Orthopedic footwear under IPR

The IPR at the expense of the STF includes TP (including orthopedic shoes) ONLY in pathology leading to ALS.
In other cases it is possible to include RTF (including orthopedic shoes), but in this case you should indicate in the 'contractor' column: 'disabled person self-employed' or 'at the expense of the disabled person'. Regarding the possibility of including technical means of rehabilitation (TCPs) in the individual rehabilitation program of a disabled person (IPR) at the expense of the Social Insurance Fund of the Russian Federation for the corresponding pathology, I would like to inform you that in accordance with Article 11.1 of Federal Law No. 181-FZ of 11/24/1995. 'On social protection of people with disabilities in the Russian Federation', the decision to provide technical aids to people with disabilities is made based on the results of a study conducted by the Office of Medical and Social Expert Opinion: 'On on the basis of medical indications, the need to provide people with disabilities with technical means of rehabilitation that allow compensation or elimination of the permanent limitations in the daily activities of the disabled person is identified'. According to the clause. 1 Procedure for developing and conducting an individual rehabilitation program for a disabled person (disabled child), approved by Order No. 379n of the Ministry of Health and Social Development of the Russian Federation of August 4, 2008, the IPR during the medico-social assessment developed on the basis of the assessment of limitations in performing activities of daily living caused by permanent impairment of bodily functions and opportunities for rehabilitation. The nature and degree of impairment of bodily functions and possible limitations in carrying out activities of daily living are determined on the basis of the 'classifications and criteria used when conducting medico-social assessments of citizens by the federal state bodies for medico-social assessment are used', approved by Order No. 1013n of the Ministry of Health Protection and Social Development of the Russian Federation of December 23, 2009 (classifications). The determination of the degree of functional impairment according to point 4 of the classification is carried out comprehensively, ie taking into account all parameters that characterize the functional impairment. Therefore, TCP is recommended for compensating or eliminating permanent disability due to permanent impairment of bodily functions. In cases where, according to the results of a medico-social expert opinion, the impairments in body functions, including those caused by a coexisting pathology, do not lead to a restriction in activities of daily living, there are no grounds for establishing disability . Therefore, there is no legal basis for registering a disease in the PWTW that does not lead to restrictions in carrying out activities of daily living. In order for orthopedic shoes to be included in the IPR of a disabled person, the referral to the MSE on Form 0-88/ must be accompanied by an application from the Medical Technical Committee (ITC File), made by orthopedists and prosthetists from the medical departments of the prosthetic and orthopedic facilities is created. In most cases, the patient receives the referral to the prosthetic/orthopaedic facility for the preparation of such an opinion from the MTPB, which issues a referral to the ITC on Form 0-88/u.
Rarely do the patients turn to the prosthetic/orthopaedic facilities themselves and receive an expert opinion from the IKU on the need for orthopedic shoes.
In both the first and second cases, the patient's need for orthopedic footwear must be indicated when referring to the ICU using the 0-88/u form. Medical indications for providing disabled people with orthopedic shoes:
Persistent moderate to severe impairment of statodynamic function leading to OJD in the independent mobility category (this is a prerequisite) due to disease, sequelae of trauma, foot deformities: Static insufficiency of the feet with pronounced anatomical signs; Shortening of the limbs by more than 30 mm; congenital and amputated foot defects; debilitating foot deformities; congenital deformities (equino-varus deformity (clubfoot), equinus (horse foot), flatfoot, etc. etc.); residual deformities after foot trauma; ankylosis of the ankle; lymphostasis (elephantiasis) and acromegaly; Use of fixation devices and dead foot, diabetic foot syndrome. Orthopedic footwear is not included (and will not be performed) in the IPR for patients who have foot deformities but have serious comorbidities that preclude walking in orthopedic footwear. Absolute medical contraindications for the provision of orthopedic footwear for people with disabilities:
Extensive trophic ulcers of the foot, gangrene, extensive purulent processes in the soft tissues, lack of mobility of the lower limbs due to extensive healed ulcer-prone lesions, elderly people with pronounced general deconditioning and immobility.
Allergic reactions to the materials of the orthopedic equipment.

How to get technical rehabilitation funds in Moscow?

K generally Technical rehabilitation aids and orthopedic aids include

• support and touch sticks, crutches, braces and grab handles;
• manual wheelchairs (room, walking, active wheelchairs), electric wheelchairs and their batteries, small wheelchairs
• prostheses and orthoses
• orthopedic footwear
• mattresses and decubitus pads;
• dressing and undressing aids and gripping devices;
• special clothing;
• special devices for reading 'talking' books, for optical correction of the visually impaired;
• guide dogs with full equipment;
• medical thermometers and tonometers with voice output;
• audible and vibrating alarms;
• Teletext televisions for receiving programs with subtitles
• text output telephones;
• absorbent underwear, diapers
• high chairs with sanitary facilities;
• Braille monitors, screen access software.

In turn, general technical rehabilitation equipment is divided into: High-tech i simply.

high technology – High-tech rehabilitation equipment is expensive and requires customization and/or special training to use the equipment.

Simple – that do not require special training for use. This includes. Absorbent underwear, white canes, crutches, braces, handrails, wheelchairs (except children's wheelchairs and electric wheelchairs), dressing and undressing devices, object grasping devices, medical tonometers and thermometers with voice output.

Medical equipment Medical equipment include:

• hearing aids, including hearing aids with custom-made earmolds;
• prostheses for eyes, ears, nose, combined facial, palate and genital prostheses;
• vocal cord machines;
• special aids for elimination disorders (urinary and fecal continence aids).

If a disabled person makes a typo or error in IPRA,
or a typo or a mistake, or if the anthropometric
The recommended device is not suitable for the disabled person.
The previously recommended restraint is not the correct size):

1. Contact the place/professional where the
   The person with a disability/child with a disability has received and notified an IPRH
   Supervisor about an error, misspellings etc. in IPRA
2. Professionals in the medical assessment body
   explain the possibility of making corrections in IPRH.
3. If possible, corrections in IPRH in accordance with the
   In accordance with the provisions of applicable law,
   the disabled person is asked to send the application to the medical assessment center.
   The disabled person will be asked to submit an application for correction of the IPRH to the authority.
4. The following documents must be attached to the application: passport, SNILS, certificate of the
   To be attached to the application: Passport, SNILS, Certificate of Disability (or certified copies if sent by post).
   To be attached to the application: passport, SNILS, MSE certificate of disability (or certified copies if sent by mail) and the mandatory
   a previously created IPRH with the error found in it.
   anthropometric error.
5. If the disabled person's anthropometric data has changed,
   previously prescribed technical means of rehabilitation cannot be used.
   When using previously prescribed technical rehabilitation aids, a certificate from the doctor treating you must be submitted.
   A certificate from the treating doctor about the changes
6. The application can be made in person by contacting the office/
   The application can be made in person, by contacting the office/expert, through a legal representative or an authorized representative
   by proxy, by post.
7. In the event of a request for rectification
   If a disabled person/child personally applies for rehabilitation,
   A correctly completed IPRH will be issued on the date that
   the applicant receives a correctly completed Application for Correction of the Rehabilitation Program.
8. In case of filing a request for correction
   IPRH mailed along with the documents or
   by a person who is not a legal representative or agent
   representative and the health of the beneficiary
   of the public service does not allow him or her personally
   Documents in the framework of the provision of a public service
   duly executed public service
   The IPRAS will be sent to the disabled person by registered post.
   A disabled person's IPRAS are sent to him/her by registered mail, as required by Russian legislation
   Legislation of the Russian Federation on personal data.

What are orthopedic shoes?

Orthopedic shoes have a special construction and are made only from natural materials. These shoes have a relatively stiff insole to provide good foot support, inner inserts to fix the ankle, special insoles and padding. All of this equipment is designed to keep the foot in the correct position and distribute the load evenly across the foot.
In addition, orthopedic shoes for the foot always have a wide forefoot so that the foot can sit comfortably. True orthopedic shoes are tailor-made shoes that take into account the anatomy and deformities of the feet.
It follows that special orthopedic shoes serve a specific purpose: to correct foot deformities and reduce pain when walking.

The list of categories of Russians who can get special shoes includes:

Group 1 invalids and children with disabilities are entitled to free shoes.
In addition, families with many children and families with low income can also receive special shoes free of charge. Persons with category 2 and 3 disabilities are entitled to orthopedic footwear at half price.
Individuals in these categories may receive shoes through an orthopedic shoe manufacturer participating in a special government program if they have the following abnormalities:

• cerebral palsy with muscular atrophy of the legs,
• severe foot deformities,
• Infections and congenital foot deformities ,
• amputation of stumps ,
• diabetes mellitus (diabetic foot),
• Limb shortening of more than 30 mm
• joint prostheses etc.

According to the law, people with disabilities can get 1 pair of orthopedic shoes per season (spring-summer and autumn-winter). Children with disabilities receive 4 pairs of orthopedic shoes per year on request.

As with other forms of social assistance, orthopedic shoes are granted at the request of the disabled person. In order to receive the shoes, an application must therefore be submitted to the Ministry of Social Affairs. First of all, it is necessary to draw up an individual rehabilitation program, which will include a recommendation for the use of orthopedic shoes.
The IPR does not recommend orthopedic shoes to all disabled people, only to those who have been diagnosed with an illness that affects their ability to function.

This recommendation must be submitted to the social welfare office with the application:

• Individual rehabilitation card
• Transfer from the Social Insurance Institution (can be requested from the MFC).
• (can be requested from the MFC).
• Passport and a copy of the same.
• Completed shoe order forms
• Report of the endocrinologist if you have diabetes.
• For children – passport of one parent, birth certificate.
• Certificate of Disability.

People with disabilities can get free shoes immediately, but have to wait longer for their shoes to be made. The deadline for manufacture is determined by the Ministry of Social Affairs. If a disabled person wishes to receive the shoes sooner, they can pay for the cost of the shoes and submit proof of payment to the Department of Social Welfare for a refund. The only thing to keep in mind is that the reimbursement of orthopedic aids is limited. Therefore, if there is no way to pay the difference, it is better to choose cheaper shoes.

Once all the paperwork has been submitted, the disabled person must go to the orthopedic shoe manufacturer to be measured.

welfare office

Social Welfare Office of the Sverdlovsk Oblast and Yekaterinburg (Decree of the Government of the Sverdlovsk Oblast of April 20, 2016 jv. N 273-PP.

Reimbursement of the cost of purchasing prosthetic and orthopedic products for persons without disabilities (excluding prosthetic teeth and eyes) (enter this article in your internet search engine)

Granted to citizens residing in the Sverdlovsk region (any region, city, settlement) who do not have a disability group, but need prosthetic and orthopedic products for medical reasons.

Required documents for compensation (no age limit)

1. Application for compensation for OTP costs (.docx 24.34 KB)
2. Passports of adult family members (original and copy of pages with names, registration)
3. A medical report confirming the medical indication for the use of prostheses and orthopedic aids
4. Proof of payment of the cost of the prosthesis/ orthopedic device (cash receipt, cashier's check and proof of purchase showing the name of the prosthesis/ orthopedic device, its type and model and the date of purchase).
5. Child's birth certificate (original and copy)
6. Residence certificate confirming family composition (valid for 10 days)
7. Certificate of dissolution of marriage, certificate of paternity – for single parents (original and copy)
8. Marriage certificate with different surnames in the family (original and copy)
9. Documents (references) confirming the income of each family member for the three calendar months preceding the month of claiming the benefit
10. Consent of adult family members to the processing of personal data
11. Account details at a credit organization
12. SNILS
13. Certificate from the pension fund that you do not have a disability

The following types of items (under the IPR) are eligible for compensation from the STF in Moscow:

• Walking sticks, crutches, walkers
• wheelchairs
• Orthopedic shoes for children (complicated, uncomplicated)
• Adult orthopedic shoes (complex, less complex)
• Orthopedic equipment for joints (bandages, orthotics, spas)
• Orthopedic aids for the spine (posture correctors, braces, Chantz collars)
• Hernia and postoperative dressings
• Orthoses and orthopedic products for the feet

How can I buy IPR shoes and technical rehabilitation aids?

For your convenience, the products are divided into categories. You can use the search page or find the items you want in the relevant sections. You can order directly from the website or buy the products in retail stores in Moscow.

When purchasing, we issue documents with a stamp. You can document your delivery, order in Orthomini stores in Moscow or in an Orthomini collection point (there are collection points in many districts of Moscow), or order collection by registered mail.

Your request has been sent. We will contact you soon.

Thank you for your inquiry. The details of the promotion will be sent to you by email.

You can buy from ORTHOMINI in any orthopedic specialist shop or in the online shop www.orthomini.ru orthopedic shoes, orthopedic insoles to treat flat feet, clubfeet and you are entitled to a refund of up to 100 % of their value from the local STF RF branch where you live.

The documents for compensation by STF IPR are issued (stamped certificate, cashier’s check, stamped sales receipt, stamped invoice)

Filling out the forms for STF compensation in accordance with the IPR card

In accordance with the current legislation of the Russian Federation All categories of disabled persons who have an individual rehabilitation program (IPR card)Those receiving social assistance are entitled to free technical rehabilitation equipment and prosthetic/orthopedic aids that meet their special needs and increase their independence in daily life.

Departments of Social Welfare

Social assistance of the Sverdlovsk and Yekaterinburg regions (Resolution of the Government of the Sverdlovsk region of 04/20/2016. N 273-PP.

Reimbursement of the cost of purchasing prostheses and orthopedic aids for persons without disabilities (except for dental and eye prostheses) (enter such an application with a title in the search engine)

It is granted to citizens residing in the Sverdlovsk region (any region, city, settlement) who do not have a disability group, but who need prostheses and orthopedic devices for medical reasons.

Required documents for compensation (no age limit)

1. Application for compensation for OTR costs (.docx 24.34 KB)
2. Passports of adult family members (original and copy of name and registration pages)
3. Medical report confirming the medical indication for the use of prostheses and orthopedic aids
4. Proof of payment for the prosthesis/orthopedic device (receipt, cash and receipts showing the name of the prosthesis/orthopedic device, its type and model and the date of purchase)
5. Child's birth certificate (original and copy)
6. Certificate of residence confirming family composition (valid for 10 days)
7. Certificate of dissolution of marriage, certificate of paternity – for single parents (original and copy)
8. Marriage certificate with different surnames in the family (original and copy)
9. Documents (references) confirming the income of each family member for the three calendar months preceding the month of submission of the subsidy application
10. Consents of adult family members to the processing of personal data
11. bank account details
12. SNILS
13. Certificate from the pension insurance agency that you are not disabled

Payment of compensation may be refused

If you bought an essential item of clothing at your own expense, you may be denied compensation in the following cases

• if incomplete documents have been submitted to the Social Security Office;
• if the documents contain errors, corrections or unreliable information;
• if the representative of the disabled person does not have a notarized power of attorney;
• if the person has a medical condition that does not require special footwear;
• if the disabled person submits the documents for the third time in the current year;
• if the deadline for submitting the documents has expired.

The documents must be submitted to the social welfare office by November 30 at the latest in order to receive the allowance.

If a citizen fails to collect the requested package by the deadline, the entire grant will be remitted to them the following year.

Important: sometimes shoes deteriorate before the deadline. In this case, the garment in question should be sent to a specialized facility for repair. If it cannot be repaired, an expert report must be drawn up, on the basis of which an early replacement is made.

Not all types of footwear are eligible for reimbursement. Therefore, before purchasing any rehabilitation device, you should contact your social security agency and request a list of the models covered by the state program.

Look out for shoes with the STF mark when buying them, because then the costs will be reimbursed by the Social Security Fund.

7 thoughts on ' Orthopedic shoes: how to choose and get them for free '

Good morning! Can you tell me what to do? I have a Polyclinic Orthopedist's Certification-Recommendation, a Leading Orthopedic Surgeon's Certification-Recommendation from the Albrecht Orthopedic Research Institute. There's a podiatrist's certificate from the CDC, and there's even an MTC statute about the need for orthopedic footwear. I am 3 gr. handicapped. Spine, diabetes, numb toes and feet, stage 2 osteoarthritis and valgus and much more. But even on January 10, orthopedic shoes were not registered with the IPR, despite the recommendations of experts. Apparently complicated shoes are only given to people with severed toes. Where can I get more information?

Hello Galina!
Medical indications for the provision of orthopedic shoes for people with disabilities:
Persistent moderate to severe impairment of statodynamic function leading to OJD in the independent mobility category (this is a prerequisite) due to disease, sequelae of trauma, foot deformities: Static insufficiency of the feet with pronounced anatomical signs; Shortening of the limbs by more than 30 mm; congenital and amputated foot defects; debilitating foot deformities; congenital deformities (equino-varus deformity (clubfoot), equinus (horse foot), flatfoot, etc. etc.); residual deformities after foot trauma; ankylosis of the ankle; lymphostasis (elephantiasis) and acromegaly; Use of fixation devices and dead foot, diabetic foot syndrome.
Orthopedic footwear is not included (and will not be performed) in the IPR for patients who have foot deformities but have serious comorbidities that preclude walking in orthopedic footwear.
Absolute medical contraindications for the provision of orthopedic footwear for people with disabilities:
Extensive trophic ulcers of the foot, gangrene, extensive suppurative processes in the soft tissues, lack of mobility of the lower limbs due to extensive healed and ulcer-prone lesions, as well as in people of advanced age with pronounced general decompensation and immobility.

Types of rehabilitation aids for people with disabilities

The choice of rehabilitation tool depends on the goal to be achieved. They can be divided into different types. Fixed beds include all types of multi-segment beds and anti-decubitus mattresses. Personal rehabilitation aids include sanitary supplies, pads, diapers, towels and sheets. Mobility aids include canes, crutches, walkers, and wheelchairs.

Most products are designed to be used independently by a sick or disabled person. Before purchasing any rehabilitation device, you should consult a doctor and determine the needs of the person for whom the device is intended.

decubitus mattresses

Decubitus mattresses are designed to provide a comfortable body position for people who are bedridden, bedridden for an extended period of time, or in post-surgical rehabilitation. They are designed to meet medical recommendations to prevent pressure sores, swelling and numbness in your arms, legs, neck and lower back.

The use of special mattresses allows the load to be evenly distributed, prevents blood stasis and gently massages through air circulation. You can order a mattress in Moscow in the catalogs of stores.

What documents do I need to apply for compensation for shoes?

In order for an application for compensation to be accepted, all the necessary documents must be collected before submitting the application to the competent authority:

You must also provide all documents proving that the shoes are fit for purpose and have been used as intended. In the case of shoes, the following documents must be collected:

• sales slip and receipt for the shoes;
• a photocopy of the quality certificate and a photocopy of the marketing authorization for the product group concerned.

The legislation on.

Mistake: The orthopedic shoes have not yet expired and the disabled person needs a new pair of shoes.

Remarks: If the useful life of the shoes has not yet expired, the shoes must be repaired in a specialized facility. If the shoes cannot be repaired, a medical-technical report must be obtained - the shoes will then be replaced ahead of schedule.

Mistake: The disabled person has not researched what types of shoes are reimbursable.

Remarks: It is important that you obtain a list of orthopedic shoe models beforehand so that you know for sure which pair can be reimbursed at the STF cost. For example, when buying shoes from a specialized online store, look for shoes that have the 'STF' symbol next to their image.

Private sellers of medical equipment as an alternative to the STF

Public institutions hold tenders for the purchase of technical rehabilitation equipment. The auction system for goods is structured in such a way that the lowest bidder wins the contract. On the one hand, the low price saves money on the budget, on the other hand, the question arises: how good will the inexpensive rehabilitation goods be and how effectively will they perform their function?

Practice shows the truth of the saying "cheap cheese in the mouse". Many citizens who received technical rehabilitation funds through the STF department complain that the technical rehabilitation funds they received are totally inadequate for their purpose. Leaky diapers, uncomfortable anti-decubitus mattresses, clunky wheelchairs - the list goes on. Of course, one can try to assert one's rights and obtain an individual contract for the purchase of the necessary equipment, but how much effort and time will this procedure take? Those who are not willing to spend their energy on free but cheap transportation aids can more easily buy quality products themselves and thus make financial gain.

Danger!!! If you buy a self-financed aid with the hope of later financial reimbursement from the Social Insurance Institution, it should be noted that the costs are only partially reimbursed.

Not so long ago, compensation had no value limit and citizens bought high-quality and safe products for themselves and received full reimbursement. Convenience, quality and aesthetics are not insignificant, which is why RTGs you buy yourself cost a lot more than the auctioned ones. The crisis of recent years has left the household with insufficient funds for expensive PPE, and the amount of compensation is limited by law to the cost of centrally ordered items. Practice shows, however, that citizens are willing to subsidize with their money, but only use products that really serve rehabilitation purposes.

Technical rehabilitation devices from the medical technology store TopZdrav.ru

Online medical equipment store TopZdrav.ru offers for sale care products for the sick and elderly, including rehabilitation equipment for the disabled. You will find a wide range of products from top foreign manufacturers. At an optimal price, you can buy the rehabilitation equipment recommended in an individual rehabilitation program, including:

• Foldable toilet seat on wheels. For people with mobility impairments, going to the toilet can be an impossible task and they often need to go to the bathroom much more often than non-disabled people. The wheelchair can be rolled directly under the bed, is height adjustable and is easy to clean and transport.
• Mobile wheelchairs. A convenient means of transport for people with disabilities. Comfort and convenience with height-adjustable wheels to overcome obstacles.
• Breathable decubitus cushion with inflatable parts and adjustable density. Provides comfort for long-term wheelchair users.
• Disposable underwear with a high degree of absorption. Facilitates the regular use of sanitary facilities for bedridden disabled people.
• Wheelchair crawler lift with steering column and electric motor on the loader. Facilitates climbing stairs for wheelchair users.
• Arm and leg simulator with pedometer. Helps to overcome functional limitations of the upper and lower limbs in diseases of the musculoskeletal system and nervous system through exercises on this device.
• video baby monitor. A technical tool for remote monitoring of a baby and a disabled person, with motion sensor and Wi-Fi connection.

All technical rehabilitation devices sold by TopZdrav.ru are certified and are products of high quality standard.

• How to get compensation for orthopedic shoes.
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