Which doctor gives the direction for the operation. How to get a quota for free treatment

Sometimes situations arise when a seriously ill person needs high-tech medical care, but he does not have the necessary financial resources. It is for this category of citizens that the quota is designed - a document through which, at the expense of state appropriations, the patient is provided surgery.

This document applies only to government agencies.

Which surgeries can receive a quota - the main types of diseases that give the right to receive a free quota

All points regarding the provision of quotas to the population for treatment are prescribed in Order of the Ministry of Health of Russia dated December 29, 2014 (No. 930n).

The list of ailments for which a patient can receive a quota is very long. In more detail with the specified list, you can get acquainted with the doctor, or search in Internet sources - Appendix 4 to the Order of the Ministry of Health and Social Development.

Quotas for treatment are provided only disabled people ! Those who do not have a group must first pass the Medical and Social Examination.

In general terms, the pathologies for which the state requests benefits for surgical intervention can be characterized as follows:

  • Serious disruption internal organs, which requires their transplantation.
  • Various
  • Performing open heart procedures.
  • Errors in the functioning of the brain, which can be eliminated through surgery.
  • Congenital pathologies, diseases endocrine system, leukemia.
  • Surgical procedures on the spine.
  • Violation of the functions of the organs of vision.

In the above Order of the Ministry of Health and Social Development There is an emergency section.

For example, if a patient has massive heart attack myocardial infarction, which requires the installation of a stent, but relatives cannot give the clinic a guarantee of payment for this very operation, the administration of this medical institution does not have the right to refuse hospitalization.

The patient must be given needed help with further informing the health authority (at the place of registration) about the procedures performed.

All list medical measures is formalized, and in the future, the clinic is paid money for the work performed.

Preparatory examination for a quota - where to get a medical examination?

To obtain the quota in question, patients with a serious illness should visit several medical examinations:

1. Commission at the clinic at the place of registration

Here, the relevant specialist appoints an examination, after which a meeting of the first commission is held. At a positive result the patient is given a document signed by the head physician of the clinic stating that the patient needs high-tech treatment. Attached to this document is an extract from the medical history.

2.Commission of the regional health department

If the decision is made in favor of the patient, he is provided with a coupon document with detailed information about the diagnosis and medical history.

3.Commission in a medical institution where they plan to carry out treatment

The main points that are clarified during the meeting:

  • Is it capable this institution provide the patient with the necessary medical care.
  • Does the patient have contraindications for hospitalization?

List of documents for obtaining a quota for a free operation

When planning to start the procedure upon receiving a quota for surgical treatment, the patient should prepare the following documents:

  • Statement , in which the patient's full name, his home address, contact phone number, Email(if any), series and number of passport/birth certificate.
  • Written consent to the processing of personal data .
  • Photocopy of passport or birth certificate (if the patient is under 14 years of age).
  • Extract from medical card patient about his medical history. This document is issued by the clinic at the place of residence on behalf of the head physician.
  • Results of hardware, laboratory tests on which the diagnosis was made. According to regulations Russia, the patient has the right to keep the originals of these documents at home, and copies are provided to the commission.
  • A photocopy of the policy on compulsory health insurance and/or pension insurance . This applies to patients who have such evidence. In the absence of policies, the package necessary documents completed without them.

If the patient does not have the opportunity to personally prepare and submit documents, and uses the services legal representative, to the above list are additionally attached:

  1. Copy of the legal representative's passport.
  2. Statement on his behalf.
  3. Official confirmation of representation. It can also be a power of attorney, duly certified.

Instructions for obtaining a quota at the Department of Health - where to apply and what is needed?

The procedure under consideration is as follows:

  1. Visit to the attending physician (at the clinic at the place of registration). The doctor decides which tests to take, writes out a referral for diagnostics.
  2. Registration by the above-mentioned doctor of an extract from the medical history. The results of the examination are also included here. The specified document must be certified by the signature of the head physician, the seal of the medical institution.
  3. Sending the prepared set of documentation to the local health department. This is done by the staff of the clinic upon completion of the medical examination. The patient does not hurt to clarify and remember the date of dispatch. If a negative decision is made, the applicant is given a protocol explaining the reasons for the refusal.
  4. Decision by the health department to issue a quota. In some cases, this procedure requires the personal presence of the patient, but often do without it. It all takes 10 working days: after this period, the applicant must contact his clinic and find out about the answer. In emergency situations when surgical intervention should be carried out urgently, the attending physician attaches an appropriate note to the package of documents: this speeds up the process of obtaining a quota.
  5. Sending documents to the specialized clinic. Often the patient has to stand in line for hospitalization. About the date of appearance in medical institution can be found on the website talon.gasurf.ru. On admission, the patient must present originals medical documents.

Instructions for obtaining a quota in the clinic through the quota committee

This method of obtaining a quota is more preferable: the patient can personally choose a medical center for treatment, and the procedure itself lasts, on average, 2 weeks.

The algorithm of actions in this situation is as follows:

  1. After receiving the necessary package of documents with a positive decision of the commission at the polyclinic at the place of registration, the patient independently searches for an institution where he will be provided with high-tech treatment.
  2. Specialists of the indicated medical institution consider the patient's request, convene a "quota committee", which considers the possibility of hospitalization under the quota.
  3. The formalized decision, along with a list of other documents, is sent to the local health department.

Queue for quota surgery - what you need to remember?

Those who are going to receive a quota for surgical treatment need to remember the following points:

  • It is better to start the procedure for obtaining a coupon at the beginning of the year. Nowadays, there are a lot of seriously ill patients who need urgent operations: quotas run out quickly.
  • You can find out how the queue is progressing on special sites (one of which has already been mentioned above) or at the clinic where care will be provided.
  • You can find out about the availability of quotas in the local department of health or in a medical institution. where high-tech treatment will be carried out. Each such institution has its own quota department, where experts will tell you if there are still coupons for free operations and how many of them are left.
  • If surgery is needed urgently , and the quotas are over, the patient can pay all expenses, and in the future - submit a set of documents to the Health Department. Thus, you can compensate for the cost of treatment.
  • At difficult situations When an operation is needed urgently and there is a quota, the clinic has no right to refuse assistance. In other cases, patients will wait in line: there are no benefits in the legislation that help speed up the provision of treatment.

The most popular questions on obtaining quotas for a free operation - experts answer

- What is the best way to get a quota - in the department or through the clinic?

- It is definitely better to receive a quota through the clinic: the patient will have the opportunity to personally get acquainted with the institutions, and it will take less time to process the request than to carry out the same procedure through the department.

— How to find out about the availability of quotas and what to do if there are no quotas for the operation?

- Vouchers for free surgery are distributed among several medical institutions. If they run out in some institutions, this does not mean that the opportunity to get help you need lost as soon as possible.

You can find out exactly how many quotas are left, and which clinics have them, at the local health department.

If the quotas are over, the patient should still go through the procedure for obtaining them. If the answer is positive, they are put on a waiting list.

Applicants will receive the long-awaited quota in their hands immediately, as soon as the state allocates a new portion of coupons.

— What can be charged for free quote operation?

- If the medical institution where the operation will take place is located in another city, the patient must pay for the travel on his own. Although these expenses can be covered by a compulsory medical insurance policy.

To get a ticket for free pass you need to contact the Foundation with a package of documents.

In addition, the quota is not always completely free. For some nuances in the framework of therapeutic measures, the patient will have to pay out of his own pocket.

A quota is a certain amount of money that the state allocates to a person for treatment. Absolutely everyone has the right to a quota, Art. 34 of the Federal Law "On the basics of protecting the health of citizens in the Russian Federation". The quota from the Ministry of Health is not issued in cash, but is a referral for an operation. That is, treatment in the clinic is carried out at the expense of quota funds, the patient himself does not pay anything. In Russia, more than 130 clinics work according to this principle. Further about who and how can count on free medical care by quota.

Getting a quota: important to know

It will be possible to use the quota only if we are talking about high-tech medical care(VMP). The procedure should cost more than what is provided by the compulsory medical insurance policy. For example, you can remove the appendix for free by compulsory medical insurance policy, and for open operation the heart will need a quota. In addition, such state support is possible for organ transplantation, in vitro fertilization, joint arthroplasty, neurosurgical interventions.

People with leukemia should receive free treatment under the quota, hereditary diseases, heavy forms endocrine pathology. Quotas are issued for elective surgeries, nursing of newborns and complex surgical intervention. Treatment is quota outside the country. In this case, the commissions that should be passed will be determined by the Ministry of Health, and the decision-making lasts up to 3 months. Representatives of the ministry will start looking for a clinic abroad after confirmation by several federal clinics that it is impossible to provide the required treatment in Russia. If all is well, the documents are provided to foreign colleagues. An agreement is concluded with the partner clinic, and funds covering, among other things, travel expenses are credited to the patient's account.

In Russia, an applicant for a quota undergoes a commission in the medical institution that sends him, in the Ministry of Health and directly in the clinic where the operation will be performed. Let's consider each step in more detail.

How to get a quota?

To begin with, the patient is examined, tested (it is important to remember that, for example, a blood test is valid for 10 days, and for AIDS and RH factor - 30 days), receives an extract with a diagnosis. If the examination is difficult, the therapist sends him to a specialized clinic. OMS is useful here, according to which you can do all the necessary manipulations for free. The conclusion based on the results obtained is issued in the clinic. Next, the attending physician passes the papers to the medical commission, where they decide whether the VMP is indicated. If yes, the corresponding referral with an extract from the medical card is signed by the head physician. The documents allow the applicant to apply for a quota at the Ministry of Health office in a particular region.

In addition to the application, extract and referral, you will need a passport with a birth certificate (if the child is being treated). We need copies of SNILS and OMS. When a child is a patient, his parent provides the listed documents in his name, not forgetting to take tests. Consent to data processing is signed. The research results are attached. When submitting papers not by the applicant himself, but by a medical institution on his behalf, everything you need will be uploaded to the information system of the Ministry of Health, so you do not need to receive documents in your hands. The commission of the ministry, after verification and approval of the VMP, draws up a quota. In serious cases, the review process is accelerated, although in general it takes up to 10 days.

Together with a quota from the Ministry of Health, you can contact the clinic where you will receive treatment. According to the law, the ministry must choose a clinic themselves, but this takes about 10 days. In addition, in practice, the patient often decides this issue himself. If the clinic is chosen on its own, you will have to take a referral there from your therapist (form 057 / y-04).

Medical commission get acquainted with the documents and issue a call for the operation, as well as set the date for its implementation. Usually the patient is not called at this stage. A protocol is drawn up with the decision of the specialists, an extract from it, a call is attached to them, and all this is sent to the Ministry of Health.

In order for the quota to be issued for sure, in the direction that is issued by the first commission, it is important to have an operation code. It is indicated if it is known which method will be treated. The code is quoted. Simply put, the benefit is issued for the technique, and not for the treatment itself as such. It is better to apply to the Ministry of Health in person, as the documents will be reviewed on the spot and a special piece of paper, which is a quota, will be immediately issued.

If everything worked out, the state will pay for the tests, consultations, meals, stay in the clinic and the operation with rehabilitation. But this does not apply to the parents of a sick child. There are also special procedures not subject to state regulation. For example, markup for radiotherapy paid, while the procedure itself is free.

If there were not enough places or quotas

The distribution of quotas takes place at the beginning of the year. Since their number is limited, it is often necessary to wait new opportunity. Therefore, it is easier to get a quota in the first months of the calendar year. You can find out how many of them are left through the Ministry of Health or the quota department of the clinic where the operation will be performed. As a rule, the applicant is put on the queue and informed if someone has refused the quota. It does not hurt to find out about the availability of benefits in neighboring regions. Then you have to go through the commission again.

If there is a quota, but there are no places in the clinic, the patient gets on the waiting list and at the same time looks for other medical institutions on the portal of the Ministry of Health. When you manage to find another clinic, the necessary paperwork (application for a quota, etc.) will have to be submitted again.

Finally, we note that even with the preservation of checks and supporting papers, it is almost impossible to return the funds spent on treatment. Rather, you will have to spend more on the services of a lawyer than on the treatment itself. Therefore, if the quota was denied, you can exercise the right to tax deduction 13%. Better than nothing.

There are situations when money for an operation is urgently needed, a person’s life may depend on it. And often the funds are not enough. And so it happens that the necessary assistance is provided only in the capital. It is for such cases that a quota for an operation in Moscow is needed. How to get it, we will describe below.

The concept of quota

It is a cash transfer that goes to cover the costs of the operation, if the patient needs it. A list of diseases approved by the Ministry of Health and Social Development of Russia has been compiled, for which the operation can be paid for with a quota. Taking into account the fact that the number of allocated quotas is increased every year, it can be quite difficult to get it. First of all we are talking about the paperwork that cannot be avoided. This also applies to trips to various authorities.

What kind of treatment can be received under the quota

What can be done with a quota:

Manipulations carried out on the heart;

Transplantation of various organs;

Neurosurgical operations;

Endoprosthetics of joints;

Therapy of diseases transmitted by inheritance;

Therapy of leukemia;

Treatment of complex forms of pathologies of the endocrine system;

For example, a quota for eye surgery in Moscow can be issued to a patient who does not have the financial ability to pay for it himself.

To date this list expanded and contains 22 profiles and 137 types of high-tech medical care provided. In addition, every year the Ministry of Health and Social Development of the Russian Federation approves a list medical centers in Moscow, where you can get the necessary assistance under the quota. It also contains the number of indicators allocated to each institution, such as the quota for an operation in Moscow.

How to get and what documents are required to obtain a quota

To obtain a quota, you will need to be patient and time to collect the necessary papers.

Below are the documents required for the operation quota:

Identity documents;

Medical policy;

The results of the survey that have been completed recently;

Disease history.

How to get a quota in 2015

If previously high-tech medical care was provided only under a quota, since 2015 it has been provided under the CHI policy. In practice, this means that free operations will be provided only where the citizen lives. Only in rare exceptions, the possibility of free treatment can be obtained in Moscow, for example, a quota for

We get a quota

Experts from the Ministry of Health and Social Development argue that the possibility free operation appeared among the citizens of the Russian Federation thanks to the Health project. It must be remembered that paid medicine does not accept patients according to quotas.

To get a referral for a free operation, you can go in two ways:

1. Registration of a quota "from below".

Come to the health department of the region of residence, having with you a passport, a social insurance policy, a pension policy, an extract from the medical record of the clinic where the study was conducted. You also need copies of the main documents.

Get your curator, who can be appointed from among the employees of the department.

The request for the allocation of a quota is considered, and then, if the decision is positive, the patient is informed of the coupon number and the name of the clinic where he will be treated.

2. Registration of a quota "from above".

The patient himself, based on his criteria, determines the medical institution where he would like to receive assistance under the quota. Do not forget that paid medicine does not take part in this program and will not be able to perform the operation according to the quota. In this institution, you need to consult with necessary specialists, from a personal card and go through a committee that meets specifically to decide whether you approve the quota or not. In case of a positive answer, the received document will state that this particular institution can operate under a quota. It will also be signed by the head physician and stamped. Then, with the received documents, you go to the Moscow Department of Health and provide them with all the documentation that is indicated in paragraph 1.

In general, the second option is much faster and can take an average of 1 to 3 weeks. In addition, he will give the opportunity to choose a medical institution.

Passing commission

In order to receive free assistance, the patient will have to go through several medical commissions:

Contact the clinic by registration, where the doctor will conduct everything necessary research. After the resolution issued by the first commission, he will issue a referral. It is then necessary to go to the Health Department of your region with this referral signed by the head physician of the polyclinic and an extract from the medical record with the conclusion that the patient needs a quota for an operation in Moscow.

How to get it: in the Ministry, you need to visit another commission, it will determine whether the patient has indications for the provision of VMP. In case of a positive answer, the patient is given a document according to which he will be provided free help. It will present detailed information about the disease, all the results and results of examinations.

The third commission will need to be passed where the referral was issued. The commission convened in this medical institution, determines the correct direction exactly in this clinic and the presence of any contraindications for the operation. The result is a quota for an operation in Moscow.

How to get it faster? Patients during the agonizing wait ask this question. Since, in general, the adoption of a final decision stretches for long term, although the very decision for registration of the right to a free one can be made in one day.

Possible problems

Unfortunately, the quotas for treatment at the expense of the state are running out. If you need it, you can contact the Moscow Department of Health and request information on the availability of quotas in all

If there are still no quotas left, you can queue up to receive them. If the situation is acute and the operation must be carried out as soon as possible short time, for example, the quota for eye surgery is extremely important to you, you can carry it out for money, but then return these funds through the Ministry of Health, presenting all the necessary documents.

In addition to the fact that quotas may run out, it is not uncommon for a particular clinic to run out of space. For example, a patient needs a joint replacement, waiting is still acceptable, but if we are talking about removing a tumor and there is simply no time, standing in line is unacceptable. Unfortunately, the assistance system is formed in such a way that the waiting time for a quota operation is not specified anywhere. In this case, you can try to contact another clinic or raise a fuss by writing to the media.

Often there are additional payments in clinics where quota patients are sent. For example, a patient who needs a transplant bone marrow, he himself must pay for the search for a donor in foreign registries. Money for this is not included in any budget. In other words, the operation under the quota is at the expense of the state, all additional steps are paid by the patient.

Unfortunately, this is impossible to deal with. First of all, due to the fact that the patient does not have the strength to additional struggle, except with the disease. It is also scary to spoil relations with the doctors who will operate. Here you can only advise to write letters, complaints to various authorities with requests to deal with additional payments. Perhaps the colossal flow of correspondence will help officials to take a different look at the problem and change it.

Conclusion

The number of allocated quotas for the implementation of the VMP is determined at the beginning of the year, and often all of them are "selected" long before the end of the year. Thus, sometimes, in order to quickly get the necessary help, it is better to seek help from paid clinics. And only then try to return the funds by standing in line for registration

Preparing for surgical intervention V private clinic differs from the usual speed and price. If the patient plans to exercise his right to free medical care, he will have to prepare for a long wait. Pause before hospitalization planned operation can last up to six months, but despite the duration of the procedure, carry it out in general order is quite real. However, it should be taken into account that federal budget does not always cover all costs. So, for example, the search for a donor is carried out by the patient at his own expense. Is it possible to count on free operations under the CHI policy? What categories of citizens are entitled to free operations? How do I get a referral for surgery? We will try to answer these and other questions in this article.

What transactions are free?

The list of free CHI operations is reviewed and supplemented annually within the framework of regional health care programs. Further, this information descends from above to those medical institutions that provide such services. This list is open and must be displayed on information boards in clinics and hospitals. Under the CHI policy, any citizen Russian Federation(employed, unemployed, child, newborn) can receive a free operation in case of:

It should be noted that this is only short list all possible medical services under the policy. Every year, the list is replenished not only with diseases, but also with clinics that provide free treatment using high-tech equipment. To fully familiarize yourself with the list, you should ask your doctor or the head of the department at the hospital for help. This information also has Insurance Company on CHI, the manager of which can answer all questions on the hotline.

How to get a referral?

In order to get to a free operation, first you need to make sure that it is included in the list of services provided under compulsory medical insurance. And then the procedure is quite simple, although getting a referral for a preferential operation will take some time. So, the insured person has to go through several stages:

  1. Making an appointment with the attending physician, receiving an initial consultation and referral for examination.
  2. Delivery of the necessary tests.
  3. Appearance for a second appointment with the doctor with the results of the tests, receiving a referral for a commission to a medical institution.
  4. Passing the selection committee at the appointed time.
  5. Appearance for the third appointment with the attending physician in the hospital, receiving a referral for hospitalization.
  6. Testing before admission to the hospital.
  7. Registration in the hospital.

In the hope of free treatment, you will have to sit out impressive queues. The waiting period for a decision on the issue of hospitalization can last up to six months. After 6 months of delay, the patient has the right to write a complaint to the MHIF. If a citizen wants to be operated on in any particular hospital, he should voice his wishes at the first consultation with the attending physician. The therapist can take into account the patient's request when issuing a referral, if the indicated institution has the possibility of performing a free operation under the MHI policy. The final decision on the distribution of the patient is made by a specialist, so the patient's wishes may not coincide with the actual designated point of the operation.

Recovery after surgery

After a free operation, the patient is also entitled to additional free rehabilitation under the CHI policy. How to get it? To do this, you need to come to your doctor, get a referral for an additional examination and laboratory research and after receiving the results, issue a ticket to a sanatorium for recovery, of course, if the results of the study allow it. Wherein rehabilitation activities may refuse due to complications after treatment of venereal, oncological, psychiatric diseases disability, drug addiction or alcoholism.

Almost everyone faces serious illnesses during their lives, but not everyone has enough money to receive appropriate medical care in the best clinics peace. Therefore, in Russia, some types of high-tech medical care (HTMC) can be obtained absolutely free of charge (at public expense).

What is a quota for an operation?

In Decrees of the Government of the Russian Federation and federal laws it talks about the VMP and the procedure for its provision, but nothing about quotas. Since a limited amount of money is allocated from the budget for the treatment of patients who need VMP, the concept of “quota” (in the sense of “direction to VMP”) is often used by doctors, employees of health departments, the patients themselves and their relatives. Often, this refers to a limited number of quotas or their absence.

What diseases are subject to quotas?

VMPs include:

  • organ transplantation;
  • open heart surgery;
  • neurosurgical operations;
  • joint arthroplasty;
  • treatment of leukemia;
  • treatment of hereditary diseases;
  • treatment severe forms endocrine pathology;
  • complex surgical procedures.

The list of types of HTMC, as well as the list of medical centers in Moscow and other cities of the Russian Federation that provide them, as well as the number of quotas allocated for each institution, are approved by order of the Ministry of Health and Social Development.

How to get a quota for an operation?

To a person with serious illness was able to receive a VMP at the state expense, he needs to go through 3 medical commissions:

  • in the clinic at the place of residence;
  • in the department of health of the region;
  • in a medical institution where he will be sent to receive a VMP.

Where to apply?

First, the patient must go to the clinic at his place of residence. If the attending physician after diagnostic examination deems it necessary, he will issue a referral to the regional health department. It should contain conclusions on the need to provide the TMC.

After that, the patient must apply to the health department, where, after considering his issue, the commission issues a coupon for the provision of VMP. In the medical institution where the patient will be sent, on the basis of the documents sent, it is decided whether there are indications and contraindications for his hospitalization.

Required documents

To receive a quota for treatment, you need:

  • passport (for a child - a birth certificate);
  • insurance policy;
  • pension policy;
  • an extract with a diagnosis from a medical institution;
  • results of analyzes and studies made during the diagnosis of the disease.

How long to wait for a quota for an operation?

Getting a quota for an operation can take several weeks due to the need to go through 3 commissions. A response to a request for the provision of a VMP to the commission must be given within 10 days, but after that the patient can expect medical assistance from several days to several months.

What to do if the quota is denied?

The money allocated by the state is not enough to provide VMP to everyone. If the provision of VMP was denied due to the fact that the quotas are over, you can stand in line. In this case, a coupon for obtaining a VMP will be issued when it reaches you.

In addition, a refusal to refer to high-tech treatment can be issued if an incomplete package of documents is submitted to patients. They can also refuse to provide HTMC if there are no indications or there are contraindications to treatment. If the patient believes that he was refused illegally, he can always contact the territorial body of the Federal Service for Supervision of Health and Social Development.

Advice: it is best in case of refusal to provide VMP to pass necessary treatment for a fee. Waiting in line for a quota operation or appealing a denial can take too long, during which health can deteriorate very badly.

FAQ

Consider frequently asked questions on the topic.

Where is it better to get a quota - in the department or in the clinic?

If the patient independently finds a clinic in which they have the opportunity to provide the necessary HTMC according to the quota and agree to do this, then an officially issued decision with a list required documents is sent from this clinic to the health department. This entails great time savings, which can be vital in cancer or other serious illnesses.

Can I charge for a free quota operation?

If the quota operation is free, then for other related medical services And expensive medicines fees may apply. Although in some cases the cost of them may be covered by the CHI policy.

How to get a quote for eye surgery?

Since there are many people in need of VMP, it is much more realistic to get a quota for eye surgery (as well as for other types of VMP) at the beginning of the year. To do this, you need to contact the medical institution at the place of residence, then to the health department, and then to the clinic, where the patient will be sent for treatment from the department.

Is it possible to expedite the receipt of a quota?

In order to speed up the receipt of a quota, you can often call the officials responsible for their provision or come to see them. But such psychological pressure may turn the official against you, and not stimulate him to speed up the resolution of your issue.

More effective method accelerate the receipt of VMP - to find a clinic that specializes in your disease and has permission to treat patients according to quotas. Usually in such clinics they meet the needs of patients who have come to them on their own and take them for treatment at the expense of the state.

How can I find out about the availability of quotas?

You can find out about the availability of quotas both in the clinic itself, where they provide the type of VMP you need, and on specialized sites, as well as in the local health department.

Every citizen of the Russian Federation (regardless of gender and age) has the right to receive a VMP at the state expense, if there are indications and there are no contraindications. But because of a large number seriously ill people, the quotas run out quickly, so in emergency cases and with rapidly progressing diseases, the patient may simply not wait for a free operation. At the same time, even when receiving HTMC at the expense of the state, the patient and his relatives have to pay many expenses out of their own pocket. Nevertheless, thanks to the allocation of quotas by the state, many citizens of the Russian Federation have the opportunity to receive HTMC and be cured or significantly extend their lives with various serious diseases.

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