Diabetes in Russia - benefits, payments and benefits. How to provide free medicines and benefits for diabetics

The number of diabetics is increasing every year. The total number of patients with diabetes on the planet was 200 million, and by 2018-2019, experts predict an increase in the number of cases to 300 million. The pathology itself occurs in two types. The first type includes insulin-dependent patients who need to inject insulin daily. The second type is considered less insulin-independent.

All diabetics are entitled to receive free sugar-lowering drugs, insulin, syringes for injections, test strips with a supply of one month. Diabetics who have received a disability also receive a pension and social package. In 2019, this category of the population has the right to apply for subsidies due to it.

Who is eligible for the benefit?

To assign a disability, you will need to undergo a medical and social examination. Disability is confirmed if the patient has altered functions of internal organs.

Referral for examination is issued by the attending physician. Patients with diabetes of the 1st group are assigned disability due to the severity of the disease, and its chronic course. In patients with type 2 diabetes, the damage is less severe.

Group I disability is assigned if:

• diabetic blindness;
• paralysis or persistent ataxia;
• persistent disorders of mental behavior on the background of diabetic encephalopathy;
• the third stage of heart failure;
• gangrenous manifestations of the lower extremities;
• diabetic foot syndrome;
• chronic renal failure in the terminal stage;
• frequent hypoglycemic coma.

Group II disability is assigned on the basis of diabetic blindness or retinopathy of 2-3 degrees, with chronic renal failure in the terminal stage.

III group of disability is given to patients with moderate disease, but with severe disorders.

How has the amount of the benefit changed over the past 3 years?

Over the past 3 years, the amount of benefits has changed taking into account the level of inflation, the number of patients. Common benefits for diabetics include:

1. Obtaining necessary medical supplies.
2. Pension depending on the group of disability.
3. Exemption from military service.
4. Obtaining diagnostic tools.
5. The right to free examination of the organs of the endocrine system in a specialized diabetic center.

For some subjects of the Russian Federation, additional benefits are provided in the form of a course of treatment in a resort-type dispensary, as well as:

1. Reducing utility bills up to 50%.
2. Maternity leave for women with diabetes is increased by 16 days.
3. Additional support measures at the regional level.

The type and quantity of drugs, as well as diagnostic tools (syringes, test strips) are determined by the attending physician.

What is the amount of benefits for patients with diabetes in 2019

In 2019, diabetics can count not only on the above benefits, but also on other social support from the state and local authorities.

Benefits for patients with type 1 diabetes:

1. Provision of medicines intended for the treatment of diabetes and its consequences.
2. Medical accessories for injections, measuring sugar levels and other procedures (with the expectation of conducting an analysis three times a day).
3. Help from a social worker.

Benefits for Type 2 Diabetes:

1. Sanatorium treatment.
2. Social rehabilitation.
3. Free job change.
4. Classes in sports clubs.

In addition to the free voucher, diabetics are compensated for the costs of:

• road;
• food.

Free medicines to treat complications from diabetes are included in the list of benefits:

1. Phospholipids.
2. Means that help the pancreas.
3. Vitamins and vitamin-mineral complexes.
4. Medications to restore disturbed metabolic processes.
5. thrombolytic drugs.
6. Heart medications.
7. Diuretics.
8. Drugs for the treatment of hypertension.

In addition to hypoglycemic drugs, diabetics are given additional medications. People with type 2 diabetes do not need insulin but are eligible for a glucometer and test strips. The number of test strips depends on whether the patient uses insulin or not:

• for those dependent on insulin, 3 test strips are required daily;
• if the patient does not use insulin - 1 test strip daily.

Patients using insulin are given injection syringes in the amount necessary for the daily administration of the drug. If the benefits are not used within a year, the diabetic will be able to apply to the FSS.

You can opt out of the social package at the beginning of the year. In this case, money is paid. The lump-sum payment is accrued for a year, but in fact it is not a one-time payment, as it is paid in installments over 12 months in the form of an addition to the disability pension.

In 2019, the following subsidies are planned to be paid to diabetics:

• 1 group: 3538.52 rubles;
• 2 group: 2527.06 rubles;
• 3rd group and children: 2022.94 rubles.

In 2019, it is planned to index payments by 6.4%. The final amount of the allowance can be found in the territorial office of the PFR, where you need to apply for its execution.

You can simplify the procedure for obtaining benefits or monetary compensation by contacting the multifunctional center, through mail or the public services portal.

Separately, social packages are issued to children with diabetes:

• spa treatment once a year;
• free glucometers with bar strips, syringe pens and medicines that lower blood sugar levels.

Pregnant women with diabetes are given an additional 16 days of parental leave.

How to get benefits for people with diabetes in 2019

To receive the benefits due to diabetics, you must have the appropriate documents confirming the disability and disease. In addition, it is necessary to provide a certificate in the form No. 070 / y-04 for an adult or No. 076 / y-04 for a child to the social security authorities.

Next, an application is written for the provision of sanatorium treatment to the Social Insurance Fund or to any body of social protection of the population, which has an agreement with the Social Insurance Fund. This must be done by December 1st of the current year.

After 10 days, a response arrives about the provision of a voucher to a sanatorium corresponding to the treatment profile, indicating the date of arrival. The ticket itself is issued in advance, no later than 21 days before arrival. After treatment, a card is issued in which the patient's condition is described.

Additional documents for benefits:

• passport and two copies of it, pages 2, 3, 5;
• if you have a disability, you need an individual rehabilitation plan in the amount of two copies;
• two copies of SNILS;
• a certificate from the Pension Fund proving the existence of non-monetized benefits for the current year, with a copy of it;
• certificate from a doctor of the form No. 070 / y-04 for an adult or No. 076 / y-04 for a child. This certificate is valid for six months only!

To get free medicines, you need a prescription from an endocrinologist. To get a prescription, the patient has to wait for the results of all the tests necessary to establish an accurate diagnosis. Based on the studies, the doctor draws up a schedule for taking medications, determines the dosage.

In the state pharmacy, the patient is given medicines strictly in the quantities prescribed in the prescription. As a rule, medicines are enough for a month.

To obtain a medical examination for a disability for a child, the following documents are required:

• application of a citizen (or his legal representative);
• passport or other identity document; passport for citizens from 14 years old (for persons under 14 years old: birth certificate and passport of one of the parents or guardian);
• medical documents (outpatient card, extracts from hospitals, R-images, etc.);
• referral from a medical institution (Form No. 088/u-06); or Certificate of a medical institution;
• a copy of the work book, certified by the personnel department for working citizens, parents of patients;
• information about the nature and working conditions (for working citizens);
• documents on education, if any;
• characteristics of the educational activity of a student (student) sent for medical and social examination;
• in case of re-examination, a certificate of disability;
• upon re-examination, have an individual rehabilitation program with marks of its implementation.

According to the National Research Center for Endocrinology under the Ministry of Health of the Russian Federation, currently about 8 million Russians suffer from diabetes and approximately 20% of the entire population of the country is in a pre-diabetic state.

Making such a diagnosis forever changes a person's life, in which there are a lot of inconveniences associated with constant monitoring of the state of the body, as well as significant costs for treatment. In order to support such citizens, the state establishes a set of social benefits for them.

Composition of Benefits for Diabetes Patients

The range of benefits for people with diabetes may vary depending on the form of the disease and the presence or absence of a confirmed disability.

All diabetics, without exception, are entitled to free provision of drugs and means of controlling the course of the disease. This right was approved by the Government of Russia in Decree No. 890 of July 30, 1994.

For type 1 diabetes, the following is provided at the expense of budgetary funds:

• insulin;
• syringes and needles;
• 100 g of ethyl alcohol per month;
• glucometers;
• disposable test strips for glucometers in the amount of 90 pcs. per month;
• medicines for diabetes and its complications.

Type 2 diabetes entitles you to:

• hypoglycemic agents and other drugs;
• glucometer;
• test strips in the amount of 30 pcs. per month.

A number of benefits are provided depending on the gender of the patient:

• men are exempted from military service;
• women in labor are extended their stay in the maternity hospital by 3 days, and the duration of maternity leave by 16 days (including for patients diagnosed with gestational diabetes, which manifests itself only during pregnancy).

A significant part of diabetics have some kind of disability, therefore, along with the above benefits, they are provided with a full social package designed for people with disabilities. It includes:

• payment of a disability pension;
• payment for sanatorium treatment with travel compensation (1 time per year);
• free medicines (not only for diabetes, but also for other diseases);
• preferential use of urban and intercity public transport;
• 50% discount on utility bills.

The list of benefits can be expanded through regional programs. In particular, these can be tax preferences, the provision of conditions for physical therapy, the establishment of facilitated working conditions, etc. You can find out about the programs operating in the region in the territorial body of the social. protection.

Benefits for Diabetic Children

Unfortunately, not only adults, but also children are affected by diabetes. It is even more difficult for a young, fragile body to resist the disease, and with an insulin-dependent form of diabetes (type 1), children are automatically assigned a disability. In this regard, the state provides them with:

1. disability pension;
2. vouchers to sanatoriums and children's health camps (travel is paid for both a disabled child and an accompanying adult);
3. free medicines, medical products and dressings;
4. preferential travel in public transport;
5. the right to free diagnostics and treatment, including abroad;
6. special conditions for enrolling in higher educational institutions and passing the exam;
7. 50% discount on utility bills. Moreover, if in the case of disabled adults, the discount applies only to their share in the total volume of resource consumption, then for families with a disabled child, the benefit applies to general family expenses.

Parents of disabled children and their guardians are entitled to personal income tax deductions, a credit for the length of service for the period of caring for a child with disabilities, early retirement, and in the absence of employment, monthly compensation payments in the amount of 5,500 rubles.

Diabetic children without disabilities receive the same benefits as adults, depending on the form of the disease.

Conditions for the appointment of disability for patients with diabetes

The presence of a disability group significantly expands the list of benefits for diabetics, so it would be useful to consider in which cases it is assigned to patients with diabetes.

To obtain the status of a disabled person, one diagnosis of diabetes is not enough. The group is appointed only in the presence of complications that prevent the patient from a full life.

The appointment of the 1st group of disability occurs only with a severe form of the disease, accompanied by such manifestations:

• metabolic disorders;
• severe visual impairment up to blindness;
• gangrene;
• heart and kidney failure;
• coma, provoked by sharp jumps in blood sugar levels;
• irreversible brain damage:
• inability to independently serve the needs of the body, move around and engage in labor activities.

Disability of the 2nd group is assigned with the same symptoms of severe diabetes, but at the initial stage of their development. The 3rd group is prescribed for mild and moderate forms of the disease, but with its rapid progression.

All manifestations of the complications of the disease must be documented, which is given by the relevant medical specialists. All medical reports and test results must be submitted to the medical and social examination. The more supporting documents can be collected, the more likely the experts will make a positive decision.

Disability of the 2nd and 3rd groups is assigned for a year, the 1st group - for 2 years. After this period, the right to the status must be confirmed again.

The procedure for registration and granting benefits

Registration of the basic set of social services, which includes free medicines, treatment in sanatoriums and travel in public transport, is carried out at the local branch of the Pension Fund. There you need to provide:

• application of the established form;
• identity documents;
• OPS insurance certificate;
• medical records to prove your eligibility.

After checking the documents, the applicant is issued a certificate confirming the right to use social services. On its basis, the doctor will write out prescriptions for the free receipt of medicines and devices at the pharmacy, which are necessary to control the state of the body in diabetes.

In order to obtain a ticket to the sanatorium, they also turn to the clinic. The medical commission evaluates the patient's condition and, in case of a positive conclusion, issues him a certificate No. 070 / y-04, confirming the right to rehabilitation.

With it, you must contact the local branch of the FSS, where you additionally apply for a ticket, a passport (for a disabled child - a birth certificate), a certificate of disability.

Attention!

If there is a voucher for the patient, it is issued within 21 days, after which he is again sent with it to the clinic to receive a sanatorium-and-spa card.

The certificate issued by the Pension Fund of the Russian Federation also gives the right to purchase a social ticket, according to which a disabled diabetic can travel free of charge on all types of public transport, with the exception of taxis and commercial minibuses. Intercity transport (road, rail, air, river) is provided with a 50% discount from early October to mid-May and once in both directions at any other time of the year.

Financial compensation

A diabetic with a disability may forego in-kind benefits in favor of a lump sum. Refusal can be made from the entire set of social. services or partially only from those for which there is no need.

The lump-sum payment is accrued for a year, but in fact it is not a one-time payment, as it is paid in installments over 12 months in the form of an addition to the disability pension. Its size for 2017 for the disabled is:

• RUB 3538.52 for the 1st group;
• RUB 2527.06 for the 2nd group and children;
• 2022.94 rub. for the 3rd group.

In 2018, it is planned to index payments by 6.4%. The final amount of the allowance can be found in the territorial office of the PFR, where you need to apply for its execution.

An application, passport, certificate of disability is submitted to the fund, as well as a certificate granting the right to use the social package, if it was previously received. Submission of the application is strictly limited in time - no later than October 1.

For this reason, it will no longer be possible to replace benefits with cash payments for 2018. You can only apply for 2019.

You can simplify the procedure for obtaining benefits or monetary compensation by contacting the multifunctional center. And citizens who experience problems with movement can send a package of documents by mail or through the public services portal.

Decide which form of benefits is more convenient for you - in-kind or cash - and be sure to contact government agencies for help. Measures of social support for diabetics are difficult to compare with the damage caused by the disease, but they can still make the patient's life a little easier.

Benefits for diabetics in 2018 -1, 2 types, in Moscow, in St. Petersburg, without disability

Diabetes mellitus is an endocrine disease characterized by a metabolic disorder of various etiologies due to an increase in blood sugar levels as a result of a secretory disorder or the action of insulin (or two factors at the same time).

the federal law

As of 2018, there is no Federal Law that would regulate the medical and social protection of people with diabetes mellitus.

However, there is a draft Federal Law No. 184557-7 “On measures to provide…” (hereinafter referred to as the Draft Law), which was submitted to the State Duma for consideration by deputies Mironov, Emelyanov, Tumusov and Nilov.

In part 1 of Art. 25 of the Draft Law contains a provision providing for the entry into force of the Federal Law from January 1, 2018, however, to date, the Federal Law has not yet entered into force.

Why benefits are provided

Benefits are provided for various reasons:

• Part 1 Art. 7 of the Draft Law defines that diabetes mellitus is a disease that is recognized by the Government as an extremely serious problem in the life of an individual person and the entire society as a whole, which entails the emergence of a state. obligations in the field of medical and social protection;
• diabetes is characterized by the possibility of acute complications, such as ketoacidosis, hypoglycemia, lactic acid coma, etc., as well as late consequences, for example, retinopathy, angiopathy, diabetic foot, etc., respectively, in the absence of proper medical care, the disease can lead to other, more serious;
• with diabetes, the patient requires constant monitoring of blood sugar levels, as a result, the need for the constant availability of medicines and treatments, which can be expensive.

When is disability established?

Disability is established after the corresponding recognition as a disabled person as a result of a medical and social examination (Article 7 of the Federal Law No. 181 of November 24, 1995 “On Social ...” (hereinafter - Federal Law No. 181)).

The decision to establish disability is made on the basis of the classifications and criteria specified in the Order of the Ministry of Labor No. 1024n dated December 17. 2015 “On Classifications…” (hereinafter referred to as the Order).

Based on clause 8 of the Order, in order to establish disability, a person over 18 years of age must comply with 2 conditions:

• the degree of severity of dysfunctions - from 40 to 100%;
• the indicated degree of severity of persistent violations leads either to the 2nd or 3rd degree of severity of disability in any one category of life activity (clause 5 of the Order), or to the 1st degree of severity, but in several categories at once (for example, 1 -th degree of severity in the categories “Ability for self-service”, “Ability for learning”, “Ability for communication”, etc. or 2nd degree only for “Ability for orientation”).

Accordingly, in order to determine whether a diabetic is entitled to a disability group, you need to:

• use Subsection 11 “Diseases of the endocrine system…” of the Appendix “Quantitative assessment system…” of the Order;
• then find the penultimate column “Clinical and functional ...”;
• find in this column a description of the nature of the course of diabetes mellitus, which most accurately characterizes the current state of affairs in the patient;
• look at the last column for a quantitative assessment (you need from 40 to 100%);
• finally, in accordance with paragraph 5 - paragraph 7 of the Order, determine to what degree of disability the course of diabetes mellitus leads to, corresponding to the description in the column "Clinical and functional ...".

What are the benefits for diabetics with disabilities?

Diabetics with disabilities are entitled to standard benefits + guaranteed by Federal Law No. 181.

First type

Benefits may depend on the group of disability, but the type of diabetes does not affect the benefits provided.

Disabled diabetics may qualify for:

• improvement of living conditions subject to registration before January 1. 2005 (Article 17 of the Federal Law No. 181);
• free education (including higher professional education - paragraph 6 of article 19 of the Federal Law No. 181);
• priority employment if the enterprise has a quota for the disabled (Article 21 of the Federal Law No. 181);
• annual paid leave of at least 30 days;
• disability pension (insurance or social, the amount of the pension depends either on the disability group (social) or on the IPC (insurance));
• EDV (see size here).

without disability

Depending on the type of diabetes, there are different benefits.

First type

Based on paragraph 2 of Art. 3 of the Bill, type 1 diabetes is a disease in which the pancreas fails to produce its own insulin, causing the patient to constantly require insulin injections.

In accordance with Section 3 "List of diseases and conditions ..." Decree of the Government of the Russian Federation No. 1492 of December 8. 2017 "About the program ..." (hereinafter referred to as the Resolution), for diseases of the endocrine system (including diabetes), free medical care is provided. help:

• primary;
• specialized;
• ambulance;
• palliative.

Also, since diabetes is classified as a socially significant disease according to Government Decree No. 715 of 1 December. 2004 “On Approval…”, dispensary observation is carried out in relation to such patients.

In addition, type 1 diabetics may qualify for:

• free medicines prescribed by a doctor in order to prevent the disease;
• free medical devices for injections and measuring blood sugar levels (based on checking blood for sugar at least 3 times a day).

Second type

By virtue of paragraph 3 of part 3 of the Draft Law, type 2 diabetes is a carbohydrate metabolism disorder caused by predominant insulin resistance and relative insulin deficiency.

Patients with this type of diabetes receive the same benefits under the Ordinance, plus:

• glucometer;
• test strips (1 strip per day - if the patient is insulin-independent, 3 strips - if dependent);
• medicines for hypertension;
• thrombolytic agents in the form of tablets and solutions for injections;
• free medicines for the treatment of complications (pancreatin, phospholipids);
• vitamins;
• diuretics, etc.

How to issue

Pensions are issued in accordance with the relevant rules specified in the Federal Law No. 400 of December 28. 2013 “On insurance ...” and 166-FZ of December 15. 2001 “On the state…”.

For more information on the procedure for issuing a monthly cash payment for disabled diabetics, see the PFR website prfr.ru.

What documents are required

Based on paragraph 36 of Government Decree No. 95 of February 20. 2006 “On the procedure ...”, according to the results of the ITU, a disabled person is issued:

• a certificate confirming the assignment of a disability group;
• individual rehabilitation program.

It is upon presentation of these documents that a disabled person will be able to apply for the appointment of a EDV, pensions and to receive medicines.

How to get medicine

A prescription for free medicines is issued by an endocrinologist after an appropriate diagnosis has been made. Before the diagnosis is made, tests are carried out, on the basis of which the doctor draws up a schedule for taking medications and their dosage.

A patient can receive free medicines at a state pharmacy strictly in the quantities prescribed in the prescription.

Benefits for children

Benefits for diabetic children:

• UDV 2590.24 rubles monthly (or a set of social services in case of refusal of UDV);
• social pension as a disabled child in the amount of 12,082.06 rubles per month;
• free medical care in the same way as for adults (see above);
• exemption from military service with assignment of fitness category “B” or “D” (for details, see Section 4 of Government Decree No. 565 of July 4, 2013 “On approval ...”).

Refusal

In case of waiver of the UDV, social services will be provided as defined in Chapter 2 of the Federal Law No. 178 of July 17, 1999 “On the State ...”.

We were unable to find information about what happens when other benefits are waived, and whether the cash equivalent of the cost will be paid in such cases.

Features by region

Let us indicate what features of the provision of benefits exist at the regional level.

In Moscow

A diabetic may qualify for federal or local benefits while living in Moscow.

Local benefits are mainly provided in the presence of a disability:

• voucher to the sanatorium once a year;
• free travel in public transport;
• 50% discount on utility bills;
• social services at home, etc.

In St. Petersburg

Based on Art. 77-1 of the Social Code of St. Petersburg, diabetes refers to diseases in which the right to provide drugs free of charge according to prescriptions issued by doctors is granted.

Also, if a diabetic is disabled, he is provided with additional support measures established in Art. 48 of this Code:

• free travel on social routes in the metro and on land transport;
• EDV 11966 or 5310 rubles monthly (depending on the disability group).

In the Samara region

In Samara, diabetics can claim free insulin syringes, auto-injectors, needles for them, diagnostic tools for individual indications, etc. (for more details, see the official website of the Samara Ministry of Health).

So, a diabetic can receive an extended list of benefits if he is recognized as a disabled person, or a basic one in the absence of a disability group. In the presence of a disability, the EDV, pension, free vouchers to a sanatorium, travel by public transport, etc. are available.

Benefits for type 2 diabetics: what is important for patients to know?

This article will consider an important question regarding people with diabetes: what benefits are provided for type 2 diabetics, does the state support sick patients, what services can be used for free?

All diabetics are eligible

Diabetes is a disease whose percentage is increasing every year. A sick person needs life-long expensive treatment and procedures that not everyone is able to pay for.

The state provides certain assistance to maintain the life and health of its citizens. It is important that every diabetic is aware of the benefits they are entitled to. Unfortunately, not all people are informed about their capabilities.

General Benefits

Essentials for sickness

Few people know that diabetics have the right to use a certain list of services. There is a list that is suitable for all people who have problems with sugar, regardless of the severity, duration of the disease, type. Many will be wondering, what are the benefits for diabetics?

These include:

• receiving free medicines;
• exemption from military service;
• the opportunity to conduct a free examination in the field of endocrinology at the diabetic center;
• exemption from studies or work for the duration of the survey;
• in some regions it is possible to visit dispensaries and sanatoriums for recreational purposes;
• the opportunity to apply for disability, receiving pension cash payments;
• increase in maternity leave during pregnancy by 16 days;
• reduction of utility bills by 50%;
• free use of diagnostic tools.

Reduced utility bill

TIP: the amount of medications and diagnostics received is determined by the attending physician, as a result of the examination. With regular visits, people receive prescriptions that can be used to pick up discounted medicines at the pharmacy.

With a free examination at a diabetic center, an endocrinologist can refer you for an additional examination to a neurologist, ophthalmologist, cardiologist at the expense of the state. At the end of the test, the results are sent to the attending physician.

Benefits for type 2 diabetics

Prescription medicines for people with disabilities

In addition to general benefits, there are separate lists regarding the type of disease and its severity.

A patient with type 2 diabetes can look forward to the following options:

1. Obtaining the necessary medicines, the list of which is determined by the attending physician. He may prescribe some medicines from the list below:

• Tablets that reduce sugar;
• drugs for the liver;
• medicines for the proper functioning of the pancreas;
• diuretics;
• multivitamins;
• drugs for the establishment of metabolic processes;
• pills to normalize the work of the heart;
• drugs for high blood pressure;
• antihistamines;
• antibiotics.

1. Getting a free ticket to a sanatorium for the purpose of recovery These are regional incentives. A diabetic has the right to visit a health resort, go in for sports and other health-promoting procedures. Paid travel and meals.
2. Patients are placed in social rehabilitation- free training, the opportunity to change professional orientation.
3. Acquisition of a glucometer and test strips for it. The number of test strips depends on the need for insulin injections. Since type 2 diabetics most often do not require insulin, the number of test strips is 1 piece per day. If the patient uses insulin - 3 strips for each day, insulin syringes are also isolated in the required amount.

Cash benefits in case of refusal from the full social package

The list of benefits is provided annually. If, for a certain reason, the diabetic did not use them, it is necessary to contact the FSS, write a statement and bring a certificate stating that they did not use the offered opportunities. Then you can get a certain amount of money.

You can also completely abandon the social package by writing an application, not using benefits for patients with type 2 diabetes. In this case, the diabetic will receive a one-time cash benefit that compensates for the opportunities provided.

disability in diabetes

Diabetes can lead to disability

Each sick person has the right to apply to the medical examination bureau for the possibility of obtaining a disability. This can also be done by the attending physician by sending the necessary documents.

The patient undergoes a special examination, according to the results of which he can be assigned to a certain disability group.

Table - Characteristics of disability groups in diabetes mellitus:

The patient is entitled to free qualified medical care

When receiving a disability, a person is entitled to benefits for the disabled.

They are compiled on general terms, do not differ from the possibilities for other diseases:

• free medical examination;
• assistance in social adaptation, the opportunity to work and study;
• access to experienced medical professionals;
• disability pension contributions;
• reduction in utility bills.

Disability in diabetic children

Child with high blood sugar

The disease leaves a heavy imprint on the health of a small person, it is much more difficult than in adults, especially with an insulin-dependent form. Benefits for patients with type 1 diabetes are getting the necessary medicines.

From childhood, disability is issued, which implies the following privileges:

1. The opportunity to receive free vouchers to health camps, sanatoriums, dispensaries.
2. Conducting the Unified State Examination and entrance exams to the university on special conditions.
3. Probability of undergoing treatment in foreign clinics.
4. Cancellation of military service.
5. Getting rid of tax payments.

Caring for a sick child reduces working hours

Parents of a child with a disability are entitled to favorable conditions from the employer:

1. Reduction of working hours or the right to an additional day off to care for a diabetic.
2. Early retirement.
3. Receiving a payment equal to the average earnings until the disabled person reaches the age of 14.

Benefits for children with disabilities with diabetes, as well as other age categories, can be obtained from the executive authorities by presenting the required document. It can be obtained by contacting the nearest diabetes center.

How to get free medicines

Doctor writes a prescription

To take advantage of the opportunity to receive medicines for free, you must pass all the tests that will confirm the diagnosis. The endocrinologist, based on the test results, prescribes the necessary medications, in the right dosage. Based on this, the patient is given a prescription with the exact amount of drugs.

You can get medicines at the state pharmacy, having a prescription with you. Usually, the number of drugs is given for a month, then the patient needs to see a doctor again.

TIP: It is important to know everything that the state gives when you have diabetes: benefits will help you cope with expensive treatment. Knowing your rights, you can demand state privileges if no one offers to use them.

Free pass

Hello, my name is Eugene. I am diabetic and have no disability. Can I use free public transport?

Hello Eugene. For people with diabetes, there are benefits for free travel on public transport, regardless of disability. But this applies only to suburban transport.

Admission for diabetes

Hello, my name is Ekaterina. I have a daughter, 16 years old, finishing 11th grade. Since childhood, more than 1 degree diabetes, disabled. Tell me, are there any benefits for admission to a university for such children?

Hello Ekaterina. In the presence of a disability, the child, under special conditions, is selected for a higher educational institution, has the right to study free of charge. To do this, you need to collect the necessary documents and certificates, a list of which will be prompted at the university.

Benefits for non-disabled type 2 diabetics: what should diabetics do?

Almost every patient who has been diagnosed with diabetes is interested in the question of what benefits for diabetics are relevant this year.

It is important to remember here that the list of privileges for such patients can change annually, so it is better to regularly check such changes and clarify what kind of benefits for diabetics exist at the moment.

For example, it is known that there is assistance to patients with diabetes from the state in the form of the opportunity to purchase certain drugs free of charge. Moreover, you can get them both in a special pharmacy, and directly in a medical institution from your district endocrinologist.

By the way, it is these specialists who can clarify what benefits diabetics are entitled to a patient with such a diagnosis this year.

Such a program of assistance from the state is due to the fact that many patients with a diagnosis of "sugar" disease are physically limited or simply cannot find a job in their profession due to the presence of contraindications to this work.

For example, if we are talking about public transport drivers or those people who work with complex mechanisms, they may not be allowed to perform such work.

Therefore, in this case, knowing what benefits for diabetes are provided in such a situation will help a person feed himself and other members of his family.

It is important to note that benefits for patients with diabetes can be provided both in material form and specific medicines or any other special products.

What medicines can you get?

Of course, if we talk about what benefits for patients with type 2 diabetes are most interested in patients who are faced with a similar diagnosis, then this will be a question of what kind of medicine a person can get for free. After all, it is known that the disease, which is in the second stage of the course, as in principle and in the first, should be compensated for by the regular use of special medications.

In view of this, the state developed special benefits for type 2 diabetics in 2017. These are special sugar-lowering drugs that contain a substance such as metformin.

Most often, this medicine is called Siofor, but there may be other drugs that are also given to patients for free. What kind of benefits for type 2 diabetics are currently provided, it is better to immediately check with your doctor. He can provide a detailed list of medicines that are dispensed at the pharmacy for free.

To really receive benefits if you have a diagnosis of diabetes, you should take a prescription from your doctor. Depending on which treatment regimen is assigned to a particular patient, the doctor prescribes a list of medicines that he can get at the pharmacy for free.

Regarding what benefits are provided for patients with type 1 diabetes, it should be noted that such patients can expect to receive certain medications free of charge. It:

• insulin and syringes with which it is administered;
• test strips for a glucometer at the rate of three pieces per day;
• treatment in sanatoriums of the country;
• regular hospitalization if necessary.

The rights of a diabetic patient suggest that no matter what group of diabetes a particular patient has, he can still count on free drugs that are taken to support his life.

All about disability

Any patient suffering from this disease should be aware of the cases in which they are likely to receive a disability. By the way, here you also need to understand exactly how to get this status and where to go first.

First you need to remember that this disease is almost always accompanied by various chronic diseases.

And also similar manifestations are possible, which can significantly reduce the level of human activity, and, of course, completely change his usual way of life.

For example, if an illness led to the amputation of any limb as a result of surgery, then he can immediately count on benefits for diabetes, namely, to receive a certain disability group.

The cause of disability can also be any other disease that has caused a strong deterioration in well-being and a person’s limitation in terms of movements or the ability to fully work. In this case, the patient is referred to a special commission, which decides on the appropriateness of assigning the appropriate disability group.

It is important to note that this possibility is present not only in those who suffer from the first type of the disease, but also in type 2 diabetics.

In general, for patients with diabetes mellitus type 2 or type 1, as well as for all other patients, there are three groups of disability.

The first of which assumes the full provision of the patient and says that he is not curably ill and in frequent cases cannot take care of himself in full on his own.

The second group may indicate that the diagnosis can still change if a person follows all the recommendations of doctors.

The third group is considered working. In this case, the patient is recommended gentle work and certain restrictions, but with such a diagnosis, he will generally be able to live in peace. At the same time, it does not matter at all whether the examination is carried out with type 2 diabetes or the first.

And, of course, with all these groups, patients can count on preferential drugs.

Once again, I would like to note that the current rights of diabetics can always be clarified with your doctor.

What diagnosis gives the right to disability?

It has already been said above about the cases in which a patient is assigned a certain disability group. But still, it is necessary to talk in more detail about what specific diagnosis can indicate that the patient can qualify for a specific disability group.

So, with diabetes mellitus type 2 or the first, the patient can count on receiving the first group of disability if he has serious health complications caused by diabetes mellitus.

For example, there are a lot of diabetics in Russia who have sharply lost their eyesight as a result of the disease, and there are also many patients with diabetic foot and gangrene, which develops very rapidly, frequent coma and a high probability of developing thrombosis.

Attention!

Also, with type 1 or type 2 diabetes, the patient may be assigned a second disability group. This usually occurs in cases where the patient rapidly develops renal failure, the cause of which is progressive diabetes mellitus. Also, this group can be provided to those who suffer from neuropathy and mental disorders, which also develop against the background of diabetes.

The list of free drugs for such patients may also include those drugs that they take to treat a concomitant disease caused by "sugar" disease.

The third group is provided for almost all patients with a given diagnosis. Regardless of which group of diabetes the patient has.

In general, it must be said that there are practically no patients with this diagnosis who would not be disabled. Unless, of course, the patient himself wants to refuse such a benefit.

Basic Rights and Benefits

If we talk about what benefits are due to diabetics with disabilities, then, first of all, this is a pension.

Financial compensation is assigned on a general basis and is paid to the patient monthly.

Also, anyone can purchase an electrochemical glucometer at a discount. That is why almost all beneficiaries have a similar device, which they can manage with dexterity.

In addition, patients can receive special items free of charge, namely:

• household items that help a person to serve himself, if he can no longer do this;
• fifty percent discount on utility bills;
• wheelchair, crutches and more.

To receive these benefits, they need to contact the regional center of social assistance or their doctor. All provided items are accompanied by transfer-acceptance certificates, which are recorded accordingly.

In addition, anyone can exercise their right to spa treatment. These vouchers must be issued at the territorial office of the Social Insurance Fund.

It should be understood that benefits for patients with type 1 diabetes, as well as benefits for patients with type 2 diabetes, are provided to the patient free of charge. And it doesn’t matter whether it’s a ticket to a sanatorium or a package of medications.

True, not every patient with such a diagnosis enjoys such a benefit. This is due to the fact that he simply may not know about his rights.

How to get medicine correctly?

Regardless of the type of benefit that a person claims, the law implies that he must apply to the appropriate institution with documents that confirm his identity. In particular, this is a passport and a certificate issued by the Pension Fund stating that he is provided with free medicines or something else.

But also, to get free pills, you must first take a prescription from your doctor. You should also always carry your health insurance policy with you.

All those suffering from diabetes must necessarily issue a medical policy and obtain a certificate for the right to receive medicines free of charge. To find out exactly where these documents are issued, patients with diabetes should contact their doctor and the Pension Fund.

It is clear that with this disease, a person may have difficulties with independent movement through all these organizations. To do this, there are special social workers to serve the disabled. They can carry out all instructions of the patient and represent his interests in the relevant authorities.

It has already been said above that the drug itself gives out in a pharmacy. You can find out the list of pharmacies that cooperate under this program, as well as get the right prescription from your local endocrinologist. Also, the doctor must prescribe other drugs that are needed to treat concomitant diseases, unless, of course, they belong to the list of free drugs.

Based on the foregoing, it becomes clear that any person who has any type of diabetes can take advantage of a number of benefits that are supported at the state level.

What benefits are due to diabetics, the expert will tell in the video in this article.

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Such a disease as diabetes mellitus has become so widespread today that it is called the disease of the XXI century. This is due to a sedentary lifestyle, malnutrition, consumption of too fatty and sugary foods - all this causes irreversible changes in the human body.

Both adults and children with diabetes and living in Russia are provided with support from the state in the form of free medicines for treatment and maintenance of the body. With a complication of the disease, which is accompanied by damage to internal organs, a diabetic is assigned a disability of the first, second or third group.

The decision to award disability is made by a special medical commission, which includes doctors of various specializations who are directly related to the treatment of diabetes. Children with disabilities, regardless of the group awarded, are provided with free medicines, and you can also count on receiving a full social package from the state.

Types of disability in diabetes mellitus

Most often, children are diagnosed with type 1 diabetes mellitus, this form of the disease is much easier. In this regard, they are awarded disability without specifying a specific group. Meanwhile, all types of social assistance for children with diabetes, provided by law, are preserved.

According to the laws of the Russian Federation, disabled children with type 1 diabetes are supposed to receive free medicines and a full social package from government agencies.

With the progression of the disease, the expert medical commission is given the right to review the decision and assign a disability group that corresponds to the state of health of the child.

Diabetics with complications are assigned the first, second or third disability group based on medical indicators, test results and the patient's medical history.

1. The third group is given when diabetic lesions of internal organs are detected, but the diabetic remains able to work;
2. The second group is assigned if diabetes mellitus is no longer treatable, while the patient regularly experiences decompensation;
3. The most difficult first group is given if a diabetic has irreversible changes in the body in the form of damage to the fundus, kidneys, lower extremities, and other disorders. As a rule, all these cases of rapid development of diabetes mellitus cause the development of kidney failure, stroke, loss of visual function and other serious diseases.

Rights of diabetics of any age

Sugar level

If diabetes mellitus is detected, the patient, regardless of age, automatically claims to receive a disability, in accordance with the relevant order of the Russian Ministry of Health.

In the presence of a wide range of diseases that develop due to diabetes, a large list of benefits is accordingly provided. There are certain benefits if a person has the first or second type of diabetes mellitus, and it does not matter which disability group is assigned to the patient.

In particular, diabetics have the following rights:

• If the doctors have written a prescription for medicines, a diabetic can go to any pharmacy where medicines will be dispensed free of charge.
• Every year, the patient has the right to undergo treatment free of charge in a sanatorium and resort institution, while travel to the place of therapy and back is also paid by the state.
• If a diabetic does not have the possibility of self-service, the state fully provides him with the necessary means for everyday convenience.
• Based on which disability group is assigned to the patient, the level of monthly pension payments is calculated.
• In the presence of diabetes of the first and second type, a diabetic may be exempted from military service on the basis of the documents provided and the conclusion of the medical commission. For such a patient, military service automatically becomes contraindicated for health reasons.
• When processing the relevant documents, diabetics pay utility bills on preferential terms, the amount can be reduced to 50 percent of the total costs.

The above conditions generally apply to people with other diseases. There are also certain benefits for people with type 1 and type 2 diabetes, which, due to the specifics of the disease, are exclusive to diabetics.

1. The patient is given a free opportunity to engage in physical education and certain sports.
2. Diabetics in any city are supplied with test strips for glucometers in the amount prescribed by social authorities. If test strips are refused, contact your local Ministry of Health office.
3. If there are appropriate indications, doctors have the right to terminate the pregnancy at a later date if the woman is more diabetic.
4. After the birth of a child, a diabetic mother can stay on the territory of the maternity hospital for three days longer than the prescribed period.

In women with diabetes, the period of the decree is extended by 16 days.

What are the benefits for a child with a disability with diabetes?

According to the current legislation, Russian law provides for the following benefits for children with diabetes:

• A child suffering from diabetes mellitus has the right to visit and be treated free of charge once a year on the territory of specialized sanatorium resort institutions. The state pays not only for the provision of medical services, but also for staying in a sanatorium. Including for the child and his parents, the right to travel free of charge there and back is provided.
• Also, diabetics have the right to receive a referral for treatment abroad.
• For the treatment of a diabetic child, parents have the right to receive a glucometer free of charge to measure blood sugar levels at home. It also provides for the provision of test strips for the device, special syringe pens.
• Parents can receive free medication for the treatment of diabetes in a child with a disability. In particular, the state allocates free insulin in the form of solutions or suspensions for intravenous or subcutaneous administration. It is also supposed to receive Acarbose, Gliquidone, Metformin, Repaglinide and other medicines.
• Syringes for injection, diagnostic tools, ethyl alcohol are provided free of charge, the amount of which is not more than 100 mg per month.
• Also, a diabetic child has the right to travel free of charge in any city or suburban transport.

In 2018, the current legislation provides for the receipt of monetary compensation if the patient refuses to receive free medicines. The funds are transferred to the specified bank account.

But it is important to understand that cash compensation is very low and does not cover all the necessary expenses for the purchase of necessary medicines for the treatment of diabetes.

Thus, today government agencies are doing everything to alleviate the condition of children with diabetes of both the first and second types of the disease.

To obtain the right to use the social assistance package, you need to contact special authorities, collect the necessary documents and go through the procedure for obtaining benefits.

How to get a social package from government agencies

The first step is to undergo an examination by the attending physician at the clinic at the place of residence or go to another medical center to get a certificate. The document indicates that the child has type 1 or type 2 diabetes.

In order to undergo a medical examination if a child has diabetes, a characteristic from the place of study is also provided - a school, university, technical school or other educational institution.

You should also prepare a certified copy of the certificate or diploma if the child has these documents.

1. Applications from parents, legal representatives of a diabetic child under 14 years of age. Older children fill out the document on their own, without the participation of their parents.
2. General passport of the mother or father of the child and birth certificate of a minor patient.
3. Certificates from the polyclinic at the place of residence with the results of the examination, pictures, extracts from hospitals and other attached evidence that the child has diabetes.
4. Directions from the attending physician, drawn up in the form No. 088 / y-06.
5. Certificates of awarding disability with an indication of the group for type 2 diabetes mellitus.

Copies of the work book of the mother or father of the child, which should be certified by the head of the personnel department of the organization at the place of work of the parent.

What rights does a diabetic child have?

Preferential conditions for the child begin to operate immediately, as soon as the doctor diagnoses diabetes. This can happen even immediately at the birth of a baby, in which case the child is in the hospital for three days longer than healthy children.

By law, diabetic children have the right to enroll in kindergarten without waiting in line. In this regard, parents should contact social authorities or a preschool institution in a timely manner so that the child is given a free place, regardless of the emerging queue.

A child with diabetes is provided with medicines, insulin, a glucometer, and test strips free of charge. You can get medicines at a pharmacy in any city in Russia; the country's budget has allocated special funds for this.

Children with type 1 or type 2 diabetes are also provided with preferential terms during their studies:

• The child is completely exempt from passing school exams. The grade in the student's certificate is derived on the basis of current grades throughout the school year.
• During admission to a secondary or higher educational institution, the child is exempted from entrance examinations. Therefore, in universities and colleges, representatives of educational institutions, by law, provide free state-funded places for diabetic children.
• In the event that a diabetic child passes the entrance exams, the points obtained based on the results of the test do not have any effect on the distribution of places in the educational institution.
• During the passage of intermediate examinations within the framework of a higher educational institution, a diabetic has the right to increase the preparatory period for an oral answer or a solution of a written task.
• If the child is educated at home, the state compensates for all costs of education.

Disabled children with diabetes are entitled to receive pension contributions. The amount of the pension is determined on the basis of the current legislation in the field of social payments and benefits.

Families with a diabetic child have a priority right to receive a land plot in order to start individual housing construction. To conduct subsidiary and country economy. If a child is an orphan, he can get housing out of turn after he turns 18 years old.

Parents of a child with a disability, if necessary, can request four additional days off once a month at the place of work. Including mother or father have the right to receive additional unpaid leave for up to two weeks. Such employees cannot be dismissed by decision of the administration in accordance with the current legislation.

Each right specified in this article is prescribed at the legislative level. Full information on benefits can be obtained in the Federal Law, which is called "On Social Support for the Disabled in the Russian Federation." You can read about special benefits for children who may have diabetes in the relevant legal act.

The video in this article details the benefits that are provided to absolutely all children with disabilities.

Hello dear readers! I want to talk today about the role of the state in the life of every person who has failed to become a diabetic. How much does the state help such people? I want to make a reservation right away that here you will not hear hystericalPlei about the imperfection of the medical service, about the theft of state money and mediocre doctors.

This does not mean that I fully supportwhat is happening in our country, because I myself sit tightly in this common harness. However, I believe that a positive attitude, faith in success and the search for alternative, non-standard solutions to the problems that have arisen are much more productive and effective than dull complaints and whining that everything is bad.

To begin with, I want to saythat benefits for adults and children work differently.Immediately after discharge, children with diabetes are given the opportunity to register a disability (childhood disability). In this case, the child receives all provision and benefits at the federal level. With according toOrderatMinistry of Health of the Russian Federation No. 117dated 4.07.91 “The procedure for recognizing a child as disabled”

Since January 1, 2000, the category "disabled child" has been established up to the age of 18 years.But recently I became aware that the issue of lowering the age in determining disability is being discussed. Now it is possible that children will have disabilities onlydabout 14 years old.Upon reaching this age, the child switches to regional preferential support.

Adult diabetics at the time of diagnosis are transferred to preferential provision in each case, but the provision may beat the expense of the state budget or at the expense of the regional budget of the constituent entity of the Russian Federation. Simply put, each diabetic automatically becomes a regional beneficiary, but under certain circumstances can apply for the establishment of a certain disability group and become a federal beneficiary. Recipient of regional benefits, is not considered disabled.

From a financial and practical point of view, being a federal beneficiary and having some kind of disability group is more profitable, because the list of free distribution of medicines, technical means of self-control and for insulin administration is expanding, and the right to sanatorium treatment appears. plus extrasocial payments, subsidiesand benefits for a person with a disability.

However, is it easy for an adult to get a disability for diabetes? many believetthat the disease "diabetes mellitus" in itself already implies the establishment of a disability group. This is far from true, rather not at all.

Let's define the term disabled. A disabled person is a person with disabilities who has lost his ability to work due to injury, illness or old age. Those. a person with a newly diagnosed type 2 diabetes mellitusaged 45without complications can not become disabled, because he is not a person with disabilities. Such a person canwork successfully, and with active treatment and taking measures to improve, they may never take advantage of the possibility of registering a disability.

Another thing is when an elderly person with a long history of diabetes and having many crippling complications of diabetes and comorbiditiesth. Hecannot fullydon't work, don't even servebe yourself. In this case, he, undoubtedly,it is necessary to establish a disability group and most likely he will receive it.

But ethere is a category of patients who subjectively consider themselves the sickest people in the world,awhen passing the examination, it turns out that this is just his own feeling of ill healthbecause there is no objective evidence of a serious health problem. In this case, it is possible to draw up all documents for the recognition of a person as a disabled person, but it is not at all necessary that the ITU bodies (medicalaboutsocial expertise) recognize this person as a person with disabilities and assign a disability group.Simply put,there is a risk that all actions will be in vain. Therefore, always consult with your endocrinologist or the head of the polyclinic whether you should start the procedure for preparing your documents for examination, so as not to spend your time and money primarily on undergoing numerous studies. and procedures .

Generally, recognition manaIt is very difficult for a disabled person with diabetes. A lot of objective arguments in favor of this should come together. As a rule, it should be in the presence of severe chronic complications of diabetes and severe comorbidities.

The provision of medicines and technical means for disabled children, regional and federal beneficiaries is completely different. Lists of drugs and complementary disease controls are compiled by the governing authorities. In the case of children and adults with disabilities - this is the Ministry of Health of the Russian Federation, in the case of regional beneficiaries - the ministries of health of the constituent entities of the Russian Federation.

In theory, all federal beneficiaries should have the same provision, regardless of the region in which they live, butit's only on paper. In reality, everything happens differently and the situation is different in different regions.

In the case of regional beneficiaries, things are even worse. Each region helps its diabetics to the best of its ability, or it depends on the degree of generosity of the authorities of a particular region. It must be assumed that in subsidized regions the provision is poorer and simpler than in regions onself-sufficiency. However, even between such regions there is a difference in the abyss.

To all- to find out what a person is entitled to from medicines for free, you need to ask an endocrinologist for a list of preferential funds in your region. But something tells me that you are unlikely to get it. Guess why...

I'll tell you a little about the medicines that are included in the free lists. First, if you hope that you will be prescribed a medicine of the last generation, then give up hope, everyone who enters here.Imagine yourself that you are an employer and you have a non-working employee hanging around your neck, which requires large investments. Is it profitable for you to keep such an employee when he does not bring absolutely any benefit? But from a social point of view, there is no way you can leave this person, because right thereflockthe public and start wagging a finger: "Ay-yah-yyy! How can you, because he alone will be lost. Have a conscience, humanity, etc." Then you, as an employer, decide to continue to finance the dependent, but with a minimum of funds, i.e. just enough to not be indignant, and if he becomes indignant, then proudly say that you are fulfilling your duties to the best of your ability.

Thosethe same relationship the state has with people with disabilities. Therefore, the lists of free drugs include the cheapest and sometimes outdated drugs, and in order not to spend money on original drugs, officials came up with different exit- write recipes With generic scommercialand names yami(INN). In other words,andIndianenalapril and Renitek from Holland contains the sameenalaprilbut the difference in clinical efficacy is striking. Therefore, there is no need to be surprised that in the pharmacy they gave you some kind of Russiangliformin instead of FrenchGlucophage. According to the papers, all the formalities are observed and that's it.

In addition, in the conditions of the economic situation in the country, the government begins to promote an idea like "Let's help the domestic manufacturer!" and requires the ministries to replace some really cool imported drugs with domestic ones. I have nothing to forgivehisfatherland, but we must admit that we have not learned how to make medicines. No matter what we do, we still get a Kalashnikov assault rifle.

We have lagged behind Western technology for years... ALWAYS. So isn't it better to admit it, how to admit that we don't know how to build cars, it turns out the same machine. Maybe it's better to quitallforcessand funds in those areas where we are really strong, for example,for productionthenth the same machine aKalashnikov orto agricultureand animal husbandry. Digressed from the topic...

In addition to medicines, diabetics in our country are entitled to free means of administering insulin (syringes andsyringe pens) and needles for them , means of control (glucometers) andtest stripsto them, and for some reason nobody needs ethyl alcohol ..., as well as federal beneficiariessupposedSpa treatment.

But again, this is all on paper. Basically, there is nothing of this, and if it happens, it is designed for a very meager amount, which is not enough for everyone.

However, in all this haze of hopelessness there is a ray of light. I believe that in our country the provision of children with diabetes is more or less at a high level. I understand that the amounttest stripswhat they give out every month is minuscule, but they give out regularly, at least in Tatarstan, I can’t say for the country inin general. Children get the bestimportedinsulins, and regularly, unlike adults, who are now en masse being transferred toRosinsulin, provide freeglucometers. Currently, in many regions, including Tatarstan, there are programs to provide children with insulin pumps, and this is quite an expensive pleasure, if at all.call pleasure.

Below I give benefits and payments, in addition to medication and technical support, that are due to children with disabilities due to diabetes and their parents or guardians.

• social pension and its supplementsin size 11 445 , 09 Raccording toArt. 18 of the Federal Law of December 15, 2001 No. 166-FZ "On the statepension provision in the Russian Federation"(data as of April 1, 2015)
• compensation payments to the unemployedable-bodiedparent or guardiancaring for a disabled child5 500 R(see Decree of the President of the Russian Federation dated February 26, 2013 N 175)
• For the parent or guardian caring for future pension benefits (the time of caring for a child with a disability formidgoes into seniority andthe mother of a child with a disability has the right to early retirement if she raised him to 8 years of age, having an insurance record of 15 years).
• Depending on the established disability group in accordance with the Federal Law"On social protection of disabled people in the Russian Federation" EDV is established,the size which ohin 2015 wasno for disabled children - 2,123.92R
• The right to annual free spa treatment is granted not only to the child, but also to one accompanying parent or guardian.
• According to the second part of the tax codeRF (Art. 218) to parents of disabled children under 18 years of age, and in the case of full-time education at an educational institution with the established 1 or 2 groups up to 24 years old, a standard tax deduction of 3,000 rubles is due.
• Numerous labor law benefits, housing and transportation benefits.
• There are educational benefits for children with disabilities.

For disabled adultsfor diabetesThe following benefits and allowances are provided:

• social pdisability pension depending on the groupfrom April 1, 2015 (if there are dependents, the amount increases depending on the number of dependents)

• 1 group - 9538.20R
• 2 group - 4769.09R
• 3 group - 4053.75R

• Monthly cash payment (MU)set depending on the group

• 1 group - 3137.60R

• 2 group - 2240.72R
• 3 group - 1793.74R

• Federsocial supplement non-workingfading pensioners,thincome below the living wage
• Guardians and persons caring for adults with disabilities are affixedmonthlycompensation according toDecreeatfrom the President of the Russian Federation26.12.2006 № 1455
• A person accompanying a disabled person of the 1st group is provided with a ticket and travel on the same conditions. Working disabled people are provided with a 50% benefit. Non-working FREE OF CHARGE (permit + travel)
• A set of social services, which includes free medicines, spa treatment and free transport. The total amount is 930.12 rubles. If you opt out of the social package services, you get this money, but lose everything else. Therefore, before you refuse, you should think about drug provision. If your drugs are much more expensive, then it makes no sense to refuse social services. no package
• Anddisabled people of groups 1 and 2 receive benefits in the field of education (enrollment without exams and scholarships)
• Housing and labor benefits
• tax incentives and deductions

Well, this is how the state takes care of its citizens with diabetes, with or without disabilities. In any case, we are glad that we are getting at least some help at all. I understand that help is not first class, not always and everywhere everything is done, but all of the above is on paper, which means it can be implementedaboutin real life. Is everything worth it?what you are due, from the authorities, if you didn’t get something, it’s up to you.

Finally, I want to say that you should not rely too much on the help of the state.I know how muchconvenient and expensive life for people with disabilities or people with diabetes without disabilities, parents Withdisabled children. It's hard to stop hoping when you've been doing just that all your life.Nobody owes you anything, and neither do you. Accept help as a giftwith thanks, and not as a matter of course and obligatory.A gift horse, as they say...

If you think about it, we are in a very comfortable position.and live in the best countrycompared to some other countries. I agree that somewhere, perhaps, it is even better, but you need to accept life as it is and make efforts yourself if you want to change it, and notwait for gifts from fate, otherwise you risk staying on the edge.

Turn on your heads, start developing, read more and learn new things, tune your mind to effectively solve difficult life problems, overcome difficulties steadfastly and do not rely on anyone. This is how you will avoid bitter disappointments, while maintaining in your soul a positive life and an unshakable faith in success.Cultivate the same qualities in your children, it will be much harder for them than for us.

And remember nIt's never too late to start your life from scratch! No matter , how did your start start, the main thing, How will your finish line end?

With warmth and care, endocrinologistDilara Lebedev

The state guarantees free medicines for type 2 diabetes by law. To receive benefits, the patient will need to collect a number of documents and submit them to the Pension Fund.

Diabetes mellitus is one of the most common diseases of the present time. The number of patients with this disease is increasing every year. Treatment of this pathology is not simple and requires a lot of money. But not many people know that the state provides benefits to such people. For 2015, the norm of the current law clearly defines the criteria that allow type 2 diabetics to receive medicines and other compensations without payment.

-FOOTNOTE-

Important! Many are not aware of what benefits are due, or out of fear they do not ask their doctor about them. Do not be afraid of such questions and the doctor's reaction. The rights of a diabetic are protected by law, and the receipt of free medicines is provided for in it. Therefore, if the necessary medications are not provided, you should find out what the patient is supposed to do and understand this situation.

What free benefits are available for people diagnosed with type 2 diabetes?

Every year, for patients with type 2 diabetes, regardless of disability, a certain amount is allocated from the state budget. Special territorial committees distribute material resources that are due to diabetics (medicines, money, social privileges).

Patients can expect to receive:

• free medicines;
• free rehabilitation;
• financial payments.

With such a disease, people are prescribed special pharmacological agents. Free provision of drugs is provided depending on the category to which the patient belongs (insulin dependent or not). From what is supposed to be sick, in addition to medicines, there are glucometers, special tests in the form of strips.

In addition, benefits for type 2 diabetes include the provision of free vouchers to sanatoriums, clinics, and recreation centers. With regards to the size and accrual of material resources for patients with diabetes, they are determined and issued individually for each specific case. Also, the patient can refuse a ticket to the sanatorium in exchange for monetary compensation.

With regard to minors with type 2 diabetes, by law, such children under 14 years of age are paid financial assistance in the amount of the average salary. These funds are allocated for the purchase of subsidized medicines for the child and support for the normal life of a young person. In addition, the treatment program for children with type 1 diabetes includes annual fully paid vouchers to the sanatorium together with their parents.

The list of preferential pharmacological drugs for type 2 diabetes is not small. Basically, these are sugar-lowering pharmacological agents. Free medicines for type 2 diabetes mellitus, their number and how many test strips are required are determined by the endocrinologist. The written prescription is valid for a month.

List of free medicines:

1. Tablets (Acarbose, Repaglinide, Gliquidone, Glibenclamide, Glucophage, Glimepiride, Glibenclamide, Gliclazide, Glipizide, Metformin, Rosiglitazone).
2. Injections (Insulin in suspension and solution).

In addition, free syringes, needles and alcohol are provided for type 1 diabetes. But for issuance, you will need to collect documents and contact the appropriate authorities. It is precisely the dislike of bureaucratic processes that is often the reason for refusing state benefits for diabetics.

To qualify for discounted diabetes medications, you will need to apply to the Pension Fund. After registration, this organization will transfer data to state medical institutions, pharmacies and health insurance funds.

-FOOTNOTE-

Important! In order for the Pension Fund to take into account the candidacy of the patient and assign a benefit, it is necessary to provide a number of documents. Therefore, it is better to find out the list of papers by phone in advance, otherwise repeated trips to the institution and long lines will cause a lot of trouble.

Also, the Pension Fund must take a certificate confirming that a person does not refuse benefits for patients with diabetes. This document will be required by the doctor who will write a prescription for free medicines.

In addition, when contacting a doctor, you must have:

• the passport;
• a certificate certifying the right to benefits;
• individual insurance number of the personal account;
• medical insurance.

The attending physician must write out a special prescription with which a patient with type 1 diabetes must go to the pharmacy. But you can apply for free medicines for diabetics only in government organizations. If a person does not have information about such medical facilities, you can find out their location at the place of residence by contacting the Ministry of the Region. healthcare.

Very often, patients refuse what is due to patients with diabetes, preferring monetary compensation. Even if a type 2 diabetic patient is doing well, diabetic benefits should not be dismissed. After all, financial payments are much less than the cost of treatment. When refusing legal free therapy, people with type 2 diabetes should be aware that if the condition suddenly worsens, it will no longer be possible to receive state treatment.

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Knowing what benefits type 2 diabetics have will help those who are ill to receive the necessary assistance from the state to maintain health. When asked what benefits type 2 diabetics have, many of the patients will indicate only the free issue of hypoglycemic drugs and glucometers. But this is only a small part of what is supposed to suffer from type 2 diabetes, there are many more benefits to ensure a full life for the patient. But only knowing your rights will help a person who does not even have a disability due to a disease, but suffers from type 2 diabetes, to get what he is entitled to by law.

What is required for patients

The law of the Russian Federation provides for the following benefits for diabetics:

1. Providing medicines.
2. Rehabilitation.
3. Cash payments.

Each of these points needs to be considered in more detail.

For some reason, many people suffering from diabetes are sure that spa treatment is only due to the assignment of a disability due to the disease.

But in Russia, the benefits for diabetics include the possibility of free sanatorium treatment and without disability due to illness.

In addition to the free tour, benefits for patients with type 2 diabetes include compensation for:

• travel expenses;
• nutrition.

For children with type 2 diabetes, free travel to the place of treatment, accommodation and meals with their parents are provided.

Monetary compensation to an adult can be paid for an unused spa voucher, unissued medicines or for the costs of examinations and medical procedures necessary to restore a person’s health, but not covered by a health insurance policy.

But compensatory payments for a voucher or medicines not taken are always small, and it is recommended that patients take prescribed medicines and sanatorium vouchers.

If type 2 diabetes is diagnosed in a child under 14 years old, then such children are entitled to a monthly payment in the amount of the average salary.

What medicines are supposed to be given out for free

Probably, most people with diabetes have no problems getting free sugar-lowering drugs, but few of the patients know that benefits for type 2 diabetics also provide for the issuance of other drugs to treat disorders that may accompany the underlying disease.

These include:

1. Phospholipids (drugs to maintain normal liver function).
2. Means that improve the function of the pancreas (Pancreatin).
3. Vitamins and vitamin-mineral complexes (in tablets or in the form of solutions for injections).
4. Medicines to restore disturbed metabolic processes (drugs are selected individually by the attending physician from the list of free medicines).
5. Thrombolytic drugs (drugs to reduce blood clotting) in tablets and injections.
6. Cardiac medicines (all groups of medicines necessary for the normalization of cardiac activity).
7. Diuretics.
8. Drugs for the treatment of hypertension.

If necessary, antihistamine, analgesic, antimicrobial and other medications necessary for the treatment of diabetic complications are added to the list for those with diabetes.

In addition to medicines, glucometers and test strips are provided free of charge to patients.

The number of test strips depends on which hypoglycemic medications the diabetic uses:

• for insulin-dependent people, 3 strips per day are prescribed;
• for those who are independent of insulin - 1 strip.

And also insulin-dependent patients are given syringes for injection, their number depends on how many times a day it is necessary to inject insulin.

How to exercise your rights

First you need to collect the necessary package of documents.

It includes:

• 2 photocopies of the passport;
• a certificate confirming the diabetic status (the attending physician is aware of the disease, but it is recommended to carry the certificate with you in case you need to prescribe medications from another doctor);
• 2 photocopies of SNILS;
• certificate of a disabled person (if there is a disability);
• new insurance policy.

If you need to receive preferential medicines, then you need to come with all the documents to the doctor and ask for a prescription for beneficiaries for the necessary drug. If the medicine is on the list, then in most cases it is possible to get a prescription on a special form. Next, the doctor must indicate the addresses of pharmacies where it is possible to receive the prescribed remedy.

In rare cases, when a refusal is also received from the head physician, it is necessary to write a complaint to Rospotrebnadzor.

The complaint must indicate:

• justified right to a benefit;
• the health need of the required medicinal product;
• the circumstances under which the prescription of preferential medicines was refused.

You can send a complaint by letter or fill out the appropriate form on the website of Rospotrebnadzor.

To obtain a ticket to the documents already collected, you must additionally take certificate No. 070 / y-04 for adults and No. 076 / y-04 for children at the clinic, and then write an application for a sanatorium voucher to the Social Insurance Fund. You must apply for a ticket in advance, no later than December 1 of the current year. Notification of the allocation of a ticket will come in 10 days, but the date of arrival at the sanatorium will be no earlier than 3 weeks. In case of refusal to issue a ticket, you must also contact Rospotrebnadzor.

With monetary compensation, it is a little more complicated: funds for unused benefits can be obtained from the social insurance fund by writing an application at the end of the year and submitting a certificate of benefits not used during the year. It is more difficult to compensate for the costs of additional treatment and examination: this will require collecting a lot of paperwork confirming the need for medical procedures, but even in this case, the costs will not always be compensated.

Knowing your rights will help people with type 2 diabetes get what they need from the government to stay healthy. You just need to show a little patience and perseverance and not retreat at the first refusal, but apply to higher authorities to restore your rights.

BolezniKrovi.com

Diabetes mellitus is a serious problem of the individual, and of the whole society as a whole. For state authorities, medical and social protection of such citizens should be a priority activity.

Who is supposed to

Diabetes mellitus is an endocrine disease, a violation of the absorption of glucose by the body and, as a result, its significant increase in the blood (hyperglycemia). It develops due to deficiency or absence of the hormone insulin.

The most striking symptoms of diabetes are fluid loss and constant thirst. There may also be increased urine output, insatiable hunger, weight loss.

There are two main types of the disease. Type 1 diabetes mellitus develops as a result of the destruction of the cells of the pancreas (its endocrine part) and leads to hyperglycemia. Requires lifelong hormone therapy.

Type 2 diabetes is the most common, occurring in 90 percent of patients with diabetes. It mainly develops in overweight people.

At the initial stage, type 2 diabetes is treated with diet and exercise. At a later time, drugs are used. Effective therapy does not yet exist. In most cases, the symptoms are treated, not the disease itself.

Having diabetes is not a reason for a disability. It is established only in case of violations of varying degrees in the endocrine system.

From the moment of diagnosis, in accordance with the Federal Law, the patient is guaranteed the right to health protection.

Which are provided

At the legislative level, the following benefits are provided for patients with type 2 diabetes mellitus without disability: provision of medicines, cash payments and rehabilitation.

The goals of social protection of patients are the creation of the necessary conditions for life and health protection.

Medications

According to the law, patients must be provided free of charge with medicines and self-monitoring devices:

• genetically engineered high-quality insulins (if indicated) and means of their administration;
• medicines that lower sugar and prevent complications;
• means of self-control to determine the indications of glucose, sugar, disinfectants
• the choice of insulin on the recommendation of the attending physician (if necessary).

Social protection

In addition to free medicines, patients with the second type of disease are entitled to:

• the right to specialized services in state and municipal institutions;
• training in the basics of compensation for the disease;
• compulsory health insurance;
• ensuring equal opportunities in all areas: education, sports, professional activities, the possibility of retraining;
• social rehabilitation, adaptation;
• health camps for children under 18 for medical reasons;
• the possibility of refusing medical and social services.

Fringe benefits

Some other preferences available for type 2 diabetes:

1. Rehabilitation in sanatoriums, health courses, compensation for travel and food expenses. Treatment is required at least once every two years. Travel priority is given to persons with diabetes and children with disabilities. But patients with the second type also have the right to do so. No matter how high-quality the treatment in inpatient conditions is, rehabilitation in a sanatorium is incomparably higher due to the technical base. An integrated approach improves individual patient performance. It should be remembered that there are a number of contraindications for spa treatment: infectious diseases, oncological diseases, mental disorders, pregnancy in the second trimester.
2. Exemption from military service. If a conscript is found to have diabetes mellitus, its type, the presence of complications and the severity of the course should be determined. When determining type 2 diabetes, if there are no disturbances in the functioning of the organs, he will not have to fully serve his service, but he can be called up if necessary as a reserve force.
3. Extension of maternity leave by 16 days. Staying in the hospital after childbirth is increased by three days.

How to use

Citizens with type 2 diabetes can apply for the basic set of benefits at the Pension Fund branch. For example, free medicines or treatment in a sanatorium, as well as payments if they are refused.

Specialists need to present the required documents (the list can be obtained in advance by phone or on the website) and write an application for the right to preference.

Officials will check the papers with photocopies, verify the correctness of filling out the application and issue a certificate of acceptance of documents to the citizen. Then the information received is checked along with the basis and, provided that everything is in order, the applicant will be issued a certificate of the right to use state support.

The application form can be downloaded here.

On the basis of the certificate, the doctor will write out free prescriptions for obtaining medicines and devices necessary for checking the state of health, he will also tell you the addresses of pharmacies that issue such medicines.

To allocate a ticket to the sanatorium, you will also have to contact your doctor. A commission will meet to examine the patient and, if a positive verdict is issued, will issue him a certificate of the need for rehabilitation.

It should be submitted to the social insurance fund along with the application, preferably before the first of December.

The applicant will receive a response within ten days. The sanatorium-resort organization must correspond to the profile of the disease. Check-in time will be indicated in the notice.

The ticket will be issued three weeks before the intended trip. It is not subject to resale, but in case of unforeseen circumstances it can be returned (no later than a week before the start of rehabilitation).

Is it possible to monetize

Instead of benefits, you can use material compensation, although it will not cover all the costs of treatment. Money can be paid for unissued medicines or an unused spa voucher.

Waivers are allowed once a year. For registration, you should contact the Pension Fund at the place of residence with an application and documents.

The application shall indicate the name of the authorized body; Full name, address and details of the citizen's passport; a list of social services from which he refuses; date and signature.

Documents are submitted before October 1 of the current year. Then compensation will be accrued from January and throughout the year.

You should be aware that it is not necessary to waive all benefits at once. You can refuse a free ticket and travel to the place of rehabilitation, and leave the receipt of medicines. That is, each beneficiary has the right to make a choice independently.

By writing an application for monetization, a citizen will not win anything, since the proposed amounts are simply meager. The payment for refusal of sanatorium treatment is 116.83 rubles, free travel - 106.89, and medicines - 816.40 rubles.

Required documents

To apply for a certificate of the right to use social benefits, you will need:

• citizen's passport;
• application in the prescribed form;
• SNILS;
• proving the right to use paper privileges.

Documents for obtaining a ticket to the sanatorium:

• Russian passport of a diabetic patient;
• application for a ticket;
• SNILS;
• a certificate from the clinic, issued no later than six months before its provision;
• certificate from the Pension Fund on the absence of monetized benefits for the given year.

To waive benefits, you must:

• applicant's passport;
• statement;
• SNILS;
• certificate of confirmation of benefits;

The number of patients with diabetes mellitus is growing year by year. They need rehabilitation and expensive drugs, often for the rest of their lives. Not always people have enough material resources to purchase them. Therefore, the state provides them with measures of medical and social support.