The rules of providing health services (paid services)

Definitions

Health services mean fee-based provision of medical assistance to the individuals settled by the agreement.

Institution means Branch “Sanatorium Chateau Spas” Sanatorium “Olginka” ltd., Medical Practice License No. LO-61-01-001173 dd 23.06.2010 issued by the Ministry of Health of the Rostov Region.

Client means an individual having entered into a contract with (the contract is concluded for providing paid health services to an individual) Branch “Sanatorium Chateau Spas” Sanatorium “Olginka” ltd. (hereinafter Institution).

The rehabilitation program means a package of the health services provided to the Client in the form of a treatment course with a fixed cost, which aims at the Client’s health promotion. The rehabilitation program is an appendix to the contract of providing paid health services.

1. The conditions of providing health services

1.1. The provision of health services on a paid basis is regulated by the current legislation of the Russian Federation, the Company Charter, Regulations on the Company Branch, these Rules, local regulations and orders of the Institution Director.

1.2. These Rules are the internal local regulations binding upon all employees of Institution.

1.3. Paid health services are provided in the form of a service package (the rehabilitation program) or in the form of separate services.

1.4 The cost of paid health services is determined by the Price List applicable at the time of rendering services.

1.6. Based on the Article 149 of the Tax Code of the Russian Federation and the RF Government Resolution dated 20.02.2001 "On approval of the list of health services in diagnostics, prevention and treatment rendered to the population which implementation irrespective of a form and a source of their payment is not subject to taxation on value added" the health services rendered by the Institution are not subject the VAT.

1.7. Payment for the services purchased by the Client can be made both by cash and noncash settlement. As regards noncash payment, the Institution accepts payments from the accounts of the third parties (including legal entities). This being the case, the payment document must indicate the service receiver.

2. Procedures for rendering health services

2.1. All health services including additionally paid services are prescribed to the Client by the Institution doctor according to the medical grounds and contraindications.

2.2. Replacement of services (procedures) included in the cost of the rehabilitation program is performed only if the Client has any medical contraindications for delivery of this service and if there is a written application of the Client, a treatment sheet signed by the doctor having relevant records and written coordination with Chief Medical Officer of the Institution. A service can be replaced with a service equivalent in the cost (one service or some services). If there is no opportunity to replace a service with the other one for reasons beyond the Institution’s control, money paid to the Institution are not refunded.

2.3. If the Client wishes to cancel a service or move it to another time or another day, he/she shall inform the attending doctor no less than 24 hours before the service.

2.4. The Client receives a separate paid service on the basis of a payment document, receipt or cashier’s receipt that is issued to the Client by Administrator or an Institution’s employee in charge against service payment. The receipt indicates all significant characteristics of the service, including time and venue to render a service.

2.5. Health services are delivered from 8 am to 6 pm. Emergency assistance is provided around the clock.

2.6. Services are not delivered to Clients being under the influence of alcohol, narcotic drugs, etc.

2.7. The Client is required to come to receive procedures to the relevant room in the Institution on time according to the schedule of procedures.

2.8. If the Client is late, the Institution reserves the right to shorten the time of a procedure or cancel a service without any refund.

2.9. The Client is expected to behave correctly with an Institution’s employee rendering the service.

2.10. The Institution while providing health services uses statutory approved prevention, diagnostics, therapy methods, medical technologies, medicines, immunobiological preparations and disinfectants.

2.11. The Client is entitled to obtain (in an accessible for him/her form) information about their health including details of the investigation results, incidence of diseases, diagnosis and prognosis, therapy methods, the related risk, possible options of medical intervention, their consequence and the results of treatment.

2.12. The Client undertakes to follow the internal regulations (accommodation rules) of the Institution.

2.13. The Institution is entitled and in certain cases obliged to unilaterally suspend delivery of medical procedures:

  • in cases where medical contraindications based on the Client’s health condition emerge amid the Client’s rehabilitation program, which is confirmed by the attending doctor’s direction. That being the case, the medical procedures may be rescheduled or replaced by the procedures similar in price to the cancelled ones, as agreed with the Client;
  • if the procedures included in the price of the rehabilitation program have been cancelled by reason of medical contraindications the Client had prior to the treatment within the rehabilitation program, no replacement is provided. The Institution must notify the Client about the existence of contraindications and relevant cancellation of procedures before the Client starts the treatment.
  • in cases where the Client has medical contraindications (listed in item 2.14. hereof) identified earlier or on admission to the Institution, or if the Client was aware of his/her medical problems indicated in the list of contraindications, but concealed this fact from the attending doctor.
  • if the Client systematically (two or more times running during the treatment under the rehabilitation program) breaches the rehabilitation program or fails to comply with mandatory instructions and recommendations of the Institution staff. In these circumstances, the price or duration of treatment under the rehabilitation program is not liable to any change or revision;
  • in case of appearance at medical procedures under rehabilitation program in a state of alcoholic, drug or other intoxication, or appearance in the abovementioned state throughout the Institution. In these circumstances, the cost or duration of treatment under the rehabilitation program is not liable to any change or revision, payments are not refunded and the Client is checked out.

2.14. Contraindications for treatment:

  • cardiovascular disease: atrial fibrillation, paroxysmal tachycardia with frequent attacks; circulatory insufficiency grade III-IV, uncontrolled hypertension, hypertensive disease with crises, cardiomyopathy, complete atrioventricular block with heart rate of less than 50 in 1 min, presence of Morgagni-Adams-Stokes attacks, acute myocardial infarction (rehabilitation period for 6 months), the presence of indications for surgical intervention on the heart, and the rehabilitation period after surgery (within 6 months).
  • diseases of the respiratory system: all diseases in the acute period (including influenza, ARVI); acute bronchial asthma; respiratory insufficiency, degree III; pulmonary heart disease, hormone-dependent bronchial asthma.
  • diseases of the digestive system: GIT diseases in the exacerbation phase; liver cirrhosis with signs of portal hypertension, hepatic insufficiency; autoimmune hepatitis, nonspecific ulcerative colitis, intestine diverticulitis.
  • diseases of the endocrine system: diabetes (severe course, state of decompensation), diffuse toxic goiter (hyperthyreosis).
  • diseases of the locomotive system: systemic diseases of the skeleton restricting self-maintenance and mobility of a patient.
  • psychoneurological diseases: cerebrovascular diseases, intractable convulsive seizures and their equivalents; psychopathia, epilepsy, manic-depressive illness, pathologic personality development with marked disturbances in behavior and socio-environmental adaptation, amyotrophic lateral sclerosis, Parkinson's disease, Alzheimer's disease, myopathy.
  • diseases of the urinary system: chronic kidney disease, stages III-IV, acute and chronic glomerulonephritis with nephrotic and mixed syndrome.
  • haematologic diseases: leucosis, lymphogranulomatosis, hemophilia, T-cell lymphoma, myelomatosis, anemia of medium and high severity.
  • systemic autoimmune diseases: systemic lupus erythematosus (SLE), dermatomyositis, rheumatoid arthritis, diffuse scleroderma, systemic angiitis during hormonal and cytostatic treatment.
  • pregnancy.
  • cholelithiasis and urolithiasis (incividually).
  • tuberculosis
  • condition after surgery up to 6 months.
  • oncological diseases, historical oncological diseases
  • acute viral hepatitis, chronic viral hepatitis with medium and high degree of activity
  • venereal diseases (syphilis, gonorrhea).
  • acquired immunodeficiency syndrome (HIV, AIDS)
  • drug addiction;
  • contagious dermatological diseases

2.15 Should the Institution fail to deliver the services, the Client’s medical procedures for may be rescheduled or replaced by the procedures similar in price to the cancelled ones, as agreed with the Client.

2.16. Should the Client refuse from the services of the Institution for a good cause (illness, death in the family, recalling from leave (business trip) against duly executed documentary evidence, the Institution undertakes to refund the Client the outstanding amount paid for purchased services in proper relation to the actual spend of funds.

3 . Responsibility while providing paid health services

3.1. In accordance with the Russian Federation law, the Institution is liable to the Client for failure to fulfill or improper fulfillment of the terms and conditions of the contract for providing paid health services, failure to comply with the specifications for diagnostics, prevention, treatment and rehabilitation methods allowed in the territory of the Russian Federation, аnd in cases of damage caused to the health and life of individuals.

3.2. Should the Institution fail to comply with time limits for providing a service, the Client is entitled to choose from the following:

    • fix new time limits for the service to be provided,
    • request the reduction in the price of a provided service,
    • request a service to be provided by other specialist,
    • terminate the contract аnd claim for damages.

3.3. The Institution is released from the liability for failure to provide or improper provision of paid health services if it manages to prove that the abovementioned occurred a result of force majeure circumstances or on other statutory grounds.

3.4. In accordance with the law of the Russian Federation, the Client undertakes to compensate the Institution for damages to the property thereof, and is liable for other violations.

Definitions

Health services mean fee-based provision of medical assistance to the individuals settled by the agreement.

Institution means Branch “Sanatorium Chateau Spas” Sanatorium “Olginka” ltd., Medical Practice License No. LO-61-01-001173 dd 23.06.2010 issued by the Ministry of Health of the Rostov Region.

Client means an individual having entered into a contract with (the contract is concluded for providing paid health services to an individual) Branch “Sanatorium Chateau Spas” Sanatorium “Olginka” ltd. (hereinafter Institution).

The rehabilitation program means a package of the health services provided to the Client in the form of a treatment course with a fixed cost, which aims at the Client’s health promotion. The rehabilitation program is an appendix to the contract of providing paid health services.

1. The conditions of providing health services

1.1. The provision of health services on a paid basis is regulated by the current legislation of the Russian Federation, the Company Charter, Regulations on the Company Branch, these Rules, local regulations and orders of the Institution Director.

1.2. These Rules are the internal local regulations binding upon all employees of Institution.

1.3. Paid health services are provided in the form of a service package (the rehabilitation program) or in the form of separate services.

1.4 The cost of paid health services is determined by the Price List applicable at the time of rendering services.

1.6. Based on the Article 149 of the Tax Code of the Russian Federation and the RF Government Resolution dated 20.02.2001 "On approval of the list of health services in diagnostics, prevention and treatment rendered to the population which implementation irrespective of a form and a source of their payment is not subject to taxation on value added" the health services rendered by the Institution are not subject the VAT.

1.7. Payment for the services purchased by the Client can be made both by cash and noncash settlement. As regards noncash payment, the Institution accepts payments from the accounts of the third parties (including legal entities). This being the case, the payment document must indicate the service receiver.

2. Procedures for rendering health services

2.1. All health services including additionally paid services are prescribed to the Client by the Institution doctor according to the medical grounds and contraindications.

2.2. Replacement of services (procedures) included in the cost of the rehabilitation program is performed only if the Client has any medical contraindications for delivery of this service and if there is a written application of the Client, a treatment sheet signed by the doctor having relevant records and written coordination with Chief Medical Officer of the Institution. A service can be replaced with a service equivalent in the cost (one service or some services). If there is no opportunity to replace a service with the other one for reasons beyond the Institution’s control, money paid to the Institution are not refunded.

2.3. If the Client wishes to cancel a service or move it to another time or another day, he/she shall inform the attending doctor no less than 24 hours before the service.

2.4. The Client receives a separate paid service on the basis of a payment document, receipt or cashier’s receipt that is issued to the Client by Administrator or an Institution’s employee in charge against service payment. The receipt indicates all significant characteristics of the service, including time and venue to render a service.

2.5. Health services are delivered from 8 am to 6 pm. Emergency assistance is provided around the clock.

2.6. Services are not delivered to Clients being under the influence of alcohol, narcotic drugs, etc.

2.7. The Client is required to come to receive procedures to the relevant room in the Institution on time according to the schedule of procedures.

2.8. If the Client is late, the Institution reserves the right to shorten the time of a procedure or cancel a service without any refund.

2.9. The Client is expected to behave correctly with an Institution’s employee rendering the service.

2.10. The Institution while providing health services uses statutory approved prevention, diagnostics, therapy methods, medical technologies, medicines, immunobiological preparations and disinfectants.

2.11. The Client is entitled to obtain (in an accessible for him/her form) information about their health including details of the investigation results, incidence of diseases, diagnosis and prognosis, therapy methods, the related risk, possible options of medical intervention, their consequence and the results of treatment.

2.12. The Client undertakes to follow the internal regulations (accommodation rules) of the Institution.

2.13. The Institution is entitled and in certain cases obliged to unilaterally suspend delivery of medical procedures:

  • in cases where medical contraindications based on the Client’s health condition emerge amid the Client’s rehabilitation program, which is confirmed by the attending doctor’s direction. That being the case, the medical procedures may be rescheduled or replaced by the procedures similar in price to the cancelled ones, as agreed with the Client;
  • if the procedures included in the price of the rehabilitation program have been cancelled by reason of medical contraindications the Client had prior to the treatment within the rehabilitation program, no replacement is provided. The Institution must notify the Client about the existence of contraindications and relevant cancellation of procedures before the Client starts the treatment.
  • in cases where the Client has medical contraindications (listed in item 2.14. hereof) identified earlier or on admission to the Institution, or if the Client was aware of his/her medical problems indicated in the list of contraindications, but concealed this fact from the attending doctor.
  • if the Client systematically (two or more times running during the treatment under the rehabilitation program) breaches the rehabilitation program or fails to comply with mandatory instructions and recommendations of the Institution staff. In these circumstances, the price or duration of treatment under the rehabilitation program is not liable to any change or revision;
  • in case of appearance at medical procedures under rehabilitation program in a state of alcoholic, drug or other intoxication, or appearance in the abovementioned state throughout the Institution. In these circumstances, the cost or duration of treatment under the rehabilitation program is not liable to any change or revision, payments are not refunded and the Client is checked out.

2.14. Contraindications for treatment:

  • cardiovascular disease: atrial fibrillation, paroxysmal tachycardia with frequent attacks; circulatory insufficiency grade III-IV, uncontrolled hypertension, hypertensive disease with crises, cardiomyopathy, complete atrioventricular block with heart rate of less than 50 in 1 min, presence of Morgagni-Adams-Stokes attacks, acute myocardial infarction (rehabilitation period for 6 months), the presence of indications for surgical intervention on the heart, and the rehabilitation period after surgery (within 6 months).
  • diseases of the respiratory system: all diseases in the acute period (including influenza, ARVI); acute bronchial asthma; respiratory insufficiency, degree III; pulmonary heart disease, hormone-dependent bronchial asthma.
  • diseases of the digestive system: GIT diseases in the exacerbation phase; liver cirrhosis with signs of portal hypertension, hepatic insufficiency; autoimmune hepatitis, nonspecific ulcerative colitis, intestine diverticulitis.
  • diseases of the endocrine system: diabetes (severe course, state of decompensation), diffuse toxic goiter (hyperthyreosis).
  • diseases of the locomotive system: systemic diseases of the skeleton restricting self-maintenance and mobility of a patient.
  • psychoneurological diseases: cerebrovascular diseases, intractable convulsive seizures and their equivalents; psychopathia, epilepsy, manic-depressive illness, pathologic personality development with marked disturbances in behavior and socio-environmental adaptation, amyotrophic lateral sclerosis, Parkinson's disease, Alzheimer's disease, myopathy.
  • diseases of the urinary system: chronic kidney disease, stages III-IV, acute and chronic glomerulonephritis with nephrotic and mixed syndrome.
  • haematologic diseases: leucosis, lymphogranulomatosis, hemophilia, T-cell lymphoma, myelomatosis, anemia of medium and high severity.
  • systemic autoimmune diseases: systemic lupus erythematosus (SLE), dermatomyositis, rheumatoid arthritis, diffuse scleroderma, systemic angiitis during hormonal and cytostatic treatment.
  • pregnancy.
  • cholelithiasis and urolithiasis (incividually).
  • tuberculosis
  • condition after surgery up to 6 months.
  • oncological diseases, historical oncological diseases
  • acute viral hepatitis, chronic viral hepatitis with medium and high degree of activity
  • venereal diseases (syphilis, gonorrhea).
  • acquired immunodeficiency syndrome (HIV, AIDS)
  • drug addiction;
  • contagious dermatological diseases

2.15 Should the Institution fail to deliver the services, the Client’s medical procedures for may be rescheduled or replaced by the procedures similar in price to the cancelled ones, as agreed with the Client.

2.16. Should the Client refuse from the services of the Institution for a good cause (illness, death in the family, recalling from leave (business trip) against duly executed documentary evidence, the Institution undertakes to refund the Client the outstanding amount paid for purchased services in proper relation to the actual spend of funds.

3 . Responsibility while providing paid health services

3.1. In accordance with the Russian Federation law, the Institution is liable to the Client for failure to fulfill or improper fulfillment of the terms and conditions of the contract for providing paid health services, failure to comply with the specifications for diagnostics, prevention, treatment and rehabilitation methods allowed in the territory of the Russian Federation, аnd in cases of damage caused to the health and life of individuals.

3.2. Should the Institution fail to comply with time limits for providing a service, the Client is entitled to choose from the following:

    • fix new time limits for the service to be provided,
    • request the reduction in the price of a provided service,
    • request a service to be provided by other specialist,
    • terminate the contract аnd claim for damages.

3.3. The Institution is released from the liability for failure to provide or improper provision of paid health services if it manages to prove that the abovementioned occurred a result of force majeure circumstances or on other statutory grounds.

3.4. In accordance with the law of the Russian Federation, the Client undertakes to compensate the Institution for damages to the property thereof, and is liable for other violations.