What you need to know about the generic certificate. What time is the generic certificate for women? When receive a generic certificate

Generic certificate - An important part of the program for the improvement and organization of health. Any public institution, leading pregnancy or childbirth, receives a prescribed amount for medical services. This document was introduced to interest specialists in providing high-quality assistance to women.

What is needed for?

The certificate is provided to pregnant women regardless of the region of residence and registration. Allocate the following objectives of its existence:

the right to independently choose a female consultation, clinics and maternity hospital, where experts will be under the supervision;
competitive environment in health care, ranging from the development of the embryo and ending with the advent of the child;
improving the quality of services provided in the field of medicine;
analysis of fertility statistics.

Thanks to the generic certificate, more than 90% of services are paid for the following areas:

observation of the development of the embryo;
objectiveness;
primary medical care for the baby;
dispensary monitoring of the baby.

The main goal of the introduction of the certificate is to stimulate the interest of medical institutions in providing better assistance in the field of obstetrics, gynecology and pediatrics.

In 2020, a pregnant woman has the opportunity to choose any hospital entaching the system of the All-Russian Health Project. It can contact any organization to choose from, and experts are obliged to accept it to provide the necessary services.

Features of the document

How to get a certificate to a woman? Initially, it is provided in the urban clinic or women's consultation, where pregnant women are observed. The document is provided by the attending physician for a period of 30 weeks with normal and 28 weeks with multiple pregnancy. The main condition for the provision becomes continuous maintenance of women and observation in outpatient conditions throughout at least 12 weeks.

The format and methods of filling are determined by the order of the Ministry of Health and Social Development No. 701 of November 28, 2005. The document can fill out only budgetary medical institutions of the state or municipal system that have a license to work in the field of obstetrics and gynecology.

To be easier to navigate, its individual parts are made pink and green stripes. First of all, they need institutions for nominal payment for comprehensive services:

observation in the gynecologist during the development of the embryo, and then the fetus;
visiting specialists for planned medical review;
regular analyzes;
passage of hardware medical examination - ultrasound, MRI, ECG, Doppleroscopy;
observation in the hospital if necessary;
planned hospitalization in the maternity hospital, and if necessary and emergency;
monitoring the baby and the guinea after childbirth.

Generic documents are acts requiring strict reporting. The blank is made on paper with its own protection system.

This document is valid in medical institutions of any level - regional, municipal, federal. It may be not only a female consultation and maternity hospital, but also a children's clinic. For the full application of the certificate, it is important to know the list of services that are laid in it.

A woman can choose a female consultation and a maternity hospital. Selection of children's clinics for watching the child in the first year of life is allowed. In addition, if the doctor does not suit the site, the choice of individual specialists is allowed.

Coupon number 1 is necessary to visit the female consultation, but implies the free and regularity of inspections in the gynecologist. It includes monitoring the development of a child, listening to the definition of the term, weight measurement, as well as control over a pregnant woman. Analyzes and procedures are available for monitoring the right development and growth of the child:

KTG and ultrasound according to the term;
general blood analysis;
blood test on gluco-collant test, RW and HIV;
examination for innate or hereditary diseases on early;
general medical examination, including therapist, oculist, neurologist and Laura;
passage of the Cabinet ECG;
if necessary, the support of the social worker and psychologist is provided;
provision of vitamins;
observation in the hospital conditions according to the testimony.

Coupon number 2 is used in the maternity hospital for the following:

accommodation in the prenatal compartment, including the passage of the required procedures and nutrition;
receptions of labor by the group by the team of doctors, including a gynecologist, midwife, neonatologist, surgeon and agencies;
if necessary, cesarean section appointed without payment;
anesthesia in the process of bouts;
nutrition for a child in the absence of milk;
postpartum observation;
purpose of first vaccinations baby.

The remaining coupons are designed to observe the newborn and up to 1 year.. They are necessary for the following:

systematic visit to the pediatrician once a month with good child health;
visiting a child by a doctor at home during the first month of life once a week;
planned inspection of specialists in 1, 6 and 12 months of life;
Ultrasound of the abdominal cavity, hips and brain;
vaccinations according to the planned calendar.

Many, having received a document, do not know what to do with it. It is issued to a woman for presenting in women's consultation, a maternity hospital and a children's clinic after the birth of a child.

In the female consultation, it allows you to get vitamins and prescribed medications for free. In the hospital, the presence of a document allows you not to pay for syringes, droppers, the introduction of oxytocin and other medicines. It is not intended to pay for cesarean sections or epidural anesthesia at the request of the patient, but its funds are sent to the procedure necessary in a particular case.

Those who are observed in a private medical center have the opportunity to receive a certificate in the clinic. But according to the law, no one is obliged to return the equivalent of the uninseded amount on it. If earlier the future mother should have appreciated the female consultation at the place of residence or registration, now she can choose a convenient place or better specialist.

Composition of document

The certificate has a specific structure, which refers to various medical institutions and services. The document includes the following:

Fur confirming the fact of granting a certificate. It remains in the institution issued a document. This is usually an urban clinic or women's consultation.
Coupon number 1. It is intended to pay for services for outpatient surveillance in women's consultation. According to him, funds are sent from the budget to pay for the work of doctors. In addition, the provision of medicines and vitamins is reimbursed, the equipment of medical equipment is improved.
Coupon number 2. It is issued to pay for the services of the maternity hospital not only for themselves childbirth, but also the recovery period after them and primary care for the child. Additional food is provided to women and drugs as needed. It should be submitted to the hospital, but when paid fees are not used.
Certificate form. It is needed to confirm the fact of providing assistance and issued without coupons 1 and 2 after discharge from the maternity hospital.
Coupon number 3-1. It is used at the place of observation of the child in the first 6 months. At the same time, it is important that it is registered up to 3 months of life.
Coupon number 3-2. Provided for the next 6 months of preventive monitoring of the child.

As a result, the coupons are transferred to certain medical institutions, when providing which payment is possible. The organization may not receive compensation from the state budget if the documents are issued incorrectly or violated during the provision of services.

What is needed to provide?

The rules for design are united for all, regardless of the order of birth of children. The certificate is issued when providing a minimum package of documents:

Reduss;
polis Oms;
passport.

If there is no slop or the CHA policy, the corresponding mark is affixed with the reason. After registering turnouts, the observer doctor should be regular, with a long break for 3 months or more, with the design of documents there will be difficulties.

Each citizen of Russia, regardless of the experience of work, status, age and social status, can be calculated to receive a generic document. Foreign citizens can count on it to obtain full-fledged services. But it is necessary to arrange RVP or a residence permit.

If some of the stages, the woman was observed in a paid medical center, on the appropriate part, the stamp is not subject to issuing. The certificate can be issued on the exchange card after childbirth to provide it in the children's clinic.

The total cost is 11 thousand rubles, which are distributed in this way:

for women's consultation - 3000 rubles;
for the hospital - 6000 rubles;
on the dispensary observation of the child 1000 rubles for every six months of the first year of life.

If the future mother was registered in several clinics, the coupon laid the one in which the observation period was the biggest. It is not allowed to receive means in hand instead of a certificate.

Where to give after childbirth a generic certificate? After returning from the hospital to the child, a pediatrician from a children's clinic or nurse should come to a child. The document is given to them or with direct contact for the registration of the child. One root remains with the information about the child. It can be left or allowed to be in women's advice.

What can the tools do not go?

The generic document is provided only to compensate for medical services related to the management of pregnancy, childbirth and child observation. It has nothing to do with the financial support of the future mother. The funds will not be able to cash and spend on other purposes. For example, a woman has the opportunity to go through a planned inspection at a dentist who will report on the existing problems. But additional services are such as teeth implantation, the certificate is not available.

This document cannot be used not only to pay for pregnancy and childbirth in a private clinic. They cannot be fully or partially paid for services in budget medical institutions, if a commercial basis is signed. It is also not allowed to pay for services that are not included in the mandatory program of medical assistance.

What kind of help is impossible?

A woman has the opportunity to leave the coupons, if it considers that the services are not fully provided or in the insufficient level of quality. The transfer of coupons is its right, not a duty.

In most cases, the established value is not enough to cover all services provided. But within the framework of the main package by the government, this amount is defined as sufficient.

If special care is required for the revealed complications, assistance is not included in the scope of the generic certificate. For this, additional reserves will be required, although the medical institution cannot demand their payment from a woman.

What is impossible

This document will be issued for each subsequent child while maintaining the specified amount. With a generic certificate it will not be possible to perform the following steps:

restore in case of damage or loss;
get money cash;
cash or sell to other persons;
calculated by means of services in the private medical center.

Without a certificate of a clinic and a maternity hospital, they cannot refuse to register a newborn, reception. According to the law, the woman itself chooses the hospital, which is suitable for all parameters. Since the maternity hospital receives money for the patient, there are usually no problems with the choice of institution.

In emergency cases, the ambulance car will take place in the nearest maternity hospital. You can choose a therapeutic institution only if there is indications for hospitalization into a specialized medical center.

If previously generic documentation was not issued

If pregnancy has occurred in the commercial center, the certificate is provided in 30 weeks with usual and 28 weeks with multiple pregnancy. You can get it in a female consultation or clinic at the place of residence. In this case, the certificate is not intended to pay for pregnancy, as in fact, such services did not turn out to be a state medical institution. It is necessary to provide in the maternity hospital, and subsequently in the children's clinic.

In practice, a woman can go to the maternity hospital without a generic document in the following cases:

the beginning of premature births;
not received in advance or was lost;
the woman was supervised in a paid clinic, which has no right to issue a certificate;
adoption of a child under the age of 1 year.

If the documents are not presented, the maternity hospital will receive it independently through the female consultation. This uses a exchange card that was issued at the pregnant woman's monitoring stage. If it is impossible, the management of the hospital is provided with a certificate with a paid tear-off part, leaving only parts for children's clinics.

If parents plan to observe a child in a commercial clinic, the certificate may not need a certificate. When registering, the contract is concluded or the PMC policy is issued, the costs of which are not replenished by the state, since they are a personal initiative of the parents.

With adoption under the age of 1 or if a woman addresses a paid medical center without state support, the certificate is issued in a children's clinic. Coupons 1 and 2 are indicated as repaid. But the list of documents for the provision of the document will be the same as for the rest.

As a result, to obtain a generic document, it is necessary to come to women's consultation at the place of pregnancy or residence. It is better to do it in a timely until the end of the 12 week of pregnancy to get a document as early as possible. But his absence cannot lead to a refusal to take birth, registering a child in a children's clinic.

Various questions related to childbirth and the maternity hospital come in the third trimester of pregnancy, when a woman begins to carefully prepare for the upcoming event. Among the main topics of pregnant - for which a generic certificate needs, what services it includes and how to use it. A detailed analysis of the issue is given in the article.

What it is?

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This is a document that is issued to pregnant women upon reaching the thirtieth week of tolerance within the federal project "Health".

The document is a dense sheet of paper 20 cm wide and a length of 34 cm after cutting the root and the first coupon.

Root Cuts off and remains in a female consultation, an ambulance or a clinic in which the woman is registered, as evidence of the provision of a document of a citizen.

First coupon It is also cut off in a medical institution and is sent to the FSS Department of Russia to confirm the expenditures of the female consultation, which came to the guinea.

Thus, the woman receives the document after cutting the upper parts.

The document has a registration number, knocked out on each of the six sections.

Regulations

At the federal level, there are two regulatory and legal acts regulating the purpose, goals, procedure for issuing and issuing, providing services for a generic certificate:

Government decision, adopted in 2007 on December 29, number 987. The document reveals the mechanism of payment for services in the prenatal, generic, postpartum stages of pregnancy women and a preventive examination of the child before reaching the one-year-old age.
72nd Order of the Ministry of Health and Social Development, adopted in 2011 on February 1.It also contains the rules and the procedure for providing services for pregnant and gave birth and her child up to the year.

Generic certificates began to issue in 2006 as part of the Federal Health project. The project refers to priority national programs to improve the standard of living and well-being of the population, improving the quality of medical services provided and wages of medical workers.

How is the program implemented?

As part of a large project "Health", the program "Generic certificates" is embodied through the extra-budgetary financing system. The source of funds is the FSS, or social, which transactions on certificates for feminine consultations, child clinics, maternity hospital and perinatal centers of the federal and municipal levels.

Each insured woman can apply for a whole list of services for a generic certificate to any state or municipal institution that has received a license in the directions of "Gynecology and Obstetrics", "Pediatrics" and has a corresponding agreement with the FSS.

Terms of its action

The priority project "Generic certificates" of the "Health" program began to operate since 2006 and is still valid, in 2020. During this time, the average life expectancy of Russians has increased significantly and there has been a significant increase in "human capital".

There are no specific deadlines for the completion of the program today, however, until 2020, generic certificates will act undoubtedly, like other priority national projects.

Why is it needed and what gives?

From the point of view of legal and social functions of the state, generic certificates play motivating and stimulating roles, encouraging medical personnel for women's consultations and maternity homes to provide pregnant women better service.

Thus, the number of patients is increasing, because for each implemented certificate, the medical institution receives an insurance amount.

As a result, healthy competition in the field of public health is created.

Also among the reasons why a certificate project is needed is to reduce the number of abortions by disconnecting pregnant women from interruption of pregnancy doctors.

Another purpose is to stimulate early registration and stable maintenance of pregnancy, not allowing a woman's refusal from the chosen organization in favor of another, because the institution can implement a certificate if the patient in a row is 12 weeks.

What is needed? For a statistical picture, as well as assessing the quality of work of state organizations.

Woman and child

For pregnant The generic certificate is a free choice of maternity hospital, as well as any municipal or state medical department in the field of gynecology and obstetrics and obtaining the necessary consultations and services at the expense of FSS funds.

For born The document also gives the right to choose its parents of a children's ambulance or polyclinic in the state or municipal management in Russia.

After all, the services provided for by the FOMS - public health insurance are general and do not contain many specific specific costs of pregnancy and motherhood.

The absence of them is due to the universality of the FOMS, therefore special programs have been developed for individuals.

Maldoma

For maternity hospitals and perinatal centers, certificates are the wages of personnel by the insurance payments of social resources, higher income from each successful delivery.

Children's clinic

The salary of the doctors of polyclinic institutions is even less than hospital staff, therefore, for such institutions, the certificate program not only obliges to produce high-quality observation of the child during the first year of life, but also to receive the rated cost of the coupon in 2 thousand rubles from each infant.

Service list

According to the FSS position, the "Generic Certificates" program does not provide specific services provided to pregnant women upon presentation of the document under consideration, since the purpose and objectives of the program are generally improving the quality of service and tranquility of pregnant women in guaranteed observation and medical care.

What can you pay?

However, all standard services required for successful childbirth, the maternity hospital or perinatal center must provide.

Refusal to provide such services can lead to the involvement of the organization and its officials to harsh measures of responsibility.

The standard maintenance includes cesarean, and anesthesia, and meals - if there is an objective need. Before childbirth, it is constant observation, if necessary, even patronage at home, the issuance of medicines provided for by the Government of Russia and other events.

Is epidural anesthesia enters?

As a necessary measure, epidural anesthesia is included in the services of a generic certificate. Of course, if the doctors make the conclusion about the need for surgery, it will not be possible to produce it without anesthesia.

However, in the absence of testimony and independence of the success of the Rhodiogencies from the spinal injection, the service will not be represented by a woman for free.

Is the mixture enters?

Exactly, the issue of issuing a mixture of a newborn, if a woman is not able to behave breast feeding or cannot provide sufficient food to the child.

In the latter case, the maternity hospital, of course, is not entitled to allow the starvation of the baby, which means that he will be appointed a permanent or periodic (more often) lures.

What does it look like?

The certificate has a strict form of a certain structure and color shades, symbols and signs.

Visual document structure:

Where to watch room?

The sequence number on the certificate is located in the upper right of each document section - the same number is indicated everywhere.

Who discharges?

Depending on the circumstances, the certificate may be discharged:

female advice - chief physician, head of, natch (depending on the distribution of powers and rights of posts);
major house - if a woman has no certificate; At the same time, it will only receive those sections of the document that relate to the childbirth and the first year of observing the child in the children's clinic; Thus, a woman who did not have time to receive a certificate at the place of accounting or if it was paid for a fee and carried out medical services to the hospital on a paid basis in private clinics or for other reasons did not receive a certificate in their female consultation, should not worry: maternity hospital will not only accept them but is obliged to provide standard quality service;
children's polyclinic - If the pregnancy and childbirth of women passed in private organizations, but the baby was registered in the first 3 months in the children's ambulatory, then this institution will write down the last 2 coupons of the document.

Differences from the exchange card

The exchange card is a kind of passport of a pregnant woman, without which it will not be able to enter the general branch of the maternity hospital.

"Exchanging" contains the entire history of the course of pregnancy, all the envisaged analyzes, the conclusions of doctors, diagnoses, the parameters of a woman and a child conducted by therapeutic procedures.

The difference between the exchange card and the generic certificate:

"Exchanging" can be issued at different stages of pregnancy - at 20 weeks, at 22 weeks, 28 weeks, etc.;
issued by a gynecologist or, most often, a nurse;
is not a strict type document - each institution has the right to issue a map in the form in which it is capable of issuing it, the main thing is that it should be a brochure with the necessary information;
does not contain any benefits, payments and other privileges for a pregnant and child;
without a map, a woman will be recognized as not surveyed and will not receive permission to find in the general antenatal department of the maternity hospital, instead, it will be distributed in an infectious division;
the map contains individual and detailed information about the patient - its physical and physiological data, previous cases of pregnancy, all the appointments of doctors during the period of current pregnancy, etc.
exchanging is necessary to evaluate the doctor's support doctor and the characteristics of the body of the woman and after childbirth will not need her.

Thus, these are completely different documents performing different functions and tasks.

Generic certificate in 2020

This year, pregnant women in Russia continue to receive assistance through the National Health Project.

Who and where gives?

A complete generic certificate pregnant receives in a state or municipal medical institution, which has a license to carry out activities on the areas of obstetrics and gynecology.

Usually this female consultation is in cities. In smaller settlements, it may be clinics and ambulatory, tied to district hospitals.

The issuance is made through a gynecologist who leads a pregnant patient.

Conditions

Many women worry about the conditions of obtaining a certificate and perceive it as a document that "needs to be deserved."

In fact, the woman is much less interested in obtaining a certificate than therapeutic departments - in his extradition, therefore it is enough to show a passport or a similar document confirming the person (for pregnant women who have not reached the "passport" age, this is a birth certificate).

The absence of a SNILS card and the CHA policy do not interfere with the patient to receive a certificate, since the program is federal and mass.

With such an extradition, the certificate will make marks about the reasons for the absence of documents on medical and pension insurance.

Women's consultation provides tribal paper if a woman was registered 12 weeks in a row.

Without compliance with this period, pregnant will not receive a certificate before entering the hospital.

However, in the maternity hospital, she will be issued and addressed to a document justifying maternity expenses.

When is pregnant in hand?

Usually, women's consultations are preparing and provide the main documents of the patient upon reaching 30 weeks - a sick leave, a exchange card, a generic certificate, although depending on the circumstances and features of the regulations can be different.

At what time?

In standard conditions, pregnant receives a certificate of 30 weeks. With multiple pregnancy - at 28 weeks.

On the first child

It is drawn up and is transmitted to the patient upon reaching 30 and more weeks.

On the second child

For each child, the certificate is provided for general order. There are no differences in the procedure for issuing, the conditions and content of the document, on which child would be made.

Is it possible to give birth without a document? Did you accept?

A big misconception and reason for excitement conviction that for admission to the hospital must have a generic certificate in the hands.

Russian medical insurance guarantees the provision of necessary services to all women - even if the woman in labor will not have a single document, including a passport.

If the woman has concluded a paid contract with the doctor, then no one will know about the presence of a document.
And if a pregnant will go to the hospital at the "ambulance" without having a certificate? Will she impose payment for the services rendered whether the document is required at such a situation?

Even in this case, the paramedies are required to help a woman and take it to the nearest hospital or maternity hospital.

It is important to understand that the right to choose any state-owned maternity institution works with varying success.

If the woman chose the hospital not at the place of accounting and at the time of arrival at the "ambulance" it turned out to be crowded, then the "ambulance" will take the patient to another hospital - at the place of residence.

The only way is guaranteed to get after all the same in the chosen maternity hospital - in advance to get a permit visa at the chief doctor or nachmed institution.

The mark of this will be affixed in the exchange card, and, guided by it, the ambulance specialists will be lucky in the selected institution.

How to get a?

To obtain a certificate, it is enough to register into women's advice and be under the supervision of 12 weeks in a row.

With an early registration (before the 12th week of pregnancy), a working woman will also receive a one-time federal payment - 613 rubles in 2020.

General procedure for issuing

Under normal conditions, the certificate is issued on the 30th week of having to wear a woman in hand.

What documents are needed?

It is enough to present a passport, in the absence - replacing his personal document: a birth certificate, an overseas passport.

In women's consultation

As a rule, the nurse of the gynecologist is engaged in the design and provision of the certificate.

In order to save time, the certificate, "Exchanging" and a sheet of disability for the decree is issued by about one period - 30 full weeks.

On the first, second child and the next

The procedure for obtaining a document is the same for each next pregnancy.

With multiple pregnancy

Women awaiting two or more children are in the risk area and require more rest and medical surveillance, so they go to decree on 28 weeks, resting 194 days and get more benefits.

Also, the certificate is issued to them with a full 28 weeks.

In the maternity hospital

If the document is not received in the female consultation, the maternity hospital will be engaged in obtaining it - after all, he wants compensation for expenses incurred in the provision of services to give birth.

The institution will ask for a document from the consultation or polyclinic, to which the woman is attached to stay or registration.

Foreign citizen

Pregnant Foreign Surgery also provides health services, if it is legally provided in Russia: has a migration card, temporary residence permit or residence permit.

In the absence of any of these documents, the woman will still receive standard medical services, but the hospital staff itself will remain without stimulating remuneration.

With a paid pregnancy

A woman can contact a free consultation, even if he did not stand in her, and pick up a certificate laid.

The institution will issue a document, but the insurance amount for the wages of personnel and the improvement of the material and technical condition of the premises will not receive - because the patient's expenses were not.

If a pregnant woman did not have time to visit the consultation, then when choosing free childbirth, can the hospital issue a document? Yes, but usually the perinatal center submits an application for issuing a certificate from consultation.

Can they refuse?

Medical institutions participating in the project are not entitled to refuse to issue a document. Even if the woman did not stand for 12 weeks in a row, she should give her a document, although the money from him will not be sent to the consultation.

What to do with paper and where to give?

Due to the misunderstanding of the National Program mechanism, pregnant women, even safely received a document, worry about further actions - whether to give the coupons back to consultation or other organizations that you can spend the insurance amount and how much the certificate is.

The document was issued. What's next?

It is necessary to put it in the folder to the rest of the documents - to the exchange card, the passport, SNILS, the policy (if any), and upon admission to the hospital to provide for registration.

At the discharge of a pregnant woman will be returned a list of certificate with the last two coupons.

What organizations take?

You can use the document only in municipal and state medical institutions in the direction:

obstetrics;
gynecology;
pediatrics;
neonatology.

Important condition - the institution must have an agreement with the FSS.

Before giving birth

The certificate extends to the female consultation at the place of registration of a woman or stay.

After childbirth

After the delivery and discharge, the woman can contact the document in any State Children's Dispensary at its discretion.

Payment and cost

Amount 2020.

Since 2006, the denomination of the document has grown due to the emergence of new sections in it. To date, the certificate compensates for 11 thousand rubles for the cost of care for pregnant, giving birth and gave birth.

How much does the hospital get?

The second coupon is 6 thousand rubles, of which:

40-55% - personnel income;
the rest is the technical equipment of the maternity institution;
ensuring the nutrition of the guinea and child;
providing medicines.

How much does the doctor get?

The share of rewarding staff is distributed between all the specialists who have received services during the objectory.

The range of 40-55% is set to correlate a specific interest with the quality of service and the success of childbirth.

As a result, 2400-3300 rubles come to employees of the hospital for one pregnant woman.

How much goes to a children's clinic?

When careing the baby in a children's dispensary, in the first half of the year, FSS pays 1 thousand rubles, for the second - also 1 thousand rubles.

Condition - registration no later than 3 months after birth.

How much does the guinea get?

The feminine does not receive money due to the certificate.

Talon payment order

Sliced \u200b\u200bcoupons of the document are sent to the FSS office in the region. According to government order, the coupons for the period are collected for the period and before the 10th day of each month they are sent to the FSS bodies together with accounts for payment.

Is it possible to cash money?

Cash up the document is impossible.

How does the FSS document check?

Each month before the 20th day, the Social Authorities produce transactions for personal accounts on received and proven hospitals, women's consultations and clinics.

Nuances

In practice, there will always be various circumstances and situations that cause anxiety and questions in a pregnant woman.

How to choose a hospital on a certificate?

As noted, the program is aimed at providing a woman to freely choose the medical institution that she likes, and the development of competition between state centers of obstetrics and gynecology.

Having in the hands of the certificate, pregnant requests in women's consultation direction in any hospital at its discretion.

If the patient chose the institution to which it is not attached, then you need it in advance:

Collect the necessary documents. Of course, the lack of documents is not the basis for refusing to receive a woman, but their full set will increase the chances of rapid agreement to reconcile; This includes: passport; policy; SNILS card; exchange card; certificate; Copies of ultrasound and other important analyzes.
To make an appointment To the Chief Doctor, Head, Nachmed or other leadership of the hospital.
At the reception to provide documents and directions, Express the desire to do this in this institution. You can also choose a specific physician.
Get a permit visawhich is entered into the exchange card.

Thus, the maternity hospital takes the obligation to adopt the guinea even in the case of the overcrowding of the institution and to provide it with the entire list of services for the delivery and care for her and child to a prosperous discharge.

What if you did not give out 30 weeks?

Despite the interest in the certificate by the delodow institution itself, there may be cases when they are not given it in the required time - they did not have time, the terms of issue, the woman went to another city and other reasons.

It is not nervous in any case.

The certificate should not affect the attitude of the personnel of maternity organizations to a woman - it is considered a patient to be assisted by the system of the OMS.

It is necessary for the doctors and MOP to obtain elevated wages, so the maternity hospital will be asked by the request of the document in the female consultation.

If the reason for the non-treatment of the document is premature childbirth, then the maternity hospital has the right to give him a pregnant woman without referring to the female consultation. In this case, in the first coupon, it is necessary to put the type "not subject to payment".

Do you need paid childbirth?

When choosing a paid clinic or contracting, the certificate is not needed and loses the whole point.

Is the document actually when changing the name? Do I need to change it?

If, after receiving the generic document, the woman changed the surname, then no medical institution participating in the program will not require the replacement of the certificate. In the maternity hospital, you need to take copies of the certificate of marriage and a new passport.

Is it possible to get without registration?

To obtain at the place of stay, you need to attach a medical organization in the territory.

How to do it:

contact the FMA system and apply for the provision of a corporate medical policy;
get a temporary policy;
you can also not request the design of the new policy, but ask to put the seal of the local compartment of the OMS for the current policy;
in any case, contact the registry of a medical institution at the place of stay with a statement addressed to the Chief Doctor of Attachment;
as soon as the chief physician signs the application, provide him with a copy of the gynecologist.

After that, the doctor may initiate a generic certificate. The lack of registration is not at all the basis for refusing to issue a document.

What if you lost?

If the Document is lost, the hospital will give a certificate from its own reserves.

Can I pick up relatives?

If a pregnant woman does not herself be present at the issuance of a certificate, then the paper should first take the document instead of her.

Usually, the doctors of women's consultations go towards patients and give a certificate to close relatives.

If there is no concessions, you can try to agree on the issue with the head and clarify what you need to get a document instead of the feminine.

As a last resort - draw up a power of attorney to one of the relatives so that he takes the document.

What if mistakes are detected?

Head of medical education under his signature can fix two errors in the certificate. If more errors - you need to replace the document.

Is it important that the document is discharged for a temporary policy?

The number assigned in the temporary policy will act in constant.

Under this number, the citizen is included in the territorial database of insurance, therefore, for the purposes of the generic certificate, it does not matter, permanent at that time or the temporary policy was in a woman. They are identical in the functions performed.

Do I need to give to work?

The document does not surrender at the place of work.

Is the military personnel?

All pregnant women in Russia are involved in the program, including servicemen.

Is it possible to use in another city?

The document is valid throughout the country, regardless of the point of issue.

Conclusion

The generic certificate is the financial instrument of the Russian government for the development of state medicine and in order to care and care for women - for carriers of future generations, new citizens of the country.

Last updated 10/14/2019
Since 2006, the state has additionally stimulates medical institutions and, at the same time, financially supports pregnant Russian women: in the framework of the "Health" project, the future mothers give birth to generic certificates.
The generic certificate is a financial document that provides material support for pregnant. It is drawn up simultaneously with a disability document - a hospital leaf.

When issuing
The certificate can be obtained in women's consultation on a period of 30 weeks. If the pregnancy is multiple, then it is issued at 28 weeks.
If a woman was observed in different institutions, he was received in the place where she was registered more.
The main condition for issuing in the LCD is continuous observation within 12 weeks.
If a pregnant woman did not get into account at all registered in the LCD, then the certificate will be given to her anyway, but already in the hospital, and the first coupon will be considered already repaid.

Issued to the future mother, and not on the child. Therefore, even with multiple pregnancy, it will be one.
Documents for registration
passport
SNILS
insurance medical policy.

If at the time of receipt of the tickets will not be enough of some documents, it is still obliged to issue.

The certificate may be issued upon presentation of a exchange card. In its corresponding graphs, the reasons for which the document (s) has not been presented are affixed.
What is the generic certificate
Includes six parts: root, four tear-off coupons and certificate itself.
Fur - confirmation of design. It remains at the place of registration of a woman.
Coupon number 1 pays for services provided by the institution during pregnancy. The nominal value of this coupon is 3,000 rubles. Pay the territorial FMS bodies.
Coupon number 2. It is used to pay for services of institutions of objects. Payment are produced by the FMS organs. The nominal value of this part is 6,000 rubles.
Coupon number 3. It consists of two parts: the first pays for monitoring services to the six-month achievement. The second part is the fee for the second half of the life of the baby. Cost of Talon No. 3 - 2 000 rubles.

Total amount - 11,000 rubles.
Directly certificate is a confirmation sheet provided within the project. He is given it to her hands when discharge from the hospital.
On the second child, the procedure for registration is similar.

What can not be done with a generic certificate
Restore in case of loss, damage;
Sell \u200b\u200bto other persons and try to cash out;
Get paid benefits in cash;
Pay for private clinics services.

Paid women's advice and maternity hospitals
The document can be obtained only in government agencies. If a pregnant woman was observed in a paid center, then the certificate it can get in consultation at the place of registration upon presentation of the exchange card. At the same time, she will independently pay medical services rendered to it.
If the pregnant woman did not have time to get a document, he will be given it in the hospital. The first coupon will be repaid, no one will receive money on it.
If the childbirth is paid, that is, a contract has been concluded for the provision of medical services with the establishment of akin to the institution, they will not be paid.
Will the hospital and a generic certificate
This is not the reason for refusing to accept the hospital and children's clinic. Moreover, with its absence, these institutions can add it yourself.

Recent changes: January 2020
The quality of medical services in the modern world is a relevant issue. When it comes to future mothers and their health, about the prosperous pregnancy and proper care for newborns, the professional approach and the provision of qualified medical care is a priority. And every future mother and her child must receive such.

Our country has many means and programs aimed at maintaining and improving the quality of medical care. The generic certificate (PC) of a pregnant woman exists for the same purpose.

The generic certificate is a document issued by the future guinea in the department of gynecology - women's consultation (LCD) at the end of the pregnancy. This is a document of a state sample having a single definite form. The view is a pink form with six parts: the root, coupon number 1, coupon number 2, a generic certificate, coupon number 3-1 and coupon number 3-2. Unofficially doctors are still called a red sheet.

It is necessary to distinguish a generic certificate from the exchange card. These two different documentary blanks carry the functions completely distant from each other in nature. The first is financial and makes it possible to make a feminine for free medical qualified services from the moment of its registration, and medical institutions guarantee the payment of these services by the state. The concrete money amount is fixed behind it, which the medical organization pays the Social Insurance Fund of the Russian Federation. It stimulates the work of these institutions, and each woman in labor provides guarantees as in women's consultation and in the maternity hospital will be interested in providing qualified services specifically to her.
IMPORTANT! The monetary amount on this document from the FSS is listed only by medical institution based on the corresponding coupon presented from it. The withdrawal of these funds with other ways or with the participation of third parties is impossible.

How to get a generic certificate

What is the process of obtaining (when you can get who issues, in which forms, the necessary documentation, the features of obtaining in a paid clinic).

To be able to freely get a "red leaflet", the future mother needs to be registered with the female consultation. This refers to the budget institution. The basis for issuing is to monitor the pregnant woman at least 12 weeks. So for this, it will be more expedient to get into account no later than 25-26 weeks.

It is important that a woman passes a regular examination, handed over the necessary tests and made procedures. Otherwise, problems with the issuance of a certificate may arise. The responsibility for issuing a generic certificate is assigned to the doctor leading her pregnancy.

What to do a pregnant woman if she wants to be observed in a paid clinic? Action algorithm can be different:

Find a clinic that has the right to issue this document. To get this information, it is enough to call there by phone.

If there is no such right to the clinic, then in the last periods you can come to state women's consultation and on an extract from a private clinic to get the necessary filled form.

The certificate is issued not necessarily in the clinic. It can be obtained in the hospital, where the coupon number 1 will be met used

Why in the maternity hospital this sheet is not completely issued? This happens only if the pregnant woman was observed in a paid clinic and personally paid all the necessary procedures and services, or, it consisted of less than 12 weeks, and it did not consist. In such cases, pregnancy observation services cannot be paid by the state.

What documents are needed to obtain

To obtain a generic certificate in the medical insurance, you must provide copies of the following documents:

passport (any other identity card, up to 14 years old - birth certificate);

mandatory Medical Insurance Policy (OMS);

insurance certificate of compulsory pension insurance (SNILS).

Each Russian woman may apply for a generic certificate, regardless of its status, social status, work experience or age.

Citizens of other countries have the right to give them a "red sheet" and providing full-fledged medical services on it. To do this, they need to have a temporary stay in the country or residence permit.

Stages of filling and receiving coupons, their purpose, where and when to go with them

A complete algorithm of actions with a pink blank can be seen in the standard case when it is issued in the women's clinic after a 12-week observation of a pregnant woman:

Filling koreh It is produced in the LCD before transferring a pregnant woman to the maternity department. As a rule, with a 30-week period, but perhaps before, if necessary. This root is a confirmation of the PC's receipt of the patient, it remains at the place of issue.

Talon number 1 Filled in the same medical institution, immediately unfastened, and then sent to the FSS office to receive payment. The future mother is given by the rest of the rest, which she must transfer to the maternity hospital, along with the exchange card and other necessary documents.

In the maternity institution is filled and unfastened Talon number 2.Then also goes to the FSS office.

After discharge from the hospital, the newborn baby put on records in the children's department of the clinic. Here you will need Talon No. 3-1.which will pay for the services of the medical institution for child observation in the first 6 months, and Talon number 3-2. - by observation up to the year. On the reverse parties of these coupons there are extra charges in case of birth of several children (twins, triples, etc.).

Generic certificate It remains at Mom, as a confirmation that she fully received medical services during pregnancy and childbirth, and her child (children) - in the period up to 1 year.

For a more visible understanding of the purpose of each part of the RS form, a table is drawn up:

The total maximum amount of money transferred to the medical institution for a generic certificate is 11,000 rubles.
The medical institution may not receive from the state compensation for the certificate, in the case of improper design of the document, in case of violations in the provision of medical services. In the event of death in the maternity hospital or child, the maternity hospital will also be paid to the coupon number 2.

Obtaining a certificate in the maternity hospital or children's clinic

The situation is not excluded when problems arise with the timely receipt of the generic certificate, such as:

Observation of a pregnant woman in a private clinic that has no right to issue this certificate.

Observation in the State LCD less than 12 full weeks or serious violations of a visit to the doctor (frequent passages, not surrendering analyzes, etc.).

Premature childbirth.

Adopting baby (up to 1 year).

Lost a previously issued certificate.

Depending on the situation (except adoption), the maternity hospital makes either a request to the LCD with the aim of restoring or transferring a certificate to it, or the design of the new without filling Talon No. 1.

When babies adoption up to year, and also in the case of a woman gives birth in a paid clinicWith no state support, the certificate is drawn up in a children's clinic, where the baby will be observed. Coupon number 1 and №2 will be marked "repaid".

In these cases, the list of documents provided to issue a generic certificate does not change.

What is a pregnant exchange card and why not be confused with a generic certificate?

Another mandatory document for pregnant is the exchange card. The exchange map of the pregnant woman (OKB) will start from the date of the woman registering for pregnancy in the LCD and is filled with the emission of the maternity hospital. In contrast to the RS, carrying financial function, the OKB has an informational nature. It reflects the full reliable information of pregnancy in the patient, with all the nuances. That is why he is so important, on its basis, the doctors suggest what kind of birth will be that they should be taken into account so that they go well.

The exchange map of the pregnant woman is the most important document of the woman in labor, its peculiar medical "passport".

In the hospital, the OKB is also subject to careful filling, all features of the flow of labor and the postpartum stationary period are indicated. According to this data, a gynecologist to which a woman goes after discharge from the maternity hospital (as a rule, this is the same doctor that the pregnancy led) will be able to understand the overall picture and prescribe treatment for the recovery period of the feminine.

Also in the maternity hospital, a pediatrician fills the map. Data on the newborn, which is then transferred to the children's clinic.

This document has three components:

Will cash on the generic certificate of the Owner?

The generic certificate is aimed at stimulating the activities of medical staff to provide a full qualified care for Mom and its Chad. Therefore, the funds on it go to compensation for the products used, the remuneration of health care workers. All this is necessary to improve the quality of medical care.

The means of the generic certificate are not material help of mothers.

The patient, independently paying services envisaged by the Regulation on PC, will not be able to qualify for compensation for its expenses. Also, the content of the gave mammf in a separate ward of the maternity branch goes as an additional service that is not included in the PC list. It is paid not by any of the sides.

What gives a generic certificate: what services and rights get women in labor

This document is valid in all state, regional and municipal medical institutions (women's consultations, clinics, maternity hospitals). For its 100% use, you need to know the entire list of services provided by the state.

Woman in the right to independently choose a medical institution, as well as choose doctors to observe.

This applies to all stages, starting with a visit to the female consultation and ending with the last drive of the child on a planned inspection. You need to know specific commitments of medical institutions for each of the coupons.

The first head of the female clinic suggests a regular free inspection by a gynecologist, conducting a detailed monitoring of pregnant women (control of the development of the fetus, measurement, listening to the fetus, monitoring the health status of pregnant, weight). Woman accessories are available for testing and passing procedures to control the correct development of the kid in the womb:
Common blood tests, urine and feces, taking smears;

Blood test for HIV, RW, gluco-collant test;

The diagnosis of congenital and hereditary diseases of the fetus in the early periods;

Passage of a general medical examination from specialists (therapist, neurologist, ECG, fluogogram, oculist, ENT);

Support of the psychologist and the help of a social worker in the design of documentation and obtaining all relying privileges and cash payments of the future mother;

Stationary observation and treatment in order to preserve pregnancy;

Getting a vitamin complex for pregnant.

Second Talon of the Motherland Department:
Accommodation and content of the female in the prenatal ward (nutrition, visiting the necessary procedures, surrender analyzes, inspection of a doctor-gynecologist);

Receiving childbirth group of medical personnel, including a doctor-gynecologist, an obstetrician-gynecologist, anesthesiologist surgeon, sanitary workers, children's physician;

The possibility of carrying out free caesarean section, in case of serious complications;

Obtaining painkillers during battles;

Postpartum observation and procedures (inspection of the gynecologist, taking antibiotics, ultrasound);

Power supply for a child, in the absence of breast milk in mommy;

The first vaccinations of the child.

Two third coupons of the children's clinics were introduced into the generic document in 2007 to provide services to the newborn and suggest:
Systematic visits to a pediatrician (minimum time per month, provided that the child is healthy);

A visit to the district pediatrician newborn at home during the first month of life (at least once a week);

Planned medical examination from specialists in 1, 6, 12 months (surgeon, neurologist, oculist, orthopedist);

Ultrasound abdominal cavity, hips, brain (neurosonogram);

Baby vaccinations, in accordance with the adopted vaccination calendar.

Legal base regulating the action of "Red Sheet"

Order of the Ministry of Health and Social Development of the Russian Federation of November 28, 2005 No. 701 "On the Generic Certificate", as amended and additions from 10/25/2006 and 8.05.2009.

Order of the Ministry of Health and Social Development of the Russian Federation of January 19, 2007 N 50

Order of the Ministry of Health of the Russian Federation of July 16, 2014 N 370

Have questions? Spent! Our lawyers are ready to answer all your questions, as well as provide qualified assistance in preparing applications in various instances.
The generic certificate, which is issued in the hands of a pregnant woman is not just a paper: it helps when contacting many government agencies and empowers the right to choose a hospital and get free childbirth. The procedure for issuing generic certificates is enshrined in the order of the Ministry of Health.
Where to give after childbirth a generic certificate to get all those privileges that it gives. About this next.
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How to get a generic certificate
The generic document allows you to give birth to free and register in any children's hospital. Also, with this document, the state will make certain contributions to the institution in which pregnant and specifically its attending physician is observed.
In order to get a generic certificate in 2020, it is necessary to go to the female consultation, where pregnant, and provide an exchange card. Female consultation staff will issue paper that will confirm disability, and will deal with the design of a document for childbirth.
In addition to the exchange card, you will need:
a document that confirms the identity of the mother who applied;
insurance policy;
SNILS.

Important! They are submitted for a period of up to 30 weeks. You can arrange a generic certificate in your female consultation and later, but for the woman itself it will be better if she gets this document as early as possible.
What is the document

Document for childbirth in 2020, as before, consists of several twin, which will be needed at different stages of wearing fetus and childbirth. A woman will always help to figure out where to give a certain coupon, female consultation doctors or employees in the maternity department.
Important! When pregnant decided to give birth to her child in a private clinic, she could still get a generic certificate, even though private clinics were not issued.
Such a clinic will be issued a special direction in the female consultation located in the area of \u200b\u200bresidence of a pregnant woman. And already on this direction, submitting additional documents, you can get a generic certificate.
Where to give a generic certificate
To give a generic certificate, more precisely, individual cadios from it will have to at different stages of pregnancy. After the first part of the coupon, it remains in the women's consultation, it is according to him that the institution will receive monetary compensation for assistance in making pregnancy (at least 12 weeks) from the Social Insurance Fund.
The second part of the paper remains in the maternity department. It shall be submitted to the FSS to close the costs that the organization suffered during the time provided for pregnant services.
These expenses may include:
births occurring earlier;
resuscitation baby and mothers;
the procedure for recovery and care for a woman and her newborn baby.

The remaining two coupons will be needed when I discharge from the maternity hospital and setting the baby to record in the children's hospital.
Do you need on this issue? And our lawyers will contact you in the near future.
Procedure for transferring a document when discharge

Employees of the institution have the right to pick up the necessary cubs independently, in the process of how prepares documents for discharge from the maternity hospital.
Event development options:
leave a coupon in the hospital;
i will give the born to a woman, not paying out with the mark (in cases where she paid for everything from his pocket).

That is, the woman does not need to worry about where to give a generic certificate after childbirth, the staff of the medical institution will do everything themselves. After all, they are interested in their entire expenses that suffered their clinic, in connection with the maintenance of a pregnant woman.
Attention! In situations, when a woman pays for childbirth and care itself, it is not necessary to give a generic certificate after childbirth.
Also, if it remained unhappy with the service in the women's consultation or the maternity department, it has the right not to give a generic certificate.
Providing in the children's hospital

After discharge, a woman will have paper with two tongs, which will be needed when setting a newborn in the hospital. After the woman receives this document, which will already contain two coupons, you will need to put a child to record a medical institution.
The first root has a goal to allow a baby for free to undergo a survey from medical professionals of a narrow profile, to receive vaccinations and undergo dispensarization before half a year.
The second root allows you to get a free observation of the baby from six months to one year.

Important! Refuse to accept moms and her baby medical workers are not entitled, since the baby has a policy of compulsory health insurance. But, doctors are interested in obtaining surcharge from the state for the services provided.
If parents decided to observe the child in a private clinic, they also have the right to leave him. It is purposefully not necessary to give a generic certificate after childbirth in the children's hospital, the nurse itself will take it at the design of the documents all the twin.
Usually after the birth of a baby, doctors or nurses of that clinic themselves are addressed to the woman, to which her baby is expected geographically and asked to give this document.
When the document is not payable
For this document, the medical institution does not make payments only in cases:
the baby was registered after the execution of three months;
the first 6 months of observation in the dispensary ended when the baby has already been one year old;
the baby died during the period of dispensary accounting before the onset of them one year.

Interesting! The option of developing events with this document with the adoption of a young child's woman will be about the same. It is subject to extradition, in cases where the kid was registered with the hospital, before his three-year.
Women's consultations and children's clinics are very interested in these papers, as although small, but payments from the state go. But, if a woman does not want to use his certificate, no one can make her, her right to leave him.
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