Eco quota under compulsory medical insurance: how to get it, queue

The main document regulating a woman’s right to undergo IVF free of charge under compulsory medical insurance is the Decree of the Government of the Russian Federation No. 1074 “On the program of state guarantees of free medical care.”

According to this decree, almost any woman, a citizen of Russia, can undergo IVF completely free of charge, according to a quota from the region in which she lives. The good news is that since 2019 you can go to IVF clinics without a prior decision from the region’s medical commission.

Thus, nerves and time are saved. However, not all regions of the country have this opportunity; this needs to be clarified with the local Ministry of Health.

How to get a quota in 2019

First, you need to figure out who can receive a quota for IVF under compulsory medical insurance in 2019, and who will not be allowed.

To receive a quota, you need to undergo a certain set of examinations and meet the conditions for admission to the free IVF program.

If, based on the results of the examination, a diagnosis of infertility is made, then the woman has every right to receive a quota for IVF at public expense.

In 2019, another useful innovation appeared: now, in some regions of Russia, it is enough to contact the IVF clinic directly to undergo an examination and receive a decision from the commission. After the examination, the clinic will issue a referral 057/U (referral for treatment).

The clinic itself will handle the submission of the necessary documents and obtain an extract from the decision from the protocol of the medical commission. After receiving a positive decision, you can begin the IVF cycle free of charge under the compulsory medical insurance policy.

Please note that such conditions do not exist in all clinics; this point will need to be clarified locally.

In regions where a simplified scheme for obtaining a decision on free IVF is not provided, you need to start receiving a quota by visiting a doctor in a antenatal clinic or in another clinic specializing in “Obstetrics and Gynecology”. Next, after the examination, the doctor will refer you to a medical commission, where a decision will be made to provide free IVF under the compulsory medical insurance program.

A simple and interesting video instruction for getting a quota from a wonderful girl:

Who is entitled to IVF under the compulsory medical insurance policy?

A medical commission reviews each application for IVF under compulsory medical insurance. For the commission, the diagnosis made to the woman after the examination is important. The law directly states the conditions (diagnoses) under which a woman has the right to submit to IVF quota.

Diagnoses that qualify for a quota:

• female infertility due to endocrine diseases;
• female infertility and male infertility at the same time;
• confirmed tuboperitoneal infertility;
• female infertility based on obstetric and gynecological history.

Typically, infertility is diagnosed if a woman is sexually active without using contraception and does not become pregnant for more than one year.

During the examination, with a high degree of probability, the causes of infertility will be identified. And the diagnosis of infertility is already the main reason for providing free IVF under a quota.

Even the absence of pregnancy for more than six months already indicates that not everything is in order with the body and it needs help with conception.

Tests to obtain a quota for IVF

In order to get into the IVF program under compulsory medical insurance, both a woman and a man must undergo tests. Without these tests, you will not be able to get a quota. The examination of a woman consists of 18 points, plus 2 points from the requirements for indications. The list of necessary tests and examinations for a man is much smaller than for a woman (only 6 points), but no less important.

An important condition for obtaining a quota is passing all the necessary tests. A current list of tests can be obtained from your local gynecologist during your initial appointment.

The list of tests for the quota in 2019 has not changed; it includes the following types of tests and examinations:

1. Blood tests (general clinical, biochemical, coagulogram, Rh factor, and others).
2. Blood test for infections (HIV, hepatitis B and C, syphilis).
3. Determination of immunoglobulins class M and G in the blood to the herpes virus, rubella, toxoplasma, cytolomegalovirus.
4. Examination of hormonal levels (AMH, FSH, LH, TSH, prolactin).
5. Examination and obtaining an opinion on the state of hormonal levels from an endocrinologist.
6. Analysis of urine.
7. Ultrasound of the ovaries in the first phase of the cycle
8. Electrocardiogram of the heart.
9. Fluorography of the lungs.
10. Strokes.
11. Crops.
12. Examination of the mammary glands (mammography with a mammologist’s report).
13. Checking the fallopian tubes for MSH patency.
14. Spermogram.
15. Sowing ejaculate on flora.
16. If there is male factor infertility, you need a conclusion from a urologist-andrologist about indications or contraindications for IVF and IVF with ICSI.

As you can see, there are a lot of tests for IVF under compulsory medical insurance. Moreover, the list does not include all tests and examinations; the full list is much more impressive. It is worth paying special attention to the fact that all these analyzes have an expiration date. This should not be forgotten when preparing to receive a quota. The commission is very strict about compliance with the validity period of tests.

A current list of tests for a woman (indicating the validity period) that must be passed to receive a quota for IVF in 2019.

How to apply for a quota for IVF correctly

In 2019, the quota registration process was simplified. Now you can go straight to the IVF clinic. Clinics now prepare all the documents themselves and receive a decision from the medical commission. Please note that the new conditions for obtaining a quota do not apply in all regions.

For those who have to go through all the bureaucratic formalities on their own, you need to know how you can apply for a quota for IVF under compulsory medical insurance. You need to start by visiting a antenatal clinic for registration.

You can also contact any other diagnostic center if it is more convenient.

The referral must include a diagnosis, diagnosis code according to ICD-X, all examination results, and the absence of contraindications and restrictions to IVF. This procedure is determined by order of the Russian Ministry of Health No. 107n.

It is the district gynecologist who knows how many free IVF quotas are currently available and which medical centers can provide this service.

Another video on how to properly issue a quota:

Documents for obtaining a quota

When all the necessary tests have been taken, the examinations have been completed, all the necessary conclusions have been received, after confirming the diagnosis of infertility, it is necessary to prepare documents for an application for a quota. In 2019, to apply for a quota for IVF under compulsory medical insurance, the following documents are required:

• Passport of a citizen of the Russian Federation + copy.
• Compulsory medical insurance policy + copy.
• SNILS + copy.
• Results of analyzes and examinations.
• An extract from the medical center confirming the diagnosis. In addition to the diagnosis, the extract must also contain a recommendation for IVF with the seal of the head physician.

Before submitting documents from this list to the committee for selecting patients for IVF, do not forget to make copies of them. These copies of certificates, tests, diagnoses and conclusions will help in preparing to apply for a second IVF. Unfortunately, only 30-40% of IVF cycles end successfully. This should be taken into account when submitting your first quota application.

After approval of the application, the patient will be included in the waiting list for IVF and cryotransfer procedures. The patient will be assigned a code and a queue number. You can check your queue on the official website of the Ministry of Health of your region in the publicly available electronic version of the waiting list.

To obtain the right to IVF under compulsory medical insurance, a minimum set of documents is required.

If a patient is denied IVF under compulsory medical insurance due to contraindications, she will be able to submit a new application after the restrictions are eliminated. The decision of the commission is documented in the minutes. The commission's decision can take from 2 to 4 months. Usually the decision is made earlier, in the second month after filing the application (the commission makes decisions on quotas quarterly).

Price

A standard procedure without compulsory medical insurance costs from 100,000 rubles. Quota IVF is provided based on a maximum cost of 140,000 rubles. If the cost of IVF exceeds this cost, the patient will pay the difference out of her own pocket.

In 2019, cryopreservation and transfer of thawed embryos were finally added to the list of free services, which is good news.

If additional services of a surrogate mother, a donor egg (oocytes), or donor sperm are needed, the price of IVF can increase very significantly. The compulsory medical insurance does not cover the costs of donor materials.

What is included in IVF under compulsory medical insurance in 2019

Since last year, cryopreservation has been added to the list of free IVF cycle services under the compulsory medical insurance program, as well as further transfer of thawed embryos into the uterus. In total, the free IVF program in 2019 includes the following services:

1. Stimulation of superovulation using short or long protocols. During stimulation, agonists or antagonists are used.
2. Puncture (receipt) of the egg.
3. Fertilization of the egg (including using ICSI). After fertilization, the embryo is cultured.
4. Embryo transfer. The transfer of embryos into the uterine cavity is the final stage of the entire IVF cycle.

An additional service provided for IVF under compulsory medical insurance is embryo cryopreservation. This service is also free for the patient.

Please note that you can only freeze and later defrost and transfer embryos for free. Storage and transportation of vitrified embryos are paid separately by the patient.

What is not included in free IVF

• Storage of frozen embryos, eggs, sperm.
• Donor materials (eggs, sperm, embryos).
• Surrogate mother services.
• PGD ​​diagnostics (detection of genetic abnormalities in embryos before transfer).
• Examination before and after IVF.

Number of free procedures

There is a limit on the number of free IVFs under the compulsory medical insurance policy. In total, in one year, you can receive no more than 2 quotas . The restriction was introduced to prevent complications from stimulating superovulation.

When cryopreserving embryos, you can obtain permission for 3-4 attempts per year through a compulsory medical insurance policy. Therefore, in order to minimize costs during repeated IVF, it is recommended to freeze the maximum number of remaining embryos. They may come in handy in future attempts.

Briefly about IVF technology

IVF is divided into four stages. The first stage is stimulation of superovulation. It is carried out using either a short protocol or a long protocol. When stimulated, the ovaries begin to produce more eggs suitable for fertilization than in a normal ovulation cycle.

At the second stage, the grown eggs are removed from the ovaries using a puncture through the wall of the uterus. The puncture is usually done under local anesthesia, although there is discomfort and even pain during the puncture.

The third stage of IVF is the fertilization of the egg with the husband's sperm. A specially prepared sperm suspension is added to the eggs placed in a special nutrient medium. After almost natural fertilization, the cultivation process begins. Embryos are grown in special containers (incubators) under certain temperature conditions.

If the sperm is not of the best quality, fertilization is carried out using the ICSI method. Under a microscope, the best sperm is selected and the sperm is placed inside by puncturing the egg with a glass needle. Thus, the effectiveness of the entire IVF procedure is significantly increased. Please note that ICSI is included in compulsory medical insurance.

This is how ICSI is done during IVF.

The fourth stage of IVF is final. The last stage is the implantation (transfer) of an embryo, which can be from three to five days old, into the uterine cavity. This procedure is painless, although unpleasant. At this point, IVF is considered complete.

After 12 days, an hCG test is taken, which should confirm the onset of pregnancy. After another 7 days, a control ultrasound is performed, which finally confirms that pregnancy has occurred. After this, the woman is registered as pregnant.

How did you manage to get a quota? Tell us about it in x. What tests were you able to get done for free under your policy? If the article helped you, please rate it with stars. Thanks for visiting!

Source: https://ekobesplodie.ru/eko/eko-besplatno-po-oms-v-2019-godu-novye-usloviya-polucheniya-kvoty

3 steps on how to get a referral for IVF under compulsory medical insurance in 2020 - is an official marriage necessary?

Since 2016, in Russia, infertility treatment using in vitro fertilization can be provided free of charge, under the compulsory medical insurance policy. Now couples who have encountered difficulties in conceiving can use the IVF procedure for free. We will tell you in detail about the necessary documents, tests and contraindications in the article.

Who is eligible for free IVF

The program is intended for:

1. Men and women , married or not, who have direct indications for ART (assisted reproductive technologies).
2. Single women . To participate in the program, it is enough to have Russian citizenship and be registered in the compulsory medical insurance system.

The state does not limit the number of IVF protocols that you can do for free under compulsory medical insurance. But to preserve a woman’s health, there is a limit on the number of stimulations of superovulation. 2 stimulations of superovulation are allowed per year . For a new referral for free IVF under compulsory medical insurance, the package of documents is collected anew. In 2018, the program included cryopreservation (oocytes, sperm, gametes) and cryopreservation. Embryos that were cryopreserved before 2018 can also be used in the IVF procedure under compulsory medical insurance. They are not included in the compulsory medical insurance procedure and are paid additionally at the expense of the patients :

• use of donor materials (embryos, sperm, oocytes);
• storage of embryos (cryopreserved);
• surrogacy;
• transportation of cryopreserved embryos;
• PGD ​​of the embryo (preimplantation genetic diagnosis).

The state program involves public and private paid clinics throughout the country.

a detailed list of medical organizations that participate in the compulsory medical insurance program in the antenatal clinic .

Also, the full list is presented in the official Letter of the Ministry of Health dated February 26, 2018 (N 15−4/682−07) .

The quota family planning center does not have the right to refuse to carry out the procedure.

What tests need to be taken

Both partners need to donate blood to determine:

• human immunodeficiency virus (3 months);
• antibodies to Treponema pallidum (3 months);
• viral hepatitis B and C antibodies - the result is valid (3 months);
• antibodies to herpes simplex virus types 1 and 2, and cytomegalovirus (six months).

Microbiological examination using PCR method (valid for 3 months) for:

• for chlamydia;
• mycoplasma;
• ureaplasma;
• herpes simplex virus type 1 and 2 - the result is valid for six months;
• smear for pathogenic flora (for both partners) - valid for 14 days.

For a woman:

1. Total blood from a finger - 1 month.
2. Biochemistry of blood from a vein - 1 month.
3. check hemostasis (coagulogram) - 1 month.
4. AMH, FSH, LH levels - 1 year
5. Urine (general analysis) - 1 month.
6. Determine the presence of antibodies to the rubella virus. If a woman has already suffered from this disease, the test will be positive - 6 months.
7. Ultrasound of the pelvis - 1 month.
8. Ultrasound of the mammary glands - 6 months.
9. Mammography (if age over 35 years) - 12 months.
10. Fluorography - 12 months.
11. Electrocardiogram registration – 1 month.
12. Tubal patency assessment - 1 year
13. The therapist must issue a conclusion that you are healthy and you have no contraindications to bearing a child. 12 months
14. An extract from the antenatal clinic for IVF is done by a gynecologist.

According to indications:

1. Karyotyping (indefinitely).
2. Ultrasound of the thyroid gland, kidneys, adrenal glands, parathyroid glands.
3. Spermogram, MAR test. (If pathospermia is diagnosed in a man, you must provide at least two spermograms and an andrologist’s report). The analysis is valid for six months.

Please note that all tests have different expiration dates. First of all, it is better to take those whose validity period is one or six months. Tests that are valid for 2 weeks are submitted last.

Procedure for registration of referral for IVF, documents

After you have undergone a full examination and received a referral, you need to submit the following documents :

1. Conclusion ( extract ) with a diagnosis and referral for a procedure , certified by the seal of the chief physician.
2. Survey results.
3. Application for in vitro fertilization under compulsory medical insurance.
4. Passport (original and copy).
5. Policy (original and copy).
6. SNIL C (original and copy).
7. Consent to work with your personal data.

Important! The period for reviewing documents is up to 10 working days. An exception applies to the city of St. Petersburg. , the medical commission in the antenatal clinic decides on the need for IVF and issues referrals .

Further actions:

1. If the commission’s decision is positive, you must provide a referral to the selected clinic.
2. Next, you are put on a waiting list . If there is no queue, then you will be invited to an appointment with a fertility specialist right away.
3. From the moment of your first appointment, you enter into a protocol.
4. Further, the protocol will involve stimulation of ovulation, puncture of follicles, insemination of oocytes, and cultivation of embryos .
5. The IVF program will end when the embryo is transferred into the uterine cavity .

The clinic’s gynecologist can tell you what services are included in the quota.

3 steps to receive a referral for free IVF

There are 3 main steps to receive a referral for free IVF :

1. Contact any medical institution operating under compulsory medical insurance or a antenatal clinic (family planning center) at your place of residence. If infertility is caused by a man, then go to a urologist at a medical institution that also works under compulsory medical insurance.
2. Take the recommended tests .
3. After the examination, you will receive an extract signed and stamped by the head physician .

The extract must contain examination results that confirm the diagnosis and have indications for in vitro fertilization. The extract must also indicate that you have no contraindications. The diagnosis and disease code are necessarily recorded as a code according to ICD-10.

How patients are selected for free IVF

The in vitro fertilization procedure is indicated for a woman in two cases:

1. If pregnancy is not possible naturally (For example, a woman has no or blocked fallopian tubes).
2. If natural pregnancy does not occur within a year after diagnosis and treatment. After 35 years this period is reduced.

A prerequisite for undergoing the procedure under compulsory medical insurance: AMH above 1.0 ng/ml. The presence of at least 5 follicles in a woman’s ovaries on the 2nd day of the cycle. Reasons why participation in the program may be denied :

1. Incorrectly filled out documents or missing documents. For example, the ICD-10 disease code is not indicated in the extract.
2. Presence of contraindications . The list of contraindications is established by the Ministry of Health. The list of all diseases is in Appendix No. 2 to Order No. 107n.

An example of diseases for which IVF is contraindicated :

1. Tuberculosis, hepatitis, syphilis in a man or woman (and other parasitic and infectious diseases).
2. Malignant neoplasms.
3. Some blood diseases.
4. Endocrine system diseases, diabetes mellitus.
5. Mental disorders, severe nervous disorders.
6. Alcohol or drug addiction.

Read also about the 7 best vitamins for men when planning pregnancy

Is it possible to get pregnant from pre-seminal fluid, find out here

4 types of hypothyroidism: https://hochu-detey.ru/plan/simptomy-gipotireoza.html

Three important points about contraindications:

1. If the illness is being treated, the patient can try to get a referral again after he or she has recovered.
2. The presence of HIV infection in one or both partners is not a contraindication (Except for cases of primary manifestation, progression of secondary manifestations and the incubation stage. In this case, the ART procedure is recommended to be postponed until the disease enters the subclinical stage or into the remission phase, lasting from 6 months).
3. Age cannot be considered a limitation to the procedure.

Is an official marriage required for IVF ? This is a question that is often asked on forums. No , only the consent of the donor (male) to use the semen is required.

Also watch the video on the topic “Free IVF procedure under the compulsory medical insurance policy”:

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Source: https://hochu-detey.ru/reproduct/eko/kvota-na-ehko-po-oms.html

How to get a quota for IVF - free of charge under compulsory medical insurance, step-by-step scheme

“How to get a quota for IVF?” - a question that interests many married couples, because at the moment the service is very popular. Due to the fact that this procedure is not cheap, many people seek benefits to receive it. You will learn how to do this in this article.

Who is eligible to receive a free quota?

Important! Please keep in mind that:

• Each case is unique and individual.
• A thorough study of the issue does not always guarantee a positive outcome. It depends on many factors.

To get the most detailed advice on your issue, you just need to follow any of the suggested options:

Who is eligible to receive a free quota? The following categories of citizens have the right to complete this procedure free of charge:

• spouses who are legally married;
• couples who are not legally married, but have lived together for at least one year and also have regular sex life;
• single women (since 2019, women aged 22 to 39 according to the regional quota).

Worth knowing! Donor services, as well as the services of a surrogate mother, are paid for by applicants themselves.

If a single woman wants to undergo IVF, she must have compulsory medical insurance (compulsory health insurance).

Not everyone who is eligible and wants to resort to IVF can do so. There are a number of contraindications for the procedure:

• poor condition of the uterus (in this case we are talking about deformation of the organ, which may interfere with pregnancy);
• various types of mental and somatic diseases;
• cancerous tumors;
• any inflammatory processes of the pelvic organs;
• HIV infection;
• infectious or viral diseases;
• diabetes;
• hepatitis;
• blood diseases.

All these reasons may form the basis for refusal (in some situations, temporary refusal until the patient is cured) in providing IVF services.

Before the procedure, each woman undergoes a medical examination, based on the results of which doctors decide whether to allow the patient to undergo further manipulations.

Step-by-step scheme for obtaining a quota

The step-by-step scheme for obtaining a quota is not simple and has a number of nuances. However, the first thing those who wish to do so need to do is prepare a package of papers, and then:

• register in the healthcare system (can be done online on the State Services portal);
• prepare a compulsory medical insurance policy;
• obtain a diagnosis certificate stating the reason why you cannot have children.

Note! After submitting documents, applicants are placed on a list/queue, which can last from 1 month to 1 year. Getting a quota faster is quite problematic, since this process is controlled by the law.

At the moment, IVF can be done not only by married couples, but also by single women. Women who live in remote settlements can receive this service at a medical institution in the capital.

A package of necessary papers to obtain an IVF quota

It is not difficult to collect the package of necessary papers for obtaining IVF. First of all, you need to provide a certificate that confirms that you are healthy and have no contraindications to IVF. This certificate can be obtained from a therapist only after:

• examination by a psychiatrist;
• examination by a narcologist;
• general urine and blood tests;
• electrocardiogram result;
• fluorogram result.

A women's doctor (gynecologist) must issue a certificate of infertility.

You also need to take the following tests:

• a blood test that should show your blood type, as well as detect HIV infection, hepatitis and syphilis (if any);
• blood clotting test;
• endometrial biopsy;
• cytological examination;
• photo of the mammary glands;
• analysis for the presence of TORCH infections;
• Ultrasound of the pelvic organs (to identify any abnormalities and inflammatory processes);
• smear to determine microflora.

The doctor, if he deems it necessary, may prescribe additional studies or repeat tests.

If a married couple is going to do IVF, then they cannot do without examining the husband. He must also undergo a series of tests and a spermogram. It is also necessary to see the following doctors: therapist, narcologist, psychiatrist, urologist.

Worth knowing! All certificates and conclusions have their own deadline. After all the tests and visits to doctors, the gynecologist issues a conclusion within 3 days.

What papers are needed for the Ministry of Health?

What papers are needed for the Ministry of Health? To apply for a quota, you must not only go through all the doctors and take tests, you must also contact the Ministry of Health with an application, since it is the Ministry of Health that gives permission or refusal to carry out the procedure. There you also need to provide a number of documents:

• passport of a citizen of the Russian Federation;
• SNILS;
• compulsory medical insurance policy;
• certificate confirming infertility.

An application is attached to these documents and papers are signed in which the applicant gives permission to process personal data.

Many people are concerned about how to quickly get an answer from the Ministry of Health. There is no certainty on this issue, since everything depends on the region. As a rule, a decision is made within 10 days. After the commission has made a decision, applicants receive a written response within 3 days.

The free quota is valid for 3 months. During this time, the woman should contact a fertility specialist. Next, a year is given to carry out the procedure.

Reasons for refusal of IVF

The reasons for refusal of IVF can be quite different, and they can refuse at completely different stages. In this case, the refusal occurs free of charge. The reasons may be:

1. Contraindications for the procedure (contraindications are described above).
2. Incorrectly completed documents. In this situation, you should re-issue the paperwork and submit the application again.

If you are denied due to illness, then you need to undergo a course of treatment (which you undergo entirely at your own expense), improve your health and apply again.

Worth knowing! The woman must request written notice stating the reason for the refusal. If the refusal is unfounded, the applicants have the right to go to court. If they don’t want to give you a document with an explanation, then you have the right to go to the prosecutor’s office.

What is the federal and regional quota for IVF?

What is the federal and regional quota for IVF? The main difference between the federal quota and the regional one is that the federal one has a larger age limit. The permissible maximum age for women is up to 45 years. Also, this type of quota gives the right to only one attempt at IVF.

How many times can you apply in this case? This is one of the main differences between the federal quota: you can apply for a quota more than once. For example, if one of the transfers was unsuccessful, you can try it again, but you will only need to collect all the documents again.

Also, if you use the federal quota, you can choose the medical institution where the procedure will take place.

It is possible to get a free quota for IVF. How fast this process will be is difficult to answer. Therefore, set yourself up for a long wait and a positive result after the procedure. Carefully read the list of documents, collect all the necessary papers and take care of your health, because if there are problems with it, the procedure will be denied.

Practicing lawyer in the field of consumer rights protection. Author and editor of articles on the Rukazakon portal.

Source: https://rukazakona.ru/meditsinskoe-pravo/kak-poluchit-kvotu-na-eko.html

How to get a quota for IVF under compulsory medical insurance - step-by-step guide + list of necessary documentation

Many couples, desperate to become parents naturally, decide to undergo in vitro fertilization.

But on the way to their dream, people encounter certain bureaucratic delays. How to avoid them and whether it is difficult to get a quota for IVF, you will learn from our article.

What is the difficulty of obtaining an eco quota?

In vitro fertilization is a procedure controlled by the legislation of the Russian Federation. In particular, as part of family support, the state provides quotas intended for medical procedures at the expense of funds from the federal and regional budgets.

This includes financing both the entire event and individual stages, such as: preparation and stimulation of the ovaries, puncture of biological material, development of the embryo, and its introduction into the patient’s uterus. If the diagnosis is made due to male factor, IVF is performed with a donor egg, which is also financed from the budget.

This practice is not new in the world, but in the Russian Federation and neighboring countries it is only beginning to develop. Thus, in Ukraine, only couples who are not sufficiently financially secure or women with the absence of fallopian tubes have the right to free artificial conception.

Since artificial insemination is quite expensive (from 106 to 160 thousand rubles), married couples try to get a quota and encounter some difficulties. Both spouses need to undergo dozens of tests. There are also certain requirements for the level of health of both husband and wife. So it’s unlikely that you’ll be able to get benefits quickly and without problems.

And the main difficulty is to get confirmation from one of the spouses of a specific infertility analysis. For example, if you cannot conceive a child for unknown reasons, free treatment is not provided. The patient’s opinion regarding the clinic where she wants to undergo insemination is not always taken into account.

Scheme for obtaining a quota for compulsory medical insurance

The rules for obtaining a quota in Russia can be found in the relevant order of the Ministry of Health.

According to the order, a woman must:

• have a medical insurance policy;
• be registered in the compulsory medical insurance system;
• provide confirmation of the diagnosis and a list of necessary documentation.

When submitting documents to the Ministry of Health, you need to be patient and nervous, since the wait in line lasts from a month to a year. But every year there is a positive trend in the situation with advancement in queues. In 2018, many private prenatal centers and clinics are actively participating in the program, which allows women to undergo the procedure within the current time frame.

Now free fertilization is available not only to married but also to single women. Also, many cities in the country provide regional and municipal quotas for artificial insemination. Even women from remote regions can stand in line and get the opportunity to be observed and treated in clinics in the capital; They will not have to change their registration and place of residence for this.

Where to start the process of applying for preferential treatment? The married couple must gradually undergo a full medical examination and provide the commission deciding on free treatment with a list of all documents and certificates.

Collecting medical documents from a therapist

The therapist issues a certificate confirming that the expectant mother has no contraindications to IVF.

The therapist issues such a certificate based on:

• examination by a narcologist and psychiatrist;
• results of general urine and blood tests;
• ECG results;
• fluorography results.

Documentation from a gynecologist

The main conclusion about infertility is issued by a gynecologist. In order to confirm the analysis, you need to go through the following procedures:

• take blood tests for blood group, hepatitis, syphilis, HIV;
• coagulogram for blood clotting;
• test blood for hormones, in particular AMH, since a patient with low AMH cannot conceive a child;
• undergo a cytological examination;
• take a smear for vaginal microflora and urine culture;
• undergo an ultrasound of the thyroid gland and pelvic organs;
• take a picture of the mammary glands and undergo examination by a mammologist;
• do an endometrial biopsy and hysteroscopy;
• get tested for TORCH infections (diseases that can be transmitted to a child during fetal development).

Some clinics may order additional tests.

Checking males

A report on the man’s health status is also required. In addition to the basic tests, it is necessary to take a spermogram from him. The man is also being examined by a therapist, psychiatrist, narcologist and urologist.

All tests and conclusions provided by spouses must have current expiration dates. Within three working days, the gynecologist prepares an extract indicating the final diagnosis. The extract is first signed by the institution’s chief physician, then by the region’s chief reproductive specialist or gynecologist. After this, a package of documents is prepared for the Ministry of Health.

Documentation for the commission of the Ministry of Health

To give consent to participate in the program or to refuse - such a decision is made by a special commission of the Ministry of Health.

Documents that need to be provided to the commission include originals and copies of:

• passports;
• individual personal account insurance number (SNILS);
• medical insurance policy;
• extracts from the medical history.

On site, you need to fill out application and consent forms for working with personal data.

How much to wait

Studying documents and making decisions takes place within the time limits established in different regions.

Typically the waiting period is 10 working days.

The patient is informed about the commission conclusion within three working days. She is given a written conclusion in hand and a notification is sent by email.

For what reasons can they refuse?

Unfortunately, after all the tests and procedures, endless queues to see doctors, the commission may deny the right to free artificial insemination.

Grounds for refusal:

1. Medical contraindications. IVF cannot be performed in case of diseases from the list approved by the Ministry of Health: hepatitis, tuberculosis, diabetes mellitus, blood diseases, diseases of the nervous system, heart diseases, uterine tumors. Couples where both partners are HIV positive are denied.
2. Incorrectly completed documents. In this case, they need to be redone, formatted accordingly, and the application must be submitted again.
3. Diagnosis: infertility for unknown reasons.

There are age restrictions from 19 to 39 years. After 40 years of age, benefits for IVF are not provided.

A fertility doctor of the highest category tells in detail about who is entitled to free IVF:

During what period is the quota for ecology under compulsory medical insurance valid?

After the commission approves the application for participation in the quota program, a referral is issued with which you need to go to the clinic to see a fertility specialist. A referral for free in vitro fertilization under compulsory medical insurance is valid for three months, under high-tech medical care – for a year.

The IVF procedure within the framework of VMP is financed from the federal budget in the following cases: if both spouses are infertile, after an unsuccessful infertility treatment process, with infertility of unknown origin.

What to do if you receive a refusal

Many women, having been refused by the Ministry, do not know where to go with their problem.

If the refusal is not related to medical conditions, the patient has every right to contact the insurance company, the health department and the prosecutor's office with a formal complaint. In addition, you can apply for free IVF again.

FAQ - answers to frequently asked questions

In each region, the situation with quotas for in vitro fertilization in each region is different. But in various thematic forums this issue is discussed by citizens very actively.

Both those who have undergone artificial conception and those who have been denied this will take part in the discussion. Expectant mothers want to know the answers to many questions in search of solutions to their problems.

Is it possible to get a quota for IVF multiple times?

While the legislation of many European countries provides for a specific number of repeated applications for a quota, in Russia there are no such restrictions. Married couples can apply for a quota for in vitro fertilization an unlimited number of times.

But practice shows that it is impossible to make more than two attempts a year. This is due to the fact that after an unsuccessful artificial conception, the female body needs to be given time to rest and recover. When you reapply for the program, you will need to take some tests again.

Also, the legislation of each region provides for a certain number of places for fertilization, financed from the budget. Therefore, if treatment took place, for example, at the end of the year, in December, you can re-apply only for the next year.

What happens if pregnancy does not occur after fertilization?

According to statistics, pregnancy occurs after the first IVF procedure only in 30% of cases. Then the second attempt is made in the order of waiting in line, but not more than twice a year.

Most often, a negative result is obtained due to the body’s reaction to the injected drugs.

If the procedure is repeated in the same year, the patient does not need to undergo a full examination, she only needs to retake expired tests.

What is the difference between a federal quota and a regional one?

The difference between these quotas is that an application for carrying out the procedure within the regional budget can be submitted once, but at the federal level - an unlimited number of times. Regional quotas are given only to those women who are legally married, federal quotas to women who have not registered their marriage.

Within the federal quota, the patient has the right to choose the clinic in which she will undergo the procedure (subject to the clinic’s participation in the program), and within the regional quota, treatment is meant in a medical institution in a specific area.

Conclusion

The destiny of every woman is to become a mother, and this opportunity is supported by the state.

Unfortunately, women’s legal and financial illiteracy often becomes a reason for officials to prevent them from receiving free treatment. If a married couple decides to take such a serious step, you need to remember that no state commission or medical institution has the right to infringe on their rights.

Source: https://AzbukaRodov.ru/ivf/kvota-na-eko