leave with an open hospital - they will not pay for it.
Issuance of sick leave to a student
The student is not a working person, how to get a sick leave in the clinic of a student? The student does not need such a document. It is enough to provide a certificate of illness to an educational institution in order to avoid absenteeism and subsequent reprimands.
Sick leave is required for working students, if they are issued under an official employment contract. In this case, the employer pays deductions and the student can count on the payment of benefits.
If the employment contract is not executed, then there is no need for sick leave.
An exception to the rule is the payment of sick leave to a maternity student. In this case, a disability certificate is issued at the educational institution and provided to the accounting department. This opportunity can be used by students of the budget form of education. FSS will fully reimburse the costs.
Students will be paid on a paid basis from the fund of the institution itself.
What to do in case of failure
Under what circumstances and how to get a sick leave at the clinic:
- pregnancy;
- ECO;
- abortion;
- disease;
- injury;
- caring for a sick child or other family member;
- official quarantine in kindergarten;
- treatment in a hospital or sanatorium.
In some cases, the doctor may refuse to issue a sick leave:
- chronic disease without exacerbation;
- arrest;
- passing medical examination;
- patient simulation.
Regardless of how the sick leave is issued in the clinic, they can not refuse because of the lack of registration or binding to this clinic. In this case, you must call the insurance company that issued the medical policy and report what happened.
If the doctor does not issue a sick leave, claiming that the patient is absolutely healthy, then you can try changing the doctor or contact a paid clinic.
If you disagree with the actions of the doctor, you should contact the Ministry of Health by sending a registered letter with documents and a statement.