FGKU Main Military Clinical Hospital named after Academician N. N. Burdenko of the Ministry of Defense Russian Federation Topic: Features of hospitalization of patients in military medical organizations of central subordination of the Ministry of Defense of the Russian Federation

The main legal acts regulating medical support for the provision of medical care to military personnel and members of their families: 10. Order of the Minister of Defense of the Russian Federation dated June 18, 2011 No. 800 “On approval of the Guidelines for medical examination of military personnel in the Armed Forces of the Russian Federation.” 11. Order of the Minister of Defense of the Russian Federation dated September 10, 2012 No. 2550 “On medical and psychological rehabilitation of military personnel of the Armed Forces of the Russian Federation.” 12. Instructions of the State Medical Institution of the Ministry of Defense of the Russian Federation dated March 14, 2011 No. 161/2/2/300 “On the introduction into force of the Procedure for organizing outpatient and inpatient medical care for citizens entitled to free medical care in military medical institutions of the Ministry of Defense of the Russian Federation"; dated March 15, 2011 No. 161/2/2/460 “On the implementation of the Procedure for the provision of medical care in military medical institutions of the Ministry of Defense of the Russian Federation stationed in the city of Moscow and the Moscow region.”

Federal Law of May 27, 1998 N 76-FZ “On the status of military personnel“ Article 2. Citizens with the status of military personnel Military personnel include: officers, warrant officers and midshipmen, cadets of military professional educational organizations and military educational organizations of higher education, sergeants and foremen , soldiers and sailors doing military service under a contract (hereinafter referred to as military personnel doing military service under a contract); them the contract for the passage military service(hereinafter referred to as military personnel undergoing military service upon conscription).

Family members of military personnel and citizens discharged from military service who are subject to the specified social guarantees and compensation, unless otherwise established by this Federal Law and other federal laws, include: spouse; minor children; children over 18 years of age who became disabled before they reached the age of 18; children under 23 years of age studying in educational organizations full-time education; persons who are dependent on military personnel and live with officers have the right to medical care in military medical organizations. Social guarantees and compensation provided for by this Federal Law and federal laws for military personnel and members of their families may be extended to other persons and members of their families by decrees of the President of the Russian Federation.

Article 16. Right to health protection and medical care 2. Military personnel and citizens called up for military training have the right to free receipt medical care in the relevant medical, military medical units, units and organizations federal bodies executive power, in which federal law military service is provided (hereinafter referred to as military medical organizations). 3. Family members of officers (spouse, minor children, children over 18 years of age who became disabled before they reached the age of 18, children under the age of 23 studying full-time in organizations engaged in educational activities), as well as persons those who are dependent on them and living together with officers have the right to medical care in military medical organizations in the manner established by the Government of the Russian Federation. 5. The rights and social guarantees of military personnel and members of their families specified in paragraphs 2 - 4 of this article apply to officers dismissed from military service upon reaching the age limit for military service, health conditions or in connection with organizational and staffing measures, whose total duration of military service in preferential terms is 20 years or more, and with a total duration of military service of 25 years or more, regardless of the basis for dismissal, and for members of their families, as well as for warrant officers and midshipmen dismissed from military service upon reaching the maximum age in military service, health status or in connection with organizational and staff events, the total duration of military service of which is 20 years or more.

Article 16. Citizens discharged from military service due to injury (wounds, trauma, concussion) or illness received during the performance of military service duties, family members of military personnel serving under contract, as well as citizens discharged from military service due to certain diseases received during military service may be accepted for examination and treatment in military medical organizations in the manner determined by the Ministry of Defense of the Russian Federation (another federal executive body in which military service is provided for by federal law), without prejudice to citizens enjoying the right to receive medical care in accordance with federal laws and other regulations legal acts Russian Federation.

Article 24. Social protection of family members of military personnel who have lost their breadwinner For family members of military personnel who have lost their breadwinner, parents who have reached retirement age, and disabled parents of senior and senior officers who died during their military service, and after dismissal from the military service upon reaching the age limit for military service, health conditions or in connection with organizational and staffing measures, which had a total duration of military service of 20 years or more, the right to social guarantees for the provision of medical care, sanatorium treatment, travel to the place of this treatment and vice versa. 5. For family members of military personnel who died (died) during military service, and family members of citizens who served under contract and died (died) after dismissal from military service upon reaching the age limit for military service, health or in connection with organizational and staffing measures, with the exception of social guarantees and compensation specified in paragraphs 2-4 of this article, other social guarantees and compensation are maintained for one year from the date of death of the breadwinner, unless otherwise provided by federal laws and other regulatory legal acts of the Russian Federation. For widows (widowers) of military personnel and citizens discharged from military service, who have the right to social guarantees and compensation provided for in paragraphs 2 - 4 of this article, this right is retained until they remarry.

ORGANIZATION OF INTERHOSPITAL AND INTRAHOSPITAL TRANSFERS. PROCEDURE FOR REFERING PATIENTS TO THE CENTRAL MILITARY HEALTH INSTITUTION Documents used: 1. Guidelines for medical support of the Armed Forces of the Russian Federation in peacetime, approved by order of the Chief of Logistics of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation, 2001 No. 1. 2. Guidelines for organizing the work of the central military clinical hospital, approved by the head of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation in 2007. 3. Directive of the head of the Main Military Medical Directorate of the Ministry of Defense No. 151/2/2/460 of March 15, 2011 “On the introduction of the Procedure for the provision of medical care in the military medical institutions of the Ministry of Defense of the Russian Federation located in the city of Moscow and the Moscow region. »

4. Directive of the Head of the Main Military Medical Directorate of the Ministry of Defense No. 161/2/2/300 dated March 14, 2011 “On the implementation of the Procedure for organizing outpatient and inpatient medical care for citizens entitled to free medical care in the military medical institutions of the Ministry of Defense of the Russian Federation" 5. Directive of the Head of the Main Military Medical Directorate of the Ministry of Defense No. 161/2/3/10 dated January 10, 2006 "On improving the Procedure for providing medical care in military medical institutions in medical institutions and hematological patients Ministry of Defense of the Russian Federation. 6. Directive of the head of the Main Military Medical Directorate of the Ministry of Defense No. 6 dated March 30, 1990 “On the procedure for selecting and sending patients with diseases of the cardiovascular system for surgical treatment.

Hospitalization of a person from among the civilian personnel In accordance with clause 38 of the Procedure for organizing outpatient, polyclinic and inpatient medical care for citizens entitled to free medical care in military medical organizations of the Ministry of Defense of the Russian Federation, planned hospitalization of civilian personnel of the Armed Forces of the Russian Federation in the VMO is carried out in in accordance with the provisions Industry agreement between the Federation of Trade Unions of Workers and Employees of the Armed Forces and the Ministry of Defense of the Russian Federation, on the terms of compulsory health insurance (hereinafter referred to as compulsory medical insurance) with the permission of the head of the VMO. Persons from among the civilian personnel are accepted for inpatient treatment, if available: passport of a citizen of the Russian Federation; certificates of work in the RF Armed Forces (form No. 8 to the Rules); referral of an outpatient branch or structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official who authorized hospitalization; outpatient card (medical record) with a doctor’s conclusion; compulsory health insurance policy.

Features of providing medical care to participants, veterans and disabled people of the Great Patriotic War Patriotic War in military medical organizations The right to extraordinary receipt medical care under the Territorial program of state guarantees of free provision of medical care to citizens in medical organizations participating in the implementation of the Territorial program, in accordance with Articles 14 - 19 and 21 of the Federal Law of January 12, 1995 No. 5-FZ “On Veterans” have: 1) disabled war veterans; 2) participants of the Great Patriotic War from among the persons specified in subparagraphs “a” - “g”, “i” of subparagraph 1 of Article 2 of the Federal Law of January 12, 1995 No. 5-FZ “On Veterans”. Implementation procedure established by law of the Russian Federation the right to extraordinary provision of medical care to certain categories of citizens in medical organizations participating in the implementation of the territorial program of state guarantees of free provision of medical care to citizens in the city of Moscow for 2016, approved. Decree of the Moscow Government dated December 24, 2015 No. 949 - PP “On the Territorial Program of State Guarantees of Free Medical Care to Citizens in the City of Moscow for 2016” establishes that disabled people of the Great Patriotic War, disabled combatants, participants of the Great Patriotic War, combat veterans actions and persons equivalent to them in terms of medical support are granted the right to priority provision of medical care. Disabled people and participants of the Great Patriotic War, persons equal to them in terms of benefits, are provided with all medications necessary for treatment in the prescribed manner free of charge.

Legislative and regulatory legal acts regulating medical support participants, veterans and disabled war veterans. Federal Law of January 15, 1993 No. 4301-1 “On the status of Heroes Soviet Union, Heroes of the Russian Federation and full gentlemen Order of Glory"; Federal Law of January 12, 1995 No. 5-FZ “On Veterans”; Federal Law of May 27, 1998 No. 76-FZ “On the status of military personnel”; Guidelines for medical examination of military personnel in the Armed Forces of the Russian Federation (approved by order of the Minister of Defense of the Russian Federation dated June 18, 2011 No. 800); Instructions of the head of the Main Military Medical Institution of the Ministry of Defense of the Russian Federation dated August 31, 2004 “On measures to improve medical care for participants of the Great Patriotic War in military medical institutions of the Russian Ministry of Defense”; instructions of the Minister of Defense of the Russian Federation dated January 15, 2014 No. N-484 and the head of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation dated January 21, 2014 No. 161/1/3/388. when applying to military medical institutions for participants and disabled veterans of the Great Patriotic War, independently make decisions about their hospitalization or outpatient treatment under the compulsory health insurance program, regardless of the place of their registration; organize and complete, by the end of April 2014, medical examination of war participants and disabled people assigned to military medical institutions for medical care.

Read also:

• How to get a ticket to a military sanatorium

The state provides military personnel and military pensioners with the opportunity for productive rest and treatment on preferential terms. This right is regulated by the norms of the Federal Law of May 27, 1998 N 76-FZ “On the status of military personnel.” The Ministry of Defense of the Russian Federation has many subordinate sanatoriums in different corners Russia. These are modern, well-equipped health resorts equipped with excellent equipment for treating the most various diseases and healing of the body. And if earlier it was quite difficult for a simple officer, and especially at a junior rank, to get a ticket to a sanatorium, now the specially created Department for Sanatorium and Resort Provision of Military Personnel is responsible for the distribution of vouchers. Therefore, literally all officers had the chance to relax in a specialized sanatorium at a convenient time.

However, if the distribution of vouchers has changed significantly, the benefits for a military sanatorium have remained the same. They depend on the rank of the serviceman, his status and the need for treatment. Therefore, in order to understand exactly what benefits for a military sanatorium you can count on in each individual case, you need to get acquainted with the regulatory documents in more detail.

Benefits for a military sanatorium for active military personnel

If we talk in simple language, then all the many groups and gradations of military personnel, depending on their right to preferential rest in a sanatorium, can be divided into two groups:

Those who are entitled to a free trip

Those who must pay 25% of the cost of the trip.

In addition, family members of military personnel are entitled to benefits at a military sanatorium:

Parents,

Spouses,

Children under 18 years of age,

Children under the age of 23 studying full-time in educational institutions.

Most often, family members of a serviceman or military pensioner pay 50% of the cost of a trip to a sanatorium. The general procedure for providing benefits and the categories of military personnel to whom they are entitled are regulated by Order of the Ministry of Defense of the Russian Federation of March 15, 2011 N 333 “On the procedure for sanatorium and resort provision in the Armed Forces of the Russian Federation.”

In particular, almost all military personnel in the officer rank undergoing active military service are entitled to pay 25% of the cost of the voucher. If specialized treatment is necessary, according to the conclusion of a medical commission or to continue hospital treatment, such military personnel have the right to a free trip to a sanatorium. Moreover, not only officers, but also warrant officers, cadets, sergeants and privates serving under contract. In other cases, enlisted military personnel serving under contract since January 1, 2004, as well as cadets of military schools, pay 100% of the cost of vouchers to a military sanatorium, but have the right to receive such vouchers. Representatives of the dangerous birth troops - pilots, paratroopers, missilemen, submariners - after completing a combat mission, as well as participants in combat operations in “hot spots”.

The duration of treatment in sanatorium-resort and health-improving institutions of the Ministry of Defense of the Russian Federation for military personnel on vouchers is up to 24 days. In case of treatment by a military personnel of an illness or consequences of injuries spinal cord the period of such sanatorium-resort treatment on a voucher can be increased to days, in accordance with the conclusion of the military medical commission.

Benefits for a military sanatorium for civilian personnel

Persons who are civilian personnel of the Armed Forces of the Russian Federation have the right to receive vouchers to military sanatoriums on the terms determined by agreements between the Federation of Trade Unions of Workers and Employees of the Armed Forces of the Russian Federation and the Ministry of Defense of the Russian Federation, concluded in the prescribed manner for each specific case. Depending on the terms of these agreements, benefits for a military sanatorium for such persons and the conditions for paying for vouchers are determined.

At the same time, special marks “For civilian personnel of the Armed Forces of the Russian Federation” are placed on the vouchers. These marks are made by the Main Military Medical Directorate of the Ministry of Defense or the medical service of a branch of the Armed Forces, a military district, a navy, a branch of the Armed Forces, the Railway Troops, the Main Directorate of the Ministry of Defense to send civilian personnel to their subordinate sanatoriums and rest homes on preferential terms. If persons who are civilian personnel of the Armed Forces of the Russian Federation are sent to a sanatorium based on the conclusion of the hospital military medical commission to continue hospital treatment, they receive free trips. Relatives of civilian personnel of the RF Armed Forces do not have benefits for a military sanatorium.

Benefits for a military sanatorium for pensioners

In accordance with the same Order of March 15, 2011 N 333, all officers dismissed from military service upon reaching the age limit for military service or for health reasons or in connection with organizational and staffing measures, if the total duration of their military service , taking into account preferential calculation of length of service, amounted to 20 years or more, are entitled to payment of 25% of the cost of a trip to a military sanatorium. A similar benefit is available to all military pensioners in the officer rank, whose total duration of military service was 25 years or more, regardless of the reason for their dismissal from the ranks of the RF Armed Forces. Family members of military pensioners in this case pay 50% of the cost of the vouchers.

Similar benefits for a military sanatorium are available to warrant officers and midshipmen who have served in the ranks of the RF Armed Forces for at least 20 years, if they were transferred to the reserve for health reasons, due to reaching the age limit, or due to staff reduction.

Based on the order of the State Medical University dated December 28, 2016 No. 161/2/2/1220, the profile of the sanatorium was established:

Nervous system diseases

1. Neurasthenia (hyper- and hyposthenic forms, irritable weakness) and neurosis-like conditions, vegetative-vascular dysfunction with minor clinical manifestations;

2. Damage to the lumbosacral, brachial plexus, cervical, thoracic, lumbosacral roots (lumbodynia, lumboischialgia) in the stage of stable remission without motor and sensory disorders, pain syndromes;

3. Diseases of peripheral nerves without disorders of movement and sensitivity in the stage of stable remission.

Diseases of the circulatory system

1. Neurocirculatory dystonia (hypertensive, hypotensive, cardiac and mixed forms) in the absence of vegetative-vascular disorders and disorders heart rate and conductivity;

2. Hypertension Stage I in the absence of a history of vascular crises, without rhythm and conduction disorders, or general circulatory failure;

3. Varicose veins in the stage of stable compensation without signs of venous insufficiency.

Non-tuberculous respiratory diseases

1. Chronic bronchitis, tracheobronchitis in remission without signs of pulmonary heart failure;

2. Pneumonia in the convalescence phase without attacks of bronchial asthma, sputum production, without diffuse pneumosclerosis, bronchiectasis and signs of pulmonary heart failure;

3. Bronchial asthma, chronic asthmatic bronchitis with rare and mild attacks without signs of pulmonary heart failure.

Diseases of the musculoskeletal system

1. Chronic diseases joints, muscles, tendons in a phase of stable remission, with minor violations functions, without pain;

2. Residual changes after traumatic injuries bones, joints, muscles or tendons that limit the movement of the limbs to a slight extent (including shortening lower limb, which do not affect the functions of support and movement).

Diseases of the female genital organs

Chronic inflammatory diseases organs of the reproductive system outside the acute stage.

Scroll medical contraindications For sanatorium-resort treatment

1. Diseases in the acute and subacute stages, including acute infectious diseases until the end of the isolation period.

2. Sexually transmitted diseases.

3. Chronic diseases in the acute stage.

4. Bacterial carriage of infectious diseases.

5. Contagious diseases of the eyes and skin.

7. Diseases accompanied by persistent pain syndrome, requiring constant use of narcotic drugs and psychotropic substances included in lists I and the List of narcotic drugs, psychotropic substances and their precursors, subject to control in the Russian Federation, registered as medicinal products.

8. Tuberculosis of any localization in the active stage (for health resort organizations non-tuberculosis profile).

9. Neoplasms of an unspecified nature (in the absence of written confirmation in medical documentation patient that the patient (legal representative of the patient) has been warned about possible risks associated with complications of the disease in connection with spa treatment).

10. Malignant neoplasms requiring antitumor treatment, including chemotherapy.

11. Epilepsy with ongoing seizures, including those resistant to treatment.

12. Epilepsy with remission for less than 6 months (for sanatorium-resort organizations with a non-psychiatric profile).

13. Mental disorders and behavioral disorders in a state of exacerbation or unstable remission, including those that pose a danger to the patient and others.

14. Mental and behavioral disorders caused by the use of psychoactive substances.

15. Cachexia of any origin.

16. Incurable progressive diseases and conditions requiring palliative care.

List of vital and essential drugs for medical use emergency assistance is available in the ward intensive care departments.

List of medications intended to provide persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms lymphoid, hematopoietic and related tissues, multiple sclerosis, as well as persons after organ and (or) tissue transplantation are not available in the sanatorium.

There is no list of medications for medical use in outpatient treatment that are dispensed free of charge and prescribed by a medical commission.

In the activities of military medical institutions of the Ministry of Defense of the Russian Federation (hereinafter - VMU), violations continue to occur in the organization of control over the legality of providing free medical care. Due to the lack of reliable records of contingents assigned* to the VMU for medical care, the assignment of persons who do not have the legal right to do so to provide free medical care, and negligent maintenance of medical records, in a number of VMU the preconditions are created for the illegal provision of free medical care.

In pursuance of the instructions of the Minister of Defense of the Russian Federation dated July 21, 2010 No. 205/2/475, in order to organize control over the validity of the provision of free medical care in the VMU within the framework of the Alushta R&D, the Ministry of Defense of the Russian Federation is working to create a software product “Personal Accounting” composition" (hereinafter - PI ULS), which is an electronic database of persons who have the legislative right to receive free medical care at the VMU (hereinafter - electronic database data).

From the moment the PI ULS is put into operation, control over the legality of the assignment of contingents for medical support to the military medical service is carried out using an electronic database. The operating instructions for the PI ULS will be communicated in accordance with the established procedure.
In order to streamline the organization of the provision of military medical care to military personnel, citizens discharged from military service, members of their families, and other citizens entitled to free medical care in the military medical service, to improve the accounting of contingents assigned to the military medical service, to increase the effectiveness of control over the legality of the provision of free medical care at VMU,

I ASK:
1. For bosses medical service branches of the Armed Forces
Russian Federation, military districts, military branches, main departments
Ministry of Defense of the Russian Federation, heads of the VMU
central subordination:
- ensure compliance with the requirements of the attached Procedure for organizing outpatient and inpatient medical care for citizens entitled to free medical care in military medical institutions of the Ministry of Defense of the Russian Federation (hereinafter referred to as the Procedure);
- bring official documents in accordance with the Procedure;
- bring the requirements of the Procedure to all subordinate VMUs and ensure reliable accounting of the provided contingents;

Organize the study by the medical staff of the VMU of the legislative and regulatory acts of the Russian Federation regulating the provision of medical care in the VMU at the expense of the budget of the Ministry of Defense of the Russian Federation and ensure their strict implementation.

1. Control over the implementation of these instructions is entrusted to the head of the 2nd department - deputy head of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation.
2. Recognize as invalid the instructions of the head of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation dated November 30, 2010 No. 161/2/3/8932, dated November 30, 2010 No. 161/2/3/8933 dated December 28, 2010 No. 161/2 /3/9533.

HEAD OF THE MAIN MILITARY MEDICAL DIRECTORATE
MINISTRY OF DEFENSE OF THE RUSSIAN FEDERATION -
HEAD OF MILITARY MEDICAL ACADEMY
Major General of Medical Service
A. Belevitin

Appendix to the instructions
Head of the Main Military Medical Directorate of the Russian Defense Ministry
dated March 14, 2011
№ 161/2/2/300

ORDER
organization of outpatient and inpatient care
medical care for citizens entitled to free
medical care in military medical institutions of the Ministry
defense of the Russian Federation
I. GENERAL PROVISIONS

1. This Procedure was developed in pursuance of the Federal Law of May 27, 1998 No. 76-FZ “On the status of military personnel”, the requirements of the Order of the Minister of Defense of the Russian Federation of January 16, 2006 No. 20 “On the organization of medical care in military medical units, units and institutions of the Ministry Defense of the Russian Federation", Guidelines for medical support of the Armed Forces of the Russian Federation in peacetime, put into effect by order of the Chief of Logistics of the Armed Forces of the Russian Federation - Deputy Minister of Defense of the Russian Federation dated January 15, 2001 No. 1, in order to clarify the procedure for providing medical care to citizens, having the legal right to receive medical care at the VMU of the Russian Ministry of Defense.

1. The categories of citizens entitled to free medical care at the VMU of the Russian Ministry of Defense are determined by federal laws and other regulatory legal acts of the Russian Federation.

1. For medical support to outpatient clinic branches and structural divisions of the Military Medical University, as well as for planned inpatient treatment in the infirmaries of medical centers (medical companies), infirmaries of polyclinics of military educational institutions, military infirmaries, military hospitals, clinics Military Medical Academy Only persons entitled to free medical care at the VMU in accordance with the legislation of the Russian Federation are assigned.

4. Document details military units and the institution must verify the affiliation of the military unit (institution) with the Ministry of Defense of the Russian Federation.

5. After the start of operation of the PI ULS, control over the validity of receiving free medical care in the VMU is organized using an electronic database.
For ensuring control over the incoming contingent when received in a centralized manner by military medical institutions software and electronic database, two types of automated workstations (hereinafter referred to as automated workplaces) are formed - in reception department and in the medical unit of the VMU.
When sending a request to an electronic database, next levels access:

1. Level 1 automated workplace (medical receptionist, in the reception department) in confirmation mode “YES” - “NO” (Appendix No. 1);
2. Level 2 automated workplace (in the medical unit) - in an expanded version (Appendix No. 2).

The basis for assignment to medical care and hospitalization in the VMU is considered to be the availability of information about the patient at the time of application (admission) to the VMU in the electronic database (detailed instructions on the rules for using the PI ULS will be provided additionally).

1. All cases of detection in patients using an electronic database (or otherwise) of inaccurate documents regarding the right to free medical care must be reported to the military prosecutor's office for investigative actions.

1. In accordance with Federal Law No. 76-FZ of May 27, 1998 “On the status of military personnel,” the following categories of citizens have the right to free medical care at the Military Medical School:

Conscripted military personnel;
- citizens called up for military training;
- officers;
- warrant officers (midshipmen);
- contract military personnel (other categories);
- family members (spouse, minor children, children over 18 years of age who became disabled before they reached the age of 18, children under the age of 23 studying full-time in educational institutions);
- persons who are dependent on personnel and live with them according to the list determined by Order of the Minister of Defense of the Russian Federation of 2005 No. 085, Order of the Minister of Defense of the Russian Federation of 2005 No. 1074dsp. According to the requirements of the order, dependents include persons who are on full content, or receive assistance, which is for them a permanent and main source of livelihood in accordance with the legislation of the Russian Federation;
- officers dismissed from military service upon reaching the age limit for military service, health reasons or in connection with organizational and staffing measures, the total duration of military service in preferential terms is 20 years or more, and with a total duration of military service 25 years and more, regardless of the grounds for dismissal, and members of their families;
- warrant officers and midshipmen dismissed from military service upon reaching the age limit for military service, health conditions or in connection with organizational and staffing events, the total duration of military service of which is 20 years or more;
- family members of military personnel who have lost their breadwinner, parents who have reached retirement age, and disabled parents of senior and senior citizens who died (died) during their military service, as well as senior and senior citizens who died (died) after dismissal from military service upon reaching by them the age limit for military service, health status or in connection with organizational and staffing measures, which had a total duration of military service of 20 years or more;
- Heroes of the Soviet Union, Heroes of the Russian Federation, holders of the Order of Glory of 3 degrees, Heroes of Socialist Labor who are pensioners of the Russian Ministry of Defense, members of their families;
- widows (widowers) of military personnel who died (died) during military service under a contract or after dismissal from military service upon reaching the age limit for military service, health conditions or in connection with organizational and staffing events that had a total duration of military service 20 years or more.

1. In accordance with the order of the Minister of Defense of the Russian Federation dated January 16, 2006 No. 20 “On the organization of medical care in military medical units, units and institutions of the Ministry of Defense of the Russian Federation” to civilian personnel of the Armed Forces of the Russian Federation (formed at the expense of the number of Armed Forces of the Russian Federation Federation) for the duration of permanent labor activity as part of a military command body, military unit, institution, military educational institution, the right to receive medical care at the Military Medical School is granted. The specified contingent does not include civilian personnel joint stock companies, limited liability companies and companies with other forms of ownership, operating in the interests of the Armed Forces of the Russian Federation on the basis of agreements (contracts).

1. In accordance with paragraph 2 of the order of the Minister of Defense of the Russian Federation dated January 16, 2006 No. 20 “On the organization of medical care in military medical units, units and institutions of the Ministry of Defense of the Russian Federation” for examination and treatment in military medical units, units and institutions of the Ministry of Defense, without prejudice to the above categories of citizens, are accepted

Citizens discharged from military service from the Armed Forces:
- due to injury (wounds, trauma, concussion) or illness received while performing military service duties;
- family members of other military personnel serving under contract in the Armed Forces;
- citizens discharged from military service from the Armed Forces due to certain diseases acquired during military service.

10. Students of the Suvorov military, Nakhimov naval and military music school, and the boarding school for female students of the Russian Ministry of Defense are provided with medical care at the Military Medical School under the compulsory health insurance system.

11. According to the Federal Law of January 12, 1995 No. 5-FZ “On Veterans”, the right to retain services in clinics and other medical institutions to which these persons were attached during the period of work until retirement, as well as extraordinary provision of medical care under state guarantee programs for providing citizens of the Russian Federation with free medical care in federal institutions healthcare in the manner established by the Government of the Russian Federation, and in clinics and other medical institutions of the constituent entities of the Russian Federation - the laws and other regulatory legal acts of the constituent entities of the Russian Federation are used by:
- disabled people of the Great Patriotic War and disabled people from combat operations;
- participants of the Great Patriotic War;
- combat veterans (after retirement);
- military personnel who served in military units, institutions, military educational institutions that were not part of the active army, during 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 Great Patriotic War at air defense facilities, local air defense, construction of defensive structures, naval bases, airfields and other military facilities within the rear boundaries of active fronts, operational zones of active fleets, on front-line sections of railways and highways ;
family members of deceased (deceased) war invalids, participants in the Great Patriotic War and combat veterans.

12. In accordance with the Law of the Russian Federation of May 15, 1991 No. 1244-1 “On social protection citizens exposed to radiation as a result of the disaster at the Chernobyl nuclear power plant" the right to maintain services in clinics, to which the specified persons were attached during the period of work until retirement have:
- citizens who received or suffered radiation sickness and others from the Chernobyl disaster or who worked to eliminate the consequences of the disaster at the Chernobyl nuclear power plant;
- disabled people due to the Chernobyl disaster.

13. Medical support for contingents of the Russian Ministry of Defense on the territory of the Russian Federation is provided on a territorial basis. The territorial principle of medical support is established with the aim of uniformly assigning contingents of the Russian Ministry of Defense to the VMU, creating an optimal load on the medical institution, allowing the assigned contingent to be served as efficiently as possible.
The territorial medical support system is established by order of the commander of the military district, which defines: a list of military units, institutions and organizations that do not have a regular medical service, the personnel of which are subject to attachment to the Military Military District for medical support, as well as a list of units and institutions, whose personnel are assigned to provide consultative and diagnostic assistance to the military medical service, the procedure for providing medical care to military pensioners, members of their families and other categories of citizens.

1. Heads of VMU, their branches and structural divisions maintain personal records of persons assigned to the VMU for medical support with mandatory registration in alphabetical journals or maintaining an electronic database of the assigned contingent of the VMU. Accounting data is updated annually as of December 1.

1. The heads of outpatient branches and structural divisions of the VMU quarterly carry out checks on the legality of providing free outpatient care to patients with a written report on their results to the heads of the VMU according to their subordination.

1. The heads of the VMU carry out quarterly checks of the legality of hospitalization of patients, and report the results of the checks in a report to the head of the relevant management body of the medical service.

1. Responsibility for the accuracy of the accounting of assigned contingents and the legality of providing free medical care rests with the heads of the medical service of the branches of the RF Armed Forces, military districts (fleets), branches of the RF Armed Forces and the heads of the military medical service of central and district subordination.

II.OUTPATIENT CARE

1. Attachment of conscripted military personnel to outpatient clinic branches and structural units of the VMU is carried out as part of a military command body, military unit and institution, military educational institution (hereinafter referred to as military units) on a territorial basis, in accordance with the location of the military unit in the absence of military unit of the regular medical service.

1. Citizens called up for military training are assigned for the duration of the training to the outpatient clinic branches and structural units of the Military Medical Administration as part of the military command body, military unit and institution, military educational institution (hereinafter referred to as military units) on a territorial basis, in accordance with the place of deployment military command body, military unit and institution, military educational institution in the absence of a regular medical service as part of this military command body of the military unit and institution, military educational institution.

   20. Attachment for medical support to outpatient branches and structural units of the VMU of military personnel under contract, family members, and civilian personnel is carried out on the basis of lists submitted (updated) annually by December 1 of the current year by the command of military units, certified by the official seal (Appendices No. 3, no. 4). The storage period for these lists in the VMU is 3 years.
   In cases of early dismissal of military personnel (arrival of military personnel to a new duty station), dismissal (hiring) of civilian personnel, responsibility for the timely submission of updated data rests with the personnel authorities of military units of the Russian Ministry of Defense.

   21. If there is a military unit of the medical service on staff that has full-time medical personnel, the personnel are attached to the military medical service to provide consultative and diagnostic assistance.

   22. Attachment to outpatient clinic branches and structural units of the VMU of other categories of citizens is carried out on the basis of an application (report) and documents (with their copies) attached to it:
   For family members:
   - a certificate issued by the personnel authorities of military units, organizations and institutions of the Russian Ministry of Defense on the composition of the officer’s family (form 11 to the Rules for the registration and issuance of certificates, certificates and other official documents military personnel, citizens discharged from military service, civilian personnel and members of their families (annex to the Temporary Instructions for Office Management in the Armed Forces of the Russian Federation dated August 19, 2009 No. 205/2/588) (hereinafter referred to as the Rules);

   
   
   
   
   
   forms No. 3, No. 4 to the Rules);
   - passports with a mark of permanent registration at the place of residence;
   -
   For children of disabled personnel, reserve (retired) over 18 years of age.
   became disabled before they reached the age of 18 :
   - a certificate issued by the personnel authorities of military units on the composition
   officer's family (form No. 11 to the Rules) or the military commissariat for
   place of receipt of a pension on the right to free medical care at the VMU
   (forms No. 3, No. 4 to the Rules);

   1. passports with a mark of permanent registration at the place of residence;

   Compulsory health insurance policy (if available).
   For children of personnel, reserve (retired) under the age of 23, studying in educational institutions on a full-time basis:

   1. certificates educational institution about full-time (full-time) education;
   2. passports with a mark of permanent registration at the place of residence;

   Compulsory health insurance policy (if available)"
   For persons who are dependent on personnel according to the list determined by Order of the Minister of Defense of the Russian Federation of 2005 No. 085, Order of the Minister of Defense of the Russian Federation of 2005 No. 1074dsp:

   1. a certificate from the personnel authority of the military unit (institution), which indicates the data in column 21 of the officer’s service record (dependent persons), indicating the number court decision on recognition as a dependent;
   2. passports with a mark on permanent (temporary) registration at the place of residence;
   3. extracts from the house register;

   Compulsory health insurance policy (if available).
   For warrant officers (midshipmen) of the reserve (retired):

   1. pension certificate (with a note indicating the right to free medical care at the Military Medical Service) or a certificate issued by the military commissariat at the place of receipt of the pension regarding the right to free medical care at the Military Medical Service (forms No. 3, No. 4 to the Rules);
   2. military ID of a reserve officer;
   3. passports with a mark of permanent registration at the place of residence.
   4. absentee ballot (Appendix No. 4) (for those who, at the time of dismissal from military service, were receiving medical care in another military medical service);

   Compulsory health insurance policy (if available):
   For family members of military personnel who have lost their breadwinner, parents who have reached retirement age, and disabled parents, senior and senior, who died (died) during their military service, as well as senior and senior, who died (died) after dismissal from military service upon reaching by them the age limit for military service, health status or in connection with organizational and staffing measures, which had a total duration of military service of 20 years or more:

   1. a certificate issued by the military commissariat at the place of receipt of the pension, confirming the right to free medical care at the Military Medical School (forms No. 3, No. 4 to the Rules);
   2. passports with a mark of permanent registration at the place of residence;
   3. absentee ballot (Appendix 4° 4) (for those receiving medical care in another military medical district);

   Compulsory health insurance policy (if available).
   For Heroes of the Soviet Union, Heroes of the Russian Federation, holders of the Order of Glory of 3 degrees. Heroes of Socialist Labor (who are pensioners of the Russian Ministry of Defense):

   1. award certificates;
   2. passports with a mark of permanent registration at the place of residence;

   Absentee ballot (Appendix No. 4) (for those who, at the time of dismissal from military service, were receiving medical care in another military medical service);
   
   For family members of Heroes of the Soviet Union, Heroes of the Russian Federation, holders of the Order of Glory of 3 degrees. Heroes of Socialist Labor (husband, wife, children under 18):

   1. a certificate issued by the military commissariat at the place of receipt of the pension, confirming the right to free medical care at the Military Medical School (forms No. 3, No. 4 to the Rules);
   2. passports with a mark of permanent registration at the place of residence;

   Compulsory health insurance policy (if available).
   For widows (widowers) of military personnel who died (deceased) during military service under a contract or after dismissal from military service upon reaching the age limit for military service, health conditions or in connection with organizational and staffing meh companies with a total duration of military service of 20 years or more:

   1. a certificate issued by the military commissariat at the place where the pension was received, about the right to free medical care in the Military Medical Service (forms No. 3, No. 4 to the Rules) for a period of 1 year (in connection with the legislative norm according to which the right to medical care for this category of citizens is preserved before remarriage);
   2. passports with a mark of permanent registration at the place of residence;
   3. absentee ballot (Appendix No. 4) (for those who received medical care in another military medical institution);
   4. compulsory health insurance policy (if available).

   23. For civilian personnel of the Armed Forces of the Russian Federation:
   - lists submitted (updated) annually by December 1 of the current year by the command of departments, military units and institutions, certified by the official seal (Appendices No. 2, No. 3);

   1. passports with a mark of permanent registration;

   24. For the persons specified in paragraphs 11 and 12 of these instructions, to whom
   in accordance with the legislation of the Russian Federation provided
   the right to use the clinic to which they were assigned before
   retirement (availability of benefits, without corresponding length of service):

   1. pension certificate;
   2. benefit certificates;
   3. passports with a mark of permanent registration at the place of residence;
   4. compulsory health insurance policy (if available).
   1. Advisory and diagnostic assistance to contingents of other zones of territorial responsibility is provided by referrals from the heads of the Military Medical Service or the heads of the medical service of military units, certified by the official seal (Appendix No. 6).
   1. For military personnel assigned to the military medical service for medical support, medical records of the established forms are issued, for the rest of the attached contingent - outpatient cards.
   1. Before the electronic database starts functioning, the documents (copies of documents) indicated above are pasted into the outpatient cards.

   After the start of operation of the PI ULS, when a patient applies, a request is made to the electronic database from the level 1 automated workplace, with a confirmation response received: “Yes - he has the right to preferential services”; “No - does not have the right to preferential treatment” (Appendix No. 1).
   Attachment to medical support is permitted if there is a confirmation answer: “Yes - has the right to preferential treatment.”
   Within 3 days, a request is made to the electronic database with a level 2 automated workplace and the response of the electronic database to the request of a level 2 automated workplace is pasted into the medical book (outpatient card) (Appendix No. 2).

   28. The results of examination and treatment of the patient are recorded in
   medical record (outpatient card). Registration is required
   confirmed by the personal signature and seal of the doctor.

   29. Medical books and outpatient cards of contingents,
   attached to medical support are stored in the VMU registry.
   Following alphabetical order, medical documentation is sorted
   as follows:

   1. medical records of conscripted military personnel, separately by military units and institutions;
   2. medical records of contract military personnel, separately by military units and institutions;
   3. outpatient cards of other contingents separately for each administrative district (territorial area).

   Outpatient cards of persons from among the civilian personnel of the RF Armed Forces working in conditions of exposure to occupational hazards or in other conditions requiring systematic medical monitoring are stored separately in the registry.

   30. Outpatient cards of persons who, in accordance with
   The legislation of the Russian Federation provides only the right
   use of the clinic to which they were assigned before entering the
   retirement or until a job change (availability of benefits without corresponding
   length of service) are provided with separate markings with an insert and
   listing the volume of free medical care provided.
   For example: “participant in the liquidation of the Chernobyl accident”- full outpatient care; free prosthetics teeth (except for repair and manufacture of dentures from precious metals); free provision of medicines; without the right to inpatient treatment in military hospitals; "combat veteran"- outpatient care, free drug provision(or 50%), without the provision of dental orthopedic care, without the right to inpatient treatment in military hospitals, etc.

   1. Persons called up for military training or discharged from the military
      service due to injury, mutilation, disease received in
      the period of performance of military service duties, when applying for
      outpatient care is issued outpatient card,
      which is handed out at the end of treatment. To register the above
      no contingent is assigned.
   1. Medical records of deceased (killed) military personnel, as well as other persons from among the above, assigned for medical support to a clinic, outpatient department of a hospital, are stored separately for 3 years, and after the expiration of the specified period, they are destroyed in the established manner with the execution of a report.
   1. During an outpatient appointment at a military clinic, the outpatient registers indicate: for military personnel - military rank, number of the military unit (name of the institution) and registration number of the medical record book; for family members of the cadre, reserve (retired), as well as other persons who have the legislative right to receive free medical care - the registration number of the outpatient card, the degree of relationship in relation to the officer of the cadre, reserve (retired) and their military rank.
   1. Accounting for the provision of medical care to advisory patients is kept separately from the main assigned contingents.
   1. Accounting persons, receiving medical care in a clinic under compulsory health insurance programs and not. are contingents entitled to receive free medical care at the VMU; under voluntary health insurance programs; paid medical services (including one-time ones) are carried out separately from the main contingents, including by nosological forms.

   Outpatient medical records these categories of persons are issued with contracts upon expiration; if necessary and in the event of death, the storage period for medical documentation of this category of persons is 3 years, followed by destruction in accordance with the established procedure.

   1. Persons not falling into the categories covered by
      the right to free medical care in accordance with the Federal
      Law “On the Status of Military Personnel” (Articles 16 and 24), attached to
      clinics are not considered.

   III. INPATIENT MEDICAL CARE

   37. To provide free inpatient medical care in the military medical care of the contingent, specified in paragraphs 7 - 10 of this Procedure, the following documents are accepted:
   For conscripted military personnel, cadets of military educational institutions, citizens called up for military training, students in the Suvorov Military, Nakhimov Naval, Military Music School, cadet corps of the Russian Ministry of Defense, boarding school for female students of the Russian Ministry of Defense:

   1. military ID (for pupils - birth certificate, passport);
   2. extracts from the unit commander’s order regarding withdrawal from food supply.

   For contract military personnel:

   1. military personnel identification cards;
   2. referral of the commander of a military unit for inpatient treatment (form No. 22 to the Rules);
   3. medical record with a doctor's report;
   4. extracts from the unit commander’s order regarding departure for hospital treatment.

   upon admission of military personnel, additionally provide:

   1. on patients with mental illness- service and medical characteristics;
   2. for those suffering from epilepsy and bedwetting - reports describing the observed manifestations of the disease, signed by eyewitnesses;
   3. for injured persons - an injury record card and a certificate of injury, signed by the commander (chief) and certified by the seal of the military unit (institution) indicating the circumstances and causes of the injury.

   at entry of military personnel into medical examination additionally submit:

   1. directions (form No. 27 to the Rules);
   2. documents specified in Art. 139 of the Order of the Minister of Defense of the Russian Federation of 2003 No. 200.

   If a serviceman is admitted to a military hospital without specified documents(with an acute illness or injury), missing documents are additionally requested from the military unit (institution).
   For family members:

   1. a certificate issued by the personnel authorities of military units on the composition of the officer’s family (form No. 11 to the Rules);
   2. referral of an outpatient branch or structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of an official. authorizing hospitalization;

   Compulsory health insurance policy (if available).
   For disabled children of the personnel, reserve (retired) over 18 years of age, who became disabled before they reached the age of 18:
   

   1. a certificate issued by the personnel authorities of military units on the composition of the officer’s family (form No. 11 to the Rules) or by the military commissariat at the place of receipt of the pension on the right to free medical care at the Military Medical School (forms No. 3, No. 4 to the Rules);
   2. certificates ser. ITU 003, issued by medical and social examination bodies indicating in the cause of disability column the phrase “since childhood”;
   3. referral of an outpatient branch or structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence, the decision of the official who authorized hospitalization;
   4. outpatient card (medical record) with a doctor’s conclusion;

   Compulsory health insurance policy (if available).
   For children of the cadre, reserve and retired under the age of 23, studying in educational institutions on a full-time basis:
   - passport of a citizen of the Russian Federation;

   1. a certificate issued by the personnel authorities of military units on the composition of the officer’s family (form No. 11 to the Rules) or by the military commissariat at the place of receipt of the pension on the right to free medical care at the Military Medical School (forms No. 3, No. 4 to the Rules);
   2. certificates from the educational institution about full-time (full-time) education;
   3. referral of an outpatient branch or a structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official faces, authorizing hospitalization;
   4. outpatient card (medical record) with a doctor’s conclusion;

   Compulsory health insurance policy (if available).
   For persons who are dependents of the personnel in accordance with the order of the Minister of Defense of the Russian Federation of 2005 No. 085, the order of the Minister of Defense of the Russian Federation of 2005 No. 1074 dsp:
   - passport of a citizen of the Russian Federation;

   1. certificates from the personnel authority of the military unit indicating the data in column 21 of the officer’s service record (“dependent persons”), indicating the number and date of the court decision or order of the commander of the military unit on recognition as a dependent;
   2. extracts from the house register;
   3. referrals from an outpatient clinic branch or structural unit of the VMU (form No. 22 to the Rules), and in case of his absence - the decision of the official who authorized hospitalization;
   4. medical record with a doctor's report;
   5. compulsory health insurance policy (if available).

   For warrant officers (midshipmen) reserve and retired:

   1. passports of a citizen of the Russian Federation;
   2. a pension certificate (with a note indicating the right to free assistance at the Military Medical Service) or a certificate from the military commissariat at the place of receipt of the pension regarding the right to free assistance at the Military Medical Service;
   1. outpatient card (medical record) with a doctor’s conclusion;
   2. compulsory health insurance policy (if available).

   For reserve family members (retired):

   1. passports of a citizen of the Russian Federation;
   2. referrals from an outpatient clinic branch or a structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official who authorized hospitalization;
   3. outpatient card (medical record) with a doctor’s conclusion;

   Compulsory health insurance policy (if available).
   For family members of military personnel who have lost their breadwinner, parents who have reached retirement age, and disabled senior and senior parents who died during their military service, as well as senior and senior who died after being discharged from militaryservices upon reaching them the age limit for military service, health conditions or in connection with organizational and staffing measures, which had a total duration of military service of 20 years and more:
   - passport of a citizen of the Russian Federation;
   - a certificate issued by the personnel authorities of military units on the composition
   officer's family (form No. 11 to the Rules) or the military commissariat for
   place of receipt of a pension on the right to free medical care at the VMU
   (forms No. 3, No. 4 to the Rules) certificates from the military commissariat, at the location
   receiving a pension, the right to free medical care;

   1. referral of an outpatient branch or structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - decision of the official who authorized hospitalization;
   2. outpatient card (medical record) with a doctor’s conclusion;

   Compulsory health insurance policy (if available).
   For Heroes of the Soviet Union, Heroes of the Russian Federation, holders of the Order of Glory of 3 degrees, Heroes of Socialist Labor (who are pensioners of the Russian Ministry of Defense):

   1. passports of a citizen of the Russian Federation;
   2. pension certificate of the Russian Ministry of Defense;
   3. award certificates;
   4. referral of an outpatient branch or structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official faces, authorizing hospitalization;
   5. outpatient card (medical record) with a doctor’s conclusion;

   Compulsory health insurance policy (if available).
   For family members of Heroes of the Soviet Union, Heroes of the Russian Federation, holders of the Order of Glory of 3 degrees, Heroes of Socialist Labor (husband, wife, children up to 18 years old):
   - passport of a citizen of the Russian Federation;

   1. certificates from the military commissariat at the place of receipt of the pension about the right to free medical care at the Military Medical School (forms No. 3 and No. 4 to the Rules);
   2. referrals from an outpatient clinic branch or a structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official who authorized hospitalization;
   3. outpatient card (medical record) with a doctor’s conclusion;

   Compulsory health insurance policy (if available).

   For widows (widowers) of military personnel who died (deceased) during military service under a contract or after dismissal from military service upon reaching the age limit for military service, health conditions or in connection with organizational and staffing events that had a total duration of military service 20 years And more:
   - passport of a citizen of the Russian Federation;

   1. certificates from the military commissariat on the right to free medical care for a period of 1 year (form No. 4 to the Rules) (in connection with the legislative norm according to which the right to medical care for this category of citizens is retained until re-marriage);

   Referrals from an outpatient clinic branch or a structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official who authorized hospitalization;

   1. outpatient card (medical record) with a doctor’s conclusion;
   2. compulsory health insurance policy (if available).

   38. Planned hospitalization civilian personnel of the Armed Forces
   Russian Federation Forces in VMU is carried out in accordance with
   provisions of the Industry Agreement between the Federation of Trade Unions
   workers and employees of the Armed Forces and the Ministry of Defense
   Russian Federation, on the terms of compulsory medical insurance
   (hereinafter referred to as compulsory medical insurance) with the permission of the head of the VMU.
   Civilian personnel are accepted for inpatient treatment if they have:

   1. passports of a citizen of the Russian Federation;
   2. certificates of work in the RF Armed Forces (form No. 8 to the Rules);
   3. referrals from an outpatient clinic branch" or a structural unit of the VMU for inpatient treatment (form No. 22 to the Rules), and in its absence - the decision of the official who authorized hospitalization;
   4. outpatient card (medical record) with a doctor’s conclusion;
   5. compulsory health insurance policy.

   39. Admission for examination and treatment at the VMU persons specified in paragraph
   2 orders of the Minister of Defense of the Russian Federation in 2006№ 20,
   carried out on a territorial basis with the permission of the boss
   medical service of the military district (fleet), head of the central
   military medical institution, if available medical indications And
   submission of documents confirming dismissal from military service
   due to injury (wound, injury, contusion) or illness received
   them in the performance of military service duties, or as a result
   certain diseases acquired during military service,
   without prejudice to citizens enjoying the right to receive medical care
   assistance, in accordance with federal laws and other regulatory
   legal acts of the Russian Federation.
   The basis for admitting these citizens for examination and treatment is not the injury itself (wound, injury, concussion or illness), but its causal connection with the citizens’ performance of military service duties or military service.
   At the same time, this category of citizens is admitted to the Military Medical Service, as a rule, for the treatment of injury (wounds, trauma, concussion) or disease, as a result of which they were discharged from military service, their consequences, for the next or the final stage of treatment (prosthetics) or the elimination of defects in the treatment of the patient previously made in military medical institutions.

   40. Planned inpatient treatment in military medical facilities for military personnel
   federal executive authorities, in which
   provided for by law military service, and also their members
   families, is carried out in accordance with the Rules approved by Decree of the Government of the Russian Federation of December 31, 2004 No. 911 “On the procedure for medical care, sanatorium and resort provision and making separate payments to certain categories of military personnel, law enforcement officers and members of their families” in agreement with the management of the relevant central military hospital or branch.
   Mutual settlements for the treatment of military personnel should be carried out in the manner established by Decree of the Government of the Russian Federation of October 18, 2004 No. 565 “On approval of the Rules for the implementation of mutual settlements between the main managers of federal budget funds on the grounds provided for by legislative and other regulatory legal acts of the Russian Federation”).
   Planned hospitalization in the military medical service of military personnel of other federal executive authorities, in which military service is provided for by federal law, must be carried out in the presence of the following documents:

   1. referrals from the governing body (unit commander), certified by the official seal, with a visa from the head of the military medical institution;
   2. military ID (identity card);
   3. medical record with the conclusion of a specialist doctor.
   1. Admission to inpatient treatment at the VMU of foreign military personnel studying at military educational institutions of the Russian Ministry of Defense is carried out on a common basis with military personnel of the Armed Forces of the Russian Federation, if this is provided for in the relevant agreements (contracts). In other cases - by decision of the head of the Main Military Medical Directorate of the RF Ministry of Defense.
   1. Providing medical care to reserve officers (retired) of the Ministry of Defense of the Russian Federation, living! in the former Soviet republics, carry out in accordance with intergovernmental agreements.
   1. Admission to inpatient treatment at the VMU of other citizens of the Russian Federation shall be carried out without prejudice to citizens enjoying the right to free medical care at the VMU, under compulsory health insurance policies, under direct contracts in the voluntary health insurance system and on a paid basis (for institutions operating in the system compulsory medical insurance, voluntary medical insurance, paid services) based on the conclusion medical specialists on the need of patients for inpatient treatment, with the permission of the head of the Military Medical District, in the amount established annually by order of the head of the medical service of the military district (fleet), and for the central military medical institutions-by order of the head of the Main Military Medical Directorate of the RF Ministry of Defense.
   1. In military medical institutions providing medical services for compulsory health insurance programs, voluntary health insurance, as well as paid medical services, statistical recording and reporting for these categories is carried out separately.

   45. After the start of functioning of the PI ULS upon admission
   the patient is queried into an electronic database from a level 1 automated workplace,
   with receiving a confirmation answer: “Yes - has the right to preferential
   service"; “No - does not have the right to preferential treatment.”
   Hospitalization is permitted if there is a confirmation answer: “Yes - it has
   the right to preferential services" (Appendix No. 1). In the medical history
   indicate the confirmation response number in the appropriate columns
   electronic database upon request of level 1 automated workplace.
   Within 3 days, a request is made to the electronic database with a level 2 automated workplace and pasted into the diseases.
   Before the start of the operation of the electronic database, the name of the documents confirming the right to free medical care at the VMU, their series, number are indicated in the corresponding columns of the passport part of the medical history, and for family members of the personnel, reserve (retired), certificates confirming this right are pasted into the illnesses .
   At the same time, in the “military rank” column of the passport part of the medical history, the following information is indicated: the military rank of the serviceman, affiliation with the Ministry of Defense of the Russian Federation, and for family members - the degree of relationship with the officer (the wife of a major, the daughter of a reserve lieutenant colonel, etc.), registration number medical record, the name of the institution that issued it, the number of the compulsory health insurance policy, the name of the medical insurance company that issued it (if there is a policy).

   46. Ambulance and emergency medical care in case of sudden
   acute conditions and diseases that threaten the patient’s life or
   health of others, accidents, poisonings, injuries and other
   emergency conditions are found in all at the VMU all patients
   (regardless of the patient's status) unhindered, free and
   required amount until the life-threatening situation is eliminated.
   From the moment the threat to the patient’s life or the health of others is eliminated and the possibility of his transportation becomes possible, the leadership of the VMU takes measures to transfer patients who do not have the right to on free medical care at the VMU - in medical institution state or municipal health care systems, on a territorial basis. For patients entitled to receive free medical care at the VMU, appropriate documents are required if they have not been submitted previously.

   47. Emergency medical care at home military personnel, and
   if possible - to reserve officers (retired) and members of their families
   in case of acute illnesses and injuries, it is provided by the medical service
   military units, as well as the clinics to which they are attached according to
   territorial principle.
   If it is impossible to provide medical care at home to military personnel and other contingents assigned to clinics for medical support, emergency medical care is provided by ambulance teams of the “03” service.

   48. Transfers of patients from one ICU to another are carried out in
   in the manner prescribed by the Medical Care Guidelines
   Armed Forces of the Russian Federation in peacetime" (Art. 567-586).
   The procedure for referral (transfer) for treatment of military personnel with oncological and hematological diseases without prior approval is determined by the instructions of the Main Medical Directorate of the Ministry of Defense of the Russian Federation dated January 10, 2006 No. 161/2/3/10.
   Transfer to military hospitals of military personnel hospitalized for emergency conditions to institutions of the state or municipal health care system, carried out upon reaching their transportability, and (warrant officers, midshipmen) of the reserve (retired) and members of their families - at the request of family members, as an exception, in the event that the institution of the state or municipal health care system is not provides required types medical care.

   49. Due to the increasing expansion of the volume of modern
   diagnostic studies and available opportunities
   effective complex treatment, the medical staff of the VMU is obliged to
   Make full use of hospital-replacing technologies.
   Patients are sent for planned hospitalization after a thorough examination and use of all opportunities to provide comprehensive medical care at prehospital stage. When referring patients for planned hospitalization, the doctor is guided by the criteria for planned hospitalization for diseases various organs and systems, taking into account the recommendations of the main specialists of the Russian Ministry of Defense.
   The decision on planned hospitalization is made by the heads (managers) of the relevant departments of outpatient clinic branches and structural divisions of the VMU after personal consultation with patients.
   In order to ensure continuity in the work of clinics and hospitals, the doctor fills out an epicrisis for hospitalization in the medical record book, indicating the diagnosis, department profile, priority (in the order of priority or out of turn), examination results and transfers the medical record book to the head of the department of the clinic. Registration of patients in need of hospitalization is maintained in the hospitalization office (emergency medical care and home care department) of outpatient clinic branches and structural divisions of the VMU.
   All patients requiring planned hospitalization undergo fluorography of organs chest, general blood and urine analysis, electrocardiographic examination (if indicated), examination by a dentist and sanitation of the oral cavity, measurement intraocular pressure persons over 40 years old, women - examination by a gynecologist (if it has not been carried out earlier within the last month).
   Patients referred to inpatient care surgical treatment, should be tested for HIV, K XV, markers viral hepatitis. In addition, perform basic diagnostic studies to confirm the referral diagnosis.
   In order to eliminate duplication of expensive diagnostic studies, the heads of medical services of the branches of the Armed Forces of the Russian Federation, military districts (fleets), branches of the Armed Forces of the Russian Federation, the Main Directorate of the Ministry of Defense of the Russian Federation, and the heads of central military medical institutions determine the procedure and scope of examination of patients in subordinate military medical institutions at the prehospital stage.
   Upon admission to inpatient treatment, it is strictly prohibited to prescribe duplicate examinations and samples to patients without written justification (in the medical history) for this need. If the patient performs high-tech methods research during an outpatient examination, its results should also be attached to the medical history (the results of an outpatient examination of patients using magnetic resonance imaging during hospitalization should be attached on a magnetic storage medium).

   Head of 2nd Department - Deputy Head
   Main Military Medical Directorate
   Ministry of Defense of the Russian Federation
   medical colonel
   A.Nikitin

   Appendix No. 1 to the Procedure (clauses 5,27,45)
   Form of response to a request from Level 1 AWS
   (option)
   Date of request: ____: _____" "_____"____________ 20______
   (time min, hours) day month year
   Request No.:____ (installed by the central data center)
   Surname Ivanov
   Name Ivan
   Surname Ivanovich
   Date of birth 15 May 1999
   Place of birth Yeniseisk, Krasnoyarsk Territory
   Answer (example):
   “Yes - has the right to preferential treatment”

   M. P. ______________________

   __________________________ ____ /__________/
   Last name, first name and patronymic operator AWP Signature

   Appendix No. 2 to the Procedure (clauses 5, 27, 45)

   Response form to Level 2 AWS request
   (option)

   Date of request: "__: ____" "___" _________20____

   Request No.:____ (installed by the central data center)

   Answer:
   Last name, first name, patronymic
   Name
   Surname
   Date of birth
   Place of birth
   Contingent
   Personal number
   Military rank
   Military unit,
   institution

   Military postal address

   units, institutions
   Document name, series,
   number, who issued it and date of issue

   To the head of the branch
   (clinics)

   List

   military personnel________________________________________________ ________________________________
   (full name of the military command body, military unit and institution, military educational institution),

   as well as family members, for medical care in ___________________
   _____________________________________________________________________________
   
   in 20 ____year.

   Notes:
   1. Lists are submitted for re-registration annually by December 1 of the current year in 2 (two) copies.
   2. In case of early dismissal of a military personnel, responsibility for timely submission
   updated lists are assigned to their personnel bodies
   Signature of the chief (commander) ____________________
   Last name initials)

   ____________________
   Last name initials)

   Appendix No. 4
   to the Order (clause 20)

   To the head of the branch
   (clinics)

   civilian personnel of the RF Armed Forces _____________________________________________________
   (full name of the military command body, military unit and institution, military educational institution)

   to provide outpatient care under health insurance programs in ___________________________________________________________________
   (full name of the military medical institution)

   11Rome h ania:

   1. Lists are submitted for re-registration annually by December 1 of the current year in 2 (two) copies.
   2. In case of early dismissal of civilian personnel, responsibility for the timely submission of updated lists rests with their personnel authorities

   Signature of the chief (commander) ____________________
   Last name initials)

   Signature of the head of the HR department) ____________________
   Last name initials)

   
   

   Appendix No. 5 to the Procedure (clause 22)

   Head of the branch (clinic)

   Absentee ballot
   In accordance with the instructions of the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation dated No. 16, on a territorial basis, _______________________________________ is sent for medical support
   (in/name. Full name. Year of birth. Medical book no.)

   Head of branch (clinic) _____________________/______________/_
   (signature) (full name)
   Ref. No._______ from “______”_________ 20____ year
   Performed by: Last name, initials, tel.: () _____________________

   Appendix No. 6 to the Procedure (clause 25)
   clinic stamp
   date of referral
   ref. number
   REFERRAL FOR CONSULTATION
   ____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
   (name of the branch (clinic) of the central hospital where the patient was sent)
   1. Category______________________________________________________________ _____________________________________
   (military (specify rank), reserve officer (warrant officer) (retired), family member of an officer (contract, reserve, retired),
   civilian personnel of the Russian Ministry of Defense)

   1. Compulsory health insurance policy (if available) ______________________

   ________________________________________________________________________________

   1. Last name, first name, patronymic ______________________________________
   1. Date of birth______________________________________________________________
   2. Place of duty _____________________________________
   1. Diagnosis: _____________________________________________________________________

   ICD code______________

   1. Justification for referral for consultation___________
   2. The consultation is scheduled for: "____"__ 20____, at ___ o'clock. min.,

   office No.___________
   Head of the clinic (head of medicine) ________________________/___________/
   (signature) (full name)

   Head of department (attending physician) ________________________/___________/
   (signature) (full name)

   Note: upon arrival for a consultation, you must have a medical book, an identity document (a military serviceman’s card, a military pensioner’s card, a passport), and a compulsory medical insurance policy.

   List of abbreviations

   VMU- military medical institutions of the Ministry of Defense of the Russian Federation;
   PI ULS- software product “Personnel Accounting”;
   electronic database- electronic database of persons who have the legislative right to receive free medical care at the VMU;
   Order- The procedure for organizing outpatient, polyclinic and inpatient medical care for citizens who have the right to free medical care in the VMU of the Ministry of Defense of the Russian Federation and ensuring the legality of its provision, approved by the instructions of the head of the GVMU of the Ministry of Defense of the Russian Federation dated February 2011 No. 161/2/2/100 ;
   AWS- automated workstation;
   military units- military administration bodies, military units and institutions, military educational institutions;
   Rules- Rules for the registration and issuance of certificates, certificates and other official documents to military personnel, citizens discharged from military service, civilian personnel and members of their families (Appendix No. 26 to the Temporary Instructions for Office Work in the RF Armed Forces, approved by the instructions of the Minister of Defense of the Russian Federation dated August 19 2009 No. 205/2/588)
   Compulsory medical insurance- compulsory health insurance.

In accordance with the legislation of the Russian Federation, regulatory legal acts of the Ministry of Defense of the Russian Federation, the Main Military Medical Directorate of the Ministry of Defense of the Russian Federation (hereinafter referred to as the GVMU of the Ministry of Defense of the Russian Federation) 21 October 2017, a Plan for the distribution of vouchers to sanatorium and resort organizations of the Russian Ministry of Defense for 2018 was developed and approved.

The procedure for organizing sanatorium and resort treatment in the Armed Forces of the Russian Federation is established by order of the Minister of Defense of the Russian Federation dated March 15, 2011 No. 333 “On the procedure for sanatorium and resort provision in the Armed Forces of the Russian Federation” (hereinafter referred to as the Procedure).

In accordance with the requirements of the Procedure, referral to sanatorium and resort organizations of the Russian Ministry of Defense is carried out by decision of the Main Medical Directorate of the Ministry of Defense of the Russian Federation and sanatorium and resort organizations on the basis of a written application and a certificate for obtaining a voucher in form No. 070/у, approved by order of the Ministry of Health of Russia dated December 15, 2014 No. 834n “On approval of unified forms of medical documentation used in medical organizations providing medical care in outpatient setting, and procedures for filling them out"), drawn up in medical organization licensed. This certificate is issued if there are medical indications and there are no contraindications for spa treatment.

Applications (sample attached) and certificates (originals) for obtaining sanatorium and resort vouchers can be sent to:

By mail in accordance with the established procedure to sanatorium and resort organizations of the Russian Ministry of Defense or the Main Medical Institution of the Russian Ministry of Defense;

Through the official website of the Russian Ministry of Defense (section “Electronic reception”, hereinafter - “Submit an appeal”, further “Submit an application for sanatorium treatment” or section “ Social development», « Spa treatment in the RF Armed Forces."
“Send an application to the sanatorium of the Ministry of Defense of the Russian Federation”);

Through the official websites of sanatorium and resort organizations of the Russian Ministry of Defense (information in the same section of the website of the Russian Ministry of Defense).

Territorial representations sanatorium-resort complexes The Russian Ministry of Defense has been liquidated.

Documents must be sent to:

Military personnel serving under contract and members
their families no later than thirty calendar days before the planned
the day of arrival at the relevant sanatorium-resort organization;