the Federal Fund of obligatory medical insurance (FOMS) has issued a statement: patients nobody has the right to refuse medical care and hospitalization on the basis of lack of tests COVID-19. With a letter stating that such cases in the country increased HIF addressed the all-Russian Union of patients (VSS).
As reported by the all-Russian Union of patients, doctors began to refuse to accept patients, requiring them to help with a negative test for the coronavirus. This is evidenced by the sharply increased number of complaints to the hotline of the Union. People say that they simply denied necessary medical care. To its not and a huge number of patients with chronic diseases who need to continue therapy and be supervised by specialists. Thus, in some regions patients require testing solely to fees, arguing that they are at risk or have symptoms of SARS, so the study is not covered by the territorial program of state guarantees.
HIF responded to the appeal of patient associations, calling these claims as unfounded, and the denial of medical assistance without the results of this analysis invalid. “The requirement for laboratory results to the presence of a new coronavirus infection COVID-19 in the provision of medical services under the mandatory health insurance is a violation that is classified as unreasonable refusal of the insured persons in the provision of health care according to the territorial program of obligatory medical insurance”, – said the Chairman of the HIF Elena Chernyakova.
in addition, the Department explained that requirement of results of laboratory tests for the presence of COVID-19 for planned hospitalization is not established by any document in the country. Including such a clause in the provisional organization of work of medical organizations, as well as in temporary methodical recommendations “the Prevention, diagnosis and treatment for novel coronavirus infection.”
it is emphasized that today the treatment of patients with oncological diseases, diseases of the cardiovascular and endocrine systems, as well as who are on renal replacement therapy (dialysis) should be carried out in full. “Is possible only the transfer of the planned types of medical care in cases when this allows the patient’s condition. If you require medical manipulations, without which there is a threat to the life and health of the patient, then they should be executed, – tells the Vice-President of the Russian Union of insurers Dmitry Kuznetsov. – However, patients need to know that under the MLA hospitalization is planned, as well as a variety of instrumental and laboratory��’s studies (computed tomography, magnetic resonance imaging, ultrasound, cardiovascular system, etc.) is conducted exclusively by referral issued by your attending physician to which the patient is attached. If these conditions are met, and the patient trying to deny necessary medical assistance, you should immediately contact the health insurance organization (HIO).”
by the Way, today call centers all health insurance companies working around the clock. So, if you are denied medical care, required to pass any examinations not related to your disease, and the more you charge, feel free to contact your CFR. How? On your insurance is an indication of what kind of insurance you insured institutions and, in most cases, it is the coordinates for communication. If not – they can always be found online on her website. And your insurance representative to and need to help you in all things, including hospitalization.
