Citizens of Russia are guaranteed free medical care by the state. People are given a policy in their hands - a document that embodies the support of the state healthcare system in case of illness.
And what does it really mean? What types of services in the clinic are required to provide at no additional charge, and which ones will you have to pay for yourself? Under what circumstances is a free medical examination carried out? Let's look at all the questions in detail.
About free medicine
The 41st article of the Constitution of the Russian Federation lists guarantees to citizens of the country from the state. In particular, it says:
“Everyone has the right to health care and medical care. Medical assistance in state and municipal health care institutions is provided to citizens free of charge at the expense of the relevant budget, insurance premiums, and other revenues.
Thus, the list of free medical services should be determined by the relevant state bodies, that is, the healthcare system. This happens on two levels:
- federal;
- regional.
Important! The budget fund for the development of medical institutions is formed from several sources. One of them is tax revenues from citizens.
What types of services are guaranteed by the state
By virtue of the current legislative acts, patients are guaranteed the right to the following types of medical care:
- emergency (ambulance), including special;
- outpatient treatment, including examination;
- hospital services:
- gynecological, pregnancy and childbirth;
- with exacerbation of ailments, ordinary and chronic;
- in cases of acute poisoning, in case of injury, when intensive care is required, associated with round-the-clock supervision;
- planned outpatient care:
- high-tech, including the use of complex, unique methods;
- medical care for citizens with incurable ailments.
Medicines are issued at the expense of the budget to people suffering from the following types of diseases:
- shortening life;
- rare;
- leading to disability.
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New in legislation since 2017
- pre-medical (primary);
- ambulance;
- specialized;
- palliative.
In addition, the text of the document contains a list of medical professionals who are subject to the obligation to treat patients without charging money.
These include:
- paramedics;
- obstetricians;
- other health workers with secondary specialized education;
- general practitioners of all profiles, including doctors of family medicine and pediatricians;
- doctors-specialists of medical organizations providing specialized, including high-tech, medical care.
Medical policy
Important! Not only citizens of the Russian Federation have the right to issue a compulsory medical insurance policy. It is issued (for a small fee) to foreigners permanently residing in the country.
The MHI policy has the following semantic content:
- the citizen is guaranteed medical support;
- medical organizations perceive it as a client identifier (for it, the hospital will transfer funds from the Compulsory Medical Insurance Fund).
How to get an OMS policy
The document is issued by the relevant companies operating within the framework of the legislation of the Russian Federation. Their rating is regularly printed on official websites, allowing citizens to make their choice.
To be issued a CHI policy, you must provide a minimum number of documents.
Namely:
- for children under 14:
- birth certificate;
- parent's (guardian's) passport;
- SNILS (if any);
- for citizens over 14 years old:
- passport;
- SNILS (if available).
Important! For citizens of the Russian Federation, the policy is valid indefinitely. Only foreigners are provided with a temporary document:
- refugees;
- temporarily residing in the country.
Rules for replacing the compulsory medical insurance policy
In some situations, the document is supposed to be changed to a new one. These include the following:
- when moving to a region where the insurer does not work;
- in case of filling out the paper with errors or inaccuracies;
- in case of loss or damage to the document;
- when it fell into disrepair (dilapidated) and it is impossible to make out the text;
- in the event of a change in personal data (marriage, for example);
- in the case of a planned update of the sample form.
What is included in the free service under the MHI policy
Paragraph 6 of Article 35 of Federal Law No. 326-FZ provides a complete list free services under the medical policy provided to the owners of the document. They are provided in:
- polyclinic;
- dispensaries;
- hospital;
- Ambulance.
What can OMS policy holders expect?
In particular, patients are entitled to free medical care and treatment in the following situations:
Dentists, like other professionals, are required to work with patients without pay.
They provide the following types of assistance:
- treatment of caries, pulpitis and other diseases (enamel, inflammation of the body and roots of the tooth, gums, connective tissues);
- surgical intervention;
- dislocations of the jaws;
- preventive actions;
- research and diagnostics.
Important! Services for children are provided free of charge:
- to correct an overbite;
- enamel strengthening;
- treatment of other lesions not related to carious.
How to apply the CHI policy
In order to organize the treatment of patients, they are attached to the clinic. The choice of a medical institution is given to the choice of the client.
It is defined:
- convenience of visiting;
- location (near the house);
- other factors.
How to "attach" to the clinic
You can do this with the help of an insurer (choose an institution when receiving a policy) or on your own.
To attach to the clinic, you should go to the institution and write an application there. Copies of the following documents are attached to the paper:
- identity cards:
- passports for citizens over 14 years old;
- birth certificates of a child under 14 years of age and passports of a legal representative;
- compulsory medical insurance policy (original is also required);
- SNILS.
Important! Citizens registered in another region can legally refuse to attach to a polyclinic if the institution is overcrowded (the maximum norm of patients has been exceeded).
In case of refusal, it should be requested in writing. You can complain about a medical institution to the Ministry of Health of the Russian Federation or Roszdravnadzor.
Visit to the doctor
In order to get help from a specialist, you must register with him through the registry. This department issues admission vouchers. Terms and rules of registration, patient care are established at the regional level. They can be found in the same registry.
In addition, the insurer must provide this information to customers (you need to call the number indicated on the policy form).
For example, in the capital there are such rules for providing patients with medical services:
- referral to an initial appointment with a therapist, pediatrician - on the day of treatment;
- coupon to specialist doctors - up to 7 working days;
- carrying out laboratory and other types of examination - also up to 7 days (in some cases up to 20).
Ambulance
All people in the country can use emergency medical services (the presence of a CHI policy is optional).
There are regulations governing the activities of ambulance crews. They are:
- the ambulance service responds to emergency calls within 20 minutes in case of a threat to people's lives:
- accidents;
- wounds and injuries;
- exacerbation of the disease;
- poisoning, burns and so on.
- emergency care arrives within two hours if there is no threat to life.
How to call an ambulance
There are several options for seeking emergency medical care. They are:
- From a landline, dial 03.
- By mobile connection:
- 103;
Important! The last number is universal - 112. This is the coordination center for all emergency services: hide, fire, emergency and others. This number works on all devices if there is a network connection:
- with zero balance;
- with the absence or blocking of the SIM card.
Ambulance Response Rules
The service operator determines if the call is justified. An ambulance will arrive if:
- the patient has signs of an acute illness (regardless of its location);
- there was a catastrophe, a mass disaster;
- received information about the accident: injuries, burns, frostbite, and so on;
- violation of the activity of the main body systems, life-threatening;
- if childbirth or termination of pregnancy has begun;
- the disorder of the neuropsychiatric patient threatens the lives of other people.
Calls due to such factors are considered unreasonable:
- the patient's alcoholism;
- non-critical deterioration of the patient's condition of the clinic;
- dental diseases;
- carrying out procedures in the order of planned treatment (dressings, injections, etc.);
- organization of workflow (issuance of sick leave, certificates, drawing up an act of death);
- the need to transport the patient to another place (clinic, home).
Where to file medical complaints
When conflict situations, rude treatment, insufficient level of services provided, you can complain to the doctor:
- chief physician (in writing);
- to the insurance company (by phone and in writing);
- to the Ministry of Health (in writing, via the Internet);
- Prosecutor's office (also).
Attention! The term for consideration of the complaint is 30 working days. Based on the results of the check, the patient is required to send a reasoned response in writing.
If necessary, the attending doctor can be changed to another specialist. To do this, write an application addressed to the head physician of the hospital. However, the change of specialists is allowed to be carried out no more than once a year (except in cases of relocation).
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Last changes
On May 28, 2019, new CHI rules came into force, which provide for the introduction in Russia of policies of a single sample (paper or electronic format). At the same time, there is no need to replace the previously issued policy. In addition, if it is technically possible to unambiguously identify the insured person in the unified register of insured persons, then instead of the CHI policy, a passport can be presented (Order of the Ministry of Health of Russia dated February 28, 2019 No. 108n “On Approval of the Rules for Compulsory Medical Insurance“).
The new Rules provide for stricter control over the observance of the rights of the insured, as well as close electronic interaction between the territorial MHIF, insurance organizations and medical organizations:
- polyclinics every year until January 31 will have to report to the TFOMS (through a single portal) the number of those attached, the number of people under dispensary observation, schedules of professional examinations / medical examinations with a quarterly / monthly breakdown by therapeutic areas; work schedules);
- polyclinics every day on working days before 9 am must report (through the TFOMS portal) on insured persons who have passed a medical examination, as well as on persons undergoing medical examination;
- medical organizations, a medical insurance organization (HIO) and TFOMS will exchange information in electronic form every day on the TFOMS portal: hospitals must update data on the volume of medical care, free beds, admitted / non-admitted patients by 9 am; polyclinics update information on hospital referrals issued yesterday until 9 am; medical organizations providing specialized, including high-tech, medical care, post information about patients who have had a telemedicine consultation, and the CMO is obliged to monitor the implementation of the recommendations received from the doctors of the NMIC, and has the right to conduct an in-person examination within the next 2 working days ;
- regardless of the mentioned interaction, every day no later than 10 am, the CMO informs hospitals about patients referred to such hospitals the day before, and also every day no later than 10 am informs medical organizations about the number of free beds in the context of profiles / departments, about patients whose hospitalization did not take place;
- On the basis of the database from the TFOMS portal, the HMO checks during the working day whether the patients were correctly referred to specialized medical organizations. If hospitalization took place out of time, not according to the profile, the HMO must file a complaint with the head physician of the violating medical organization and the regional Ministry of Health, and, if necessary, take measures and transfer the patient;
- insurance representatives of HIOs received a wide range of responsibilities - working with citizens' complaints, organizing examinations of the quality of medical care, informing and accompanying them when providing them with medical care, inviting them to medical examination, monitoring its passage, forming lists of "persons for medical examination" and lists of citizens who fell under dispensary observation;
- patients will be able to see when and what medical services were provided to them, and at what cost: in personal account on the portal of public services or through the TFOMS - by means of authorization in the ESIA;
- for oncological patients, the HMO undertakes to create (on the TFOMS portal) an individual history of insurance events (based on registers-accounts) throughout all stages of medical care.
The updated CHI Rules directly impose on the CMO the obligation to carry out pre-trial protection of the rights of insured persons. When they file complaints about poor-quality medical care or charging for services under the compulsory medical insurance program, the CMO registers written appeals, conducts a medical and economic examination and an examination of the quality of medical care.
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In accordance with the legislation of the Russian Federation, every citizen is provided with free medical care. A compulsory health insurance policy (CHI) is a document that guarantees the receipt of a certain package of free medical services. However, in addition to free treatment under compulsory medical insurance, citizens can also use a number of paid services.
Proper treatment is the key to improving the quality and life expectancy of each person. Therefore, it is so important to receive high-quality medical care on time and in full when the need arises. Consider in what cases medical services will need to be paid.
Opportunity to receive paid assistance under the CHI policy
The list of medical services that can be provided to the population for a certain monetary reward is listed in special list, adopted and approved by Decree of the Government of the Russian Federation No. 291 dated April 16, 2012. This is an extensive list, which includes both directly some types of diagnostics, specialist consultations, etc., as well as services that increase the comfort of undergoing treatment and procedures (comfort wards in hospitals, the provision of medical specialist services at home, etc.). ).
Note! Emergency care is provided to citizens free of charge in medical institutions with various forms of ownership (even in private clinics), which is regulated by the Law of the Russian Federation No. 323-ФЗ “On the Fundamentals of Protecting the Health of Citizens”.
All types of treatment and examinations (and, in case of inpatient care, also medicines) prescribed by a doctor upon admission under the CHI policy, are free of charge. The doctor has the right to recommend a paid service only if it is not available in a free format in a given region or as an alternative. In the latter case, the doctor is obliged to notify the citizen about the availability of a free option for the provision of services and take from him a written receipt of the notification. The patient, at his own request, can use paid medical services from the list approved at the legislative level. This list is given in the last section of our article.
What paid medical services can be obtained under compulsory health insurance?
The choice of paid medical services depends on the desire of the patient or on the recommendation of the attending physician, if they are not included in the list of medical care provided free of charge. If the patient doubts that any type of examination, procedure, service is not included in the free package, then he must contact the insurance company that issued him the CHI policy. You can get advice from the insurer by phone number " hotline”, specified in the policy, or directly at the office of the insurance company. Obviously, for all services that are not included in the free medical care package, you will have to pay out of your own pocket. There is a certain procedure for providing paid medical care.
You should be aware that before providing any medical service, the institution providing it is obliged to conclude an agreement with the patient. This document must contain the details of the institution and the patient, the name of the service, the procedure for its provision, the amount of payment, the date the document was drawn up, the signatures of the parties and the imprint of the official seal. The contract must be accompanied by a document confirming the fact of payment (cash or sales receipt, cash order, etc.). The listed package of documents is a confirmation of the provision of services to the patient.
If it turns out that the received paid service recommended by the doctor is included in the free CHI package, then the patient can return the money spent. To do this, a citizen must present to the insurer such documents as an application for a refund Money, a referral issued by a doctor at an appointment within the framework of compulsory medical insurance, an agreement and a check.
The list of paid medical services that can be obtained under the CHI policy
Some types of medical services are indeed provided only for money. Their list should be posted in a conspicuous place in any medical institution. Most often, such services include: consultations of specialists, conducted on your personal initiative; medical support for private events; anonymous treatment; diagnostics and procedures at home, etc. The list of medical services provided for a fee is quite extensive. In particular, it includes the following services:
- Anonymous diagnosis and treatment (except for HIV infection);
- Therapeutic, consulting and diagnostic manipulations carried out at home, including after discharge from the hospital (except when the patient is physically unable to visit a medical facility);
- Treatment of sexological problems;
- Artificial insemination;
- Speech therapy treatment of adult patients;
- Preventive vaccinations(except for vaccinations provided for by the state program);
- Sanatorium treatment (except for children and specialized for adult patients);
- cosmetic procedures;
- Dental prosthetics (except as provided by law);
- Psychological help;
- Teaching nursing and first aid skills;
- Household and service services during treatment.
It is worth noting that some of the listed items in certain subjects of the Russian Federation may be included in the list of the territorial CHI program. Therefore, in the event of a specific insured event, before paying, you need to contact the insurance company for advice.
All state medical organizations, regardless of the organizational and legal form, have the right to provide paid services to the population and legal entities, the main differences being only in the right to dispose of the income received from their provision. In table. 1 presents the rights of medical organizations of various organizational and legal forms in terms of income-generating activities.
Table 1
The rights of medical organizations of various organizational and legal forms in terms of income-generating activities
Autonomous non-profit institution | State state-financed organization health care | Government institution |
|
The right to carry out income-generating activities | The right to carry out income-generating activities only in so far as it serves the achievement of the goals for which it was created, and corresponding to these goals, provided that such activities are indicated in its constituent documents | Can carry out income-generating activities in accordance with its constituent documents |
|
The right to dispose of income received from income-generating activities | The income received from such activities and the property acquired at the expense of these incomes shall be placed at the independent disposal of the autonomous institution. | The income received from such activities, and the property acquired at the expense of these incomes, are placed at the independent disposal of a budgetary institution. | Income received from these activities goes to the relevant budget budget system Russian Federation |
The analysis of the system of paid medical services showed that, along with certain achievements (expanding the market for medical services, increasing the competitiveness of medical organizations and specialists, generating income for these organizations from the provision of paid medical services, expanding the right of patients to choose medical organizations and specialists, etc.), there are a number of problems. These, first of all, include the problems of imperfection of the legislative and regulatory framework for the provision of paid medical services. In our opinion, the main problems here are:
1) the absence of legally fixed responsibility of patients for providing comprehensive information known to them about their own state of health and the presence of possible contraindications to certain types of medical interventions;
2) insufficient development at the federal level of methods and recommendations for organizing paid medical services in state and municipal medical organizations, incl. recommending the procedure for dividing the flow of patients receiving paid and free medical services, as well as organizing the work of medical specialists and the use of medical equipment and apparatus;
3) the lack of clear professional recommendations on the formation of a market for medical services, taking into account the proposal of a wider range of preventive, treatment, diagnostic and rehabilitation programs, including those not included in the program of state guarantees and territorial programs for free provision of medical care to citizens;
4) insufficient elaboration of the methodology for the provision of paid medical services in medical organizations, taking into account their specifics and increasing the satisfaction of producers and consumers of medical services;
5) lack of organizational and functional models for the organization and provision of paid medical services in state medical organizations;
6) the imperfection of the methodology for calculating tariffs for medical services, the lack of sufficient flexibility in approving tariffs, taking into account the changing economic situation and effective demand of the population.
The following can be predicted as possible threats, also associated with the lack of development of the regulatory legal framework:
1. Unreasonable growth in the volume of paid medical services to the detriment of the volume and level of medical services provided without charging patients.
2. Incorrect use of the resource base of state medical organizations for the provision of paid medical services.
3. Violation financial reporting and settlements in the provision of paid medical services.
There are a number of other problems that manifest themselves in the process of activities of organizations and specialists of state organizations in the provision of paid medical services. First of all, these include the lack of evidence-based structural and organizational models for the activities of state medical organizations and specialists working in them to provide paid medical services, a system for training managers and specialists in this area of activity, as well as insufficient study of patients' opinions on the degree of satisfaction with medical services. provided on paid basis in public health organizations.
All of the above often contributes to the adoption of immature managerial decisions on the organization and improvement of the system for the provision of paid services, creates preconditions for inequality in the provision of paid medical services and services provided free of charge, as well as other organizational, financial and legal violations. This indicates the expediency of a deeper study of the practice of activities of producers of paid medical services and assessment of these activities by consumers of these services.
An analysis of the existing options for organizing and providing paid services in state medical organizations, carried out according to the literature data and according to the reporting data of state medical organizations of the Moscow Department of Health, showed that the following are the most in demand and more often used (Table 2):
table 2
Options for organizing and providing paid services in state medical organizations
First option Organization and provision of paid medical services in separately allocated or leased units; specialists employed at work in these divisions at the main place of work or part-time work; using own or rented equipment and other resources. | Second option Organization and provision of paid medical services without the allocation of separate units on the basis of existing ones, by specialists employed at work in these units, often during regular working hours, using the main equipment of the organization and other resources of the organization |
Third option Mixed approach from separate aspects of the first and second options |
|
All of these options have a number of advantages, disadvantages and features. Their choice depends on many factors, including the territorial location, profile and organizational structure of a medical organization, its capacity, staffing and other resources, etc.
When implementing paid medical services using the approaches that we designated as the first option, a specialized unit that exists in excess of the established staffing table is independent within its competence in the structure of a medical organization. At the same time, the extra-budgetary components are not only the staff and allocated space, but also medical equipment, medicines and other consumables.
Consideration of the main advantages, problems and features of the listed options indicates the following (Tables 3, 4)
Table 3
Description of the main advantages, problems and features of the first option for the organization and provision of paid services
Main advantages | Main problems | Peculiarities |
1) the possibility of complete autonomous accounting of all resource costs (staff working hours, equipment depreciation, utility costs, funds for the purchase of medicines, soft inventory, detergents and disinfectants, etc.); 2) the convenience of maintaining a separate statistical, accounting and tax accounting, which eliminates the possibility of violation of financial discipline and reporting data, as well as double payment for services from various sources, i.e. minimizing the risk of violation of the law; 3) the possibility of providing the necessary attention to patients who have paid for services, minimizing the queue and waiting time for services. | 1) lack of space required to create separate units; 2) the need to attract additional human resources in the face of the existing staff shortage of key workers; 3) financial costs, including resource support, for example, the purchase of expensive equipment, staff salaries, and other costs that can become catastrophic if there is not enough flow of patients. | Work efficiency requires: 1) implementation of the marketing concept, taking into account market conditions, the possibility of producing demanded and competitive medical services and other aspects; 2) formation of a sufficient and constant flow of patients; 3) creating a favorable image of a medical organization. |
Table 4
Description of the main advantages, problems and features of the second option for the organization and provision of paid services
Main advantages | Main problems | Peculiarities |
1) no need at the initial stage to invest additional material, technical, financial and other resources, attract additional personnel, etc. | 1) a significant increase in the risk of violations of legislation on income-generating activities; 2) the complexity of maintaining separate statistical, accounting and tax records; 3) more intensive use of the resource base of a medical organization, often without its proper compensation at the expense of incoming extrabudgetary funds; 4) the complexity of separating flows and routing patients receiving paid medical services and compulsory medical insurance services, which causes conflict situations; 5) the likelihood of a reduction in guaranteed medical care to the population due to an increase in the volume of paid services in a medical organization; 6) the emergence of a possible inequality in relation to medical personnel to patients receiving medical care on a paid basis and within the framework of compulsory medical insurance; 7) the lack of sufficient comfort in the organization and provision of paid services (separate registration, registration, admission and individual treatment of patients), which negatively affects consumer activity and the quality of medical services provided. | Work efficiency requires: 1) constant organizational efforts of managers and executors of medical services to solve current problems in the provision of paid services and services for compulsory medical insurance, reduce the tension that arises; 2) constant and effective control of the organization and quality of the provision of all types of medical services, compliance with the current legislation by all authorized organizations and specialists. |
The approach to the provision of paid services in state medical organizations, in which a separate staff is formed and areas (offices, departments) are allocated for these purposes - option N 1, is relevant for large treatment and prevention centers or highly specialized polyclinics.
The second option, most often used in state medical organizations, is the provision of paid services by medical personnel (approved by the staffing table), during their main working hours, without the allocation of independent structural units. It also has a number of advantages, problems and features.
The use of this option is relevant with a small number of services provided in a medical organization, as well as during the formation and development of income-generating activities.
The choice of a specific option in a medical organization depends on many factors and may vary depending on the stage of development this direction activities.
With the increase in the volume of services provided, there is a need to review and optimize their provision. The prerequisites for organizing an independent organizational and functional model are the following factors:
1) an increasing demand for medical services provided by insurance companies within the framework of VHI;
2) transition to single-channel financing, with a continuing financial deficit;
3) changes in the legal framework governing this type of activity of the institution, with the expansion of the rights and opportunities of managers in this area;
4) the accumulated experience of medical organizations in this field of activity.
Thus, the analysis of options for the provision of paid medical services in public medical organizations indicates that it is necessary to develop unified organizational and functional models for improving these activities in order to increase the volume and quality of medical services provided and minimize risks.
This regulation “On the procedure and conditions for the provision of paid medical services” (hereinafter referred to as the Regulation) in the State Autonomous Healthcare Institution “Moscow Scientific and Practical Center for Medical Rehabilitation, Restorative and Sports Medicine of the Moscow City Health Department” (hereinafter referred to as the Center) was developed in accordance with the Constitution of the Russian Federation, the Civil Code of the Russian Federation, the Federal Law of the Russian Federation of November 21, 2011 No. 323-FZ “On the Basics of Protecting the Health of Citizens in the Russian Federation”, the Federal Law of the Russian Federation of November 29, 2010 No. 326-FZ “On Compulsory Medical Insurance in the Russian Federation”, Law of the Russian Federation of February 7, 1992 No. 2300-1 “On Protection of Consumer Rights”, Decree of the Government of the Russian Federation of October 4, 2012 N 1006 “On Approval of the Rules for the Provision of Paid Medical Services by Medical Organizations”, Order of the City Health Department Moscow dated October 2, 2013. No. 944 "On approval of the rules for the provision of paid services to citizens and legal entities by state organizations of the health care system of the city of Moscow", Decree of the Moscow Government of December 24, 2013 No. 892-PP "On the Territorial program of state guarantees of free provision of medical care to citizens in the city of Moscow for 2014 and the planning period of 2015 and 2016”, the Budget Code of the Russian Federation, the Tax Code of the Russian Federation, the Charter of the Center, a license to carry out medical activities.
The regulation defines the procedure and conditions for the provision of paid medical services to the population at the Center, as well as the procedure for spending the funds received, including for the remuneration of employees involved in the provision of paid medical services.
The provision of paid medical services by the Center contributes to a more complete satisfaction of the needs of the population in medical and medico-social assistance, as well as attracting additional financial resources for the material and technical development of the Center and material incentives for its employees.
1. Basic concepts
Paid medical services are medical services provided on a reimbursable basis at the expense of personal funds of citizens, funds of legal entities and other funds on the basis of contracts, including voluntary medical insurance contracts.
Consumer - an individual who intends to receive or receives paid medical services personally in accordance with the contract. A consumer receiving paid medical services is a patient covered by the Federal Law "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation".
Legal representative- a person acting in the interests of a patient - a person who has not reached the age of onset of legal capacity determined by civil legislation, and citizens who are recognized in the manner prescribed by law as incapacitated, partially incapacitated, etc.
Customer- an individual (legal) person who intends to order (purchase) or order (purchase) paid medical services in accordance with the contract in favor of the consumer.
Medical service is a medical intervention or a complex of medical interventions aimed at the prevention, diagnosis and treatment of diseases that have an independent final value and a certain cost.
Medical assistance is a set of measures (including medical services, organizational and technical measures, sanitary and anti-epidemic measures, drug provision, etc.) aimed at maintaining and restoring health.
Medical services (paid non-medical services) - household, service, transport and other services to patients, provided additionally in the branches of the Center in the process of providing medical care, but not being elements of medical care.
The program of state guarantees for providing the population of the Russian Federation with free medical care (hereinafter referred to as the Program) is a program of medical care for the population provided by a medical institution on a free basis for the population and financed from the state budget.
Territorial program of state guarantees for the provision of free medical care to the population of the city of Moscow - a program of state guarantees for the provision of free medical care to the population of the city of Moscow (hereinafter referred to as the Territorial Program), which includes a territorial program of compulsory medical insurance established in accordance with the legislation of the Russian Federation on compulsory medical insurance.
State targeted medical care programs are targeted medical care programs for certain contingents of the population (usually socially significant diseases or those in which expensive methods of treatment are used) in terms of the prevention and treatment of diseases for which special-purpose funding is allocated from budgets of different levels.
Medical insurance policy - a document issued to the insured, certifying the fact of insurance in this insurance organization and determining the scope of medical care in accordance with the contract of compulsory or voluntary medical insurance.
The price (tariff) for a medical service is the amount of money that the consumer (customer) must pay, and the medical organization must provide a certain medical service for this amount.
2. The procedure for the provision of paid medical services
2.1. The basis for the provision of paid medical services is:
2.1.1. lack of relevant medical services in the Program, the Territorial Program and (or) targeted programs for medical care; no obligation to pay for this type of medical care (medical service) from the budget and state non-budgetary funds;
2.1.2. provision of medical services on other terms than those stipulated by the Program, Territorial programs and (or) target programs at the request of the consumer (customer), including but not limited to:
- establishment of an individual post of medical observation during treatment in a hospital;
- the use of drugs that are not included in the list of vital and essential drugs, if their appointment and use is not due to vital indications or replacement due to individual intolerance to drugs included in the specified list, as well as the use of medical devices, medical nutrition, in including specialized health food products that are not provided for by the standards of medical care;
2.1.3. provision of paid medical services to citizens of foreign states, stateless persons, with the exception of persons insured under compulsory medical insurance, and citizens of the Russian Federation who do not permanently reside on its territory and are not insured under compulsory medical insurance, unless otherwise provided by international treaties of the Russian Federation ;
2.1.4. independent application for receiving paid medical services, with the exception of cases and the procedure provided for by Article 21 of the Federal Law of November 21, 2011 N 323-FZ “On the Basics of Protecting the Health of Citizens in the Russian Federation”, and cases of providing an ambulance, including a specialized ambulance, medical care and medical care provided in emergency or emergency form.
2.1.5. provision of medical services: an individual medical post, as well as Additional services provided in the process of providing medical care, including household and service: individual cooking or ordering dishes at the request of the patient, accommodation in a superior ward and other services provided additionally in the provision of medical care.
2.2. Paid medical services cannot be provided in the branches of the Center:
2.2.1. in return for services performed within the framework of the state (municipal) assignment, except for the cases when it is fulfilled in full and on the conditions prescribed in paragraphs. 2.1.1. - 2.1.5.;
2.2.2. it is not allowed to provide additional services for a fee without the consent of citizens, as well as to condition the provision of some services on the obligatory performance of others;
2.2.3. when receiving medical care in the branches of the Center within the framework of the Territorial program for the provision of free medical care, the following services are not subject to payment:
- prescription and use of medicinal products for medical reasons (in cases of their replacement due to intolerance, rejection) that are not included in the list of vital and essential drugs;
- accommodation in small wards (boxes) of patients for medical and (or) epidemiological indications;
- medical transport services in the provision of medical care within the framework of the standards of medical care (examination and treatment of a patient in a round-the-clock hospital) in the absence of the possibility of their provision by a medical or other organization providing medical care to the patient.
2.2.4. medical services cannot be provided for a fee in the provision of emergency medical care, which is provided immediately in conditions requiring medical intervention for emergency indications (in case of accidents, injuries, poisoning and other conditions and diseases).
2.3. The procedure for the provision of paid medical services at the Center is regulated by the Regulations on the procedure and conditions for the provision of paid services at the Center, developed on the basis of the "Rules for the provision of paid services to citizens and legal entities by state organizations of the Moscow healthcare system" and approved by the director of the Center by internal regulatory documents (orders, rules of internal labor regulations, collective agreements, work schedules, etc.), as well as other requirements of the current legislation.
2.4. The date of commencement of the provision of paid medical services, the list of paid medical services provided by the Center's branches, prices (tariffs) for paid medical services, as well as changes in the list of paid medical services and changes in prices (tariffs) are approved by order of the Director of the Center.
2.4.1. The list for paid medical services is compiled with the indication of the codes of the paid services provided in accordance with the approved nomenclature of medical services and is approved by the order of the Director.
2.4.2. In case of termination of the provision of paid services, the Center sends relevant information to the Moscow City Health Department within 3 days in order to make changes to the register of state organizations providing paid services on the official website of the Moscow City Health Department.
2.5. Provision of paid medical services can be carried out in all structural subdivisions (departments, chambers, offices) of the Center's branches, including in specially organized structural subdivisions (departments, chambers, offices).
2.5.1. A specially organized structural subdivision (department, chamber, office), which provides exclusively paid services, is guided in its activities by the regulation “On the department (chamber, office) for the provision of paid medical services to the population”.
2.6. The provision of paid medical services in the branches of the Center is carried out by specialists approved by the order of the head of the branch.
2.6.1. The number of employees involved in the provision of paid medical services in the branches of the Center may include specialists from scientific departments Center, if there is an appropriate medical education on a partnership basis.
2.6.2. To carry out work on the provision of paid medical services, the Center may introduce additional positions of medical and other personnel, whose remuneration is carried out at the expense of funds received from the sale of paid medical services.
2.7. The provision of paid medical services by employees of the Center's branches on an outpatient basis can be carried out during the main working hours and at the main workplace by increasing the intensity of the work of a specialist with a slight increase (up to 3 patients per shift) - the load rate, or failure to fulfill the planned load. In the case of a large volume of paid services - according to a separate schedule for the reception of specialists. In stationary conditions and paraclinical units, it is allowed to provide paid medical services during the main working hours and at the main workplace.
2.7.1. In specially organized structural subdivisions (departments, wards, offices), paid medical services are provided according to the work schedule in these subdivisions.
2.7.2. When providing paid medical services, the operating hours of branches can be established according to a separate schedule, subject to its coordination with the Moscow Department of Health.
2.7.3. At the same time, the availability, quality and volume of medical services provided at the Center under the Program, the Territorial Program of State Guarantees for the Provision of Free Medical Care to the Population of the City of Moscow, and targeted comprehensive programs should not deteriorate.
2.8. Paid medical services, their types, volumes and conditions of provision must comply with licensing requirements, the terms of the contract, standards and procedures for the provision of medical care, regulatory documents (requirements) established by the Ministry of Health of the Russian Federation and other requirements established by law.
2.9. Paid medical services can be provided to the full extent of the standard of medical care, or as one-time consultations, procedures, diagnostic studies and other services, including those in excess of the standards being met.
2.10. Requirements for the provision of paid medical services, including the content of standards, procedures and conditions for the provision of medical care, service, and other services are determined by agreement of the parties and may be higher than provided for by the standards, procedures and other regulatory documents (requirements) approved Ministry of Health of the Russian Federation, as well as standards, procedures, conditions and requirements established on their basis by other federal and regional authorities executive power.
2.11. Paid medical services provided to the population must comply with the requirements for methods of diagnosis, prevention, treatment, medical technologies, medicines, immunobiological preparations and disinfectants permitted in the territory of the Russian Federation.
2.12. The sources of financing for the provision of paid medical services are:
– funds of insurance organizations operating in the system of voluntary medical insurance;
- funds of organizations, enterprises, institutions;
- personal funds of citizens;
- funds of the Social Insurance Fund;
– other means permitted by law.
2.13. Paid medical services to the population are provided by the Center under contracts. Contracts are concluded in writing in accordance with the requirements for their content established by federal legislation on the procedure for the provision of paid services by state organizations.
2.14. The conclusion by the Center of contracts for intermediary services to attract patients by third parties is not allowed.
3. Conditions for the provision of paid medical services
3.1. The presence of a concluded contract for the provision of paid medical services. When concluding a contract, the consumer (customer) is provided in an accessible form with information on the possibility of obtaining the appropriate types and volumes of medical care without charging a fee under the program of state guarantees of free provision of medical care to citizens and the territorial program of state guarantees of free provision of medical care to citizens.
3.2. A prerequisite for the provision of paid medical services at the Center is the provision of accessible and reliable information by posting it on the Center's website in the Internet information and telecommunication network, as well as on information stands (racks) in the Center's branches.
3.2.1. Information posted on information stands (racks) should be available to an unlimited circle of people during the entire working hours of the Center's branches and contain the following information: name and address of the branch location; availability of a valid license to carry out medical activities; price list of paid medical services; information about medical workers involved in the provision of paid medical services; operating hours of the branch; work schedule of medical workers involved in the provision of paid medical services; addresses and phone numbers of the executive authority in the field of protecting the health of citizens and the service for supervision in the field of consumer protection and human well-being of the city of Moscow.
3.2.2. Information stands (racks) are located in a place accessible to visitors and are designed in such a way that you can freely get acquainted with the information posted on them.
3.3. At the request of the consumer and (or) the customer, the employees of the branches of the Center provide for review:
3.3.1 a copy of the constituent document of the state organization (the Charter of the Center), regulations on the branch involved in the provision of paid services;
3.3.2. a copy of the license to carry out medical and other activities subject to licensing with a list of works (services) in accordance with the license.
3.4. At the conclusion of the contract, at the request of the consumer (customer), information on paid services containing the following information must be provided in an accessible form:
3.4.1. procedures for the provision of medical care and standards of medical care used in the provision of paid medical services;
3.4.2. information about a specific medical worker providing the relevant paid medical service (his vocational education and qualifications);
3.4.3. information about the methods of providing medical care, the risks associated with them, possible types of medical intervention, their consequences and the expected results of the provision of medical care;
3.4.4. a list of categories of consumers entitled to receive benefits, as well as a list of benefits provided in the provision of paid medical services in accordance with federal laws and other regulatory legal acts, and other information related to the contract.
3.5. The provision of paid services to citizens is carried out with the informed voluntary consent of the patient until the moment the medical service is provided. If it is impossible to obtain such consent from the patient himself, it must be obtained from his legal representatives (guardians). The fact of informed voluntary consent to the provision of paid medical services is recorded in the patient's medical record.
3.6. At the end of the provision of paid medical services to the patient, he is issued a medical certificate of the established form, in the presence of temporary disability - a sheet of temporary disability.
- Prices (tariffs) for paid medical services and payment procedure
4.1. Prices (tariffs) for medical services provided to the population for a fee are determined in accordance with Chapter 25 of the Tax Code of the Russian Federation.
4.2. The price list (prices) for medical services at the Center is approved by the Director of the Center.
4.3 Employees of the Center pay 70% of the cost of paid medical services in the Price List.
4.4. Payment for medical services is carried out by non-cash payments through credit organizations or by depositing cash directly to the cash desk of the Center with the issuance to the consumer (customer) of a document confirming payment (cash receipt, receipt or other form of strict accountability (document of the established sample).
4.5. Collection of money directly by the employees of the Center providing paid medical services is strictly prohibited.
4.6 .. At the request of the person who paid for the services, the Center is obliged to issue a Certificate of payment for medical services for submission to the tax authorities of the Russian Federation in the form established by order of the Ministry of Health of the Russian Federation and the Ministry of the Russian Federation for Taxes and Duties dated July 25, 2001 N 289 /BG-3-04/256 “On the implementation of Decree of the Government of the Russian Federation of March 19, 2001 N 201 “On approval of lists of medical services and expensive types of treatment in medical organizations of the Russian Federation, medicines the amounts of payment of which at the expense of the taxpayer's own funds are taken into account when determining the amount of the social tax deduction”.
4.7. Requirements for paid medical services, including their volume and terms of rendering, are determined by agreement of the parties to the contract, unless federal laws, other regulatory legal acts of the Russian Federation provide for other requirements.
4.8. If, for any reason beyond the control of the Center, it is impossible to provide medical care to the patient (in whole or in part), then the funds shall be returned in non-cash form to the account of the legal entity according to the reconciliation act, or to the patient (Customer) in cash at his request signed by the branch manager.
4.9. Funds received for paid medical services provided are credited to the personal account of the Center in the Department of Finance of the city of Moscow to account for funds received from income-generating activities.
- Responsibility and control over the provision of paid medical services at the Center
6.1. In accordance with the legislation of the Russian Federation, the Center is responsible for non-fulfillment or improper fulfillment of the conditions for the provision of paid medical services, non-compliance with the requirements for methods of diagnosis, prevention and treatment, training, as well as for causing harm to the health and life of the patient.
6.2. Control over the organization of work on the provision of paid medical services, the quality of their implementation in the branches of the Center, prices and the procedure for collecting funds from the population is carried out by federal Service for Supervision in the Field of Consumer Rights Protection and Human Welfare, the Department of Health of the City of Moscow, as well as others government bodies which, in accordance with laws and other legal acts of the federal and regional levels, are entrusted with checking the activities of state organizations.
6.3. In case of detection of violations in the work of the Center for the provision of paid medical services, officials are liable in accordance with the current legislation of the Russian Federation.
6.4. The harm caused to the life and health of the patient as a result of the provision of low-quality paid medical services is subject to compensation by the contractor in accordance with the legislation of the Russian Federation.
6.5. These Regulations are approved by the Director of the Center, changes and additions to these Regulations are made by orders of the Director of the Center.
GOVERNMENT OF THE RUSSIAN FEDERATION DECISION dated October 4, 2012 N 1006 ON THE APPROVAL OF THE RULES FOR THE PROVISION OF PAID MEDICAL SERVICES BY MEDICAL ORGANIZATIONS
In accordance with Part 7 of Article 84 of the Federal Law "On the Basics of Protecting the Health of Citizens in the Russian Federation" and Article 39.1 of the Law of the Russian Federation "On Protection of Consumer Rights", the Government of the Russian Federation decides:
1. Approve the attached Rules for the provision of paid medical services by medical organizations.
2. Recognize invalid the Decree of the Government of the Russian Federation of January 13, 1996 N 27 "On approval of the Rules for the provision of paid medical services to the population by medical institutions" (Sobranie Zakonodatelstva Rossiyskoy Federatsii, 1996, N 3, Art. 194).
Chairman of the Government of the Russian Federation D. MEDVEDEV Approved by Decree of the Government of the Russian Federation of October 4, 2012 N 1006
RULES FOR THE PROVISION OF PAID MEDICAL SERVICES BY MEDICAL ORGANIZATIONS
I. General provisions
1. These Rules determine the procedure and conditions for the provision of paid medical services by medical organizations to citizens.
2. For the purposes of these Rules, the following basic concepts are used:
"paid medical services" - medical services provided on a reimbursable basis at the expense of personal funds of citizens, funds of legal entities and other funds on the basis of contracts, including voluntary medical insurance contracts (hereinafter - the contract);
"consumer" - an individual who intends to receive or receives paid medical services personally in accordance with the contract. A consumer receiving paid medical services is a patient covered by the Federal Law "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation";
"customer" - an individual (legal) person who intends to order (purchase) or order (purchase) paid medical services in accordance with the contract in favor of the consumer;
"executor" - a medical organization providing paid medical services to consumers.
The concept of "medical organization" is used in these Rules in the meaning defined in the Federal Law "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation".
3. Paid medical services are provided by medical organizations on the basis of the list of works (services) that make up medical activity and specified in the license to carry out medical activities, issued in the prescribed manner.
4. Requirements for paid medical services, including their scope and timing of provision, are determined by agreement of the parties to the contract, unless federal laws, other regulatory legal acts of the Russian Federation provide for other requirements.
5. These Rules are brought to the attention of the consumer (customer) by the contractor in a clear and accessible form.
II. Conditions for the provision of paid medical services
6. When concluding a contract, the consumer (customer) is provided in an accessible form with information on the possibility of obtaining the appropriate types and volumes of medical care without charging a fee within the framework of the program of state guarantees of free provision of medical care to citizens and the territorial program of state guarantees of free provision of medical care to citizens (hereinafter - respectively program, territorial program).
The consumer's refusal to conclude a contract cannot be the reason for reducing the types and volumes of medical care provided to such a consumer without charging a fee within the framework of the program and the territorial program.
7. Medical organizations participating in the implementation of the program and the territorial program have the right to provide paid medical services:
a) on other terms than provided by the program, territorial programs and (or) target programs, at the request of the consumer (customer), including, but not limited to:
establishment of an individual post of medical observation during treatment in a hospital;
the use of drugs that are not included in the list of vital and essential drugs, if their appointment and use is not due to vital indications or replacement due to individual intolerance to drugs included in the specified list, as well as the use of medical devices, medical nutrition, including the number of specialized health food products that are not provided for by the standards of medical care;
b) when providing medical services anonymously, with the exception of cases provided for by the legislation of the Russian Federation;
c) citizens of foreign states, stateless persons, with the exception of persons insured under compulsory health insurance, and citizens of the Russian Federation who do not permanently reside on its territory and are not insured under compulsory health insurance, unless otherwise provided by international treaties of the Russian Federation;
d) when applying for medical services independently, with the exception of cases and the procedure provided for in Article 21 of the Federal Law "On the Fundamentals of Protecting the Health of Citizens in the Russian Federation", and cases of emergency, including emergency specialized, medical care and medical care provided by in an urgent or emergency manner.
8. The procedure for determining prices (tariffs) for medical services provided by medical organizations that are budgetary and state-owned state (municipal) institutions is established by the bodies exercising the functions and powers of the founders.
Medical organizations of other organizational and legal forms determine prices (tariffs) for paid medical services provided on their own.
9. When providing paid medical services, the procedures for the provision of medical care approved by the Ministry of Health of the Russian Federation must be observed.
10. Paid medical services may be provided in full of the standard of medical care approved by the Ministry of Health of the Russian Federation, or at the request of the consumer in the form of individual consultations or medical interventions, including in an amount exceeding the scope of the standard of medical care being performed.
III. Information about the contractor and the medical services provided by him
11. The Contractor is obliged to provide, by posting on the website of the medical organization in the information and telecommunication network "Internet", as well as on the information stands (racks) of the medical organization, information containing the following information:
a) for a legal entity - the name and company name (if any);
for an individual entrepreneur - last name, first name and patronymic (if any);
b) the address of the location of the legal entity, the data of the document confirming the fact of entering information about the legal entity in the Unified State Register of Legal Entities, indicating the body that carried out the state registration;
the address of the place of residence and the address of the place of medical activity of the individual entrepreneur, the data of the document confirming the fact of entering information about the individual entrepreneur in the Unified State Register of Individual Entrepreneurs, indicating the body that carried out the state registration;
c) information about the license to carry out medical activities (number and date of registration, list of works (services) that make up the medical activities of a medical organization in accordance with the license, name, location address and telephone number of the licensing authority that issued it);
d) a list of paid medical services indicating prices in rubles, information on the conditions, procedure, form of providing medical services and the procedure for their payment;
e) the procedure and conditions for the provision of medical care in accordance with the program and the territorial program;
f) information on medical workers involved in the provision of paid medical services, on the level of their professional education and qualifications;
g) the mode of operation of a medical organization, the work schedule of medical workers involved in the provision of paid medical services;
h) addresses and phone numbers of the executive authority of the constituent entity of the Russian Federation in the field of protecting the health of citizens, the territorial authority of the Federal Service for Supervision in the Sphere of Health Care and the territorial authority of the Federal Service for Supervision in the Field of Consumer Rights Protection and Human Welfare.
12. Information posted on information stands (racks) should be available to an unlimited number of people during the entire working time of a medical organization providing paid medical services. Information stands (racks) are located in a place accessible to visitors and are designed in such a way that you can freely get acquainted with the information posted on them.
13. The contractor provides for review at the request of the consumer and (or) the customer:
a) a copy of the constituent document of a medical organization - a legal entity, the regulation on its branch (department, other territorially separate structural unit) involved in the provision of paid medical services, or a copy of the certificate of state registration individual as an individual entrepreneur;
b) a copy of the license to carry out medical activities with a list of works (services) that make up the medical activities of a medical organization in accordance with the license.
14. When concluding a contract, at the request of the consumer and (or) the customer, they must be provided in an accessible form with information on paid medical services containing the following information:
a) the procedures for the provision of medical care and the standards of medical care used in the provision of paid medical services;
b) information about a specific medical worker providing the relevant paid medical service (his professional education and qualifications);
c) information about the methods of providing medical care, the risks associated with them, possible types of medical intervention, their consequences and the expected results of the provision of medical care;
d) other information related to the subject of the contract.
15. Prior to the conclusion of the contract, the contractor shall notify the consumer (customer) in writing that failure to comply with the instructions (recommendations) of the contractor (medical worker providing paid medical services), including the prescribed treatment regimen, may reduce the quality of the provided paid medical service, entail the impossibility of its completion on time or adversely affect the health of the consumer.
IV. The procedure for concluding a contract and paying for medical services
16. The contract is concluded by the consumer (customer) and the contractor in writing.
17. The contract must contain:
a) information about the performer:
name and company name (if any) of a medical organization - a legal entity, location address, data of a document confirming the fact of entering information about a legal entity in the Unified State Register of Legal Entities, indicating the body that carried out the state registration;
surname, name and patronymic (if any) of an individual entrepreneur, address of residence and address of the place of medical activity, data of a document confirming the fact of entering information about an individual entrepreneur in the Unified State Register of Individual Entrepreneurs, indicating the body that carried out the state registration;
the number of the license to carry out medical activities, the date of its registration, indicating the list of works (services) that make up the medical activities of the medical organization in accordance with the license, the name, address of the location and telephone number of the licensing authority that issued it;
b) last name, first name and patronymic (if any), residential address and telephone number of the consumer (legal representative of the consumer);
surname, name and patronymic (if any), address of the place of residence and telephone number of the customer - an individual;
the name and address of the location of the customer - legal entity;
c) a list of paid medical services provided in accordance with the contract;
d) the cost of paid medical services, the terms and procedure for their payment;
e) conditions and terms for the provision of paid medical services;
f) position, surname, name, patronymic (if any) of the person concluding the contract on behalf of the contractor, and his signature, surname, name, patronymic (if any) of the consumer (customer) and his signature. If the customer is a legal entity, the position of the person concluding the contract on behalf of the customer is indicated;
g) the responsibility of the parties for failure to comply with the terms of the contract;
h) the procedure for changing and terminating the contract;
i) other conditions determined by agreement of the parties.
18. The contract is drawn up in 3 copies, one of which is with the contractor, the second - with the customer, the third - with the consumer. If the contract is concluded by the consumer and the contractor, it is drawn up in 2 copies.
19. An estimate may be drawn up for the provision of paid medical services. Its preparation at the request of the consumer (customer) or contractor is mandatory, while it is an integral part of the contract.
20. If the provision of paid medical services requires the provision of additional medical services on a reimbursable basis that are not provided for by the contract, the contractor is obliged to notify the consumer (customer) about this.
Without the consent of the consumer (customer), the contractor is not entitled to provide additional medical services on a reimbursable basis.
21. If the provision of paid medical services requires the provision of additional medical services for emergency reasons to eliminate the threat to the life of the consumer in case of sudden acute diseases, conditions, exacerbations of chronic diseases, such medical services are provided free of charge in accordance with the Federal Law "On the Fundamentals of Protection health of citizens in the Russian Federation".
22. If the consumer refuses to receive medical services after the conclusion of the contract, the contract is terminated. The contractor informs the consumer (customer) about the termination of the contract at the initiative of the consumer, while the consumer (customer) pays the contractor the costs actually incurred by the contractor related to the performance of obligations under the contract.
23. The consumer (customer) is obliged to pay for the medical service provided by the contractor on time and in the manner specified by the contract.
24. In accordance with the legislation of the Russian Federation, the consumer (customer) is issued a document confirming the payment for the provided medical services (cash receipt, receipt or other form of strict accountability (standard document)).
25. After the execution of the contract, the Contractor shall issue to the consumer (legal representative of the consumer) medical documents (copies of medical documents, extracts from medical documents) reflecting the state of his health after receiving paid medical services.
26. The conclusion of a voluntary medical insurance contract and payment for medical services provided in accordance with the said contract shall be carried out in accordance with the Civil Code of the Russian Federation and the Law of the Russian Federation "On the organization of insurance business in the Russian Federation".
V. Procedure for the provision of paid medical services
27. The contractor provides paid medical services, the quality of which must comply with the terms of the contract, and in the absence of conditions on their quality in the contract, the requirements for services of the corresponding type.
If the federal law, other regulatory legal acts of the Russian Federation provide for mandatory requirements for the quality of medical services, the quality of paid medical services provided must comply with these requirements.
28. Paid medical services are provided subject to the informed voluntary consent of the consumer (legal representative of the consumer), given in the manner prescribed by the legislation of the Russian Federation on the protection of the health of citizens.
29. The contractor provides the consumer (legal representative of the consumer) at his request and in a form accessible to him information:
about the state of his health, including information about the results of the examination, diagnosis, treatment methods, the risk associated with them, options and consequences of medical intervention, expected results of treatment;
about used in the provision of paid medical services medicines and medical devices, including their expiration dates (warranty periods), indications (contraindications) for use.
30. When providing paid medical services, the Contractor is obliged to comply with the requirements established by the legislation of the Russian Federation for the preparation and maintenance of medical records and accounting and reporting statistical forms, the procedure and deadlines for their submission.
VI. Responsibility of the performer and control
for the provision of paid medical services
31. For non-fulfillment or improper fulfillment of obligations under the contract, the performer shall be liable under the legislation of the Russian Federation.
32. Harm caused to the life or health of the patient as a result of the provision of low-quality paid medical services is subject to compensation by the contractor in accordance with the legislation of the Russian Federation.
33. Control over compliance with these Rules is carried out by the Federal Service for Supervision of Consumer Rights Protection and Human Welfare within the established powers.
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