Free treatment in a sanatorium under compulsory medical insurance and social security benefits. Receiving a free sanatorium-resort voucher for Moscow benefit recipients Receiving a voucher to a work sanatorium

Many of us would like to receive a preferential voucher from the state for a sanatorium spa treatment.

However, this opportunity is not provided for everyone.

So, who can get it? What is needed for this? What legal provisions govern this issue?

Legislative aspect

Question about the possibility of obtaining a discounted voucher for Spa treatment regulated:

Federal Law No. 178, which clearly defines the time frame for staying in a sanatorium, as well as possible reasons for refusal for various categories of citizens;
Order of the Ministry of Health, which regulates the procedure for obtaining this benefit;
Decree of the Government of the Russian Federation, which provides guarantees of free treatment for individual categories population.

In addition, each region of the Russian Federation has its own regional laws, which cover in more detail the issues of registering free sanatorium-resort treatment for its residents.

Who is entitled to

The right to receive free visits to one of the sanatoriums are available to:

In addition to the indicated categories, people also have the right to count on a voucher Patients for whom it is extremely important to receive further treatment after an inpatient stay in a medical institution (funds are allocated from the regional budget). Only officially employed citizens have this right after they have been provided with stationary medical care. The full list of diseases for which employed citizens can count on recovery is regulated by regional legislation. For example, in the capital this issue is regulated by Moscow Decree No. 591 of July 2010.

Also, employees of certain departments and departments (for example, law enforcement agencies) have the right to free visits to the sanatorium, in accordance with the regulatory documents adopted by the departments.

Terms of service

It is worth noting that when you book a voucher through the Social Insurance Fund, including when asking, it is provided completely free of charge.

Duration sanatorium-resort voucher varies from 18 to 24 days. The sanatorium must be located on the territory of the Russian Federation, and the voucher includes free travel in both directions. Details can be found at the territorial FSS office at your place of registration.

It is important to remember: o medicines that the applicant accepts, you need to think about it in advance, since no one will provide them.

As for departments and departments, they independently decide on the procedure for financing and the amount of payment for sanatorium-resort treatment for their current employees and retirees. To clarify all necessary information You must contact your department directly.

What institutions can you go to for health improvement?

As mentioned above, not all sanatoriums offer a free voucher.

In particular, can send:

if it comes at the expense of the Social Insurance Fund, it will be provided only to one of those sanatoriums that previously entered into an agreement with the Social Insurance Fund. They are located throughout the Russian Federation, and specifically in resort areas, which is important;
as for vouchers for patients for whom it is extremely important to undergo a rehabilitation course after inpatient treatment. Such citizens are issued a voucher to local sanatoriums that provide their services for a specific type of disease. Moreover, the list of such institutions is regulated by regional regulatory documents and is reviewed regularly. This category of citizens can receive a referral exclusively to their region;
as for departmental employees, including retirees, full list institutions to which they can be sent directly depends solely on the capabilities of the organizations themselves. In simple words, they send people for treatment/rest only to those institutions that belong exclusively to them.

Maximum stay period

Duration of spa treatment provided to citizens of the Russian Federation in , is no more than 18 calendar days.

about 21 calendar days – for disabled children;
Citizens who have diseases of the spinal cord or brain have the right to count up to 42 calendar days.

As for free vouchers for completing a rehabilitation course, they do not exceed 24 calendar days.

Registration procedure

The registration process can be conditionally divide into several categories:

Directly through the FSS.
Patients who need to undergo rehabilitation.

Through the Social Insurance Fund

To receive a free trip, you must directly contact your attending physician at your place of residence.

To avoid possible errors when drawing up an application, it is recommended to use a special one.

In case there is medical indications and in parallel with this, there is no medical prohibition on sanatorium-resort treatment, the doctor must fill out certificate in form No. 070/у-4, which includes the following information:

name of the sanatorium;
Preferred visiting season.

The issued certificate has a validity period of six months from the date of issue.

With the received certificate and the corresponding application drawn up, you should visit the territorial department of the Social Insurance Fund of the Russian Federation.

In addition to these documents, you should be sure to prepare:

documents that confirm that the applicant belongs to one of the categories of citizens with benefits. They can be: a certificate of a disabled person, a certificate of recognition of incapacity, and so on;
a developed personal rehabilitation plan for an incapacitated applicant, which gives full right to receive state social assistance (provided in the form of a set of social services);
original and a copy of all completed pages of the passport.

Based on the submitted package of documents, employees of the Social Insurance Fund will notify the applicant over the next few weeks about the possibility of providing a voucher for sanatorium treatment according to the type of disease with an exact indication of the time of arrival.

After registration, the voucher is issued to the applicant in full necessary information about the patient. It bears the note “It is impossible to resell the trip because it was paid for by the federal budget.”

After the applicant receives permission to visit the sanatorium, it is necessary no earlier than several months before the start of its validity, apply for a health resort card at the clinic, where a certificate was provided in form No. 070/u-4.

Upon completion of treatment at the sanatorium, it is necessary to return the remaining part of the coupon (it is issued upon departure by the sanatorium) to the clinic no later than one calendar month upon arrival. The sanatorium independently sends the other part of the voucher (tear-off part) to the territorial Social Insurance Fund, so there is no reason to worry. In simple words, you can be sure that the FSS will not have any questions.

Rehabilitation course

Those categories of citizens for whom it is extremely important to receive an additional course of rehabilitation upon completion of inpatient treatment must contact the medical commission of the medical institution where they were treated.

This is possible in accordance with the procedure for sending hired workers to undergo a rehabilitation course in specialized sanatoriums, the list of which was approved by the Ministry of Health No. 44 of January 2006.

Speaking in simple words, initially need to:

Check with your doctor about the need for a rehabilitation course.
Then contact the trade union representative at your official place of work.
To get approval.
The following procedure is identical to the first option.

As you can see, getting a referral for health improvement for free is not so difficult. It is enough to adhere to a clear algorithm of actions.

Possible reasons for refusal

Main reasons for refusal When applying for free treatment, it is generally accepted that:

an attempt to register by citizens who are not provided with such an opportunity;
not a complete package of necessary documentation was provided;
the completed application contains errors (incorrectly compiled).

More detailed list with interpretation possible reasons refusal is specified in Federal Law No. 178 “On the provision of state social assistance”.

Financial compensation

Initially, it is necessary to understand that children with disabilities and (they may be provided with free referrals in the presence of regional bills) Dont Have legal grounds receive financial compensation.

They have two options:

take advantage of a free trip;
otherwise, it simply “burns out.”

If monetary compensation draws up serviceman, he has the right to receive about 25% of the cost of treatment. Moreover, if compensation is issued by one of his family members, the relatives receive 50% of the cost.

Many people wonder why it is necessary to issue compensation if the best option will be a sanatorium-resort treatment? The answer is banal: the problem is that in many regions of our country, beneficiaries are forced to wait for quite a long period of time for their turn to receive a voucher. Sometimes it may not be suitable for the current year. In order to somehow compensate for the lost opportunity, they are forced to issue compensation.

For information on granting the right to free health treatment in sanatoriums to residents of the Samara region, see the following video:

If a voucher has been allocated and the start date of treatment is known, care must be taken to obtain health resort card. It is better to go to a medical institution to receive it 2 months before the start of the voucher.

It is necessary to ensure that the vouchers have all the appropriate marks. The fact that it has been paid is evidenced by the FSS seal and the following mark: “Paid from the federal budget.” It is also noted here that it is “not for sale.”

When a pensioner is in a sanatorium-resort institution, the staff will give him a tear-off coupon from his voucher. This coupon must be presented at the end of the holiday to the place where the permit was received. It will serve as proof that the treatment was actually received and the vacation took place in accordance with the law.

You will need to collect a tear-off coupon from the sanatorium-resort card from the sanatorium doctors. It must also be provided to the medical institution that sent the person for treatment. If circumstances arise for a pensioner such that he cannot begin treatment, then he is obliged to return the voucher to the place where he received it no later than a week before the start of the treatment period. Otherwise they will arise. So you can’t wait until the last minute.

If you are patient and follow all the advice, you will definitely be able to get treatment and rest for free.

Children who permanently reside in Moscow and belong to the following preferential categories are eligible to receive a discounted voucher:

orphans and children left without parental care, who, in accordance with the Federal Law of December 21, 1996 No. 159-FZ “On additional guarantees for social support orphans and children left without parental care" are provided with additional guarantees for social support and who have a place of residence in the city of Moscow;
orphans and children left without parental care, who are under guardianship, trusteeship, including in a foster or foster family (from 7 to 17 years inclusive - for individual recreation, from 3 to 17 years inclusive - for joint outdoor recreation);
disabled children, children with disabilities health (from 7 to 15 years inclusive - for individual recreation, from 4 to 17 years inclusive - for joint outdoor recreation);
children from low-income families (from 3 to 7 years inclusive - for joint outings, from 7 to 15 years inclusive - for individual outings);
children of others
from low-income families;
victims of armed and interethnic conflicts, environmental and man-made disasters, natural disasters;
from families of refugees and internally displaced persons;
found themselves in extreme conditions;
victims of violence;
whose life activity is objectively disrupted as a result of current circumstances, and who cannot overcome these circumstances on their own or with the help of their family;
victims of terrorist attacks;
from the families of military personnel and persons equivalent to them who died or were injured (wounded, traumatized, concussed) while performing their military service or official duties;
from families in which both or one parent is disabled;
with behavioral problems.

">preferential categories (from 7 to 15 years inclusive - for individual outings) subject to receipt of a monthly child benefit in accordance with Moscow City Law No. 67 of November 3, 2004 (information on receipt of benefits must be provided).

2. What documents are needed to get a free trip?

child's identity document;
identification document of the applicant;
information about the identity document of the parent (legal representative) (when submitting an application by an authorized representative);
identification document of the accompanying person (in case of organizing a joint holiday);
a document containing information about the place of residence of a child, a person from among orphans and children left without parental care in the city of Moscow;
a document confirming the authority of the applicant as a parent (legal representative);
a document confirming the child’s preferential category;
a document confirming the preferential category of a person from among orphans and children left without parental care;
a document confirming the authority of the accompanying person for a joint holiday, including for an accompanying person by proxy;
a document confirming the authority to submit an application (if the application is submitted by an authorized representative);
insurance numbers of compulsory pension insurance (SNILS) of the persons specified in the application;
a document confirming the change of full name of the persons indicated in the application (only in case of change).

3. When to apply?

As a rule, an application campaign for free trips to next year starts at the end of the current one. Thus, applications for free vacation trips for children in 2020 were accepted from November 2 to December 10, 2019.

At the second stage of the application campaign, which will take place from 10:00 a.m. on February 7 to 11:59 p.m. on February 21, 2020, you need to decide on the choice of a specific recreation and recreation organization. You can do this:

7. Is it possible to refuse a free trip?

You have the right to refuse the provided voucher in two cases:

If there are at least 35 working days left before the arrival date. You can refuse by submitting a written application in person to the State Autonomous Institution “Mosgortur” (required pre-entry).
In the presence of
illness, injury of a child;
illness, injury of an accompanying person (in the case of organizing a joint vacation);
the need for an accompanying person to care for a sick family member (in the case of organizing a joint vacation);
quarantine of a child or quarantine of a person living with the child, as well as, in the case of organizing a joint outing, quarantine of an accompanying person;
death of a close relative (parent, grandmother, grandfather, brother, sister, uncle, aunt);
children with disabilities and children with disabilities receiving sanatorium-resort treatment or rehabilitation at the same time as a free voucher for recreation and recovery.

good reasons

8. Can I get compensation if I bought the ticket myself?

The following have the right to payment of compensation for independently purchased travel vouchers:

residents of the city of Moscow who have taken in orphans and children without parental care who are under guardianship, trusteeship, including in a foster or foster family ( Compensation is paid in the amount of 100% of an independently purchased vacation and recreation voucher for each child and for each accompanying person at the rate of no more than one accompanying person per child, but not more than three times the subsistence level per capita established by the Moscow Government on the day of submission applications for payment of compensation for the purchased tour.">compensation in the amount of 100%);
residents of the city of Moscow receiving monthly child benefits in accordance with the Law of the city of Moscow dated November 3, 2004 No. 67 “On monthly allowance per child" ( 50% of the cost of the purchased vacation and recreation voucher is compensated, but not more than 5,000 rubles.">compensation in the amount of 50%);
residents of the city of Moscow, classified as orphans and children left without parental care ( Compensation is paid in the amount of 100% of the cost of an independently purchased voucher for recreation and recreation, but not more than three times the subsistence level per capita established by the Moscow Government on the day of filing an application for payment of compensation for the purchased voucher.">100% compensation)

A parent (legal representative) can submit an application for payment of compensation for an independently purchased voucher to the State Autonomous Institution “Mosgortur” at the address: Moscow, Ogorodnaya Sloboda lane, building 9, building 1. Opening hours: daily from 08:00 to 20:00. Other contacts of the Mosgortur can be found on its website. Applications are accepted by appointment only.

Please note in

the child does not have a place of residence in Moscow;

applying for payment of compensation after 60 calendar days from the end of the period of rest and recovery based on the purchased voucher;

loss of validity of submitted documents if the documents indicate their validity period or their validity period is established by law;

submission of an incomplete set of documents;

availability in relation to the same child, information on the provision of a free voucher for recreation and recreation in the current calendar year;

availability in relation to the same child of information on the provision in the current calendar year of a certificate to receive payment for independent organization rest and recovery;

the presence in relation to the same child of information about the failure to carry out rest and recreation without good reason on the basis of a vacation and recreation voucher provided in the past and (or) current calendar year with payment of the cost of the vacation and recreation voucher from the budget of the city of Moscow;

availability in relation to the same child of information on the payment of compensation for a vacation and recreation voucher independently purchased by parents or other legal representatives in the current calendar year.

">in a number of cases your application may be refused.

9. I still have questions. Where to go?

Another important information You can find it in the “Frequently Asked Questions” section on the Mosgortur website and on the official website of the Moscow Mayor.

You can also contact the State Autonomous Institution “Mosgortur” at the address: Moscow, Ogorodnaya Sloboda lane, building 9, building 1. Opening hours: daily from 08:00 to 20:00. Other contacts of the Mosgortur can be found on its website. Reception is by appointment only.

A trip to a sanatorium has an extremely positive effect on a person’s health, so you should be attentive to such an opportunity if it suddenly appears, and some people have the right to receive a trip completely free of charge. Let's take a closer look at the question: “Sanatorium and resort treatment - who is entitled to it for free?”

It is worth noting that even a working person can get a ticket to the sanatorium, the main thing is that he meets the requirements. Financing of such vouchers is carried out thanks to the Social Insurance Fund (abbreviated as FSS), but more on that a little later.

It is worth figuring out which citizens can count on being given a free ticket. Here are the main groups of people whose treatment will be sponsored by the Social Insurance Fund:

WWII veterans;
people who received the sign “Resident of besieged Leningrad”;
people who, during the Second World War, worked at facilities responsible for air defense, in the construction of various defensive structures, as well as military facilities located within the borders of the rear of the troops;
people who were included in the crew of transport vessels;
people who served from the very beginning of the Second World War until September 3, 1945, and the period must be at least 6 months;
people who were awarded medals or orders of the USSR for successful service, which was carried out during the period indicated in the previous paragraph;
disabled people.

This is where the list of people sponsored by the FSS ends, but those patients who have been discharged from the hospital but require continued treatment can qualify for a free trip to a sanatorium at the expense of the regional budget.

This opportunity is provided to every working person immediately after discharge to his place of residence. The list of diseases after which it is possible to receive a free trip is always determined by the regulatory documents of a particular region.

Also, people who work (or who worked, but ended it upon retirement) in some departments, for example, in the Ministry of Defense or in the Mayor’s Office can count on free spa treatment.

Will a person who receives such a voucher have to pay for anything on their own?

People often ask a question regarding additional payment for something upon receipt free travel to the sanatorium. It is worth understanding that a sanatorium-resort voucher ( possible deadline- 18-24 days) in the situations under consideration is paid in full by the mentioned authorities. The sanatorium must be located on the territory of Russia, the cost of travel in both directions will also be paid for you, but you should still check the details with the FSS office.

Note! If you have any medications that you take regularly, you should take care of them yourself, since in the sanatorium there are no such medicines It might just not be there!

Which sanatorium will the voucher be provided to?

It is worth understanding that not all sanatoriums accept people according to discounted vouchers. It is worth considering the situation based on the groups of people who have the right to free treatment in the sanatorium, here they are.

People traveling at the expense of the Social Insurance Fund. Those who receive payment for a trip from the Social Insurance Fund must enter into an agreement with this fund, which will indicate the sanatorium where you will go. In such situations, they give a ticket to treatment taking place in various resort regions.
Patients in need of follow-up care after discharge from hospital. Those people who receive travel funding from the regional budget need further treatment. Most often, they go to a sanatorium that provides just such services, and most importantly, is located close to the place of residence of people discharged from the hospital.
Employees of departments and departments. With this option, everything is simple, since people can only go to the sanatorium that belongs to a specific department or department, and this issue is considered individually.

How to get a ticket?

To receive a free voucher, you must contact your doctor. medical institution at your place of residence, where a specialist will fill out a certificate indicating the name of the resort, as well as information about the sanatorium and the visiting season recommended by doctors (we are talking about form 070/u-04).

passport;
certificates confirming membership in a specific preferential category, that is, a certificate or, for example, an ITU certificate;
an individual rehabilitation plan created by a specialist;
a certificate giving the patient the right to use a set of social services (this can be obtained from your Pension Fund office).

You will receive a response within 2 weeks; both the treatment profile and the recommended season will be considered. After a positive answer, you will need to receive a special card; this can be done at the clinic where you received the initial certificate. When you return from the sanatorium, you will need to return the coupon to the clinic.