Agreement on delivery of health care to citizens of gosudarstvuchastnik of the Commonwealth of Independent States
of March 27, 1997
The State Parties of this agreement on behalf of the governments, further - the Parties,
proceeding from importance of state cooperation - members of the Commonwealth of Independent States in the field of health protection of their citizens,
wishing to promote further development and deepening of interaction in the field of delivery of health care to the population,
agreed as follows:
For the purposes of this agreement the stated below terms mean:
"the state of the Commonwealth" - the state entering the Commonwealth of Independent States being the participant of this agreement;
"the state of permanent residence" - the state which citizen is the patient and in which he constantly lives;
"the state of temporary stay" - the state providing medical services to the patient who is not the citizen of this state;
"the directing country" - the state of the Commonwealth on behalf of the Ministry of Health which sent one of the citizens for receipt of medical care to other state of the Commonwealth;
"host country" - the state of the Commonwealth providing provision of medical services to citizens of other state of the Commonwealth;
"ambulance and emergency medical service" - complex of the medical services rendered in case of the sharp violations of physical or mental health of the patient threatening his life or health of people around;
"planned medical care" - complex of the medical services provided in case of the violations of physical or mental health of the patient which are not posing direct threat of his life or to health of people around.
Ambulance and emergency medical service in case of sudden sharp conditions and diseases, life-threatening the patient or to health of people around, accidents, poisonings, injuries, childbirth and medical emergencies during pregnancy appears to citizens freely, free of charge and in full in the territory of the state of temporary stay by treatment and prevention facilities (further - MPI) irrespective of forms of business, departmental accessory and forms of their property.
Since the moment when the threat of life of the patient or to health of people around is eliminated and its transportation is possible, further delivery of health care is performed on paid basis.
The possibility of safe transportation of the patient is determined by kliniko-commission of experts of the MPI providing medical care which bears legal responsibility for correctness of the conclusion about transportability.
Rendering planned medical care to citizens in the territory of the state of temporary stay is performed on paid basis with carrying out settlement on contract prices or the existing price lists.
The basis for provision of this or that type of planned medical care is availability of the relevant medical documents and the warranty obligation of the directing country about payment of actual cost of medical care.
In the absence of the specified documents planned medical care is provided after implementation of advance payment in the amount of at least estimated cost of treatment with carrying out the subsequent settlement on actual costs between MPI and the patient or legal (physical) entity representing it.
In some cases, by agreement of the Parties, to the citizens having serious illness, planned advisory and medical and diagnostic medical care can be provided on other conditions.
To persons officially recognized as refugees, planned medical care in the territory of the state of temporary stay is provided according to the procedure and on the conditions determined by the legislation of this state.
To the persons who are constantly living in the state of temporary stay based on the residence permit and being citizens of other states of the Commonwealth, medical care is provided according to Articles 2, of 3, of the 4 and 8 this agreement.
To the military personnel, the worker and the employee of armed forces who is part of the narrow contingents of peacekeeping forces, and also members of their families necessary medical care is provided to these categories of citizens in MPI of the state of temporary stay according to the existing international treaties on medico-social guarantees.
Planned medical care to the citizens working under the contract (employment contract) in the state of temporary stay is performed at the expense of means of the employer according to the procedure and the amounts provided by the contract or at the expense of personal means of citizens.
Payment of treatment of the occupational diseases or industrial injuries connected with labor activity of citizens in the state of temporary stay is performed at the expense of means of the employer according to the procedure and on conditions, stipulated by the legislation this state.
The same provision extends to the citizens living in border areas and working at the territory of the adjacent Parties.
Examination of disability in case of diseases and injuries is performed in the territory of the state of temporary stay according to the procedure, established by the legislation of this state.
The document issued to MPI of the state of temporary stay and certifying temporary disability of citizens in case of diseases and injuries is the disability leaf recognized by all Parties which in subsequent is replaced with MPI of the state of permanent residence with the document (leaf) certifying temporary disability, the sample accepted in this state.
In case of permanent disability of MPI of the state of temporary stay processes the document (messenger leaf) recognized by all Parties in bodies of examination of working capacity of the state of permanent residence or temporary stay of the patient.
Privileges on medical and to provision of medicines of citizens, the Commonwealth established by the government of the former USSR and recognized by the states, are provided with the state of permanent residence according to the procedure and on the conditions determined by the national legal system.
The parties will charge to Council for cooperation in the field of health care of the Commonwealth of Independent States in coordination with the interested ministries and departments of the State Parties of the Commonwealth to prepare specific proposals on the mechanism of implementation of this agreement and in accordance with the established procedure to bring them on meeting of Council of Heads of Government of the Commonwealth of Independent States.
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