Comprehensive support for participants in a special military operation (SVO) - one of the state priorities. The area of special attention is the preservation and maintenance of health, which means medical care, which SVO participants receive free of charge and without waiting in line under the compulsory medical insurance policy. What examinations and treatment are required?, how to get them, say experts from the medical insurance company "SOGAZ-Med".
The corresponding Procedure for the provision of medical care is prescribed in the Program of State Guarantees for the Free Provision of Medical Care to Citizens (PPG) on 2025 year and for the planned period 2026 and 2027 years.
Apply for a compulsory medical insurance policy
The compulsory medical insurance policy certifies a citizen’s right to free medical care throughout the Russian Federation. To receive assistance under compulsory medical insurance, a demobilized SVO participant needs to update his/her policy details.
To do this, you can contact your medical insurance company. (WE ARE), use the Gosuslugi portal.
Choosing the right insurance company is very important, because in addition to issuing compulsory medical insurance policies, her responsibilities include assisting citizens in obtaining medical care, quality control and timing of its delivery, invitation to medical examination, protection and restoration of the rights of the insured. Pay attention to the company's work experience, geography of its presence, reviews about it - make an informed choice.
The next step is joining the clinic: personal, by contacting the organization, or through the Gosuslugi website.
IMPORTANT
SVO participants have the right to receive medical care without queues. A specialist will help with this, which the clinic will allocate.
Scope of medical care
The right to receive medical care free of charge throughout the Russian Federation (outside the insurance territory) legally defined within the scope of the basic compulsory medical insurance program, and on the territory of the subject of the Russian, where the policy was issued, – within the scope of the territorial program. It includes the types and volumes of the basic compulsory medical insurance program and additional types of medical care, provided to residents of that particular region. You can view the relevant documents on the insurance company’s website, territorial compulsory medical insurance fund.
Free and on an extraordinary basis, SBO participants will be provided with:
− primary health care on an outpatient basis and in a day hospital, including primary: pre-medical, medical and specialized;
− specialized, including high-tech, medical care;
− emergency medical and specialized care;
− palliative care;
− medical rehabilitation;
− spa treatment if indicated.
IMPORTANT
SVO participants have the right to offline/online consultation with a medical psychologist in the process of receiving medical care. The attending physician will refer you to him, but you can sign up yourself.
Prevention under compulsory medical insurance
The main goal of preventive measures (dispensation, preventive medical examination) – assess the risks of developing diseases, “catch” the problem early, to take action as quickly as possible.
For 1 months after receiving information about the arrival of the SVO participant, a medical examination is organized for him at the attachment clinic.
According to indications, the general practitioner may prescribe additional examinations and consultations on the day of the procedure. first stage medical examination or during, not exceeding:
- 3 working days after the first stage of medical examination if the SVO participant lives in an urban area;
- 10 working days after the first stage of medical examination if the SVO participant lives in a rural area (urban village, workers' village) or in a remote locality.
If a citizen cannot visit the clinic, a medical team will come to his home with everything necessary for examinations and treatment.
medical rehabilitation, spa treatment and palliative care
Restoration or compensation of mental and physiological functions (needs) organism, his work ability can be carried out not only in a medical institution, but also at home from 30 days or more. The SVO participant will be provided with everything necessary for this. If a person lives in a remote locality, the recovery process will be monitored using telemedicine technologies.
Regarding spa treatment, then its participants also receive SVO out of turn, regardless of whether, have a disability or not.
Entitled participants of SVO and palliative care. Including at home by the patronage team. She visits the patient no less often 1 once a week. Necessary medical products are provided for the period of treatment.
Help for heroes
Sometimes it can be difficult to independently understand the issues of the compulsory health insurance system., It may be difficult to make an appointment with a doctor. In this case, you need to contact the CMO, who issued you a compulsory medical insurance policy.
Medical insurance company – guarantor and defender of citizens’ rights in the compulsory health insurance system, and its employees - insurance representatives of three levels - assist citizens in obtaining medical care, accompany in the process, protect and restore rights in pre-trial and judicial proceedings. And all this is completely free, just let me know, that you need help.
“We cooperate with the Defenders of the Fatherland Foundation.”. Agreements were signed with branches in 46 subjects of the country. The activities of insurance representatives are organized in all 960 separate divisions. Targeted support for SVO participants and veterans, members of their families occurs according to a well-established algorithm. We handle each request individually and act proactively. In the structure of assistance provided, the first place is occupied by the organization of a doctor’s appointment, in second place – registration for diagnostics, third - hospitalization. Aid participant SVO, protecting their rights in the compulsory medical insurance system is a priority for us", – said Dmitry Tolstov, General Director of the SOGAZ-Med insurance company.