Compensation for Ypres. Compensation for self-purchased technical rehabilitation equipment (RTM). A visual scheme for obtaining IPR

The assignment of any disability group entitles the disabled person to receive free rehabilitation facilities. However, some citizens prefer to choose the rehabilitation means themselves, but even in this case they are entitled to compensation for the rehabilitation means purchased on their own in 2019.

What is the compensation for rehabilitation facilities

The list of rehabilitation facilities that are provided to disabled people free of charge does not include all types and models of products. Therefore, if a disabled person has acquired the means of rehabilitation he needs, it is possible that only a part of the costs of its purchase will be subject to compensation.

If the purchased product is less than the legal limit, the full value of the product will be compensated. Accordingly, if the technical means of rehabilitation was purchased for a large amount of money, only a part of the costs will be reimbursed in the amount established by law for this category of products.

The law approved the following reasonable prices for rehabilitation facilities for the disabled:

• 300-23,000 rubles on crutches, handrails, supports, tactile and support canes;
• 10-560 rubles on devices, special clothing and hygiene products for disabled people with impaired function of the excretory system;
• 15,000-125,000 rubles on chairs with sanitary equipment;
• 18,000-500,000 rubles for prostheses;
• 3,000-7,000 rubles on special orthopedic shoes;
• 15,000-125,000 rubles for wheelchairs;
• 10,000 rubles for a guide dog;
• 4,000-400,000 rubles on devices for vision, hearing, voice and control of objects;
• 700-10,000 rubles on mattresses against bedsores with pillows.

Prices for TSR under contracts of regional branches are given on the website of the Social Insurance Fund. You can see their cost by clicking on the ⇒ link.

What is the amount of compensation for rehabilitation funds?

The amount of compensation cannot exceed the established standards, but the following indicators will be taken into account when determining the final amount of reimbursement of expenses:

• the actual price of the rehabilitation facility or service (to be approved after the competition, auction or request for quotations at the place of registration of the disabled person);
• the cost of the TCP indicated in the receipt of its payment;
• conclusion from the medical and social expertise on the need for a personal rehabilitation program.

Where to apply for reimbursement of rehabilitation funds

If the disabled person has paid for the technical rehabilitation means he needs, he must act according to the following scheme in order to receive compensation for the costs:

1. Pay the full cost of the rehabilitation facility, keep the payment document.
2. Apply in person with an application and confirmation of payment for TSR to the territorial branch of the FSS or ask to submit documents from a legal representative who has a notarized power of attorney to represent the interests of a disabled person.
3. Wait for the decision of the specialists of the Social Insurance Fund. If the answer is yes, the money will be credited to the bank account no later than 30 days later.

What documents need to be submitted in order to be assigned compensation for rehabilitation facilities

In order for compensation for rehabilitation funds to be assigned, you need to prepare the following papers:

Legislative acts on the topic

Common Mistakes

Error: A prosthesis was purchased for the disabled person, and the family filed an application for compensation 2 years later. The family is not happy that the compensation was lower than the cost of the prosthesis for the year of submission of documents.

If a person with a disability has independently purchased a rehabilitation device prescribed by law, he may demand compensation in monetary terms for it. Today we will talk about how to get compensation and find out the amount of payment for rehabilitation funds.

Regulatory information on the amount of compensation for rehabilitation facilities

The most important document that does not interfere with reading if you are applying for compensation is Order No. 57 n dated January 31, 2011, issued by the Ministry of Health and Social Development of the Russian Federation. This regulatory document describes in detail the entire procedure for compensation payments. Today we are interested in the process of determining the size of the payment.

According to paragraph 3 of this document, the amount of payment is calculated as follows: the name of the product you purchased is compared with the name of the rehabilitation agent specified in the federal classification. This classification is contained in Order No. 214 n dated May 24, 2013, issued by the Ministry of Labor. Why can I skip reading this document? For compensation for technical equipment and prosthetic products, it is not particularly important for one simple reason: during the medical and social examination, the names of the products were entered into your rehabilitation card in accordance with this document. That is, the ITU Bureau has already followed up on the fact that the appropriate product is recommended to you.

Be careful! The name of the rehabilitation device you purchased must fully correspond to the entry in the individual rehabilitation and habilitation program in the column “Recommended technical means of rehabilitation and services”.

The second significant point in terms of the amount of compensation is directly calculating the amount of payment. Unfortunately, you will not receive the full price of the purchased product. Why is that? Five years ago, the state did not limit the amount of compensation, and people with disabilities could refuse state support and purchase better products for themselves, more convenient and comfortable, and, accordingly, more expensive. Someone approached this issue responsibly and really selected products for themselves that could help cope with the disease. Why not? Normal absorbency diapers, comfortable strollers, imported bandages. And someone, for example, some hearing impaired, could swing and buy a meter-long plasma, since its purchase did not contradict the entry in the card “TV with teletext”.

The federal budget allocated for these purposes was bursting at the seams. People refused state security, not wanting to save on technical equipment, since all costs were generously compensated. The Order of the Ministry of Health and Social Development, which we talked about, put an end to this process.

This document limited the amount of compensation for rehabilitation means to the cost of a similar product purchased under a government contract. Roughly speaking, for how much the Social Insurance Fund buys a prosthesis for a disabled person, it compensates for that much if the disabled person bought it on his own. That is, if you bought diapers at the nearest pharmacy for 50 rubles apiece, then you will be compensated for 27 rubles, products were purchased for this amount under public procurement. When determining the cost of the product, its size and technical features will be taken into account. All the same diapers for adults can have different sizes - from XS to XL. And you must buy exactly those that the doctors prescribed for you in the rehabilitation card. And employees of the fund or social services involved in the payment of compensation will correlate the cost of your size with the price under the contract in your region.

And that's not all, be patient. In the order 57n mentioned by us, in 2014, some changes were made regarding the determination of the amount of compensation. They are established by Order of the Ministry of Labor No. 77 n dated October 24, 2014. Currently the cost of the product is calculated according to the last contract fully executed by the customer and the supplier. That is, the Social Insurance Fund purchased hearing aids for the disabled, the delivery process was completed, all settlements with suppliers were made under the contract - and now we can take the cost of the delivered device as the basis for calculating compensation. It turns out that the prices of the last year are taken mainly for the calculation, since almost all state contracts are concluded for a period of a year and all calculations are completed on December 31. Moreover, the contract must be executed in full, that is, 100 percent. But often there are force majeure circumstances and contracts are terminated due to partial performance or non-performance by suppliers. As a result, the prices for calculating compensation will be the year before last.

Where to find the cost of technical means of rehabilitation to calculate the amount of compensation

All this is very difficult at first glance, but do not despair! Now you understand what prices are made up of. Now the matter remains small - you need to find them. The law requires executive bodies to place information for people with disabilities in publicly available sources. You can find the information you need on the global network on two main platforms: on the website of the Social Insurance Fund and on the website of the State Procurement. The Public Procurement resource has a rather complex structure, and we will talk about the search methodology in it in one of the following publications. For now, let's turn to publicly available information on the pages of the FSS website. We offer you a step-by-step guide to determining the amount of compensation for self-purchased technical rehabilitation equipment and prosthetic and orthopedic products:

Type in the search bar of any browser "Social Insurance Fund"And you will easily get to the main page. It looks like this:

In the left edge of the page, find the tab “Compensation for technical means of rehabilitation purchased by the disabled on their own”. You will see two similar tabs - one for the total number of disabled people, the other for those injured at work. We will talk about them separately.

On the page that opens, you will find two links - to the regulatory documentation, which we talked about above, and the prices you are looking for.

After you click on the selected region with the cursor, the system will prompt you to save or open the file with the price table. Remember that you must have Excel installed in order to use the spreadsheet. It is advisable to use the modern version of this program.

How to work with a table and find the information you need in it

The price table is for several years. To determine the current price for today, you need to set a filter in the first line. To do this, select a line by pressing the cursor on the ruler:

And then select the "Filter" tool in the list of tools. As a result, a triangular icon will appear in each cell of the desired row. We will use it for filtering.

Now select the rehabilitation tool you need in this line and check the box next to it. To simplify the selection, you can type in the name, for example, stroller, and you will be presented with a complete list of products with the word "carriage" in the name.

In the list you will see the cost of products under different contracts for technical means of rehabilitation in different years. To find out the current prices for today, you need to go to the last column, where the contract closing date is indicated. Use the method described above to select the most recent closing date.

Well, that's all - you will see the current price of the stroller for today and will be able to roughly calculate your costs, taking into account possible compensation for rehabilitation means.

Do not forget to match the name of the purchase, the entries in the rehabilitation / habilitation card and the data indicated in the table!

If you have any questions about determining compensation for self-acquired technical means of rehabilitation or have useful comments - write, I will answer everything!

Order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 N 57n "On approval of the procedure for paying compensation for a technical means of rehabilitation independently acquired by a disabled person and (or) a service provided, including the procedure for determining its size and the procedure for informing citizens about the amount of this compensation" ( with changes and additions)

Order of the Ministry of Health and Social Development of the Russian Federation
dated January 31, 2011 N 57n
"On approval of the Procedure for payment of compensation for a technical means of rehabilitation independently acquired by a disabled person and (or) a service provided, including the procedure for determining its amount and the procedure for informing citizens about the amount of this compensation"

With changes and additions from:

4. The amount of compensation is determined by the authorized body based on the results of the latest purchase of a technical means of rehabilitation and (or) provision of a service, information about which is posted on the official website of the Russian Federation on the Internet information and telecommunication network for posting information on placing orders for the supply of goods , performance of works, provision of services (www.zakupki.gov.ru), carried out by the authorized body in the manner established by the legislation of the Russian Federation on the contract system in the field of procurement of goods, works, services to meet state and municipal needs.

The last completed procedure for the procurement of a technical means of rehabilitation and (or) the provision of a service (a state contract concluded by the authorized body for the purchase of technical means of rehabilitation and (or) the provision of services, the obligations under which as of the date of submission by a disabled person or a person representing his interests, applications for reimbursement of expenses for the acquisition of a technical means of rehabilitation and (or) the provision of a service were executed by the parties to the contract in full).

In the event that the authorized body did not purchase technical means of rehabilitation and (or) the provision of services or the procedure for the procurement of technical means of rehabilitation and (or) the provision of services did not take place, the cost of the relevant technical means of rehabilitation and (or) services is determined based on the results of the most recent implementation procurement of technical means of rehabilitation and (or) provision of services, information about which is located on the official website of the Russian Federation in the information and telecommunication network "Internet" for placing information on placing orders for the supply of goods, performance of work, provision of services carried out by any other authorized body, located within the territory of the federal district, which includes the corresponding subject of the Russian Federation.

If the authorized bodies did not purchase technical means of rehabilitation and (or) provision of services on the territory of the federal district, which includes the relevant subject of the Russian Federation, or the procedure for the procurement of technical means of rehabilitation and (or) services did not take place, the cost of the corresponding technical means and (or) services are determined based on the results of the latest purchase of a technical means of rehabilitation and (or) services, information about which is located on the official website of the Russian Federation in the information and telecommunication network "Internet" for posting information on placing orders for the supply of goods, performance works, provision of services carried out by any authorized body located within the territory of the Russian Federation.

The authorized bodies may send a request for the latest purchase of a technical means of rehabilitation and (or) provision of services to the Social Insurance Fund of the Russian Federation.

The Social Insurance Fund of the Russian Federation, within 5 days from the date of receipt of the request of the authorized body, provides information on the latest purchase of a technical means of rehabilitation and (or) provision of services within the federal district, which includes the relevant subject of the Russian Federation, or within the territory Russian Federation.

Information on the results of the procurement of technical means of rehabilitation and (or) provision of services by the authorized body is also posted in the official information resources of the Social Insurance Fund of the Russian Federation and the authorized body on the Internet information and telecommunication network and must contain the following information:

type of technical means of rehabilitation in accordance with the classification of technical means of rehabilitation (products) within the framework of the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person, approved by order of the Government of the Russian Federation of December 30, 2005 N 2347-r, approved by order of the Ministry of Labor and social protection of the Russian Federation dated May 24, 2013 N 214n (registered by the Ministry of Justice of the Russian Federation on June 20, 2013 N 28858), purchased by the authorized body;

type of service in accordance with the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person, approved by Decree of the Government of the Russian Federation of December 30, 2005 N 2347-r (Collected Legislation of the Russian Federation, 2006, N 4, art. 453; 2010 , N 47, item 6186; 2013, N 12, item 1319; 2014, N 38, item 5096);

the cost of a specific type of technical means of rehabilitation and (or) services within the framework of a state contract concluded by the authorized body for the supply of technical means of rehabilitation and (or) the provision of services;

reference to the state contract concluded by the authorized body and executed by the parties in full for a specific type of technical means of rehabilitation and (or) services, included in the register of contracts, which is posted on the official website of the Russian Federation in the information and telecommunication network "Internet" for posting information on the placement orders for the supply of goods, performance of work, provision of services.

5. Compensation to a disabled person is paid on the basis of an application by the disabled person or a person representing his interests for reimbursement of expenses for the acquisition of a technical means of rehabilitation and (or) the provision of services and documents confirming the costs of independently acquiring a technical means of rehabilitation and (or) the provision of services by a disabled person at his own expense. account, as well as presenting them with the following documents:

identity document;

an individual rehabilitation program for a disabled person;

an insurance certificate of compulsory pension insurance containing the insurance number of an individual personal account (SNILS).

Payment of compensation to the disabled person is carried out by the authorized body within a month from the date of the adoption of the relevant decision by postal order or transfer of funds to an account opened by the disabled person in a credit institution.

6. The decision to pay compensation is made by the authorized body within 30 days from the date of acceptance by the authorized body of the application for payment of compensation.

7. The determination of the amount of compensation by the authorized body is carried out on the basis of an individual rehabilitation program for a disabled person, documents confirming the costs of acquiring a technical means of rehabilitation and (or) providing a service, the conclusion of a medical and technical examination (in relation to the provision of a service for repairing a technical means of rehabilitation), as well as the cost of a technical means of rehabilitation and (or) services to be provided to a disabled person, determined by the authorized body in the manner established by the legislation of the Russian Federation on the contract system in the field of procurement of technical means of rehabilitation and (or) services.

If the actual cost of the technical means of rehabilitation and (or) service is less than the amount of compensation determined based on the results of the last purchase of the technical means of rehabilitation and (or) provision of the service, compensation is paid based on the costs of the disabled person in accordance with the submitted documents confirming expenses for the acquisition of a technical means of rehabilitation and (or) payment for the rendered service.

8. The authorized body, at the request of citizens, provides information on the amount of compensation for independently acquired technical means of rehabilitation and (or) the service provided in accordance with the legislation of the Russian Federation on the procedure for considering applications from citizens of the Russian Federation.

_____________________________

* Taking into account the amendments made by the Federal Law of December 9, 2010 N 351-FZ "On Amending the Federal Law "On Veterans" and Articles 11 and 11.1 of the Federal Law "On the Social Protection of Disabled Persons in the Russian Federation", which comes into force since February 1, 2011

Disabled people are provided with technical means of rehabilitation and services at the expense of the federal budget. If this is not possible, or he himself paid for them, he is entitled to compensation. From February 1, 2011, its size is limited by the cost of funds (services) provided free of charge at the expense of the federal budget.

The procedure for calculating and paying compensation has been established. Expenses are reimbursed only for those funds (services) that are provided for by an individual rehabilitation program. Compensation is paid by the territorial bodies of the FSS of the Russian Federation or authorized regional authorities (in the case of transfer of such powers to them) at the place of residence of the disabled person.

The cost of the acquired product (service) is compensated, but not more than the price of a similar product (service) provided free of charge. It is determined based on the results of the last order placed by the authorized body for the supply of the specified means (rendering the service). If it was not held or did not take place, information about the last similar order in another region (within the boundaries of one federal district, and in their absence - within the country) is used. Information about the order is taken from the site http://www.zakupki.gov.ru.

The calculation of compensation includes the costs of paying for banking or postal services for transferring money.

If the amount of payment determined in this way is greater than the cost of the means (service) purchased by the disabled person, the actually incurred costs are compensated.

To receive compensation, a disabled person submits an application. It is accompanied by documents on the costs of acquiring funds (services). It is also necessary to present an identity card, an individual rehabilitation program and an insurance pension certificate. The decision on payment is made within 30 days. Money is transferred within a month.

Order of the Ministry of Health and Social Development of the Russian Federation of January 31, 2011 N 57n "On approval of the procedure for paying compensation for a technical means of rehabilitation independently acquired by a disabled person and (or) a service provided, including the procedure for determining its size and the procedure for informing citizens about the amount of this compensation"

The changes come into force 10 days after the day of the official publication of the said order.

A disabled person has the right to independently purchase a technical means of rehabilitation (TSR), a recommendation for which is available in the IPR. In the event that a disabled person has purchased a means of rehabilitation on his own or paid for the service, then he is paid monetary compensation (as a rule, in the amount of the costs incurred). Payment of compensation is carried out by the authorized body (currently - the territorial branch of the Social Insurance Fund).

The amount of compensation payments for self-acquired TMR (included in the IPR of a disabled person) may not always be 100%. Therefore, we recommend that before carrying out an independent purchase of TSR, check with your territorial branch of the Social Insurance Fund (FSS) the procedure and amount of compensation payments made for specific TSR. The FSS annually holds tenders with manufacturers of fuel and oil products and, based on the results of these tenders, concludes contracts for the supply of specific types of fuel and raw materials at fixed prices. And the FSS can pay compensation for the TSR purchased independently in the amount NOT MORE than the cost of a similar TMR under these tender agreements.

For example, a disabled person independently purchased crutches for 600 rubles. There is a record in the IRP about the need to provide him with crutches. And the FSS concluded an agreement with the manufacturer for the supply of crutches at a price of 400 rubles. In this situation, the FSS will be able to pay to the disabled person only these same 400 rubles as compensation.

The cost of specific types of technical means for the rehabilitation of a disabled person can be found on the website of the FSS (there you will need to find your region, since each regional branch of the FSS conducts tenders with manufacturers of TSR independently - therefore, prices for the same TSR in different regions of the Russian Federation may vary) .
Prices for technical means of rehabilitation under contracts of regional branches of the Social Insurance Fund

In the case of self-acquisition of TMR (in the presence of an “Individual Rehabilitation Program”), a disabled person has the right to receive monetary compensation for the acquired technical means of rehabilitation provided for by the “Individual Rehabilitation Program” (“On the procedure for providing disabled persons with technical means of rehabilitation and certain categories of citizens from among veterans with prostheses ( except for dentures), prosthetic and orthopedic products").

Compensation is paid only for self-acquired technical means of rehabilitation specified in the individual rehabilitation program and included in the Federal List of Rehabilitation Measures, Technical Means of Rehabilitation and Services Provided to a Disabled Person, approved by order

For more details, see: Order of the Ministry of Health and Social Development of Russia dated January 31, 2011 N 57n (as amended on October 24, 2014) "On approval of the procedure for paying compensation for a technical means of rehabilitation independently acquired by a disabled person and (or) a service provided, including the procedure for determining its amount and the procedure for informing citizens on the amount of said compensation.

Regarding compensation for self-acquired TMR - I also recommend that you read my commentary on

April 11, 2016, 21:29 , question #1216700 Olga, Moscow city

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Olga

Order
Ministry of Health and Social Development of Russia dated January 31, 2011 N 57n (as amended on October 24, 2014)

"On approval of the Procedure for payment of compensation for self-employed
a technical means of rehabilitation acquired by a disabled person and (or) provided
service, including the procedure for determining its amount and the procedure for informing citizens about the amount of this compensation”

Compensation is paid to a disabled person if the stipulated individual rehabilitation program of a disabled person, a technical means of rehabilitation and (or) a service cannot be provided to a disabled person or a disabled person independently purchased the indicated technical means of rehabilitation and (or) paid for the service at his own expense.

As you can see, there is a condition for having an individual rehabilitation program.

7. Determination of the amount of compensation by the authorized body
carried out on the basis of individual
rehabilitation programs for the disabled, documents confirming expenses
for the acquisition of a technical means of rehabilitation and (or) the provision of services,
conclusions of medical and technical expertise (in relation to the provision of services for
repair of technical means of rehabilitation), as well as the cost of technical
rehabilitation facilities and/or services to be provided
disabled person, determined by the authorized body in the manner prescribed
the legislation of the Russian Federation on the contract system in the field of procurement
technical means of rehabilitation and (or) services.

But nowhere is it indicated that these means of rehabilitation are acquired only after the preparation of an individual rehabilitation program.

Submit an application to the court to recognize such a refusal as illegal within three months!

Olga, good evening! According to Art. 10 of the Federal Law of November 24, 1995 N 181-FZ
"On social protection of disabled people in the Russian Federation"

The state guarantees the implementation of rehabilitation measures for the disabled,
receipt of technical means and services provided for by the federal
list rehabilitation measures, technical means of rehabilitation and
services provided to the disabled at the expense of the federal budget.
The federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person is approved by the Government of the Russian Federation.

Individual program of rehabilitation or habilitation of a disabled person contains both
rehabilitation measures, technical means of rehabilitation and
services provided to the disabled with fee exemption according
with the federal list rehabilitation measures, technical means of rehabilitation and services provided to a disabled person, as well as rehabilitation measures, technical means of rehabilitation and services, in the payment of which the disabled person or other persons participate or organizations regardless of organizational and legal forms and forms of ownership.
The volume of rehabilitation measures provided for by the individual
a rehabilitation or habilitation program for a disabled person, can't be less
established by the federal list of rehabilitation measures, technical means of rehabilitation and services provided to a disabled person.
An individual rehabilitation or habilitation program has for a disabled person
advisory character, he has the right to refuse one or another type,
the form and scope of rehabilitation measures, as well as from the implementation
programs in general. The disabled person has the right to independently decide on the issue of
providing yourself with a specific technical means of rehabilitation or type of rehabilitation, including wheelchairs, prosthetic and orthopedic products, printed publications with a special font, sound amplifying equipment, signaling devices, video materials with subtitles or sign language translation, and other similar means.
If provided for by an individual program
rehabilitation or habilitation technical means of rehabilitation and (or)
the service cannot be provided to a disabled person or if the disabled person has acquired
appropriate technical means of rehabilitation and (or) paid for the service at his own expense, he is paid compensation in the amount of the cost of the acquired technical means of rehabilitation and (or) the service provided, but not more than the cost of the corresponding technical means of rehabilitation and (or) services provided in the manner established by part fourteen of Article 11.1 of this Federal Law. The procedure for paying such compensation, including the procedure for determining its amount and the procedure for informing citizens about the amount of this compensation, is determined by the federal executive body responsible for the development and implementation of state policy and legal regulation in the field of social protection of the population.

Therefore, you have the right to receive compensation for the purchased technical equipment, but taking into account the developed IPR and the list approved by Order of the Government of the Russian Federation of December 30, 2005 N 2347-r
"On the federal list of rehabilitation measures, technical means of rehabilitation and services provided to the disabled" and only after the IPR is approved. If the relevant body has violated the deadlines for its approval provided for by law, you have the right to appeal against such inaction in court and, if it is recognized as illegal, demand compensation for losses from the budget on the basis of Art. 16 of the Civil Code of the Russian Federation

Losses caused to a citizen or legal
person as a result of illegal actions (inaction) of state
bodies, local authorities or officials of these
bodies, including publications that do not comply with the law or other
legal act of an act of a state body or a local body
self-government, subject to reimbursement by the Russian Federation,
corresponding subject of the Russian Federation or municipal
education.

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