Eye surgeries - 1672 tips from lawyers and lawyers

Treatment according to the VMP “quota”

High-tech medical care (HTMC) is medical care using high technologies to treat complex diseases. This includes both therapeutic and diagnostic services, which are performed in a specialized hospital. Every year, the Ministry of Health approves a list of medical institutions and a list of diseases for which VMT is provided. The program to provide medical care to Russian citizens was launched back in 1994. Then the Russian Government issued a special resolution to allocate a certain amount from the federal budget to provide high-tech medical care for each specific patient. This was called a "quota". Currently, the Russian Ministry of Health has abandoned the concept of “quotas for high-tech medical care.” Now it is customary to talk about the volume of VMP, since quotas do not sound entirely correct in relation to people with serious diseases. Previously, funding for high-tech medical care came only from the federal budget, but starting in 2014, funds began to be attracted from compulsory health insurance funds (CHI). Everything related to high-tech care is under the jurisdiction of the Russian Ministry of Health. It is this body that annually determines the number of “quotas” that each medical institution will receive. Medical institutions cannot exceed this plan and treat more patients than the Ministry of Health planned.

Absolutely every citizen of the Russian Federation has the right to receive free high-tech medical care. The main reason for receiving VMP is medical indications.

How much does cataract removal cost and is it possible to do the surgery for free?

Status of the medical institution.
Difficulty of surgery.
Selected model of implantable lens.
Qualification and professional skills of the operating surgeon.
The work of all medical staff.
Postoperative examinations and diagnostic tests.

Burdened genetic heredity, if close relatives suffered from such a pathology.
Trauma to the eyeball, or through constant contact with chemical compounds.
Radiation exposure.
Endocrine disorders, especially if the patient has diabetes.
Long-term smoking habit.
Negative environmental factors, living in contaminated areas, waste from metallurgical or chemical plants.
Long-term use of medications that impair visual acuity.
Exposure to ultraviolet radiation.
Diseases of the lens of the eye.

Diseases for which you can receive high-tech medical care

At the moment, high-tech medical care is provided in more than 20 areas, which include: abdominal surgery, obstetrics and gynecology, gastroenterology, hematology, dermatovenerology, neurology, combustiology (treatment of severe burn injuries), neurosurgery, oncology, otorhinolaryngology, ophthalmology, pediatrics, rheumatology, cardiovascular surgery, thoracic surgery (surgery for diseases of the chest organs), traumatology and orthopedics, organ and tissue transplantation, urology, maxillofacial surgery, endocrinology.

At the Clinic of Coloproctology and Minimally Invasive Surgery, high-tech medical care is provided in the treatment of the following diseases:

ONCOLOGY:

surgical treatment of rectal cancer of all stages;
laparoscopic and open nerve-sparing operations with extended lymph node dissection;
operations with resection of adjacent organs for locally advanced forms of cancer;
sphincter-saving operations of any complexity;
removal of early forms of rectal cancer without abdominal surgery through the anal canal;
removal of the primary tumor with simultaneous resection of distant metastases for stage 4 cancer;
surgical treatment of colon cancer of all stages;
laparoscopic and open operations with extended lymph node dissection;
surgical treatment of recurrent colon cancer;
surgical treatment of extraorgan (retroperitoneal) tumors.

SURGERY:

surgical treatment of familial adenomatous polyposis;
surgical treatment of nonspecific ulcerative colitis;
surgical treatment of complex rectal fistulas;
surgical treatment of rectal prolapse, rectocele;
surgical treatment of presacral cyst;
surgical treatment of anal sphincter insufficiency;
surgical treatment of recto-vaginal fistulas;
surgical treatment of complicated diverticular disease of the colon;
reconstructive operations for end intestinal stoma.

Eye lens replacement surgery: essence, indications, rehabilitation

Immediately before the procedure, the patient is given drops of anesthetic or given an injection. He lies face up on the operating table. The doctor opens the anterior eye chamber, making several punctures. After this, using a special suction, the contents of the lens and all cellular elements are removed.

Russian. They can be obtained free of charge if the operation itself is carried out under a compulsory medical insurance policy. These lenses are bifocal. At the moment, in Russia, at the Nizhny Novgorod company Reper NN, trifocal lenses are being designed.
American. These lenses are the most famous. They are produced by world-famous companies - Acrisof, Alcon, Crystalens. Crystalens offers multifocal and accommodating lenses, which have become increasingly popular recently. Doctors' opinions about this product are contradictory; some believe that it is more of a promoted brand than a high-quality product.
English, Rainer brands. It was in this country that they first began to produce artificial lenses and carry out operations to replace them. The company focuses on the optimal shape of its prostheses, which reduce the invasiveness of the operation and the recovery period.
German. The most famous products are Human Optics and Carl Zeiss. Distinctive features of the first brand's prostheses are an aspherical edge and a high degree of light transmission. HumanOptics appeared on the Russian market approximately 3 years ago, but many doctors recommend their products. Artificial lenses from Carl Zeiss are manufactured using high-precision equipment. They offer multi- and monofocal prostheses, as well as toric lenses, recommended for cataracts complicated by astigmatism.

Please note => Is it possible to sell a share in common shared ownership?

How to get a VMP quota?

A coupon for the provision of high-tech medical care is issued by the regional ministry or health department at the place of registration of the patient. To do this, the patient must provide a referral from his attending physician with an established diagnosis and the results of the necessary examinations. Based on these documents, a specialist from the VMP department in a ministry or department himself determines which medical institution to send the patient for treatment.

If the patient already knows which clinic he wants to undergo treatment, then he first needs to contact this clinic, provided that this clinic has been allocated “quotas” for VMP, and receive a specially drawn up conclusion that he is indicated for high-tech medical care in this medical institution. With this conclusion, the patient applies to the regional ministry or department of health, where they issue a voucher for VMP to the specified clinic.

Despite the fact that the rules stipulate the need for a patient to personally contact the regional health department, in practice this is not always required. Therefore, if a patient from a distant region, for example, from Siberia, comes to Moscow to the clinic of his choice, and the doctors give him a conclusion that he needs high-tech medical care, the patient does not need to go back to his region and take this conclusion personally. Clinic specialists themselves will send an electronic copy of the conclusion to the regional health authority and receive a response about the issuance of a coupon for the provision of VMP. Usually it takes 1-2 days.

Video - is it possible to get a good lens for free?

I, like many of you, wore contact lenses for many years. As my vision faded at the end of school, I put on lenses and never took them off... until recently) my eyes were constantly red and inflamed...

So, the decision has been made! Surgery cannot be avoided anyway, so why delay?! Previously, they waited for the cataract to “ripe” in order to remove it. With the development of modern technologies, this is not required. On the contrary, removing cataracts at an early stage avoids many complications and makes the process easier. It is generally accepted that cataracts are a disease exclusively of older people. Unfortunately, this is far from true... Many diseases have become “younger” in our time. Likewise, vision problems are becoming the lot of younger and younger patients. In addition, cataracts can be both congenital and acquired.

Considering the large population of the country and the presence of government programs for medical support of the population, companies engaged in this area receive good profits within the country and develop successfully. More than 80% of IOLs used by ophthalmologists in the country are manufactured by specialists from this company. The process of conquering sales markets abroad is also progressing successfully.

Every citizen of Russia has the right to help from the state, which sets quotas for specialized medical services.

After surgical treatment in 2021, I required annual observation by an ophthalmologist. I turned for help to the EYE Microsurgery Clinic named after. S.N. Fedorova. A.A. Nikiforova became my ophthalmologist. After her examination, she promptly recommended additional diagnostic methods to resolve the issue of repeated surgical intervention, thereby saving her from possible serious complications.

Unfortunately, this is far from true... Many diseases have become “younger” in our time. Likewise, vision problems are becoming the lot of younger and younger patients.

Cataract surgery and artificial lens implantation - “Phacoemulsification of cataracts with IOL (intraocular lens) implantation! How effective is cataract prevention? How to prepare for surgery? How does the process itself work? What are the possible complications? And what are the restrictions after surgery?!

Surgery to replace the clouded natural lens due to cataracts can, in many cases, help restore vision. Restores its clarity, sharpness, and makes it possible to live the same normal, full life. Restoring your former vision or restoring it while cataracts are at an early stage is easy and painless.

Because of the cataract, I only saw the fourth line from the top in Sivtsev’s table - the one with the large letters ShB and MNK at the top, and some small ones at the bottom.

The results of my examination. Because of the cataract, I only saw the fourth line from the top in Sivtsev’s table - the one with the large letters ShB and MNK at the top, and some small ones at the bottom.

Service, waiting, cost of the procedure, cost of consultation, cost of selection, unclear explanations.

It is not yet possible to cure cataracts with drugs. The only solution is surgery to replace the lens with an intraocular lens - IOL. This operation is called phacoemulsification.

Reviews of Fedorov's Eye Microsurgery MNTK in Moscow: opinions of real patients - 372 reviews of the clinic and its doctors.

The procedure for obtaining a VMP quota for treatment at the KKMH Clinic

1
Step 1.
Personally
The patient personally contacts us at the Clinic with the results of the examinations he has, he is advised by the Clinic’s doctor and determines that the treatment of the patient’s disease can be performed using VMP. After this, a conclusion is issued on the need and possibility of such treatment.
Remotely
The patient is in another region and has the results of tests and examinations in hand. He contacts our Clinic remotely - by phone, email, through an online registration form, and sends us copies of his examinations (electronically or by fax). Doctors at the Clinic of Coloproctology and Minimally Invasive Surgery review the received documents and make a preliminary conclusion about whether treatment using high-tech medical care is indicated for this patient. If the doctor of our clinic decides that the patient is indicated for VMP, then a conclusion is drawn up for him on the official form of the Clinic.
2
Step 2.
On one's own
The patient takes the resulting conclusion to the regional ministry or health department at the place of registration. The regional authority issues a voucher for VMP for treatment in our Clinic and sends it to us electronically. The process of issuing a coupon takes 1-2 days.
With the help of clinic administrators
The specialists of our Clinic forward the conclusion on the need to provide VMP to the regional department at the place of registration of the patient and in response receive a coupon for VMP, which gives the right to treat this patient.
3
Step 3.
Hospitalization to the Clinic.
Hospitalization is possible on the day of the patient's visit.

Fedorov Eye Clinic is one of the best medical institutions in the country

modern diagnostics, accompanied by the provision of data to the patient obtained and processed by a computer;
surgical treatment of various eye pathologies: here you will be relieved of cataracts and glaucoma, myopia, farsightedness, astigmatism and corneal diseases will be cured, and retinal function will be restored;
rehabilitation of visual functions impaired by injuries. Ingress of sewage, etc.;
prevention of eye diseases in children and adults;
excimer laser correction;
laser therapy for retinal diseases, glaucoma, secondary cataracts, macular degeneration and diabetic retinopathy;
selection of glasses or lenses;
comfortable conditions of hospital stay.

Please note => Is it possible to use mat capital without a mortgage?

The services provided by the clinic are recognized by many specialists, as well as clients, as effective, as safe and painless as possible. The quality of the services provided meets international standards, which is supported by the introduction of advanced and reliable technologies for the prevention and diagnosis of eye diseases, developed by the clinic’s specialists.

What is included in the VMP “quota”?

The referral for the provision of high-tech medical care, which is issued to the patient, “covers” all treatment in a specialized medical center, including stay in the hospital during hospitalization, medications and consumables provided for by the standards. This is all included in the cost of providing high-tech medical care, which means it is free for the patient. The examination necessary to establish a diagnosis and prepare for surgery is usually not covered by the “quota”, since according to orders for VMP, the patient must be admitted for treatment already fully examined at the place of residence.

The legislative framework

Below are a number of government documents that fully describe the process of allocating and using quotas.

Order of the Ministry of Health of the Russian Federation dated December 2, 2014 No. 796n “On approval of the Regulations on the organization of the provision of specialized, including high-tech, medical care”
List of types of high-tech medical care (Appendix to the order of the Ministry of Health of the Russian Federation dated December 29, 2012 No. 1629n)
Federal Law No. 323. Article 34 describes the process of issuing quotas, the conditions for the implementation of this state guarantee;

To receive personal advice on treatment under VMP “quotas” from the doctors of our Clinic, please make an appointment by calling +7 or using the feedback form.

If you are from another city and want to find out about the possibility of treatment in our clinic under VMP “quotas”, please send your test results and examinations to [email protected] with the subject “VMP quotas”