Who is entitled to vouchers to the sanatorium from the FSS? Free spa treatment: who is entitled to it and how to get it

How to get a free trip to the sanatorium

(answers to the most FAQ)

What categories of citizens are entitled to free trips to sanatoriums?
1. At the expense of the Social Insurance Fund (FSS) of the Russian Federation (from federal budget), having
. Invalids of war,
disabled people,
disabled children;
participants of the Great Patriotic War(hereinafter - WWII),
combat veterans;
military personnel who served in military units, institutions, military educational institutions that were not part of the active army, in the period from June 22, 1941 to September 3, 1945 for at least six months, military personnel awarded orders or medals of the USSR for service during the specified period;
persons awarded the "Resident" badge besieged Leningrad"; persons who worked during the Second World War at air defense facilities, local air defense, in the construction of defensive structures, naval bases, airfields and other military facilities within the rear borders of active fronts, operational zones of active fleets, in front-line sections of railways and automobiles roads; crew members of transport fleet ships interned at the beginning of the Second World War in the ports of other states.)
2. Patients who need further treatment after hospitalization (from regional budgets). Provided to working citizens immediately after inpatient care, at the place of their registration. The list of diseases and the procedure for obtaining a voucher are determined by regional (local) regulatory documents. For Moscow residents, this is Moscow Government Decree No. 591-PP dated July 27, 2010.
3. Employees and pensioners of some departments and departments (for example, the Ministry of Defense of the Russian Federation, the Ministry of Internal Affairs, the UDP of the Russian Federation, the Office of the Mayor and the Government of Moscow, the Federal Tax Service, etc.) in accordance with departmental regulatory documents (not considered here, to obtain them you must contact your department).

What will I have to pay when receiving a discounted voucher to a sanatorium?

When you receive a voucher through the Federal Social Insurance Fund of the Russian Federation and a voucher for rehabilitation, you will be fully paid for a sanatorium-resort voucher for a period of 18-24 days to a sanatorium located on the territory of the Russian Federation, as well as the cost of travel there and back. ABOUT medicines, which you take constantly, you need to take care of yourself and in advance.
Departments and departments establish the procedure for financing and the amount of payment for sanatorium-resort treatment of their employees and pensioners independently. For clarification on the procedure for providing benefits, you need to contact your department.

Which sanatorium will I be given a voucher to?

Not all sanatoriums accept patients on discounted vouchers.
1. At the expense of the Social Insurance Fund (FSS) of the Russian Federation (from the federal budget), you will be able to get a trip to sanatoriums that have entered into an agreement with the FSS. These are sanatoriums from different resort regions Russian Federation.
2. Patients who need follow-up treatment after hospitalization (from regional budgets). The voucher will be provided to a local specialized sanatorium that provides after-care services for such patients and is included in the list of local regulatory documents. The list is reviewed regularly. Most likely, you will be sent to a local sanatorium, because... this is the most rational for rehabilitation.
3. Employees and pensioners of some departments and departments are provided with preferential vouchers to sanatoriums belonging to this department or department.

What is the duration of the discounted voucher to the sanatorium?
Duration of sanatorium-resort treatment as part of the package provided to citizens social services in a sanatorium-resort institution is 18 days, for disabled children - 21 days, and for disabled people with diseases and consequences of spinal cord and brain injuries - from 24 to 42 days. ( the federal law RF No. 178-FZ dated July 17, 1999)
For rehabilitation, vouchers are provided for up to 24 days. For this period, the patient's sick leave is extended.

What do you need to do to get a free trip to the sanatorium? What documents are needed?
1. At the expense of the Social Insurance Fund (FSS) of the Russian Federation (from the federal budget)

To obtain a voucher, you need to contact the attending physician of a medical institution at your place of residence. In the presence of medical indications and there are no contraindications for sanatorium-resort treatment, the doctor will fill out a certificate for obtaining a voucher (Form No. 070/u-04), containing the following information: name of the resort, profile of the sanatorium, recommended season (valid for 6 months).
With this certificate and an application for a voucher, you must contact regional office Fonda social insurance RF.
In addition, to obtain a voucher for a sanatorium spa treatment it is necessary to submit: documents confirming that the citizen belongs to the relevant preferential category(certificate, ITU certificate confirming disability, etc.); individual rehabilitation plan for a disabled person, a certificate confirming the right to receive state social assistance in the form of a set of social services (issued at the department pension fund), passport.
Within two weeks, the Foundation will inform you about the possibility of providing a sanatorium-resort voucher that corresponds to the declared treatment profile, indicating the date of arrival.
The sanatorium-resort voucher is issued in completed form with the seal of the executive body of the Social Insurance Fund and with the note “Paid for from the federal budget and cannot be sold.”
After receiving a sanatorium-resort voucher, but not earlier than 2 months before the start of its validity period, you need to obtain a sanatorium-resort card at the clinic that issued the certificate for obtaining the voucher.
After the end of the sanatorium-resort treatment (no later than 30 days), you need to return the return voucher to the clinic, and the sanatorium will return the tear-off voucher to the Social Insurance Fund of the Russian Federation.

2. Patients who need further treatment after hospitalization (from regional budgets).
A free rehabilitation voucher is provided only to working citizens, at their place of registration, immediately after inpatient care.
Necessity determined medical commission relevant medical institution in accordance with the PROCEDURE for sending workers to aftercare (rehabilitation) immediately after inpatient treatment to specialized sanatoriums (departments), approved by order of the Ministry of Health and social development Russian Federation dated January 27, 2006 No. 44
For a period of rehabilitation treatment The patient's sick leave is extended for up to 24 days.

The information provided is for guidance only. Please find out the exact information from the relevant authorities!

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 for free Spa treatment can be counted on by 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.

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 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 with discounted vouchers. It is worth considering the situation based on the groups of people who have the right to free treatment in a sanatorium, here they are.

1. 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.
2. 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.
3. 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.

If a voucher has been allocated and the start date of treatment is known, care must be taken to obtain health resort card. Go to a medical facility to receive it better than a month 2 before the start of the tour.

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.

The state’s system of social guarantees for the working population is manifested not only in assigned benefits, but also through vouchers at the expense of the Social Insurance Fund. In 2018, the practice of issuing them to certain categories of citizens continued. To receive a voucher to sanatorium-resort institutions according to general rule Public sector employees, disabled people and other citizens can apply if a number of mandatory conditions are met.

The fund's system for issuing vouchers

Funds allocated by the Social Insurance Fund to support sanatorium rehabilitation work are transferred to it annually in accordance with the approved funding budget.

The amount of the total amount that can be disbursed by issuing vouchers is set at the end of the current year for the next reporting period.

The issuance of vouchers to the sanatorium by the Social Insurance Fund is carried out for the purpose of implementing measures for medical rehabilitation and treatment of citizens, as well as providing holders of such referrals with appropriate food in places of placement. This principle is enshrined in Part 1 of Art. 8 of the Law of July 24, 1998 No. 125-FZ<Об обязательном соцстраховании от несчастий на производстве и профзаболеваний˃.

Who can apply for a ticket

A referral to visit a sanatorium-type institution is issued in accordance with Order No. 256 dated November 22, 2004. According to it, a voucher through the Social Insurance Fund can be issued:

• for disabled war veterans and WWII participants (+ equivalent to the latter, as well as home front workers);
• categories of citizens from among combat veterans;
• persons with assigned disabilities, including children;
• residents of Leningrad who survived its siege (there is a corresponding sign) (+ equated to them);
• persons affected by the accident at the Chernobyl nuclear power plant, from tests in Semipalatinsk (+ equivalent to them).

The order of the Ministry of Health and Social Development dated May 5, 2016 No. 281n lists the diseases for which citizens are given the right to a discounted voucher to a sanatorium. For example, this benefit includes persons diagnosed with diabetes mellitus, angina pectoris, and an acute form of cerebrovascular accident. This list also applies to those who need rehabilitation after a myocardial infarction, heart surgery, or surgical interventions related to the removal of the gallbladder.

The selection of applicants for places in health-improving organizations is carried out by a doctor and a medical commission at the clinic at the place of attachment (place of residence) of the person in need of treatment or rehabilitation.

What documents are needed

To receive a voucher from the Social Insurance Fund, you must fill out a certificate at the clinic using the unified template No. 070/u (Appendix No. 12 to the order of the Ministry of Health dated December 15, 2014 No. 834n):

When issuing vouchers, the Social Insurance Fund is guided by the Administrative Regulations, the provisions of which were approved by Order No. 271n of the Ministry of Health and Social Development dated March 27, 2012.

The FSS considers applications for referral to sanatorium institutions only if a complete set of documents is available:

• application (you should use the form recommended by the fund as a sample);
• a certificate from clinic No. 070/u, which contains the doctor’s instructions on the need for specialized treatment or a course of rehabilitation in the appropriate profile of the sanatorium;
• document confirming the identity of the applicant.

Travel with a voucher

Those who have presented coupon No. 2 or a referral to the FSS can apply for free travel to the location of the sanatorium institution:

If the results of the review of documents are positive, applicants will be issued free FSS vouchers and the right to preferential (free) travel to the location of the sanatorium and in the opposite direction.

A voucher along with a voucher for travel expenses is issued in compliance with the following deadlines:

• in a standard situation – there must be at least 18 days before the arrival date;
• the period for preliminary allocation of places in sanatoriums has been increased to 21 days if vouchers are issued through the Social Insurance Fund for disabled children or persons with disabilities resulting from identified diseases of the brain and/or spinal cord.

The frequency of sanatorium treatment is regulated by law. An annual interval has been approved for the provision of such social services to the population. This makes it possible to receive referrals for treatment or rehabilitation in a sanatorium no more than once a year.

Conditions for obtaining a ticket

Provided that the applicant for a voucher has collected and submitted all the necessary documents, the Social Insurance Fund cannot refuse to accept the application.

A negative decision on the allocation of free vouchers for sanatorium treatment or rehabilitation measures is permissible if:

• a person who has declared his intention to visit a sanatorium institution at the expense of the Social Insurance Fund does not actually have the right to receive such a service (there are no corresponding medical prescriptions, etc.);
• the submitted set of documents was incomplete;
• the application documentation is incorrectly completed;
• the citizen voluntarily refused the voucher.

Legislators did not grant the Social Insurance Fund the right to suspend the procedure or change the timing of the provision of services when issuing vouchers to sanatoriums. The need to submit additional documents cannot be a sufficient basis for this. Sanatorium institutions to which free vouchers are issued must be located on the territory of the Russian Federation.

State assistance for pensioners implies not only cash payments, but also a number of other services, including preferential vouchers to health resorts. According to Russian legislation, some categories of citizens who have retired can receive free vouchers for treatment or recreation in the country's sanatorium complexes.

Let us consider in more detail who is entitled to benefits for sanitary and resort services.

Who can get a free trip to the sanatorium in 2019

The conditions for obtaining free trips are specified in Article No. 6 1 of Law No. 178-FZ. As stated in this document, the following categories of pensioners can count on state assistance in organizing sanatorium treatment or recovery:

• participants and disabled people of the Second World War;
• employees of the penal system (including retired and reserve citizens), employees of the Ministry of Internal Affairs and those who participated in hostilities in international and local conflicts of the USSR or the Russian Federation;
• military personnel of battalions and automobile troops who took part in the delivery of goods to Afghanistan from 1979 to 1989;
• family members of the victims and the Second World War, as well as;
• persons living in Leningrad during the siege (you must have the appropriate ID and badge);
• disabled people.

Please note that free trips to sanatoriums are only available to non-working pensioners.

How to get a free trip in 2019

The Department of Social Protection of the Population is responsible for issuing free vouchers to sanatoriums. To express his desire to use this type of state assistance, a pensioner must contact the territorial office related to his place of residence. You should have the following set of documents with you:

• application for a discounted voucher;
• pensioner's ID;
• passport;
• a document confirming the right to the benefit;
• medical certificate form 070/у-04 (the certificate is issued upon referral from the local physician).

If a travel package is issued by a disabled person, the package of documents must be supplemented by the conclusion of a medical and social examination. This is necessary in order to exclude diseases for which sanitary resort treatment is contraindicated. In addition, some regions of the Russian Federation oblige beneficiaries to present a certificate of the amount of pension benefits.

In 2005, a system of monetization of benefits began to operate in Russia, so in order to receive a voucher to a sanatorium, a pensioner will have to formally refuse monetary compensation for this type of state support.

Within 20 days from the date of submission of the application and documents, a decision will be made to grant the voucher or to refuse to issue it. However, a referral to a sanatorium is not issued immediately, but on a first-come, first-served basis.

How often does the state provide pensioners with preferential vouchers?

According to the law “On State Social Assistance”, you can use a free voucher to a sanatorium no more than once in two years. However, for disabled people and disabled children, this type of benefit is provided annually. If a person has special medical conditions, a voucher can be provided to him upon request, that is, more often than once a year.

Fringe benefits

Along with payment for sanatorium-resort treatment, the state undertakes to pay for travel to the location of the sanatorium and back. The benefits apply to suburban and intercity rail travel.

Group 1 disabled people and disabled children can receive a second free trip to the sanatorium with payment of a railway ticket for an accompanying person.

Preferential vouchers for military pensioners in 2019

According to the order of the Ministry of Defense No. 333 of March 15, 2011, once a year military pensioners can buy a ticket to a sanatorium belonging to the Ministry of Defense, paying 25% of its real cost. In this case, family members of the beneficiary will have to pay 50% of the full cost of the voucher. But please note that in this case, the term “family members” means the spouse of a military pensioner and children under the age of 18 (if the children of the beneficiary are full-time students, they can take advantage of a 50% discount up to 23 years of age).

The same vouchers are provided free of charge if the former military man belongs to one of the following categories:

• Hero of the USSR and Russia;
• Hero of Socialist Labor;
• full holder of the Order of Glory;
• full holder of the Order of Labor Glory.

For a quarter of the price, vouchers to departmental sanatoriums can also be purchased by widows of military pensioners - Heroes and Knights of Glory and Labor Glory.

Tours and weekend excursions for pensioners in 2019

There are no provisions in the legislation providing for pension benefits for tourist trips. However, almost all domestic tour operators provide special discounts and programs for citizens who have retired.

Most often, discounted vouchers apply to off-season holidays and accommodation in economy class hotels.

Also, government support does not apply to excursion cultural events. But, despite this, in every Russian region there are social programs for organizing weekend excursions for people who go to. Depending on the decision of local authorities, such vouchers are partially or fully paid for from city funds.

To find out whether similar programs operate in your city and what the conditions for participation in them are, contact your regional tourism development center.