Making an appointment with an orthopedist in Moscow as part of the OMS

Sometimes, under various pretexts, doctors refuse to issue a referral to Moscow, but in any case this is illegal. This is what the regulation of the Ministry of Health says:

consultation

The Consultation and Diagnostic Center provides medical care for children from birth to 18 years of age, regardless of their place of residence, including within the framework of territorial compulsory health insurance.

For medical care, a prior appointment according to the schedule of the specialist is required.

When contacting the reception, the legal representative (a parent) presents a full package of documents, and an ambulance card for the child is opened and kept. In the event of a delay, the consultation or examination may be postponed to another time or day if the doctor still has space. The question of further hospitalization is agreed upon with the doctor at the consultation appointment at the CRK (see Regulation on inpatient care).

After providing medical services, the doctor issues the patient (the patient's representative) with a medical report with recommendations and a diagnosis for the medical institution at the place of residence.

Rules for providing medical services in the Consultation and Diagnostic Center.

Medical care is guaranteed:

• within the framework of the territorial program of compulsory medical insurance of the city of Moscow in a scheduled form (Medical care at the expense of compulsory health insurance is provided according to the list and scope determined annually by the Commission for the Development of the Territorial Compulsory Health Insurance Program).
• under voluntary insurance programs with paid benefits from the insurance company with which the child's parents have contracted
• Through paid medical services

interview

Moscow – the capital of health

Project. 'Moscow – the capital of health' helps non-Kievs to learn about the medical opportunities in the capital and get detailed information about the possibility of planned hospitalization. All services within the project are free of charge.

In order to receive medical care under the Moscow – Capital of Health project, residents of the region only need an official medical report – a confirmed diagnosis and an MHI policy.

Consultations with specialists are free. Calls to +7 (495) 587-70-88 are billed at the rates of the relevant telephone company. Inpatient treatment in Moscow is free of charge and covered by statutory health insurance.

* On the entire territory of the Russian Federation under the MHI policy, in accordance with Federal Laws of 11/21/2011 No. 323-FZ 'On the Basics of Health Protection of Citizens in the Russian Federation' and of 11/29/2010. No. 326-FZ 'On Compulsory Medical Insurance in the Russian Federation', insured citizens have the right to
✓ Choose your city, medical facility and specialist
✓ Receive scheduled and emergency medical care.
The possibility and timing of planned hospitalization in Moscow hospitals for non-resident citizens insured under statutory health insurance is decided by medical organizations, taking into account the available indications, hospital capacity and waiting lists for the appropriate profile.

purulent operations

One of the patient groups traditionally treated in an abscess surgery department are patients with chronic diseases of the arteries, veins and muscles of the lower limbs. Diseases of the arteries and veins of the lower limbs. Physicians in our department use emerging endovascular surgery, which makes it possible to restore blood flow through the great arteries with minimal trauma, to save a limb.

The Department of Thoracic Surgery of the City Clinical Hospital IV Davydovsky is the most modern in the world. Davydovsky is the the only department in Moscowtaking care of patients with destructive lung diseases. The treatment regimens and methods used in the department comply with the latest Russian and European guidelines. In our hospital we are based on the treatment of patients various pulmonary and mediastinal pathologies.

Scheduled admission to the surgical department may be agreed within MHI policy:

Medical institutions in Moscow

Medical Facilities in Moscow (national ranking): 6436 hospitals, 97930 specialists, 527438 patient reviews, prices, phone numbers, websites, addresses and driving directions. Choose from the best clinics in Moscow and book your appointment in two clicks.

This is a great team (yes, not just any team, but a team) of true professionals. Attention to detail, result-oriented work and individual treatment of the patient - you can feel it...

A very good clinic, great specialists. State-of-the-art equipment that creates the best conditions for patients and provides quality professional services….

And above all: professionalism. I came to the clinic almost by accident. He came with shoulder girdle pain and asymmetry in my body. The excellent work of Dr. Bogdanov brought the result. The pain went away...

Probably the best salon in town! I've been going to Hesse English with my daughter for 4 years! During that time I certainly looked 15 years younger. My daughter has all the age-related problems on her face thanks to the properly selected…

Professionalism of the doctor, nice manager, reasonable prices. I first went to 'Identity' on a friend's recommendation. The clinic is within walking distance to the subway, the facility is very nice and the staff was…

I had an appointment with Kulagina Olga Valentina. Very competent doctor, thoroughly understood my problem, conducted a thorough examination and gave clear explanations and recommendations. For the first time in a long time I saw...

I would like to thank Doctor Chernyaev SE and Nurse Anna. They did a sinus lift and implant on my daughter. The swelling only lasted 4 days. I am very satisfied and recommend him to everyone. I wish Sergey and Anna all the best.

Information about medical institutions in Moscow

In Moscow there are more than 2,500 medical institutions with different ownership. They all provide medical services but have their own specifics. How to choose the right hospital in Moscow and what to look for?

Private or state?

• intrauterine malformations;
• Emergency Conditions in Psychiatry;
• Severe oncological diseases;
• extensive burns;
• rare diseases;
• organ transplants;
• life-threatening injuries;
• dangerous infectious diseases.

There is a stereotype that a state funded clinic means poor quality medical services and a private clinic means high quality. In practice, the quality of equipment and services in many government-funded hospitals is as good as in commercial facilities. However, the main advantage of the government clinics is that they are free.

As for private medicine in Russia, until recently it served only a very small layer of society. Now the situation is changing. Some private clinics can be part of the OMS system and a range of services can be offered free of charge.

• The patient can choose a specific specialist;
• no queues, a doctor's visit at a convenient time;
• flexible pricing and no bribes;
• high level of services;
• caring doctors and their high qualifications.

Private medical facilities are subject to important health regulations in their work. They may have the right to issue certificates of incapacity for work.

Outpatient treatment or hospitalization?

Outpatient treatment means that you are being treated at home, under the supervision of a doctor and according to his or her instructions. Another popular option is inpatient treatment, where you receive all treatments and specialist consultations at the clinic during the day. It is important to remember that home therapy without proper supervision can lead to the disease becoming chronic.

This is how you come to us for your contingent:

1. Call us for a consultation.
2. Have all necessary examinations carried out at your home.
3. We will create a hip quota for you.
4. You must then come to the practice at an agreed time.

A decision on the operation will be made once all examinations according to the examination list have been completed. The patient does not have to put up with bureaucratic procedures and long waiting times.

Quota hip surgery is intended only for Russian citizens who are not permanent residents of Moscow (for non-Russian citizens).

How is quota hip surgery performed?

Depending on the patient's condition and physique, hip replacement surgery takes about 1.5 hours. This procedure is only performed under general anesthesia.

During the procedure, the surgeon removes the damaged cartilage and bone from the joint and puts a metal, plastic, or ceramic prosthesis in its place. This prosthesis mimics the shape and movement of the natural joint. Equally important is the material from which the prosthesis is made. The main focus is that it is a malleable and durable material.

After the prosthesis is implanted in the joint cavity, the incisions are sewn up. The operation is now complete.

Contraindications for hip prosthesis surgery

• Inflammatory processes in the joint area;
• open injuries of the joint with ligament damage;
• acute hepatitis.
• cardiovascular disease or kidney disease;
• acute vascular diseases of the lower limbs.

Recovery and rehabilitation after total hip arthroplasty

The patient's recovery and rehabilitation needs depend on individual characteristics.

However, there are some principles. Before total hip replacement, the patient needs to be as active as possible to speed up recovery and rehabilitation after surgery. Two to four hours after the operation, the patient begins to work on the joint under the supervision of the doctor. Exercise is an essential part of recovery. This requires a visit to a physiotherapist or a specialized rehabilitation center.

Most patients experience temporary pain as the surrounding muscles weaken from inactivity, the body adjusts to the new joint, and the tissues heal. This pain should subside within a few months.

MHI

To apply for a medical benefit under the MHI, you must provide the following documentation:

A referral from the local health authority stating the purpose of the consultation, or a referral for a consultation at a Level 1 (polyclinics) or Level 2 (district consultation and diagnostic centers) healthcare facility on Form 057/-04. The referral must state the purpose of the consultation, the results of the initial examination at the place of residence (summary report) and the preliminary diagnosis;

The referral must be signed by the management of the medical facility and bear the stamp of the facility. Referrals issued by medical institutions are valid for 10 days.

Failure to provide the documents listed above or the absence of any of these documents is grounds for refusal of a free MHI consultation.

VHI

The following documents are required for the use of medical services within the framework of the VHI:

1. Letter of guarantee from the health insurance company (by fax the day before the visit or examination to the outpatient clinic registration number 8 495 936-91-57) or a direct contract for medical care;
2. The child's birth certificate or passport;
3. The child's SNILS;
4. Passport of the person accompanying the child (parent, guardian, other legal representative). If the accompanying person is not the child's parents, a copy of the parents' document is also required);
5. Parents' SNILS (if the accompanying person is not the child's parent, a copy of the parents' SNILS must also be provided);
6. For an attendant who is not the child's parent, a notarized statement/consent to accompany and represent the child at the medical facility.

How to get a referral to a private clinic

Private health centers typically refuse to treat patients free of charge without a referral because they risk not being paid for the services provided by TFOMS.

To obtain a referral to a private clinic, you must contact the public health center in your place of residence or empowerment.

The doctor issues a referral on a prescribed form that identifies the private medical facility to which the patient was referred. It must be signed by the head or chief physician of the polyclinic.

For the doctor, it doesn't matter to which clinic the transfer is made: the only important thing is that it works within the framework of the statutory health insurance system and provides the services required by the patient.

Which services you have to pay extra for

When you visit a private medical facility, you should remember that not all services are free and that you may have to pay extra for some services. You have to pay for all services that are not covered by the statutory health insurance (CMI).

For example, if a woman has a quota for artificial insemination, she needs to have some additional tests done at her own expense. The same applies to dental treatment: While a filling can be covered by statutory health insurance, teeth whitening and crowns have to be paid for by yourself.

Unscrupulous private clinics often take advantage of this fact and actively force additional services on the patient. You show up for a free 15-minute appointment with a specialist and leave with a multi-digit bill for testing.

Make an appointment with an EMIAS pediatrician

You can make an appointment to see a doctor via EMIAS on the official website emias.info:

To do this, enter the MHI insurance number for each child individually. You should also include the day, month and year of the children's births. You can also do this online on the official portal mos.ru or on the gosudlugi website. It is possible to fill in the form automatically:

Enter the child's name and the name of the specialist needed.

Thanks to the automatic functions, the self-registration system creates coupons. You can print this out on your home printer or in the children's health center using the Infomat.

You can also change or cancel your appointment online.

To inquire about admission to the clinic, call the number +7 (495) 539-30-00.

For more information, see the official website pgu.mos.ru.

Step 3: Contact the desired medical center

The last step is to call the hospital to clarify the details:

• when you can come

• what documents you need to bring with you;

• whether any tests need to be performed – the results become out of date very quickly;

• how many days you have to stay in the hospital or if you can leave it the same day.

Sometimes the hospitals are not able to admit you literally the next day, but can admit you a little later. It's best to find this out before you get a referral - call or write to your chosen hospital and ask when they're ready to admit you with a particular diagnosis.

If you travel to Moscow for treatment, all expenses for accommodation, meals and living in Moscow are borne by the patient himself. For example, if a family takes a relative and accompanies him, the hotel is paid by them; this is not included in the MHI.

Sometimes people feel embarrassed to ask for a referral and travel to hospitals in other regions, but this is normal practice. In Russia, in the system of statutory health insurance, there are inter-territorial settlements - in this case, a hospital operating within the framework of statutory health insurance treats a patient from another region and bills the treatment to the fund in its region. According to the think tank Vademecum, in 2018 such settlements between health insurance funds from 69 regions amounted to RUB 136.5 billion.

Step 4: Alternate Option

In Russia, there are charitable projects that allow residents of the region to receive free treatment in Moscow under the MHI policy:

For example, 45 hospitals in Moscow participate in the Moscow Health Capital project, and appropriate documents are required for treatment:

For both projects, applicants submit an application on the website or by telephone from the website. After a few days they will be contacted by the superintendents and told which hospitals will be able to admit them and when.

Lyubov Selezneva, received a referral for an investigation in Moscow:

– My family lives in Ryazan, my daughter is three years old and has a heart defect – a patent ductus arteriosus.

The doctors found him in the first year of her life, first with suspicion in the maternity hospital and then during a routine check-up. We have never been to a state clinic, we have always been to a private one, but the doctor at the private clinic could not give us a referral for free treatment in Moscow.

We first went to the Ryazan cardiology outpatient clinic to confirm the diagnosis. The doctor there rebuked us and threatened us: 'You must go to Moscow urgently! Urgent! And why do you go to a private clinic? The doctors there are not responsible for anything. I left her in tears, sure that if we didn't go to Bakulevka tomorrow, the baby would be bad. And so we did, a month later.

Another doctor in the same cardiology department referred me to the Bakulev Cardiovascular Surgery Center in Moscow. And it turned out it wasn't so bad after all. The doctor in Ryazan said our daughter had about two leads and the cardiologist in Bakulevka laughed at that and said it was physically impossible and 'probably your doctor just didn't get enough sleep after the New Year holidays'.

We brought our ultrasound and ECG results to Bakulevka, but it turned out that the cardiologist could not make a decision based on them. The equipment in the Ryazan hospitals is less accurate than in Moscow, and the doctor is unwilling to make a diagnosis or prescribe an operation based on these results. She advised us to take a test, which we had to pay for ourselves.

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