Orthopedic shoes: how to choose and get them for free. Orthomod orthopedic shoe salons take care of people with disabilities and provide for disabled people. Is a disabled person of group 3 entitled to orthopedic shoes?

The procedure for providing disabled people with orthopedic shoes

Orthopedic footwear is classified in commodity item 9021 of the Commodity Nomenclature of Foreign Economic Activity of the Customs Union (Commodity Nomenclature of Foreign Economic Activity of the Customs Union) if the following conditions are simultaneously met:
- orthopedic shoes must be made to individual measurements to fit the shape of the deformed foot; orthopedic shoes are never mass produced;
- these shoes should be made mainly of hard leather, which can be reinforced with a metal or cork frame, giving the shoe rigidity to correct leg (foot) deformities;
- the upper of the shoe cannot consist entirely of straps or stripes;
- orthopedic shoes are designed to correct permanent or temporary deformities of the foot or to relieve pain when walking.
Mass-produced shoes, the inner insole of which has a curved shape that relieves pain from flat feet, are classified in accordance with the material of the upper and sole and the manufacturing method in group 64 of the Commodity Code of the Foreign Economic Activity of the Customs Union.

Source:
Order of the Federal Customs Service of Russia dated 01.03.2012 N 34-r
"On the classification of individual goods according to the Commodity Nomenclature of Foreign Economic Activity of the Customs Union"
(Registered with the Ministry of Justice of Russia on April 28, 2012 N 24001)

The IPR at the expense of the Social Insurance Fund includes TSR (including orthopedic shoes) ONLY for pathology leading to acute respiratory distress.
In other cases, it is possible to include TSR in the IPR (including orthopedic shoes), but in this case, in the “Executor” column it is indicated: “The disabled person himself” or “At the expense of the disabled person.”

On the possibility of including technical means of rehabilitation (TCP) in the individual rehabilitation program for a disabled person (IRP) at the expense of the Social Insurance Fund of the Russian Federation for concomitant pathologies, I inform you that in accordance with Article 11.1, the decision to provide disabled people with TCP is made based on the results of an examination at the medical bureau. social expertise:

“For medical reasons, it is established that it is necessary to provide a disabled person with technical means of rehabilitation that provide compensation or elimination of persistent limitations in the disabled person’s life.”

According to clause 1 of the “Procedure for the development and implementation of an individual rehabilitation program for a disabled person (disabled child)”, approved by , the development of IPR is carried out during a medical and social examination based on an assessment of the limitations in life activity caused by a persistent disorder of body functions and the rehabilitation potential.

Assessment of the nature and extent of impaired body functions and possible limitations in life activity is carried out using the “Classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination” approved (Classification).

Determination of the degree of impaired functions, in accordance with clause 4 of the Classification, is carried out comprehensively, i.e. with an assessment of all their characterizing parameters.

Thus, TCPs are recommended for the purpose of compensating or eliminating persistent limitations in life activities caused by persistent disorders of body functions. In cases where, according to the results of a medical and social examination, dysfunctions of the body, including concomitant pathologies, do not lead to limitations in life, there are no grounds for establishing disability.

Consequently, there are no legal grounds for including TCP in the IPR for pathologies that do not lead to limitation of life activity.

To include orthopedic shoes in the IPR of a disabled person, it is necessary to attach to the Referral to MTU in form 0-88/u the conclusion of the medical-technical commission (MTC act), which is drawn up by orthopedic prosthetists of the medical departments of prosthetic and orthopedic enterprises.

A referral for a consultation to a prosthetic and orthopedic company to obtain this conclusion is usually issued to the patient by the OOLPP, which issues him a Referral to MTU in the form 0-88/y.
Less often, patients independently turn to prosthetic and orthopedic enterprises and receive there an MTC certificate stating their need for orthopedic shoes.
In both the first and second cases, in the Referral to MSE in form 0-88/y, the OOLPP must indicate the patient’s need to be provided with orthopedic shoes.

Medical indications for providing disabled people with orthopedic shoes:
Persistent moderate and severe disturbances of the static-dynamic function, leading to acute insufficiency in the category of independent movement (this is a mandatory condition) due to diseases, consequences of injuries, deformities of the feet: static insufficiency of the feet with pronounced anatomical manifestations; shortening of limb length over 30 mm; congenital and amputation foot defects; paralytic foot deformities; congenital deformities (equino-varus deformity (clubfoot), equinus (equine) foot, plano-valgus foot, etc.); residual deformities after foot injuries; ankylosis of the ankle joint; lymphostasis (elephantiasis) and acromegaly; use of fixation devices and splints, diabetic foot syndrome.

Orthopedic shoes do not fit into the IPR (and are not manufactured) for patients who have foot deformities, but suffer from severe concomitant diseases that exclude the possibility of walking in orthopedic shoes.

Absolute medical contraindications to providing disabled people with orthopedic shoes:
Extensive trophic ulcers of the foot, gangrene, widespread purulent processes in soft tissues, lack of weight-bearing ability of the lower limb due to extensive cicatricial changes in tissue prone to ulceration, in elderly people with severe general frailty and inability to move.
Allergic reactions to orthopedic product materials.

Russian disabled people are considered a vulnerable category of citizens, therefore the state pays attention to them by providing them with various benefits. The number of the latter, their set and calculations expressed in material terms may be different depending on the disability group that is assigned to a citizen with disabilities. What benefits can disabled people expect? Is it possible to replace non-material benefits with money?

Benefits for disabled people this year by group

Disabled people have the right to receive a preferential pension. What disability group - what benefits?

Social pension in 2019:

  • for disabled children – 2,123.92 rubles;
  • ForIgroups - 2,974.03 rubles;
  • ForII– RUR 2,123.92;
  • ForIIIgroups – 1,700.23 rub.

(for currently working or formerly working citizens) is:

1) for the first group of disability since childhood - 11,903.51 rubles;

2) for the second disability group - 4,959.85 rubles;

3) for the second group (from childhood) - 9,919.73 rubles;

4) for the third group – 4,215.90 rubles.

In case of refusal of benefits, a disabled person may receive monthly compensation. This year it is:

  • for liquidators of the Chernobyl accident – ​​2,240.74 rubles;
  • for WWII veterans – 4,481.47 rubles;
  • for disabled children - 2,240.74 rubles;
  • for the first group of disabled people – 3,137.60 rubles;
  • for the second – 2,240.74 rubles;
  • for the third group – RUB 1,793.74.

In addition to material benefits (for example, pensions), these citizens can receive various other benefits that relate to a variety of areas: education, healthcare, labor, and so on. This is provided by disability assistance and benefits according to disability groups from the state.

What benefits are available to a disabled person from a notary? What benefits are available to people with disabilities of group 1 in 2019, as well as people with group 2 disabilities:

  • exemption from state fees is guaranteed for those cases that are considered in accordance with civil and arbitration procedural legislation;
  • payment is only 50% for notarial acts (the discount applies only to fees, it does not affect the payment for the notary’s work in any way).

As you already understand, such benefits are provided to disabled people for notary services. As for what federal benefits are available to disabled people of groups 1, 2 and 3, it is worth telling everything in detail for each group separately.

Benefits for the first group

What benefits are provided for disabled people of the first group in Russia? Benefits for this category of citizens have not changed this year, so people can use:

1) free travel on any public transport, except taxis and minibuses;

2) free travel on public transport if you need to get to the place of treatment (this also applies to persons accompanying disabled people);

3) prescribed by the attending doctors;

4) free medical equipment (as indicated by doctors) and dressings;

5) free for treatment and recreation (once a year, but only for the first three years from the date of receiving a disability group);

6) free prosthetic limbs;

7) free orthopedic shoes;

8) free dental prosthetics;

9) extraordinary admission to higher and secondary educational institutions (subject to passing entrance exams);

10) an increased scholarship (if the disabled person is a student). The amount of the scholarship is determined by the management of the educational institution;

11) a shortened working week (35 hours) for disabled people of the first group who work.

List of benefits for disabled people of the second group

1) free travel on any public transport, except taxis and minibuses;

2) free travel on public transport to the place of treatment (here we are no longer talking about persons accompanying disabled people);

3) provision of medications prescribed by the attending physician;

4) provision of medical equipment (as indicated by doctors), as well as dressings;

5) special prosthetics for limbs;

6) orthopedic shoes;

7) dental prosthetics.

Among other things, a person with a second disability group can take advantage of:

  • extraordinary admission to higher and secondary educational institutions (when passing entrance exams);
  • students can receive an increased scholarship, the amount of which is established by the management of the educational institution;
  • a shortened work week (35 hours) is also provided for this category. This applies to working disabled people of the second group.

List of benefits for people with third disability group

These citizens are entitled to fewer benefits. The latter are mainly associated with discounts on goods and services.

1. Discount on the purchase of orthopedic shoes.

2. A 50% discount on travel on any public transport from October 1 to May 15. In addition, a 50% discount is provided on 1 trip for the remainder of the calendar year.

3. 50% discount on medical equipment and medicines (this applies only to working or recognized unemployed disabled people of the third group).

What benefits do disabled people have regarding tax payments?

1. Disabled people of the first and second groups are exempt from property tax if they inherited property.

2. Disabled people of the second and first groups, disabled children, disabled veterans, who have land plots registered before 2004, have the following deduction: the tax base for calculating the tax (land price) is reduced by 10,000 rubles.

3. Transport benefits for people with disabilities consist of a 50% tax discount when purchasing a car through social security authorities (power up to 100 hp) and complete tax exemption in case of owning a car that has been specially converted for a person with disabilities.

Benefits in the form of tax deductions

  • Every month, 500 rubles are deducted from the personal income tax base for disabled people of the second and first groups and disabled children.
  • The monthly allowance for parents (trustees, guardians, spouses, adoptive parents) of minor children who are disabled is 3,000 rubles. The same amount for disabled children under 24 years of age who are students (students, interns, graduate students);
  • 3,000 rubles is a monthly tax deduction for disabled people who are liquidators of the Chernobyl accident, victims of the Mayak production association (the accident happened in 1957) or former military personnel who received disability due to injury.

About additional payments and regional benefits

In the Russian Federation, each year the amount of additional payment is established for a certain category of citizens, among whom there are disabled people. Thus, additional cash payments began to be received by disabled people who were participants in the Great Patriotic War, former military personnel, former liquidators of the Chernobyl accident, former cosmonauts, and residents of besieged Leningrad. The amounts of such additional payments may vary within the following limits: from 100% to 300% of social pensions.

In addition, every Russian citizen who is disabled is entitled to benefits provided to him at the regional level. In cities and regions, for many years they have been using the practice of providing priority services to disabled people in one institution or another, issuing free clothing and food. Another common benefit for people with disabilities is free installation of landline phones. Often companies that were once employers of the disabled person also help. You can find out about the full list of preferences from your local social security department.

Can a wife receive benefits if her husband is a disabled person of the first group?

Often people faced with this problem ask themselves: what benefits are there for a wife if her husband is disabled in group 1? The tax code does not provide deductions for the maintenance of dependent spouses, regardless of whether they are disabled or not. The standard deduction applies to those taxpayers who provide for children under 18 years of age or full-time students, residents, graduate students, and cadets under the age of 24.

Small benefits are provided (which are not taxed 500 rubles per month) for disabled people of the first and second groups, if they have a job or other income. However, there are pitfalls here: if a taxpayer has the right to more than one tax deduction, then the largest one is provided. That is, the maximum of tax benefits is issued, and the rest are not counted.

Providing medical benefits to disabled people of the second group

What medical benefits should group 2 disabled people expect this year? Unemployed disabled people in this category have the right to free medicines based on a doctor's prescription. The order of the Ministry of Health establishes the procedure for prescribing medications by a doctor. In addition, people with disabilities have the right to prosthetic limbs at the expense of the state. Now you know what benefits are available to disabled people of group 2 in 2019.

What benefits do people with general disabilities receive?

Benefits for disabled people of the second group of general illness:

  • throughout the year, disabled people of the second group can take advantage of one-time free travel to the place of treatment; there is no such benefit for accompanying persons;
  • disabled people are provided with medicines free of charge with a doctor's prescription. Also, people with disabilities can receive dressings and certain medical products free of charge, if there is a conclusion from the ITU bureau about the need to use these products;
  • This category of citizens is provided with prosthetic limbs and orthopedic shoes free of charge;
  • free dental prosthetics are provided;
  • ensuring non-competitive admission upon admission to a secondary or higher vocational state or municipal educational institution if the entrance exams are successfully passed (if this training is not contraindicated by a medical report);
  • Full-time students receive an increased stipend;
  • working disabled people work during a shortened working week (up to 35 hours a week, subject to continued earnings, leave at their own expense up to 60 days a year);
  • disabled people can use free travel on any type of urban and rural ground transport (except for private minibuses and taxis).

By the way, benefits for telephone payments for disabled people of group 2 are 50%.

Benefits for the first disability group:

1) during a year disabled people of this category and their accompanying persons have the right to one free ride to the place of treatment;

2) people with disabilities are provided with free medications with a doctor's prescription. They can also receive dressings and individual medical products if they have a conclusion from the ITU bureau about the need to use these products;

3) disabled peopleІ groups receive free vouchers for sanatorium-resort treatment at least once a year for the first three years after disability was established;

4) if necessary, such citizens are provided with prosthetic limbs and free orthopedic shoes;

5) disabled people have the right to benefit from free dental prosthetics;

6) these people have the right to non-competitive enrollment when entering a higher or secondary vocational municipal or state institution, if the person can successfully pass the entrance exams, and if such training is permitted by a medical certificate;

7) disabled people receive an increased scholarship if we are talking about full-time students;

8) the shortened working week of people with the first group of disabilities consists of 35 hours with preservation of earnings and vacation at their own expense (maximum 60 days a year);

9) In addition, you can ride all urban and rural ground transport for free (except taxis and minibuses).

Benefits for the third category of disability:

  • disabled peopleІІІ groups can buy orthopedic shoes at a discount (depending on the complexity of manufacturing this product) or at full price;
  • a working disabled person with unemployed status assigned to him has the right to purchase certain medicines and medical products according to doctor’s prescriptions with a 50% discount;
  • free travel on intercity lines by rail, air, road and river transport from October 1 to May 15 and once at other times of the year.

What benefits are available to disabled people of group 3 in 2019?

As you yourself know, social assistance for these vulnerable segments of the population is regulated by the law of the Russian Federation. Disabled people of any group can receive social benefits.

As already indicated, the social pension for people of the third disability group this year is 4,215.90 rubles. (the same amount of payments for disabled children).

The labor pension is calculated taking into account length of service. The state has set a fixed amount - 2,402.56 rubles. per month.

If a dependent (a person who is supported financially or materially) lives with a disabled person, compensation may increase:

1) in the presence of one dependent – ​​up to 4,000.26 rubles;

2) if a disabled person lives with two dependents - up to 5,605.96 rubles;

3) if with three – up to 7,207.66 rubles.

All disabled people can count on a monthly cash payment (MCA). It is paid if the disabled person refuses a number of additional services. This year the amount is 2,022.94 rubles.

Main benefits

People can count not only on receiving cash benefits, but also on benefits that make life easier for a person with disabilities. Let's summarize the list of benefits.

1. Medical(you can purchase medications prescribed by a doctor at a 50% discount). The discount on orthopedic shoes is 60%.

2. Social(a 50% discount is provided to disabled people for preferential sanatorium treatment). Students are enrolled in higher education institutions on concessions (entrance tests are not held if there are budget places for people with disabilities).

3. Tax(tax rates are reduced, but this decision can be made by going to court). He has the right to significantly reduce the amount of taxes paid or give the disabled person an installment plan to pay them.

4. Transport(disabled people can use city public transport free of charge, with the exception of taxis). You can also use discounted travel on Russian Railways: a 50% discount one way or the other, or a free ticket every two years.

5. (payment for housing and communal services is halved). In addition, a person with a disability can be helped to improve their living conditions, which is done on a first-come, first-served basis.

Providing additional benefits

As mentioned earlier, disabled people who work can receive leave of up to 2 months (60 days). Leave is issued when an employee goes to a sanatorium or has a scheduled examination in a hospital.

In addition, disabled people of the third group, like people without health problems, have the right to work on weekends and holidays. In addition, people with disabilities can demand recalculation of pensions in accordance with the laws of the country.

If a disabled person has an income below the subsistence level determined by the state, then he has the right to services that are provided at home. For example, assistance in purchasing medicines and food, maintaining cleanliness in the home, providing medical care and consultations with a lawyer. Among other things, you can arrange for the help of a paid social worker if necessary.

Persons with disabilities since childhood (disabled children) may qualify for additional benefits. They don't have to pay registration fees when they open a business, and they don't have to pay fees when a housing warrant is issued.

Disabled war veterans, in addition to all known benefits and benefits, have a permanent 50% discount on railway tickets. These are the benefits a disabled pensioner of the third group has.

Benefits provided for disabled combat veterans

If we are talking about benefits of groups 1, 2 and 3, then first of all we mean benefits related to taxation and payments of the corresponding pension. All provisions are confirmed at the legislative level.

As for pension legislation, it provides for the following benefits: for disabled combat veterans (disabled due to military injuries):

1) retirement age comes five years earlier compared to the generally established age;

2) a certain pension related to disability is assigned regardless of the length and size of work experience (taking into account military service);

3) if it comes to disabled people of the first and second groups, then the pension amount consists of three minimum old-age pensions. If we talk about people with disabilitiesІІІ groups, then they pay only half of the above amount. However, there must be earnings and work experience that would give the right to receive a disability pension due to a general illness, so that the pension amount is larger than usual.

Rights and benefits that are also important to list:

  • benefits for priority in obtaining, purchasing, constructing and maintaining residential premises;
  • the opportunity to carry out major housing repairs with monetary support from the local budget (the conditions in this case are determined by local government);
  • priority in obtaining the necessary building material in the case of housing construction;
  • the possibility of providing housing in those houses that belong to municipal and state funds, if there is a need to improve living conditions;
  • the opportunity to carry out emergency repairs to housing occupied by people with disabilities;
  • various benefits in the labor field and in the field of education, vocational training;
  • the opportunity to receive financial benefits associated with temporary unemployment in the amount of salary (regardless of work experience);
  • the opportunity to learn a new profession free of charge, undergo qualified retraining, and pay a specially organized scholarship during the training process.

Benefits for disabled people in St. Petersburg

So, what benefits are provided for people with disabilities in St. Petersburg? This category of citizens can apply for:

  • discounted travel in a social taxi;
  • benefits for purchasing a voucher to a sanatorium or receiving it free of charge once a year;
  • preferential travel on suburban and city public transport;
  • preferential treatment for certain medical procedures in public clinics and hospitals;
  • benefits for receiving free medications prescribed by the doctor;
  • benefits for utility bills in the amount of half of their total price.

All disabled people have the right to apply to the local administration to receive one-time funds for rehabilitation after a major operation or other medical procedure.

A working disabled person is entitled to 30 days leave. In addition, an employer cannot force a disabled person to work more than 35 hours a week. A person with a disability must work exactly as much as indicated on the sick leave card. He also receives his regular salary.

People of the first and second disability groups enter higher education institutions without competition.

What benefits can different categories of disabled people enjoy in Moscow?

What benefits are there for disabled people of group 1 in Moscow in 2019? What is provided for people with other disability groups? To support people with disabilities, the concept of “additional material support” was introduced at the state level.

When calculating financial support for disabled people of categories I, II and III, the following parameters are taken into account:

1) the amount of the pension paid;

2) a cash payment (if any), which must be issued monthly, which includes the cost of paying for social services.

In 2019, the state covers expenses regarding:

  • use of public transport (suburban or urban);
  • payments for living space and partial compensation for housing and communal services (payments for electricity, gas, water resources, heating);
  • using telephone communications (this applies only to landline phones).

What other benefits are provided to disabled people of group 2 in Moscow and the Moscow region, as well as to other categories of disabled people?

Social supplements are added to the pensions of mature disabled people and children with disabilities. The same applies to children who are not yet 18 years old, but have already lost their breadwinner.

WWII participants are entitled to receive 1,000 rubles every month. A person who cares for a disabled person can apply for compensation assistance in the amount of no more than 5,500 rubles. Outside individuals who voluntarily agreed to care for the infirm have the right to receive 1,200 rubles from the state.

People with disabilities of groups 1 and 2 can present a doctor's prescription at a pharmacy and receive discounted medications in return. People in the first group receive a 50% discount on the indicated price.

If a beneficiary does not have limbs, then he has every right to use free technical means for rapid rehabilitation in the form of prostheses and other orthopedic products until they are replaced.

Prostheses are indeed provided free of charge, and orthopedic shoes are provided according to the degree of complexity of their implementation. If a disabled person does not stand in line, he can purchase shoes in cash at a 70% discount on the initial cost, but only at a designated point.

In addition, each region indicates its own groups of beneficiaries. There is also a list of organizations that provide the necessary services, taking into account the rules and regulations of local legislation. Here people with disabilities can use free help or help with a 50% discount. In Moscow and other megacities this year there are much more such points than in the outback.

These benefits can be used by disabled people of group 3 in Moscow and the Moscow region, and the same applies to disabled people of other groups.

Benefits and benefits for single mothers

What benefits are available to a single disabled mother? A woman raising a child on her own is a mother deprived of the support of the child’s father in material support and upbringing.

This year, benefits for single mothers apply not only to a woman’s natural children, but also to adopted ones.

Single mother benefits are awarded only in the following cases:

1) the court and the registry office did not register paternity;

2) if a single woman adopted children;

3) when the court proceedings dissolved the fact of paternity.

The child's legal father is the man listed on the marriage certificate. Dad is not necessarily the biological father. It is enough for the registry office to prepare documentation that allows a man to raise children.

Benefits and allowances are NOT accrued to the mother if:

1) the child has a legal father, and paternity has been certified by the court;

2) the child’s mother is divorced from her husband and does not receive alimony from him established by the court;

3) the child's father was officially deprived of the opportunity to raise him.

The status of “single mother” is also invalid when the child was born before the end of the three-hundred-day period after the parents’ divorce or annulment of the marriage.

In order for the mother to receive benefits legally, there should be no mention of the father in the papers confirming the birth of the child. The status of “single mother” is considered official after the single mother receives a certificate in Form No. 25.

Labor benefits for single mothers

1.When an enterprise where a single mother works dismisses staff, she has no right to be laid off if her child is under 14 years of age. Such a reduction is considered unlawful even when there is a change in the management of the enterprise. The conditions for dismissal of a single mother due to violations of discipline during the work process can be discussed.

2.If the company where a single mother worked was canceled, she must be offered an alternative job.

3.Single mothers, like mothers without this status, have the right to financial assistance when it comes to caring for sick children. The amount of the benefit is established in accordance with the mother’s work experience and is paid during inpatient treatment of the child. The mother receives benefits during the first ten days from the time of the child’s illness.

4.A single mother can receive the full amount of sick leave if she needs to care for a sick child who is under seven years old. If the child is older than this age, sick leave is paid for 14 days.

5.A single mother can take up to two weeks of leave at her own expense.

6.A single mother cannot be required to work overtime if her child is under five years old. The same rule applies to working at night and on weekends.

7.Mothers in Moscow receive additional benefits when hired. Employers cannot refuse employment to single mothers because they have children.

Using tax benefits

For single mothers, there is a double tax deduction for expenses for providing for children who have not reached the age of majority. If an adult child manages to enroll in a university, he will be able to enjoy tax benefits until he reaches 24 years of age.

Preferential tax deduction periods for single mothers mean that part of the income will not be subject to tax levies.

Other benefits and allowances

1.You can receive linen for a newborn baby.

2. Children of single mothers are provided with vouchers for health improvement in a sanatorium.

3.A single mother may temporarily not have to pay for the maintenance of a multi-storey building and waste disposal. The benefit can be used until the child is 1.5 years old.

4.Children of single mothers have the right to attend preschool institutions, clubs, and sections with a 25% or higher discount.

5.Children of a single mother who are under two years old have the right to receive preferential milk nutrition.

6.You can buy some medications at a big discount or even half the price.

7. In school canteens, children of single mothers receive two free meals a day.

8. If the children's clinic has a massage room, then children of single mothers can go to free massage sessions.

Help with housing

Mothers in Moscow can seek help from a government program designed to improve their housing situation. Thanks to the regulations of this city, single mothers can qualify for subsidized housing.

But first, the state must recognize a single woman with children as needing an improved quality of life.

A single mother who is not yet 35 years old can use the special “Housing” program, lobbied by the state. Thanks to this government initiative, young people can get more affordable housing than in spontaneous real estate markets.

In Moscow, this program is called “Affordable Housing for Young Families.” This is especially important for single mothers living in rented accommodation.

The legislation of the Russian Federation allows individual subjects of the country to regulate benefits and various payments for this category of the population.

Factors influencing the amount of mother's benefit:

1) income levels;

2) employment;

3) availability of regional registration;

4) amount of children.

Benefits introduced for disabled mothers

Like all other parents, such mothers have the right to receive federal benefits and payments upon the birth of a child. The amount of additional charges depends on the region in which the disabled mother lives. To find out detailed information about exactly what payments mothers with disabilities can expect, you should contact your local social protection department. In Moscow, such mothers receive payments due to the rising cost of living and food. In addition, mothers of disabled children and those mothers whose income is below the subsistence level receive additional payments. The remaining benefits coincide with those provided by the state for single mothers.


14.01.2020 The procedure for providing disabled people with orthopedic shoes

Orthopedic footwear is classified in commodity item 9021 of the Commodity Nomenclature of Foreign Economic Activity of the Customs Union (Commodity Nomenclature of Foreign Economic Activity of the Customs Union) if the following conditions are simultaneously met:
- orthopedic shoes must be made to individual measurements to fit the shape of the deformed foot; orthopedic shoes are never mass produced;
- these shoes should be made mainly of hard leather, which can be reinforced with a metal or cork frame, giving the shoe rigidity to correct leg (foot) deformities;
- the upper of the shoe cannot consist entirely of straps or stripes;
- orthopedic shoes are designed to correct permanent or temporary deformities of the foot or to relieve pain when walking.
Mass-produced shoes, the inner insole of which has a curved shape that relieves pain from flat feet, are classified in accordance with the material of the upper and sole and the manufacturing method in group 64 of the Commodity Code of the Foreign Economic Activity of the Customs Union.

Source:
Order of the Federal Customs Service of Russia dated 01.03.2012 N 34-r
"On the classification of individual goods according to the Commodity Nomenclature of Foreign Economic Activity of the Customs Union"
(Registered with the Ministry of Justice of Russia on April 28, 2012 N 24001)

The IPR at the expense of the Social Insurance Fund includes TSR (including orthopedic shoes) ONLY for pathology leading to acute respiratory distress.
In other cases, it is possible to include TSR in the IPR (including orthopedic shoes), but in this case, in the “Executor” column it is indicated: “The disabled person himself” or “At the expense of the disabled person.”

On the possibility of including technical means of rehabilitation (TCP) in the individual rehabilitation program for a disabled person (IRP) at the expense of the Social Insurance Fund of the Russian Federation for concomitant pathologies, I inform you that in accordance with Article 11.1, the decision to provide disabled people with TCP is made based on the results of an examination at the medical bureau. social expertise:

“For medical reasons, it is established that it is necessary to provide a disabled person with technical means of rehabilitation that provide compensation or elimination of persistent limitations in the disabled person’s life.”

According to clause 1 of the “Procedure for the development and implementation of an individual rehabilitation program for a disabled person (disabled child)”, approved by , the development of IPR is carried out during a medical and social examination based on an assessment of the limitations in life activity caused by a persistent disorder of body functions and the rehabilitation potential.

Assessment of the nature and extent of impaired body functions and possible limitations in life activity is carried out using the “Classifications and criteria used in the implementation of medical and social examination of citizens by federal state institutions of medical and social examination” approved (Classification).

Determination of the degree of impaired functions, in accordance with clause 4 of the Classification, is carried out comprehensively, i.e. with an assessment of all their characterizing parameters.

Thus, TCPs are recommended for the purpose of compensating or eliminating persistent limitations in life activities caused by persistent disorders of body functions. In cases where, according to the results of a medical and social examination, dysfunctions of the body, including concomitant pathologies, do not lead to limitations in life, there are no grounds for establishing disability.

Consequently, there are no legal grounds for including TCP in the IPR for pathologies that do not lead to limitation of life activity.

To include orthopedic shoes in the IPR of a disabled person, it is necessary to attach to the Referral to MTU in form 0-88/u the conclusion of the medical-technical commission (MTC act), which is drawn up by orthopedic prosthetists of the medical departments of prosthetic and orthopedic enterprises.

A referral for a consultation to a prosthetic and orthopedic company to obtain this conclusion is usually issued to the patient by the OOLPP, which issues him a Referral to MTU in the form 0-88/y.
Less often, patients independently turn to prosthetic and orthopedic enterprises and receive there an MTC certificate stating their need for orthopedic shoes.
In both the first and second cases, in the Referral to MSE in form 0-88/y, the OOLPP must indicate the patient’s need to be provided with orthopedic shoes.

Medical indications for providing disabled people with orthopedic shoes:
Persistent moderate and severe disturbances of the static-dynamic function, leading to acute insufficiency in the category of independent movement (this is a mandatory condition) due to diseases, consequences of injuries, deformities of the feet: static insufficiency of the feet with pronounced anatomical manifestations; shortening of limb length over 30 mm; congenital and amputation foot defects; paralytic foot deformities; congenital deformities (equino-varus deformity (clubfoot), equinus (equine) foot, plano-valgus foot, etc.); residual deformities after foot injuries; ankylosis of the ankle joint; lymphostasis (elephantiasis) and acromegaly; use of fixation devices and splints, diabetic foot syndrome.

Orthopedic shoes do not fit into the IPR (and are not manufactured) for patients who have foot deformities, but suffer from severe concomitant diseases that exclude the possibility of walking in orthopedic shoes.

Absolute medical contraindications to providing disabled people with orthopedic shoes:
Extensive trophic ulcers of the foot, gangrene, widespread purulent processes in soft tissues, lack of weight-bearing ability of the lower limb due to extensive cicatricial changes in tissue prone to ulceration, in elderly people with severe general frailty and inability to move.
Allergic reactions to orthopedic product materials.

Orthopedic shoes are considered a means of rehabilitation, and if they are purchased with the own money of a disabled person or another person entitled to free rehabilitation means, he will be compensated. The compensation paid for shoes will depend on the actual cost of the pair of shoes and the established standards.

How much compensation is paid for shoes?

The amount of compensation payment for reimbursement of expenses for the purchase of orthopedic shoes will be determined by the Department of Social Protection of the Population based on the results of the last order placed (regardless of the time of manufacture of the shoes, the date of application for compensation, the time of purchase of shoes) for the provision of technical equipment. funds for the disabled and/or for holding a competition/auction/quotations. Information about these events can be obtained in the public domain on the Internet portal of the Russian Federation about the state. procurement

Where to go to receive compensation for shoes

You can receive orthopedic shoes twice a year. Compensation may be issued at similar frequencies.

An application for a compensation payment for the independent purchase of such rehabilitation equipment as orthopedic shoes must be submitted to the regional department of social protection of the population.

What documents are needed to receive compensation for shoes?

In order for an application for payment of compensation to be accepted, it is necessary to collect all the necessary documents before contacting the authorized body:

Document Where to get it
Russian passport GUVM MIA
Certificate of compulsory pension insurance (SNILS) Pension Fund
Individual rehabilitation program Bureau of Medical and Social Expertise
Conclusion of medical and social examination ITU Bureau
Document confirming payment for orthopedic shoes Place to buy shoes
Passport and power of attorney (if documents are submitted by an authorized representative) A disabled person can write a power of attorney himself, without having it certified by a notary
Child's birth certificate (if shoes are needed by a child under 14 years old) Civil registry offices

The purchased product must also have all documents proving the suitability of the shoes for use and the intended use of funds. For shoes you need to collect the following documents:

  • sales and cash receipt for shoes;
  • a photocopy of the certificate of quality conformity, a photocopy of the registration certificate for the product group.

Legislative acts on the topic

Common mistakes

Error: The term for using orthopedic shoes has not yet expired, but the disabled person requires a replacement pair of shoes.

A comment: If the period of use of the shoes has not expired, repairs must be made at a specialized institution. If the shoes cannot be repaired, you need to obtain a medical and technical examination report - then the shoes will be replaced ahead of schedule.

Error: The disabled person did not know which types of shoes were eligible for compensation.

How to get orthopedic shoes for free if such a need arises? First you need to visit an orthopedist, and then the Social Security Administration. This organization will provide a document stating that interested parties are entitled to benefits. It is with him that they go to the official orthopedic center to order the necessary shoes.

State law states that a child who needs corrective shoes is entitled to free orthopedic shoes. But few people are aware of this fact. Moreover, in order to receive for free in the Russian Federation what is supposed to be free of charge, the interested person should show an extraordinary mind, great patience and perseverance. Yes, and you can’t do without certain tips. But first, it would be nice to understand what corrective shoes are and what their features are.

Corrective shoes: who needs them and why?

The task of orthopedic shoes is to treat, correct and prevent disorders of posture, gait, and flat feet. It has a huge number of advantages over a regular pair of shoes or boots:

  • such shoes have a structure that helps correct progressive foot deformities;
  • its tailoring takes place taking into account all sanitary and hygienic standards and requirements;
  • It is possible to manufacture such products to order according to the child’s personal parameters, taking into account the testimony of the orthopedic doctor.

But the main advantage that orthopedic shoes for children have is preserving the health of children, because no medications or exercises will help so much in the correct formation of the foot, gait, and posture.

How to get free correction shoes?

The government decree states that a child under 16 years of age can count on receiving free corrective shoes in the amount of two pairs (summer and winter) once a year, and should also be provided with free orthopedic insoles (one pair every six months). For people with disabilities, this norm has been increased: they are required to be provided with 4 pairs of corrective shoes per year. But how is it issued?

To get orthopedic shoes, which, as the law says, is due to every child in need, you must first see an orthopedic doctor. The specialist will conduct an examination, check the condition of the feet and posture, and also send you for x-rays. If deviations are revealed during the examination, the doctor will write out a specific direction for the manufacture of corrective shoes and insoles.

Then you need to find out whether this particular child is eligible to be provided with corrective shoes for free. For this purpose, they visit the Department of Social Protection of the Population. It is there that the decision is made regarding the provision of preferential correctional shoes. Such a decision is made on the basis of certain documents indicating the preferential status of a person.

This could be documentation from the clinic indicating the diagnosis and doctor’s orders, confirming the preferential status of the paper (a document indicating the status of a mother of many children, confirming disability, pension certificate), as well as a civil passport. As a rule, free correction products are provided:

  • disabled people;
  • children who need foot correction;
  • large families (three or more children in a family);
  • socially vulnerable layers of citizens (with income below the established subsistence level).

After receiving a document from the Social Security Administration that a certain person is entitled to free corrective shoes, you can immediately go to an orthopedic shoe manufacturing point (salon, workshop). If there is a need to produce complex orthopedic shoes, then it is much easier to place an order at a factory for the production of corrective shoes. Wherever a person turns, it is natural that he needs to cooperate with an organization that has official status, which can easily issue the necessary papers (invoice, cash receipt).

As a rule, they should contain the name of the organization, its legal address, the type of services provided to the person, as well as their cost. It goes without saying that such a document must have the seal of the enterprise.

Important nuances

In any center for the production of orthopedic shoes chosen by a person, they are sewn according to the instructions of an orthopedic doctor. Such shoes are not given away for free, that is, you still need to pay for them yourself. But in the future, such persons are entitled to compensation from the Social Security Administration if they provide the above documentation.

There is also one more very important nuance: although the costs of corrective shoes are reimbursed, such compensation has a certain limit - this is the amount beyond which parents will not be reimbursed. So this detail should be taken into account when choosing the right product at the orthopedic center. But this, of course, is not a problem if parents are not embarrassed by the difference that they will need to pay extra from their own pockets. In addition, an important point is that free shoes are provided only to children with foot deformities. So you shouldn’t rely on this option if the child only needs to prevent flat feet.

It is possible that the procedure for obtaining free corrective shoes is somewhat different from the algorithm described above in a particular region, so it is recommended that you first clarify this issue with the Social Security Administration at your place of residence.

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