Obtaining a sanatorium and resort voucher for the disabled. A set of social services for the disabled and other benefits

Article 29

Disabled people and disabled children have the right to sanatorium and resort treatment in accordance with an individual program for the rehabilitation of a disabled person on preferential terms. Disabled people of group I and disabled children in need of sanatorium and resort treatment are entitled to receive a second voucher for the person accompanying them on the same conditions.
Non-working disabled people, including those in stationary institutions social services, sanatorium and resort vouchers are issued free of charge by authorities social protection population.
Working invalids are provided with sanatorium and resort vouchers at the place of work on preferential terms at the expense of social insurance funds.
For persons who become disabled due to accidents at work or occupational diseases, the costs of sanatorium and resort treatment, including vacation pay for the entire period of treatment and travel, the cost of travel for the disabled person and the person accompanying him to the place of treatment and back, their accommodation and food, are paid for account of compulsory social insurance against industrial accidents and occupational diseases.


2.2. Fundamentals of the legislation of the Russian Federation on the protection of the health of citizens dated July 22, 1993 No. 5487-1

Article 26

Elderly citizens, on the basis of a medical report, have the right to sanatorium treatment and rehabilitation free of charge or on preferential terms at the expense of social insurance funds, social protection authorities and at the expense of enterprises, institutions and organizations with their consent.

Article 28

Citizens affected by emergency are entitled to receive free medical care, sanatorium-resort and rehabilitation treatment, carrying out hygienic and anti-epidemic measures to overcome the consequences of an emergency and reduce the risk to their life and health.

Citizens of the Russian Federation living in areas recognized as environmentally unfavorable in the manner prescribed by law are guaranteed free medical care, medical genetic and other consultations and examinations upon marriage, as well as sanatorium-resort and rehabilitation treatment, provision of medicines, immunobiological preparations and products medical purpose on preferential terms.

Citizens injured during the rescue of people and the provision of medical care in an emergency are guaranteed free treatment, including sanatorium treatment, and all types of rehabilitation, as well as material compensation in the manner prescribed by the legislation of the Russian Federation.


2.3. The procedure for the appointment and payment of certain categories of disabled veterans of monetary compensation for the costs of sanatorium treatment (approved by Decree of the Government of the Russian Federation of July 10, 1995 No. 701)

1. This Procedure, in accordance with the Federal Law "On Veterans", determines the conditions for the appointment, payment and sources of financing of monetary compensation for the costs of sanatorium and resort treatment instead of vouchers to a sanatorium - resort organizations, at the request of a disabled person (hereinafter referred to as - financial compensation for sanatorium treatment).

2. Cash compensation for sanatorium and resort treatment, if available medical indications paid:

Disabled Great Patriotic War and disabled combatants in the territories of other states;
- participants of the Great Patriotic War who became disabled due to common disease, labor injury and other causes, with the exception of persons whose disability has occurred as a result of their unlawful actions;
- military personnel and persons of private and commanding staff of internal affairs bodies who became disabled due to injury, concussion, injury received in the performance of military service duties (official duties).

Monetary compensation for sanatorium - resort treatment can be paid to disabled people who have medical contraindications for sanatorium - resort treatment.

3. The payment of monetary compensation for sanatorium-resort treatment to disabled people whose pensions are paid by the social protection authorities of the population is carried out at the expense of the budgets of the constituent entities of the Russian Federation.

These expenses are taken into account in the mutual settlements of the federal budget and the budgets of the constituent entities of the Russian Federation and have a designated purpose.

Payment of monetary compensation for sanatorium and resort treatment to disabled people whose pensions are paid by the Ministry of Defense of the Russian Federation, the Ministry of Internal Affairs of the Russian Federation, other ministries and departments of the Russian Federation, in which the law provides military service, is carried out at the expense and within the limits of funds allocated from the federal budget to the indicated ministries and departments.

The amount of monetary compensation for sanatorium and resort treatment is established by the constituent entities of the Russian Federation, taking into account this Procedure, but not less than 4 times the minimum old-age pension, and from January 1, 2002, not less than 741 rubles 28 kopecks. When changing (indexing) the amount of the basic part of the old-age labor pension, established by paragraph 1 of Article 14 of the Federal Law "On Labor Pensions in the Russian Federation", the amount of monetary compensation for expenses for sanatorium and resort treatment is increased within the same time frame by multiplying it by the growth index the size of the basic part of the old-age labor pension.

4. The decision on the appointment of monetary compensation to disabled people for sanatorium-resort treatment is made by the bodies that assigned them a pension, on the basis of an application, a certificate for obtaining a voucher issued by a state or municipal health institution, and other documents for registering persons who received and did not receive vouchers for previous two calendar years, as of January 1 of the current year.

5. In order to receive monetary compensation for sanatorium and resort treatment, working disabled people must submit to the authorities that assigned the pension a certificate from the place of work on non-use of the right to receive a ticket to a sanatorium or rest home signed by the head of the enterprise and the chief accountant.

6. Disabled people in stationary institutions social services, the specified monetary compensation is paid on a general basis.

7. Monetary compensation for sanatorium - resort treatment is paid as a lump sum once every 2 years.

For persons recognized as disabled for the first time, monetary compensation for sanatorium and resort treatment is paid after 2 calendar years, including a year establishment of disability if they did not use vouchers to a sanatorium or rest home during this period.

8. Monetary compensation for sanatorium-and-spa treatment shall be paid during the first quarter of the year following two calendar years during which disabled persons entitled to the said compensation did not use vouchers to a sanatorium or a rest home.

9. Cash compensation for sanatorium-resort treatment is sent to the disabled by postal order or transferred to a savings bank of the Savings Bank of the Russian Federation system.

10. Assigned monetary compensation for sanatorium - resort treatment, not received by the disabled in a timely manner, is paid for the entire past time, but not more than three years before applying for it.

Monetary compensation for sanatorium - resort treatment, not received by disabled people due to the fault of the body appointing it, is paid for the past time without limitation by any period.

11. Assigned monetary compensation for sanatorium - resort treatment is not paid in the event of the death of a person who had the right to receive it.

12. Amounts of compensation for sanatorium - resort treatment, overpaid to a disabled person due to his abuse (submission of documents with knowingly incorrect information, etc.) may be withheld by decision of the bodies that assigned monetary compensation for sanatorium - resort treatment, in the manner prescribed the legislation of the Russian Federation.

13. Disputes over the appointment and payment of monetary compensation for sanatorium and resort treatment are resolved by higher authorities or the court in the manner prescribed by the legislation of the Russian Federation.

14. The procedure for recording and storing documents on the appointment and payment of monetary compensation for sanatorium and resort treatment is determined by the Ministry of Labor and Social Development of the Russian Federation and the Ministry of Finance of the Russian Federation in agreement with the interested ministries and departments.


2.4. Decree of the President of the Russian Federation dated October 2, 1992 No. 1157 "On additional measures state support for the disabled"

Citizens who are recognized as disabled of group I for the first time and have appropriate medical indications are provided for at least once during the first three years after the establishment of disability free ticket to a sanatorium - resort institution and tickets for travel to the place of treatment and back with a 50 percent discount.

This right is enjoyed by persons recognized as disabled of group I after the entry into force of this Decree.


2.5. Letter of the Committee for Social Protection of the Population of the Moscow Region dated October 10, 2002 No. 3.2-1895-ref.

In connection with the letter of the Ministry of Labor of Russia dated September 2, 2002 N 5940-AO about the shortcomings in the organization of the referral of disabled people to sanatorium and resort treatment, we inform you that in recent times there have been cases of people with disabilities arriving at health resorts subordinate to the Ministry of Labor of Russia with a request to share the vouchers issued by the social protection authorities of the population of the constituent entities of the Russian Federation in half with a wife, husband, children, and other persons who arrived together.

Sharing vouchers for disabled people with other persons leads to irregular loading of health resorts. At the same time, such shortened courses of sanatorium and resort treatment do not give a tangible and lasting rehabilitation effect. In addition, the stay in health resorts of persons accompanying disabled people (except for accompanying disabled people of group I) is not supported by the current legislation and leads to misuse of federal budget funds.

In connection with the above, when issuing vouchers to disabled people, we ask you to carry out explanatory work with them about the inadmissibility of arrivals at a sanatorium with other persons on the same voucher. For information, we inform you that the Ministry of Labor of Russia has indicated to the heads of sanatoriums the need to admit disabled people for treatment in strict accordance with the established requirements.

Sanatorium and resort treatment of disabled people is carried out by providing sanatorium and resort vouchers to sanatorium and resort organizations located on the territory of the Russian Federation and included in the corresponding list approved by the Ministry of Health and Social Development of the Russian Federation [see. order of the Ministry of Health and social development of the Russian Federation of October 11, 2010 No. 873n “On approval of the list of sanatorium and resort institutions to which vouchers for sanatorium and resort treatment of citizens entitled to receive state social assistance»].

This means that a disabled person cannot independently choose a sanatorium where he wants to undergo treatment: 1) in order to receive a ticket for free sanatorium treatment, a disabled person must first obtain a medical certificate in the form No. 070 from the attending physician (in a healthcare institution at the place of residence) /u-04 [See order of the Ministry of Health and Social Development of the Russian Federation dated November 22, 2004 No. 256 “On the procedure for medical selection and referral of patients for sanatorium treatment”]. Such a certificate is valid for six months from the date of its issue; 2) if there is a certificate for obtaining a ticket, the disabled person must apply with an appropriate application for granting sanatorium- resort voucher to the body authorized to issue such vouchers; 3) taking into account the availability of all necessary documents and indications for sanatorium-resort treatment, the body authorized to issue vouchers for sanatorium-resort treatment, in accordance with the established procedure, provides a disabled person with a voucher to a sanatorium (from the named list), corresponding to the disease profile of the disabled person.

Example: For a long time the issuance of vouchers for sanatorium treatment to citizens entitled to receive them in accordance with the Federal Law “On State Social Assistance” (including the disabled) was carried out by the FSS of the Russian Federation. Now these powers are gradually transferred to the regional level.

Min. healthy social development concludes appropriate agreements with regional administrations, they are supported by the order of the regional government, and after that the social protection services (social security - social security) deal with further issues.

In 2010, the FSS of the Russian Federation transferred its sanatorium duties to social security services in more than 15 regions. In these regions, an application for a voucher for sanatorium treatment is submitted to the social security authorities at the place of residence.

In regions that have not yet concluded agreements with the Ministry of Health and Social Development, vouchers for sanatorium and resort treatment, as before, are in charge of the FSS of the Russian Federation, respectively, an application for obtaining a voucher is submitted to the territorial (at the place of residence) branch of the FSS of the Russian Federation.

Since 2011, a limit has been set for the duration of sanatorium treatment provided to citizens in accordance with the Federal Law "On State Social Assistance": 1) according to general rule-- 18 days; 2) for disabled children - 21 days; 3) for disabled people with diseases and consequences of injuries of the spinal cord and brain - from 24 to 42 days.

Referral to sanatorium treatment is regulated by a number of by-laws. These are the Procedure for the provision of a set of social services to certain categories of citizens (approved by the Order of the Ministry of Health and Social Development of the Russian Federation dated December 29, 2004 No. 328) and the Procedure for medical selection and referral of patients for sanatorium treatment was approved by Order of the Ministry of Health and Social Development of the Russian Federation dated November 22, 2004 No. 256.

Based on the requirements of these regulations, the procedure for referral to sanatorium treatment consists of the following steps:

1. Medical selection and referral to sanatorium-resort treatment of citizens entitled to receive state social assistance in the form of a set of social services is carried out by the attending physician and the medical commission of the medical institution at the place of residence of the citizen (clause 1.2. Procedure for medical selection and referral patients for sanatorium treatment).

2. The attending physician determines the medical indications for sanatorium treatment and the absence of contraindications for its implementation. The medical commission of the medical institution, on the recommendation of the attending physician and the head of the department, issues a conclusion on the indications or contraindications for sanatorium treatment (clause 1.3. Procedure for medical selection and referral of patients for sanatorium treatment).

3. If there are medical indications and there are no contraindications for sanatorium-and-spa treatment, the patient is issued a certificate for obtaining a voucher in the form No. outpatient card. For the disabled, a certificate for obtaining a permit is issued on the basis of the conclusion of the medical commission of the medical institution. The validity of the certificate for obtaining a voucher is 6 months (clause 1.5. of the Procedure for Medical Selection and Referral of Patients to Sanatorium-Resort Treatment). Thus, citizens in the presence of medical indications and the absence of contraindications for sanatorium treatment receive a certificate in the medical institution at the place of residence for obtaining a permit in the form No. 070 / y-04. The certificate is of a preliminary informational nature and is submitted by a citizen along with an application for a voucher for sanatorium treatment at the place where the voucher was provided, where it is stored for three years.

4. If there is a certificate for obtaining a voucher, citizens apply for a sanatorium-resort voucher to executive bodies of the Social Insurance Fund of the Russian Federation (Clause 3.7. of the Procedure for Providing a Set of Social Services to Certain Categories of Citizens).

5. A branch of the Social Insurance Fund, no later than 10 days from the date of receipt of an application for a sanatorium-resort voucher and a certificate for obtaining a voucher, informs the citizen about the possibility of providing a sanatorium-resort voucher corresponding to the declared treatment profile, indicating the date of arrival (clause 3.8. Procedure providing a set of social services to certain categories of citizens).

6. The branch of the Social Insurance Fund in advance, but no later than 21 days before the date of arrival at the sanatorium-resort institution, issue sanatorium-resort vouchers to citizens in accordance with their applications and certificates for obtaining it (clause 3.9. Procedure for the provision of a set of social services certain categories of citizens).

7. Having received a voucher, a citizen is obliged not earlier than 2 months before the start of its validity to come to the attending physician who issued him a certificate for obtaining a voucher, in order to carry out the necessary additional examination. If the profile of the sanatorium-resort organization specified in the voucher corresponds to this recommendation earlier, the attending physician fills in and issues to the citizen health resort card according to the form No. 072 / y-04 established sample signed by him and the head of the department. The attending physician of the medical institution makes an appropriate entry about the issuance of a sanatorium-and-spa card in the medical record of an outpatient (in the case history when referring for aftercare) (clause 1.7. Procedure for medical selection and referral of patients for sanatorium-and-spa treatment). Thus, after receiving a sanatorium-resort voucher, but not earlier than 2 months before the start of its validity period, citizens are required to obtain a sanatorium-resort card at the medical institution that issued the certificate for obtaining a voucher.

8. Upon arrival at a sanatorium-resort institution, citizens present a sanatorium-resort voucher and a sanatorium-resort card (clause 3.11. of the Procedure for providing a set of social services to certain categories of citizens).

9. Documents confirming the receipt of sanatorium-resort treatment are a voucher voucher, which sanatorium-resort institutions are required to submit no later than 30 days after the end of sanatorium-resort treatment to the Social Insurance Fund of the Russian Federation or its executive bodies that issued the voucher, and the return coupon of the sanatorium-resort card, which the citizen submits to the medical institution that issued the sanatorium-resort card within the same time frame (clause 3.12. of the Procedure for the provision of a set of social services to certain categories of citizens)

Citizens who are recognized as disabled of group I for the first time and have appropriate medical indications are provided at least once during the first three years after the establishment of disability with a free ticket to a sanatorium and resort institution and tickets for travel to and from the place of treatment with a 50 percent discount. This right is enjoyed by persons recognized as disabled of group I after the entry into force of this Decree.

Sanatorium treatment of the disabled is a social service provided by the state at the expense of the regional budget.

Who is eligible for health care

Characteristics of the social service

The value of social benefits

beneficiary who has chronic illness, has the right to collect all Required documents and apply for individual treatment. An important point when issuing a referral, all the validity periods of the papers will be observed.

The rehabilitation program may include physiotherapy, massage, psychotherapy, manual exposure, physiotherapy exercises, mud therapy and reflexology.

Thus, a budget voucher gives the right to use free health services. Medical therapy, climatic conditions and special procedures significantly improve the health of persons with disabilities.

Additional service of the FSS RF

Since 2018, the FSS of the Russian Federation has launched a new social project, which allows you to receive an electronic ticket for simplified issuance of a railway ticket for travel to a place sanatorium treatment. The coupon itself is issued at the request of the beneficiary directly in the territorial divisions of the FSS of the Russian Federation at the place of residence.

Further, with such a coupon, you can either go directly to the railway ticket office and receive a ready-made railway ticket there upon presentation of your passport. Or issue an electronic ticket online through the Russian Railways website (www.rzd.ru), having previously registered there. in the latter case, everything can be done without leaving home.

All categories of beneficiaries who are entitled to free travel to the place of treatment on vouchers of the FSS of the Russian Federation and regional bodies will be able to use this service. executive power in the health sector. Provided that the beneficiary has not refused the package of social services in kind. Otherwise, he will be entitled only to monetary compensation of such NSO.

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Payments to disabled people of the 2nd group The amount of the pension for the 2nd group of disability in 2014 is 4323.74 rubles. EDV for group 2 2123.92 rubles. Travel concessions to public transport Unified social ticket Persons with disabilities enjoy benefits when traveling on certain types of transport. Free travel on all types of public transport (with the exception of taxis) and public transport (except, again, taxis) in countryside within administrative region at the place of residence is provided to people with visual impairments of groups I and II, who do not have two limbs or with paralysis of two limbs. This benefit for these categories of disabled people was provided by federal legislation. Today, all categories of disabled people enjoy the right to free travel on all types of urban transport in the city of Moscow. From January 1, 1997, this benefit, as well as the right to travel on all types of commuter public transport, except for taxis, is provided on the basis of federal legislation. Disabled people are provided with a 50% discount on the cost of travel on intercity lines of air, rail, river and road transport from October 1 to May 15 and once (round trip) at other times of the year. Disabled people of groups I and II are granted the right free travel once a year to the place of treatment and back, unless more favorable conditions are established by regional legislation. These benefits apply to a person accompanying a disabled person of group I. Benefits for drugs Preferential provision of drugs Who belongs to the category federal beneficiaries and is entitled to free medicines? According to the Decree of the Government of the Russian Federation of July 30, 1994 N 890 “On state support development of the medical industry and improving the provision of the population and health care facilities with medicines and medical products "benefits in the provision of medicines by prescription of doctors are for disabled people of group I and non-working people with disabilities of group II. This benefit is provided free of charge. Free of charge, a disabled person may also be granted the right to purchase dressings and certain medical products, but only if there is a conclusion ITU bureau the need to use these resources. Working invalids of group II and invalids Group III recognized as unemployed in accordance with the established procedure, have the right to purchase certain medicines and medical products with a 50% discount. Sanatorium-and-spa treatment Free provision of vouchers for sanatorium-and-spa treatment and rest homes is carried out by social protection authorities in respect of non-working disabled people. Vouchers for sanatorium treatment are provided in accordance with the conclusion of the medical institution. Separately, a decision was made to free provision citizens who are first recognized as disabled of the 1st group and have appropriate medical indications, vouchers for sanatorium treatment, which they are provided with at least once during the first three years after the establishment of disability, in addition, they have the right to purchase a ticket for travel to place of treatment and back with a 50% discount. This right is used by persons recognized as disabled of group I after the entry into force of the presidential decree of October 2, 1992. From January 1, 1997, the provision of sanatorium treatment to disabled people will be carried out according to the following rules: disabled people will enjoy the right to sanatorium-and-spa treatment in accordance with an individual rehabilitation program for a disabled person on preferential terms; disabled people of group I are also entitled to receive a second voucher for the person accompanying them on the same conditions; non-working disabled sanatorium and resort vouchers are issued free of charge by the social protection authorities of the population, including those who are in stationary social service institutions; working invalids are provided with sanatorium and resort vouchers at the place of work on preferential terms at the expense of social insurance funds. Cancellation of the social package Attention! It is especially important to note that only those disabled people who have not renounced the social package in favor of monetary compensation, which amounts to about 880 rubles a month, have the right to use benefits for the purchase of medicines and sanatorium-and-spa treatment. But, having abandoned the social package, which, in fact, includes vouchers to a sanatorium and medicines, a person with a disability no longer has the right to claim a benefit. In his case, cash-replacement benefits. Provision of TMR How disabled people can receive rehabilitation aids (TRM) free of charge medical institutions healthcare. Eye prostheses and hearing aids are manufactured by the medical industry and issued by medical institutions. The procedure for placing orders and issuing prosthetic and orthopedic products is regulated by the Instruction "On the procedure for providing the population with prosthetic and orthopedic products, vehicles and means that make life easier for the disabled", approved by order of the Ministry of Security of the RSFSR of February 15, 1991. For disabled people with a general disease who need it, limb prostheses are issued free of charge, and orthopedic shoes depending on the disability group and the complexity of such a product (complex and uncomplicated) - free of charge, at a discount or at full cost. The same instruction regulates the procedure for providing certain categories of disabled people with bandages and other products of the same nature, hearing aids, warranty periods for them and repair of these products. Decree of the Government of the Russian Federation of July 10, 1995 N 694 "On the sale of prosthetic and orthopedic products" establishes that current order free distribution of prosthetic and orthopedic products by enterprises and organizations of the Ministry of Social Protection to people with disabilities, children with disabilities and other categories of the population in accordance with the above instructions. The sale of prosthetic and orthopedic products in cash for the disabled, disabled children and other categories of the population (in excess of those issued free of charge in accordance with applicable law) is carried out at a 70% discount. In the manufacture of a complex prosthesis, the victim can be placed in the hospital of the prosthetic and orthopedic enterprise. In such cases, the victim, if he continues to work, is given temporary disability benefits according to sick leave for the entire stay in the hospital and for the time of travel to the hospital and back. The right to free dental prosthetics can be used by disabled workers of groups I and II. Benefits for training Disabled persons of groups I and II upon admission to a secondary vocational and higher professional state or municipal educational institution are entitled to out-of-competition admission in case of successful passing of entrance exams, if such training is not contraindicated by a medical certificate. Citizens from among the disabled, studying at the secondary or higher professional state or municipal educational institution, in without fail scholarship must be awarded. The need of such persons for additional support should also be taken into account by the trade union committee of students when allocating material and other assistance to persons from among the students. For disabled people who need special conditions to receive vocational education, special vocational educational institutions are created various types and types or relevant conditions in professional educational institutions general type. Vocational training and vocational education of persons with disabilities in special vocational educational institutions for persons with disabilities are carried out in accordance with state educational standards on the basis of educational programs adapted for the education of disabled people (Article 19 of the Federal Law "On the Social Protection of the Disabled in the Russian Federation"). State bodies educational authorities provide students with disabilities free of charge or on preferential terms with special teaching aids and literature, as well as provide them with the opportunity to use the services of sign language interpreters. Disabled students are entitled to: 1. Enrollment out of competition, subject to successful completion of entrance examinations (i.e. upon receipt of any positive grade) to state educational institutions of secondary vocational education and state and municipal educational institutions of higher professional education are accepted: children with disabilities, disabled people I and II groups, which, according to the conclusion federal agency medical and social expertise training in the relevant educational institutions is not contraindicated; citizens under the age of 20 who have only one disabled parent of group I, if the average per capita income of the family is below the subsistence level established in the corresponding subject of the Russian Federation (Article 16 of the Law of the Russian Federation of July 10, 1992 No. 3266-1 "On Education") . 2. Citizens of the Russian Federation have the right to repeatedly receive free vocational education in the direction public service employment, in case of loss of the opportunity to work by profession, specialty, in case of occupational disease and (or) disability (paragraph two of paragraph 7 of article 50 of the Law of the Russian Federation of July 10, 1992 No. 3266-1 "On Education"). Disabled students of groups I and II, orphans, as well as children left without parental care, the amount of the scholarship is increased by 50% (part 3 of Article 16 of the Federal Law of August 22, 1996 No. 125-FZ "On Higher and Postgraduate Vocational Education") .

Website for the disabled "Door to the World" http://doorinworld.ru/stati/invalidy-2-gruppy-pensii-lgoty

A set of social services for the disabled and other benefits

Disabled people have the right to receive a disability pension and receive a monthly cash payment (UDV), the amount of which depends on the disability group. Part of the UAH is paid in cash, and part is provided as a set of social services (“ social package”), which includes: additional free drug provision, provision of medical products, provision of vouchers for sanatorium treatment, free travel on suburban railway transport, as well as on intercity transport to and from the place of treatment.

The right to receive a UDV is provided for by the Federal Law of November 24, 1995 N 181-FZ "On the Social Protection of the Disabled in the Russian Federation", and the right to receive a set of social services for the disabled is guaranteed by the Federal Law of July 17, 1999 N 178-FZ "On state social assistance" .

It is allowed to replace a set of social services (social package) with money in whole or in part. However, it is better for a cancer patient not to refuse benefits in terms of drug provision, because. in case of refusal, he loses the right to free provision on prescriptions expensive medicines at the expense of the federal budget. You can restore your drug benefit from January 1 of the year following the year you applied for a renewal. That is, when applying for the renewal of benefits on March 1, 2014 (before October 1, 2014), the benefit will be renewed from January 1, 2015, and expensive anticancer drugs may be needed in 2014.

To prescribe and receive the monetary part of the UDV, as well as to register for receiving subsidized medicines, you must contact the territorial office of the Pension Fund at the place of residence (stay or actual residence). with a written application, passport, ITU certificate on the establishment of a group, SNILS, a work book.

Disabled people are also provided with a benefit in the form of a 50 percent payment for utilities, and in order to receive this benefit, they must contact the regional department of social protection of the population. Disabled people are entitled to a social ticket, free provision technical means rehabilitation, provision of annual leave of at least 30 calendar days working disabled people can take leave without saving wages up to 60 days in a calendar year, they are reduced working time, involvement in overtime work, work on weekends and at night only with the consent of the disabled person and provided that such work is not prohibited to him medical advice working disabled people of groups 1 and 2 have a reduced working time of no more than 35 hours per week.

The procedure for providing a set of all these social services to citizens was approved by Order of the Ministry of Health and Social Development of the Russian Federation dated December 29, 2004 No. 328. It indicates the procedure for: obtaining medicines, travel to the place of treatment, sanatorium treatment.

Medications

The set of social services provided to citizens with disabilities includes a social service in the form of providing necessary medicines and medical products in accordance with the standards of medical care according to doctor's prescriptions. To issue preferential prescriptions, a disabled person submits to the clinic at the place of residence a passport, a policy, a document confirming the right to receive a set of social services, a certificate issued by the Pension Fund of the Russian Federation. The attending physician of the polyclinic prescribes to the patient preferential prescriptions for medicines necessary for the treatment of the patient's diseases in accordance with the list medicines, approved by the Order of the Ministry of Health and Social Development of the Russian Federation of September 18, 2006 N 665.

Free transportation to the place of treatment and back

A disabled person has the right, for medical reasons, to free travel to the place of treatment and back to another city (to receive specialized treatment, receive advice, receive quota treatment within the framework of high-tech medical care). But for this right to be exercised, a number of conditions must be met. You need to get a referral for treatment, coupon No. 2, special travel documents, travel tickets. It happens in the following way. If a citizen has indications for treatment in a specialized medical institution in another city, the patient's attending physician, by decision of the medical commission of the medical facility, sends an extract from the medical history to the Ministry of Health of the Region. Based on the results of consideration of documents by the Ministry of Health of the region, a citizen is issued: “referral” for treatment in medical institution and "Talon N 2".

After receiving the referral and Coupon No. 2, the citizen applies to the territorial bodies of the FSS or to the social protection authorities (hereinafter referred to as the authorized bodies) to provide “special coupons” or “registered referrals” for the right to receive free travel documents. . A special coupon is intended for issuing a train ticket long distance, and a nominal direction - for issuing a free travel document for travel by air, water and road transport. By voucher or referral (depending on the type of transport), the patient receives a ticket at the carrier's box office, issued on the basis of documents certifying the right to free travel - a certificate confirming the fact of disability, a pension certificate), a certificate of appointment of a monthly cash payment issued by territorial body Pension Fund of the Russian Federation.

To go to the place of treatment, citizens have the right to use: - railway transport (trains and cars of all categories, with the exception of branded trains and luxury cars) (currently, you can use the branded train); air transport (economy class); water transport (third category); road transport (public). Travel to private clinics and own initiative not paid.

This procedure for sending citizens by the executive authorities of the subjects Russian Federation in the field of health care to the place of treatment in the presence of medical indications approved by the Order of the Ministry of Health and Social Development of the Russian Federation dated 5. 10. 2005. N 617.

Disabled people who have not abandoned social. package, also has the right to free travel to the place of sanatorium treatment. In this case, the citizen is provided with special coupons for the right free receipt travel documents - with a special coupon or a personalized direction at the same time as receiving a sanatorium-resort voucher from the authorized body.

Special coupons, registered directions are issued to a citizen in two copies (for registration of travel in the forward and reverse directions). Without following this procedure, the right of a disabled person to free travel cannot be realized, that is, it is impossible to purchase tickets on your own and demand compensation.

Travel around the city and region is based on travel tickets purchased at the box office for their sale on the basis of documents on the availability of benefits.

Travel allowance

Possible monetary compensation for travel, but also subject to a number of conditions stipulated by the issued in the region normative act Governments. In this connection, if you were not provided with a special ticket or a personalized referral for the right to provide free travel to the place of treatment or sanatorium treatment and back, call the authorized body (social protection of the population or FSS) and clarify the possibility of purchasing tickets with subsequent compensation . Usually, compensation is possible only if there are no government contracts with transport organizations that transport, among other things, people with disabilities. For reimbursement of expenses, a citizen submits to government agency social protection of the population at the place of residence application of the established form with the attachment of a passport, travel documents (original tickets) , Coupon No. 2 (original). The social protection institution submits the application with the attached documents to the authorized body to resolve the issue of reimbursement of expenses.

Reimbursement of expenses is carried out by the authorized body by transferring Money to the recipient's passbook or through the institutions of the Federal Postal Service, if such a method of receiving compensation is indicated in the recipient's application.

Spa treatment

According to the law preferential vouchers for sanatorium treatment are issued "in order to prevent major diseases." For example, a disabled person with heart disease vascular system without any problems can get a ticket to a sanatorium of the appropriate profile for the treatment of his underlying disease. But with oncology, sanatorium treatment is not provided and there are no sanatoriums of the appropriate profile for the treatment of oncology, or free vouchers are not provided there.

Doctors and VK LPU justify their refusal to issue a certificate for obtaining a ticket to a sanatorium by the fact that sanatorium-and-spa treatment is generally contraindicated in oncology. But the document, where it was directly stated that malignant neoplasms are in all cases a contraindication to sanatorium - spa treatment, namely Medical indications and contraindications for sanatorium treatment of adults and adolescents (except for tuberculosis patients) (approved by the Ministry of Health of the Russian Federation on December 22, 1999 N 99/227) - canceled. That is, a cancer patient can go for treatment to a sanatorium for the treatment of concomitant oncology diseases after certain period time after the end of treatment, the absence of relapses and contraindications.

The selection of patients for sanatorium-resort treatment is carried out by a polyclinic doctor at his place of residence on the basis of the Procedure for Medical Selection and Referral of Patients for Sanatorium-Resort Treatment (Order of the Ministry of Health and Social Development of the Russian Federation dated November 22, 2004 N 256).

The issuance of a voucher in the bodies of social protection of the population or in the department of the social insurance fund (hereinafter referred to as the authorized body) is preceded by the issuance by the doctor of the polyclinic of a certificate in the form N 070 / y-04, which can be obtained subject to two conditions: the presence of medical indications for the treatment of the disease and the absence of contraindications, determined by the patient's physician. A certificate for disabled people is issued on the basis of the conclusion of the medical commission of the polyclinic, and for patients without disabilities, a certificate is issued by the attending physician. In this connection, the attending physician and the medical commission of the health facility have the right not to issue a certificate, considering that in given period a cancer patient has contraindications and sanatorium-and-spa treatment can adversely affect his state of health. To prove the fact that there are no contraindications, the patient needs to take a certificate from the oncologist that sanatorium treatment is not contraindicated and present it to the doctor of the health facility, which may solve this problem. Oncologists in the certificate usually write that spa treatment is indicated in nearby spa facilities with a temperate climate. It is believed that patients after radical treatment for malignant neoplasms(surgical, radiant energy, chemotherapeutic complex) with a general satisfactory condition, no metastasis, normal peripheral blood can be sent only to local sanatoriums for restorative treatment.

In local sanatoriums or in the resorts of the climatic zone where the patient lives, treatment is possible at any time of the year, on southern resorts-in autumn-winter period. Cancer patients can be sent to sanatoriums in a hotter climatic zone for the treatment of concomitant diseases 5 years after the end of antitumor treatment, who do not have relapses, but even in this case the issue of the absence of contraindications is decided by the attending physician, the medical commission and the attending oncologist.

The question arises of how a certificate for a patient with cancer should be filled out so that the authorized bodies provide a ticket “in order to prevent the treatment of the underlying disease”, for example, for hypertension, to a sanatorium of the appropriate profile. It is necessary that in the certificate the doctor does not indicate oncology as the main disease, but indicates hypertension with the corresponding code for this disease. And he indicated oncology with a code for this disease as a concomitant disease. At the same time, the doctor indicates in the certificate contraindications for concomitant disease- oncology (for example, mud therapy, physiotherapy), so that these procedures are not carried out in the sanatorium. If the certificate is filled out in this way, then the social protection authorities (or the FSS) must provide a ticket to the cancer patient for the treatment of the underlying disease. When conducting sanatorium-and-spa treatment for oncological patients, the following are contraindicated: mud-, peat-, ozokerite-, paraffin therapy, internal and external use of radon, hydrogen sulfide, arsenic, nitrogen water, helio- and ultraviolet therapy, hot baths, high-frequency electrotherapy.

So, if there are medical indications and there are no contraindications for sanatorium-resort treatment, the patient in the medical facility is issued a certificate for obtaining a sanatorium-resort voucher, the validity of which is 6 months. With this certificate, before December 1 of the current year, you must contact the authorized body at the place of residence in order to write an application and join the queue. Out of turn tickets are not available. The authorized body, no later than 10 days from the date of receipt of the application for a voucher and a certificate for obtaining it, informs the citizen about the possibility of providing a voucher corresponding to the declared treatment profile, indicating the date of arrival. Vouchers are provided only in sanatoriums selected by the authorized body on a competitive basis, and not at the request of the patient. In the presence of an issued voucher, it is necessary to come to an appointment with the attending physician, who will fill out and issue a sanatorium card to the patient.

The right to receive sanatorium-and-spa treatment for disabled people does not depend on the presence of an entry about this in the IPR.

The validity period of the certificate submitted to the authorized body is 6 months, and during the period of waiting for the voucher, its period, as a rule, expires. In order to avoid refusal to provide a voucher due to the expiration of its term, after 6 months you need to take a new certificate to the health facility confirming the need for sanatorium treatment and submit it to the authorized body.