Paid medical services in health care facilities. List of rendering rules, venues, information on the provision of the contract, price list, refund

Paid services citizens receive on their own. Normative acts determine the rules according to which the need to provide medical services to patients in health care facilities.

The rules for providing paid services to health care organizations

Paid medical services in health care is available to any citizen. This right is enshrined by the federal law on the protection of public health. The rights and interests of the insured persons in the CHI system, as well as those who are making payments for services are regulated by the Law on Consumer Protection.

Fundamental rights enshrined legal documents:

1. Clinic or hospital in which to conduct additional procedures required to have a comfortable range of services and works that make up the medical activity. This list shall also specify the number and name of the license, giving the right to conduct medical activity.
2. Terms of performance of services, the volume of work, and other requirements established by the parties in the contract.
3. The customer all the necessary explanations on the services provided shall be given at the conclusion of a consumer contract. In public institutions must notify the patient about what services it can receive, free of charge, as part of the state and territorial programs. If a citizen falls under the terms of which - a program, it must notify.
4. If the consumer refuses to paid services, medical organization is not entitled to reduce the amount of services provided free of charge, position of the patient and prescribing physician.
5. Clinics and hospitals, which under federal citizens is any help and regional programs are eligible for the provision of non-standard, additional services, consultation (with home visits). Receive such assistance can only be on a paid basis. It is possible to enroll in the clinic and on the condition of anonymity.
6. Public health organization and founders, as well as private clinics set prices for all services independently, in line with the organization's internal policies, but should take into account existing common tariffs.
7. Persons who are not registered in Russia and temporarily residing in the country as well as the Russians, the right to receive aid on the condition that requires emergency treatment in order to preserve life. The remaining services on their own, are only under the contract and with the policy LCA, which can be issued for a specified period.
8. The Ministry of Health establishes and reinforces the normative acts defined procedure for the provision of services and execution of therapeutic measures. This order must be strictly adhered to. Otherwise, the organization loses a state license and the right to receive customers. This also applies to each individual doctor.
9. The client should be able to get acquainted with the activities of the clinic or hospital. For these purposes, are official sites on the Internet, where the spread copies of licenses, the list of host of doctors, a complete list of services and prices. Also, indicate the full legal name and exact address (addresses of branches).
10. At the information desk provides brochures, duplicating the data from the official site. Brochures must always be available to visitors, as well as a price list.

Once the contract is signed, and the examination was carried out, the customer is given complete information on the results. On request, it can be included in the contract additional consultations and procedures. The brochures and the official website of the data indicated not only the organization, but for all health workers.

The procedure for the provision of services according to the norms of the Federal Law

There is a general statutory order, which governs all the medical institutions that provide services for a fee:

1. The client and the medical organization agree on the provision of a particular service and make an agreement.
2. The services provided must conform to the standard quality if the contract lacks specific customer requirements.
3. The patient as a consumer service, must himself, or through a representative, to sign an agreement for services. Consent must be informed and completely voluntary.
4. At the request of the consumer, the provider must carry out research and provide information on the health of the citizen, of the results of research (in decrypted form) and delivered diagnosis. warning also given of all the risks and consequences. Then the doctor may inform the patient about the need to pass additional tests for a fee.

All additional services requested by the customer, should be designated in the contract. You can use the app to the main document.

Rules of Service Sample

Paid medical services in public health facilities are only for compliance with the essential requirements set out in the Federal Law number 1006.

Sample official document:

The basic rules contained in the Russian legislation:

1. Citizen must be given in written and oral form, all information about the treatment and disease diagnosis. In addition, the physician should inform what types of assistance may be obtained free of charge.
2. If a person is asked for help, free of charge if there is a policy of compulsory insurance, this assistance should be provided to him in full and free of charge. Do not let a doctor refuses to help, coupled with the fact that the patient did not want to pay for additional tests or examinations.
3. Everything that is not part of the compulsory insurance scheme is regarded as a paid service - anonymous treatment, an individual medical office, the use of drugs is not required to sustain life.
4. Health food and medical products, hygiene items, not provided for standards of care, must be paid by the patient.
5. The founders of the state, the budget and state organizations independently, but in accordance with the rules set prices for medical services.
6. There is a certain form and a list of data that must be provided to the client. Direct duty of registrars in the clinic or hospital - to provide visitors with all the information that is of interest to them - the cost of services, doctors' qualifications. These data are confirmed by the licenses and other documents.
7. When a contract for the provision of services on a fee basis, employees of the institution must inform the client what the doctor will carry out the procedure, what methods can be used. Also given a warning about all the possible consequences and risks.

Consumers all the information given in a compressed, accessible way. There should be not only the oral form (consultation), but also visual - brochures, Internet site, leaflets and price list drawn up in accordance with the rules. The list of services and the names of the doctors also posted on a separate stand for the visitors.

When it is forbidden to provide paid services

Paid medical services in health care can not be provided, or are the limitations in a few cases (for public health centers):

1. In cases where the patient needs emergency care or treatment provided for under the state program, free of charge (medical consultation, prescription of medicines, tests).

   

2. The patient did not give his consent to the public - or therapeutic procedures. This applies to cases where the intervention and additional procedures are required to save a person's life.
3. No price list with the full list of paid services, and an indication of the price for each of them.
4. Information about the provision of paid services not available on the official website and in brochures institutions. Payments should be done at the box office to obtain the check, but not in the doctor's office.

The head of the medical institution is responsible for the way in which are paid medical services. They should be provided only if necessary and on a high level. Head of the department is also studying the case of patients and decide whether in a particular case, the provision of certain services required.

Organization of paid services

Before providing medical services to the public on a fee basis, the organization - clinic or hospital should prepare a standard, unified contract form on the model:

• Standard data "cap" of the document, which indicate the client's name, his complaints and ordered services, as well as fits the name of the institution, address and number of permits (License). Additionally, you can specify the specific requirements of the client, for example, that the treatment produced a particular doctor or a request for an anonymous survey. In the latter case, personal data is not specified in the standard medical card;
• a list of tests, consultations, examinations and treatments ordered by the customer. They are available only on the basis of a contract;
• the date of treatment and the actual conduct of the procedures;
• end date of events - stated after a visit to the medical office;
• the cost of each service on the price list and the total cost of which will be specified in the check;
• payment method;
• necessarily celebrated name of the person concluding the agreement with the client;
• separate paragraph spells out the conditions and responsibilities of each party, which will come, if the conditions are not met. You can also specify how the dispute can be resolved on their own;
• Termination of the contract and amendments, additional investments;
• other terms - at the request of the parties.

All data submitted in the budget, which is one of the essential documents for private and public hospitals and clinics where you can get the services on the fact of treatment. The contract data is transferred from the budget, from which the customer can be found at any time.

Hospital is required to provide paid services only after receiving the written consent of the client.

If, during the provision of standard services described in the contract, there was an emergency, and there is a need to add other services in order to eliminate the threat to life, doctors of any medical institutions are required to provide these services at no charge basis.

Service organization on other conditions

Medical (paid) services to the public on the different conditions can only be provided:

• with the personal appeal of a citizen, at his request;
• under the terms of the territorial programs;
• through targeted programs imposed by the state.

Under other conditions to understand:

1. Treatment in a private room and with increased supervision, the presence in the House of nurses.
2. Providing patient medicines, which are not necessary to sustain life and health of all organ systems.
3. Anonymous survey.
4. Additional tests, procedures carried out at the request of the citizen, and in the absence of evidence.

Foreign citizens and persons without citizenship can only rely on free emergency assistance. In other cases, they are required to pay for treatment and counseling.

Organization of anonymous services

Pay anonymous medical services should be provided in conformity with the norms of the Russian legislation.

In health care settings, where customers can receive assistance under anonymity must comply with the following requirements:

1. Anonymous medical services are provided free of charge, after the conclusion of the contract, provided that the organization has the necessary permits.
2. If a medical organization operates in the framework of the state program, the clients can receive anonymous services.
3. As treatment on condition of anonymity can be obtained at private medical clinics, but in some cases, for example, if we are not talking about the disease AIDS or other dangerous diseases.

Necessary services the customer selects the price list, which must be specified prices.

The rules for providing services to foreigners and persons without citizenship

The procedure for foreigners medical care, either temporarily or permanently residing or staying in Russia:

• Everyone has the right to receive necessary (emergency) to a certain extent;
• Additional services provided by medical insurance policy;
• MHI policy, by which you can get all the necessary services, is issued to foreign citizens who have issued a residence permit.

Any person who is in Russia, has the right to receive emergency medical care may be needed. But in self-treatment in hospital - private or public, you must pay for the services on the list price.

The procedure for the provision of services for self-treatment

Paid medical services in health care facilities are provided in the following order:

1. Customers to provide a price list and request additional documents - a license issued by the clinic and private health care providers.
2. Formalized agreement, which indicate all selected services, physician name - artist, cost and timing.
3. Held all therapeutic measures.
4. Taken out a medical report. The doctor should tell the patient about the results of research and diagnosis. Treatment is prescribed.

Clinic or hospital give the customer the receipt of cash, checks and a copy of the contract. All of this documentation is necessary for an organization to maintain accounting and statistical reporting.

Is it possible to refund, on what terms?

Money spent on treatment for paid programs can be returned only in the form of a social tax deduction or, under the contract, if the service was not provided, or not provided as standard.

Refund when you make a deduction:

Who can bring back?	Legal regulation	Conditions	How to make a return
All citizens who pay income tax - 13% (formal employment), provided that the treatment was carried out at their own expense	Part 3 st.219 claim 3 of the Tax Code	The citizen, who buys medicines or pay for treatment at government health clinics, have the right to issue a refund. Also, it is issued on the payment of the treatment of children, spouse.	Available documents: Declaration for 3NDFL form (filled); a certificate of paid taxes - 2NDFL; contract for the provision of medical services, a certificate confirming the payment. If you used the VHI, you must provide a policy, check, medical report and all payment documents. All documents provided to the Department of the Federal Tax Service.

The total amount of returned funds may not exceed 120 thousand rubles. For non-expensive treatment set a different limit for deduction - 15 600 rubles. Refer to produce before the expiration of deduction can 3- year period from the date of treatment.

The price list for medical services

Paid medical services are on the price list in the institutions of private and public type. Each health facility providing additional services for a fee, provides the customer with a price list with a full range of procedures and their costs.

The civil legislation states that the execution of the contract for the provision of medical services must be paid for at the price that was agreed between the parties. However, initially, the cost of the organization and set specified in the price list, which is provided to the client for review.

If the state municipal hospital sets specific prices for specific services, the price list indicates the price, and it should be carried out cash transactions.

Medical institutions, including the government, has the right to set their own prices for paid, but not medical services, as well as for all services, implying medical intervention, but taking into account established requirements.

Mandatory requirement - the price list must be at the front desk. Customers can receive it on request.

Formal requirements in the legislation on the price list, but there are instructions given in Section 3 Resolution number 1006, which must be respected. The law stated that any services provided on a commercial basis must be specified in the license. The same demands are made on the level of prices in the price list.

At the same services to different prices can be set in different clinics. The grounds are several factors for this - the type of equipment, qualification of doctors, the kind of services - advice or assistance, a different level of costs. In addition, services may be provided in cash or bank transfer, at the hospital or to leave the house, which also significantly affect the final cost.

The price list must be marked with all the options - for example, the consultation of the therapist to leave the house or in the clinic - the cost of one service, in this case will be different.

Any paid advice, analysis, research, performed at the client's request for voluntary clinic visit should be made to the contract. In this case, the same customer may receive free medical services and, if there is an emergency.

In health care settings where assisted for a fee, must necessarily be a brochure and price list with which the client can be found at any time.

Author: Aksinya Aspen

Registration of the article: Mila Friedan

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