• The presence of AV blockade 2 and 3 degrees;
• Patients with cardiac arrhythmias, in which there are signs of attacks of loss of consciousness, severe dizziness and episodes of darkening in the eyes;
• Frederick's syndrome;
• The patient has an acute syndrome with or without ST elevation;

A prerequisite is coordination at the pre-hospital stage: during the daytime with the Deputy Chief Physician for the organization of medical care Kitalaeva Kamila Tazhibovna, at night - with the cardiologist on duty by phone 8 927 554 14 84

• Accompanying list of ambulance (is a referral for hospitalization to the Center)
• An extract from the hospital from which the patient is taken for emergency care;
• Studies confirming the urgency of admission to the Center
• Medical policy
• Identification document (if available).

When referring a patient to a federal medical organization for the provision of specialized medical care, the attending physician determines the presence of one or more medical indications for the provision of specialized medical care, provided for in clause 7 of the Procedure for Referring Insured Persons to Medical Organizations, approved by Order of the Ministry of Health of Russia dated 12/23/2020
No. 1363n:

a) atypical course of the disease and (or) lack of effect from the treatment;

b) the need to apply treatment methods that are not performed in medical organizations operating in the field of compulsory medical insurance within the framework of the territorial program of compulsory medical insurance;

c) high risk of surgical treatment due to the complicated course of the underlying disease or the presence of comorbid diseases;

d) the need to perform repeated surgical interventions in cases provided for in subparagraphs "a" - "c" of this paragraph;

e) the need for additional examination in diagnostically difficult cases and (or) in cases of complex preoperative preparation in patients with complicated forms of the disease and (or) comorbid diseases for subsequent treatment;

f) the need for re-hospitalization on the recommendation of a federal medical organization.

When referring patients to a federal medical organization, the attending physician forms using information systems in the field of healthcare in the form of an electronic document, and if the medical organization does not have access to these information systems - on paper, the following documents:

a) referral for hospitalization to a federal medical organization, which contains the following information:

• surname, name, patronymic (if any) of the patient, date of birth, address of registration at the place of residence (stay);
• the number of the insurance policy of compulsory medical insurance and the name of the insurance medical organization (if any);
• insurance certificate of compulsory pension insurance (if any);
• code of the main diagnosis in accordance with the International Statistical Classification of Diseases and Related Health Problems, tenth revision (hereinafter - ICD-10);
• the results of laboratory, instrumental and other types of studies confirming the established diagnosis and the presence of medical indications for the provision of specialized medical care;
• profile of specialized medical care shown to the patient and conditions
• its provision (stationary, day hospital);
• the name of the medical organization to which the patient is sent to provide specialized medical care, or a separate structural unit of the federal medical organization (if it is possible to choose a separate structural unit of the federal medical organization);
• surname, name, patronymic (if any) and position of the attending physician, contact phone number (if any), email address (if any).

When forming a referral for hospitalization in the form of a document on paper it must be written legibly or in printed form, certified by the personal signature of the attending physician, the personal signature of the head of the referring medical organization (authorized person), the seal of the sending medical organization.

The basis for the hospitalization of a patient in a federal medical organization under the Program for the provision of specialized medical care is the decision of the medical Commission of the federal medical organization on the presence of medical indications for hospitalization, adopted on the basis of the documents specified in subparagraphs "a" - "c" of paragraph 9 of the Procedure for Referring Insured Persons persons
to medical organizations, approved by Order of the Ministry of Health of Russia dated December 23, 2020 No. 1363n “On approval of the procedure for sending insured persons to a medical organization, the functions and powers of the founders in respect of which are carried out by the Government of the Russian Federation or Federal executive authorities, to provide medical care in accordance with unified requirements of the basic program of compulsory health insurance”.

Waiting times for planned medical care:

• consultation of medical specialists: 14 working days from the day the patient applied to the Center in order to receive a consultation service (in the direction of the attending physician)
• 14 working days from the date of issuance by the attending physician of a referral for hospitalization for the provision of specialized (except for high-tech) medical care;
• 14 working days from the date of appointment of diagnostic instrumental studies;
• 14 working days from the date of appointment of computed tomography, magnetic resonance imaging and angiography.

When returning for a consultation, patients should have a referral from the attending physician and a brief extract on the treatment performed.

1. Federal State Budgetary Institution "FTSSSH" of the Ministry of Health of Russia (Astrakhan) concluded an agreement on compulsory medical insurance with an insurance company:

• Joint Stock Company Insurance Company SOGAZ-MED
  Director: Shabalina Tatyana Yurievna

  Address: 107045, Moscow, per. Ulansky, 26, room 3.01.

  Postal address: 107045, Moscow, Sretensky Boulevard 5, PO Box 34.

  Astrakhan branch of JSC "Insurance company SOGAZ - MED"

  Address: 414000, Astrakhan, st. Red banner. d.16a letter I

  Consultation of citizens 8-800-100-07-02

  Office 8 (495) 225-23-11

  E-mail: sogaz-med@sogaz-med.ru

  Website: sogaz-med.ru

  Around the clock 8 800 100 07 02

2. Federal State Budgetary Institution “FTSSSH” of the Ministry of Health of Russia (Astrakhan) concluded agreements on compulsory medical insurance with compulsory medical insurance funds:

• Federal Compulsory Medical Insurance Fund (FFOMS)

Head: Balanin Ilya Valerevich

Address: 127994, GSP-4, Moscow, st. Novoslobodskaya, 37, bldg. 4A

Phone for information on the protection of the rights of insured persons: 8 (495) 870-96-80

Phone for inquiries on the issue of registration of written applications of citizens: 8 (495) 870-96-80, ext. 1512, 1513, 1516, 1517, 1519, 1557

Receive mail at:
127994, GSP-4, Moscow, st. Novoslobodskaya, 37, bldg. 4A

Reception of correspondence by the general department: Monday-Thursday from 9.00 to 17.45, Friday from 9.00 to 16.30

E-mail: general@ffoms.gov.ru

• Territorial Compulsory Medical Insurance Fund (TFOMS)

Head: Nakhushev Sultan Karalbievich

Reception of citizens by the head on the first Tuesday of the month Reception time: from 14:00 to 16:00

TFOMS address: Russia, Astrakhan region, Astrakhan, st. Victory 41

Tel./fax: (8512) 24-30-00 (reception) (8512) 24-30-06 (fax office)

E-mail: astfond@astranet.ru / astfond@mail.ru

• Decree of the Government of the Russian Federation of December 29, 2022 N 2497 "On the Program of State Guarantees of Free Provision of Medical Care to Citizens for 2023 and for the Planning Period of 2024 and 2025"
• Decree of the Government of the Astrakhan Region dated December 29, 2022 No. 732-P "On the Program of State Guarantees of Free Medical Care for Citizens in the Astrakhan Region for 2023 and for the planning period of 2024 and 2025"
• Federal Law No. 323-FZ dated November 21, 2011 “On the Fundamentals of Protecting the Health of Citizens in the Russian Federation”.
• Federal Law No. 326-FZ dated November 29, 2010 “On Compulsory Medical Insurance in the Russian Federation”.
• Federal Law of January 12, 1995 No. 5-FZ “On Veterans”.
• Order of the Ministry of Health of Russia of February 28, 2019 N 108n (as amended on December 13, 2022) "On Approval of the Rules for Compulsory Medical Insurance"
• Tariff agreement for payment of medical care in the system of compulsory insurance in the Astrakhan region for 2023
• Order of the Ministry of Health of the Russian Federation dated December 23, 2020 No. 1363 N "On approval of the procedure for sending insured persons to medical organizations, the functions and powers of the founders in respect of which are carried out by the Government of the Russian Federation or federal executive authorities, to provide medical care in accordance with the uniform requirements of the basic compulsory health insurance programs"