The protocol on the mechanism of implementation of the Agreement on delivery of health care to citizens of the State Parties of the Commonwealth of Independent States regarding procedure for provision of medical services

of March 27, 1997

The State Parties of the this Protocol on behalf of the governments which are hereinafter referred to as with the Parties

for the purpose of creation of the effective mechanism of implementation of the Agreement on delivery of health care to citizens of the State Parties of the Commonwealth of Independent States regarding procedure for provision of medical services and carrying out financial settlement,

agreed as follows:

I. General provisions

The terms used in the this Protocol have the same values, as in the Agreement on delivery of health care to citizens of the State Parties of the Commonwealth of Independent States.

Medical care to citizens of the states of the Commonwealth is performed by all treatment and prevention facilities (daleelp) of these states, irrespective of forms of business, departmental accessory and patterns of ownership, in the following procedure:

1.1. Freely and free of charge for patients - ambulance and emergency medical service.

1.2. On paid basis at the expense of the directing country or personal means of citizens of the states of the Commonwealth, and also at the expense of charitable fees and donations of the companies, the organizations, including the international, and other non-budgetary sources - planned medical care, including medico-social.

1.3. Free of charge for separate categories of the citizens working (the students passing military service and others) according to international treaties of the Parties in the territory of the state of the Commonwealth which citizens these persons are not, and members of their families - at the expense of means of the host country, and also the interested ministries and departments (the Ministries of Defence, education, border, Customs Services and others) - the types of medical services defined by agreements of voluntary medical insurance or international treaties regarding delivery of health care.

1.4. The documents provided after completion of treatment to the directing country or the patient, and also the legal (physical) entities representing its interests are:

the account for the provided planned medical care (the total amount which is subject to payment, including the cost of 1 koyko-day and their quantity the held diagnostic and medical events) with indication of bank details and the postal address of the MPI which provided medical services;

copies of the documents approving rates for medical services;

the detailed statement from the clinical record with indication of procedure for hospitalization of the patient (planned or emergency), terms of stay in hospital, the complete diagnosis of disease, the held diagnostic and medical events, the reasons of delay of the patient in hospital over the commonly accepted terms and other necessary data.

1.5. In case of loss by citizens of the states of the Commonwealth of working capacity during stay in the state of temporary stay according to the procedure established by regulatory legal acts of the host country are drawn up:

leaf of disability, the sample accepted in the state of temporary stay which then is subject to replacement by the document of the permanent residence of sample established in the state certifying the fact of temporary disability owing to disease, injury, etc.;

messenger leaf for conducting examination of permanent disability, the sample accepted in the state of temporary stay.

II. Procedure for provision of ambulance and emergency medical service

2.1. 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 is provided freely and in necessary amount in all MPIs (irrespective of availability or lack of the health insurance policy) to the citizens of the states of the Commonwealth who are not citizens of the state of temporary stay.

2.2. Cost recovery of MPI for delivery of health care according to the emergency indications to citizens of the states of the Commonwealth in the cases provided by item 2.1., it is performed for the budget account of the state of temporary stay according to the system of financing of health care operating in it.

2.3. Since the moment when the threat of life of the patient or to health of people around is eliminated and transportation of the patient is possible, for the medical care provided further the payment as for planned (within voluntary medical insurance or paid services) with carrying out settlement for the provided medical services according to the legislation existing in the state of temporary stay is levied.

2.4. 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 of the patient.

Consent to transportation is confirmed by the patient and the accompanying his faces in accordance with the established procedure in the medical documents remaining in MPI and which are handed out to the patient.

The procedure of obtaining and registration of consent to transportation of the patient is performed according to the legislation of the Parties.

2.5. In need of transportation of the patient to the state of permanent residence information on its condition is given in embassy and the Ministry of Health of the state which citizen is the patient.

2.6. In cases of the positive decision plenipotentiaries of the state of the Commonwealth which citizen is sick of question of need of transportation of the patient with means of sanitary aircraft, payment of this service is made at the expense of the state of permanent residence or from personal means of the patient.

In these cases of accounts for transportation of the patient goes to the Ministry of Health of the relevant state no later than 10 days after the statement of the patient.

2.7. In cases of continuation of treatment of citizens in MPI of the state of temporary stay after elimination of direct threat of their life or to health of people around payment of actual cost of the rendered medical services according to item 2.3. the this Protocol it is made directly by the patient or legal (physical) entity representing its interests on the rates or contract prices approved by the executive authority of this state.

In case of impossibility of payment of further treatment of the patient, and also in cases of his incapacity and absence of accompanying persons information on condition of the patient is given in embassy of the state of permanent residence of the patient.

In cases of the positive decision plenipotentiaries of the state which citizen is the patient of question of feasibility of continuation of its treatment in the state of temporary stay, accounts for the rendered medical services goes to the Ministry of Health of the state of permanent residence.

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