Although the Russians are guaranteed a free first health care even in the absence of a policy, not every doctor will help a patient free of charge. Trud was convinced of this from his own experience.
The correspondent of "Trud" contacted medical institutions the capital and the Moscow region with a request to provide her with first aid. According to the script, she complained of dizziness, nausea and weakness, that is, typical symptoms of sunstroke. In addition, according to the experiment, she did not have a mandatory policy with her. health insurance... It turned out that, despite the Hippocratic oath, doctors are not always ready to help the victim for free.
State polyclinic
“I urgently need medical help. The head is spinning, sick. Possibly sunstroke, only I don't have with me medical policy", - the correspondent of" Trud "turned to the registry of the city hospital No. 7. The girl asked perplexedly:" Then what do you actually want from us? " But still sent to the doctor.
The absence of a policy did not inspire the general practitioner either. “I think my colleague will help you better than me,” the doctor grinned, then got up and left. The nurse sarcastically explained that the doctor was unlikely to return.
District hospital
It turned out to be even more difficult to reach doctors at the Sergiev Posad regional hospital. “Nobody will help you without a document. Why do doctors have to work for free because of people like you? " - the receptionist almost turned to shout.
Local patients also stood up to protect the doctors. "We've come in large numbers here, there are enough of our patients!" - the old woman was indignant. Through the crowd of aggressive patients it was not possible to get an appointment with the doctor.
Private clinic
To just go inside the private clinic "Medical Center", you must first break through the guards' defenses. Only those who are attached to it are allowed here. It took a long time to persuade the guards, assuring them that they could not reach another nearest hospital.
The friendly staff of the clinic immediately suggested that the correspondent undergo a full examination, referring to the fact that the malaise may not be caused by sunstroke. Of course, for a fee. But the journalist insisted that only first aid was needed, and suddenly a young therapist offered her his services for free. He took his pulse and blood pressure, took his temperature and wrote his phone number on the sick-list.
children's Hospital
The registry of the children's city polyclinic No. 54 said that they would hardly help without a policy. However, they advised me to contact the head of the institution.
The moment the reporter entered her office, the woman was watering the flowers on the windowsill from a spray bottle. Before the journalist had time to voice her complaints, the manager was already sprinkling from a spray bottle in her face, legs, head.
Further, under her careful guidance in the toilet, it was necessary to wet all the parts of the body uncovered by clothes, from the face to the feet. And only after the water procedures did she give recommendations on how to protect herself from sunstroke, as well as how to treat it. At the same time, she strictly forbade going outside from 10 to 16 hours.
Rates
If the treatment is paid
The cost of seeing a therapist in a private clinic depends on the qualifications of the doctor: for a candidate of medical sciences - 1100 rubles, for a doctor without a scientific degree - 800 rubles.
In a state city or district hospital, prices are more sparing: examination by a therapist in case of sunstroke - 270 rubles.
In the children's hospital, the child will be assisted free of charge within three days of hospitalization. After that, they said at the front desk, "as you agree."
During a trip to another city, anything can happen to health: from a banal toothache to an attack of appendicitis. YOU ASKED TO SAY: How to behave in a situation when you urgently need to see a doctor, but the policy stayed at home? We asked this question to Radoslav Bystryakov, head of department of the insurance company "Kovcheg":
- The lack of a policy cannot be the reason for the refusal of a medical institution to provide emergency assistance sick. An ambulance should arrive at least on a call. If the ambulance doctors cannot help the patient at the place of the call, they are obliged to hospitalize him in a hospital, where he can stay until the acute condition is removed, while he should be provided with all the necessary medical assistance, including procedures and surgery. Without any policy!
If the doctor does not assess the patient's condition as requiring urgent medical care and refuses to provide it, he should be asked to give a written opinion explaining the reason for the refusal. In any case, the patient himself or the people accompanying him can contact one of the superior hospital workers: the head of the department, the deputy. the chief physician for medical work, to the hospital administrator on duty, and they must resolve the conflict situation. You can also call hotline your insurance company.
Each region of Russia has its own compulsory medical care program. Let's say you have taken out a policy with an insurance company in your city and you are guaranteed the provision of certain services, but it is not a fact that exactly the service you need is provided by a hospital in a particular region. At the moment, the law declares the right to receive medical care throughout Russia, but the settlement mechanism between insurance companies and medical institutions has not yet been regulated. Therefore, in such situations, I advise you to call insurers - now they have more authority to accompany their clients and they are obliged to solve all the problems associated with the provision of medical care included in the compulsory health insurance program (CHI).
The volume of free medical care is spelled out in the corresponding Program of State Guarantees. Within its framework, for example, the patient should be provided with "inpatient medical care in cases of diseases, including acute, exacerbation of chronic diseases, poisoning, trauma, pathology of pregnancy, childbirth, abortion, as well as during the neonatal period, which require round-the-clock medical supervision, use intensive methods of treatment and (or) isolation, including for epidemic indications ”.
“The OMS policy is becoming as important a document as a passport. Therefore, in order to avoid controversial situations I advise you to take it with you on any trip, even a short one. "
Radoslav Bystryakov
“In Moscow, a patient brought by the ambulance, without a passport and medical policy, will not be treated free of charge!”, The reader Mikhail wrote to us. - Extortion begins at the dispatcher's level (if the policy is not Moscow) and then pay for all items: injections, hospitalization ... ".
The situation that Michael faced, for the capital and most others settlements, thank God, this is not the norm - such abuses are by no means found at every step. At the same time, there is always a risk of being sick in a strange city or in a village without a medical policy, so it is useful to know how to behave correctly.
Remember the basic rule: everyone who is on the territory of our country has the right to ambulanceif it is in a condition requiring urgent medical attention. According to the law, such medical care is provided free of charge, regardless of whether the patient has an identity document and a medical insurance policy, explains Alexander Saversky.
Thus, if, according to medical indications, a patient needs hospitalization, then the hospital MUST accept it in the same manner: free of charge, regardless of the availability of documents.
If you are denied at the admission department or demanded money, referring to the absence of a policy (or the fact that it is "out of town"), then you need to act in the same way as in case of refusal or inaction of the ambulance, - advises a specialist in protecting the rights of patients. - That is, you remind the "intractable" medical workers about the criminal liability for not providing assistance to the patient and, if necessary, call the police on "02" (for a detailed action plan, see "KP" - Health "on October 28 and on the website kp.ru).
