Do they give disability if. List of diseases, defects, irreversible morphological changes. Vision problems

The Russian government has made changes to the rules of medical and social examination (MSE) to determine cases when disability is established indefinitely at the initial application, and when disability can be established during an absentee examination. A list of diseases, conditions and disorders compiled for this purpose is published on the Cabinet of Ministers website.

The published annex to the rules for recognizing a disabled person contains lists of diseases, defects, irreversible morphological changes,
violations of the functions of organs and systems of the body, in which permanent disability is established 1) during the initial examination; 2) no later than two years after it; 3) during an examination in absentia, as well as indications and conditions for establishing the category of “disabled child” for a period of 5 years and until the age of 14 years.

“The innovations in the rules also concern the possibility of making changes to the individual program of rehabilitation or habilitation of a disabled person without revising the disability group or the period for which it is established,” the government said.

“Firstly, the list of diseases and changes that occur in the body has been expanded, where already during the initial examination it will be possible to establish disability indefinitely and even in absentia,” the Prime Minister of the Russian Federation said at a meeting with deputy prime ministers Dmitry Medvedev.

“And secondly, if it is necessary to examine people in serious condition, their residence in remote and hard-to-reach places will be taken into account. This also makes it possible to conduct an examination in absentia. There are some other changes as well."

“The resolution provides for the possibility of establishing disability indefinitely for a whole list of diseases,” explained Deputy Prime Minister Olga Golodets. — This list includes for the first time all chromosomal abnormalities, including Down syndrome, liver cirrhosis, blindness, deafness, and cerebral palsy.

The procedure for establishing disability has been simplified for such types of diseases as scoliosis, malformations of the maxillofacial region, autism and a number of diseases that, unfortunately, children are now increasingly suffering from: diabetes mellitus and a number of other diseases.”

“This resolution concerns almost all disabled people, that’s 12 million people, of which 651 thousand are children,” the Deputy Prime Minister recalled.

“Based on the adjusted list, ITU specialists will be able to establish disability already during the initial examination without specifying the period for re-examination, in absentia or the category of “disabled child” before the citizen reaches the age of 18. Thus, the possibility of determining the period for establishing disability at the discretion of an ITU specialist will be excluded,” said the Cabinet of Ministers experts.

“A list of goals for conducting ITU has been defined that can be indicated in an application for its conduct. The introduction of this norm will give a citizen the right to contact the ITU bureau independently when, for various reasons, he does not have a referral to an ITU, as well as to resolve a specific issue without mandatory re-examination, including to make changes to the individual program of rehabilitation or habilitation of a disabled person.” , noted the developers of the new rules.

If necessary, the Ministry of Labor is ready to finalize and clarify the list of diseases, reported ONF expert on disability issues, participant in the preparation of the draft amendments Alexander Lysenko.

See: Decree of the Government of the Russian Federation of March 29, 2018 No. 339 “On amendments to the Rules for recognizing a person as disabled” with an appendix including a list of diseases

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Many people wonder what diseases give disability.

After all, it is this status that allows you to receive cash benefits in social protection, as well as other benefits and assistance from the state.

How to get disability

A disabled person can confirm his status by providing medical documentation of the examination performed (MSE).

A package of documents is drawn up at the medical institution where the client is observed.

You can get a referral from the social security authorities. If the status is issued by a pensioner, then the application is made through the Pension Fund of Russia.

ITU designates the classification of all diseases and compiles a list of those who are entitled to preferential benefits. Those who have mental disorders or heart disease can purchase and confirm their status.

There are quite a lot of reasons for establishing this; clarification can be carried out in an authorized organization.

List of diseases for which disability is given

All cases on the basis of which the status is established must be remembered. The appointment is subject to diagnosis and conditions. In many situations, lifelong disability is assigned, especially for diseases related to neurology.

1 group

These include the following diseases:

dementia, which becomes a consequence of epileptic seizures and schizophrenia;
amputation of more than 4 fingers and mental retardation;
amputation of a leg above one third of the thigh;
the presence of kidney diseases that cause chronic failure;
disease of both eyes;
cancer with metastases;
autonomic disorder due to stroke;
disorders in the central nervous system;
paralysis.

2 groups

The second disability group includes the following diseases:

for disorders in the speech system - for example, stuttering;
sensory impairment;
damage to the circulatory system;
psychical deviations.

3 groups

The third disability group includes the following diseases:

all diseases associated with internal organs;
in case of a violation of the nervous component;
disease of the bone or muscle tract;
diseases of the ears and breathing.

Disability after a heart attack or stroke

The status is assigned based on a medical report.

In practice, citizens are given the third treatment group if there are no complications.

Wherein This status must be confirmed annually.

Lifetime registration is carried out only for those who are close in age to pension provision.

Disabled persons of the Ministry of Internal Affairs

Establishment of status is carried out in accordance with the general procedure. The main difference here is the regulatory legal framework.

Current laws define a military injury as an injury that occurs in the performance of one's work obligations. Or an injury received while performing work.

Permanent form of disability

Indefinite status is issued for the following diseases:

cancer that has already metastasized;
inoperable benign brain tumors;
visual impairment - complete blindness that cannot be treated with medical intervention;
complete deafness;
amputation of the shoulder or hip joint - all defects of different limbs.

Is disability granted after gallbladder removal?

Removing the gallbladder is just sick leave for a significant period of time.

There can be no talk of any assignment of status.

However, if there are complications that led to the underlying diseases mentioned earlier, then everything is considered on an individual basis.

Childhood disability - list of diseases

Child status is issued in the presence of diseases:

internal organ;
heart attack, heart disease;
diabetes mellitus and consequences of surgical interventions;
cirrhosis, deafness or dementia;
paralysis or impaired blood circulation;
in case of disruption of the central nervous system.

Temporary disability after injury

Temporary status is issued only if there are complications that do not allow you to care for yourself.

It is carried out only after agreement with the medical commission and after an expert opinion.

Is there any disability for anemia?

Anemia allows you to obtain the status after passing a medical examination. The right to purchase is determined in Russia by changes in the disease trend.

For what diseases of the spine is a disability group given?

It is worth noting that the reason for which disability may be considered may be eye diseases, obesity and osteochondrosis.

By age, you can get status for the following diseases:

Bekhterev's disease;
spondylolisthesis;
fracture of the presented bone;
tumors and hernias;
scoliosis and arthritis.

Rules for obtaining disability

To register, you will need to visit social security with a conclusion from the medical board. Then the Pension Fund, where to submit an application indicating the account for payments.

Conclusion

You can only obtain the right to pass a medical examination to identify the disease. After this, you need to contact social security and the Pension Fund, providing an application and a complete package of documentation.

Disability has never brought joy.

But no matter what, you need to know in what cases it can be appropriated? When can I get 1 group?

When is it granted indefinitely? What is the procedure for issuing all certificates? What legal provisions govern this issue?

Legislative regulation of the issue

Thus, this issue is regulated:

Order of the Ministry of Health and Social Development dated December 23, 2009, which clearly indicates the types of diseases that give the right to be assigned a disability group;
Decree of the Government of the Russian Federation No. 247, which regulates the issue of assigning an indefinite disability group (in what period, on what grounds it can be granted), and also in this act a list of certain diseases is indicated;
Federal Law No. 181, which regulates the issue of the very categories of citizens who can receive any disability group.

The list is not final, however, it describes all the necessary conditions for obtaining the first or another group of incapacity.

List of diseases

The lists of all diseases for which one can qualify for the first group of incapacity are divided on subcategory:

The first disability group is established according to Order of the Ministry of Labor No. 664n according to certain criteria. In particular, it is necessary to have a deviation from the norm of a healthy person by 90-100%.

According to the terms of the current legislation, the first group may appoint, if present:

serious changes in the applicant’s life activity that arose due to the presence of a disease or;
lack of opportunity for personal self-care in full;
there is an urgent need to apply social protection measures.

The full list of diseases is indicated in the Order of the Ministry of Health and Social Development dated December 23, 2009.

In particular, you can receive 1 disability group in the presence of:

In this case, it is necessary to pass the ITU commission every 2 years.

Indefinite registration

It is known that in the presence of one or another disability group, it is necessary to periodically undergo a recommission and confirm the presence of the disease.

However, there are certain situations that allow you to receive a group indefinitely.

In particular, we are talking about about such situations if disabled:

reached retirement age;
is of retirement age, and for the previous 5 years he has confirmed the presence of the disease;
belongs to the WWII category;
He received his disease during the Second World War while defending his state.
the recommission is scheduled for the period when the disabled person reaches retirement age;
disability has been confirmed for 15 years;

There is also a list of the diseases themselves that relate to the above conditions.

So, the first group can be assigned indefinitely for such diseases:

the presence of a malignant tumor in any form and in various places;
the presence of a benign tumor in the cerebral cortex. However, it cannot be cured;
the presence of a disease of the central nervous system (CNS), which was the result of a violation of motor skills and the functioning of the sensory organs;
lack of vision or hearing in full;
acute diseases of the nervous system;
the presence of mechanical damage in the cerebral cortex or directly in the skull itself;
limb amputation.

Registration procedure

All registration process disability is as follows:

Need to get directions.
Collect the necessary list of documents.
Go through and confirm the existence of grounds for receiving 1st group of disability.

Get directions on commission you can:

If we talk about the necessary list of documents, then it is as follows:

the application is drawn up by the applicant himself. If he cannot do this due to his illness, it is drawn up by a legal representative (for example, a spouse);
original passport, as well as copies of all completed pages;
medical reports that confirm the presence of the disease, treatment methods and a description of the result that was achieved.

If the citizen was officially employed before the onset of the disease, additionally provided:

original and copy of work book;
certificate of average salary;
act on the occurrence of an industrial injury - if the disease arose as a result of work activity.

Based on the information provided and a personal examination of the patient, the commission makes a decision on assigning disability or refusal.

About changes in the rules for conducting ITU, see the following video:

Persistent dysfunction of the body may become the basis for assigning a special status. Within the framework of this article, we will stipulate the conditions and rules for assigning it indefinitely. We will also determine the list of diseases for obtaining disability, and consider situations when indefinite status can be canceled in 2019.

General concepts

Disability is a status that gives its owner the right to benefits, concessions and pension payments. It can be prescribed only by decision of the MSEC, in the presence of injuries, diseases, or persistent disorders of the body. At the stage of appropriation, factors such as the ability to navigate and move, the ability to work and study are taken into account.

Order of the Ministry of Labor No. 1024 establishes the criteria by which membership in a preferential, socially unprotected group is determined.

At the legislative level, there is a list of diseases that give the right to disability. A new list - an updated set of ailments is contained in Order No. 1024n as amended on July 5, 2016. The reasons for which it is assigned indefinitely will be discussed later. So, the diseases that, as of 2019, are taken into account on the MSEC:

sarcodia;
hypertension;
ischemia of the heart muscle;
implantation;
cholecystitis;
pyelonephritis;
enteritis;
renal failure;
hepatitis and chronic pancreatitis;
absence of a kidney;
urolithiasis disease;
anemia of various origins;
tissue/organ transplantation;
agranulocytosis;
pathological blood clotting;
hemophilia;
lupus erythematosus;
contusion and head injuries;
migraine;
Parkinson's disease;
spinal injuries;
Asperger's syndrome;
mental retardation;
deaf-blindness;
scotomas;
narrowing of visual fields;
tracheostomy;
diabetes;
adrenal disease;
pyoderma;
gopoparateriosis;
eczema;
spinal injuries;
malignant tumors;
pathologies and absence of limbs;
leukemia;
dwarfism;
leukemia

The list of diseases is not exhaustive. Only the most common ailments were included in the list. In addition, the commission may take into account other persistent violations and deviations that are not confirmed by the order of the ministry and that interfere with the normal life of the applicant.

First group

Let's consider the criteria for establishing and the list of diseases for obtaining permanent disability. List of diseases that give the first, often permanent, disability:

Paralysis of motor organs.
Deafness.
Blindness.
Blind deafness.
Complex, irreversible nervous disorders.
Deformation of limbs, their absence.
Insurmountable dysfunction of internal systems.

On a note! A disabled person of the first category is an applicant who cannot do without the help of third parties. There is a violation of his ability to work and the ability to provide for himself independently.

Second category

To establish, all diseases from the above list are taken into account. But here the commission focuses on the severity of the illness, the degree of negative consequences for the citizen. Belonging to this category is determined by the following factors:

opportunity to study/work below 80%;
the need for constant medical support;
no chance of quick rehabilitation.

Attention! A disabled person of the second category is exempt from compulsory employment. The state pays his maintenance.

List of diseases to obtain the second group:

loss of hearing and vision up to 80% and below;
persistent dysfunction of individual organs and systems;
renal, heart failure;
progressive paralysis;
persistent psychological disorders;
disturbances in the functioning of the kidneys, stomach, intestines;
physical abnormalities.

In the standard case, a disabled person is assigned an annual medical examination. In its course, the very status and belonging to one or another group is confirmed. If during treatment or rehabilitation the patient’s condition has improved, another group may be assigned. If functions are restored during the recovery period, the status is removed.

Third group

Considered the easiest. It is assigned to applicants in the event of a violation of a vital function, and not in conditions of its absence. For example, there are vision problems, but the applicant can see, read, process material, but his function of perceiving the external environment is slightly reduced; this is the third group.

List of diseases for third group disability in 2019:

instability of the motor system, given bone paralysis;
malignant tumor at the initial stage of development;
complex form of diabetes;
defects of the skull, jaw, facial region;
complete blindness of one eye;
visual impairment;
deafness;
amputation of fingers, hands, limbs;
implants in the cardiac region;
absence of one of the paired organs, including kidneys/lungs.

On a note! All diseases that determine membership in the third group, but are expressed in a more severe form, are the basis for assigning the first or second category.

Child disability in 2019

If the health condition of a minor prevents him from growing and developing, studying and playing sports, or interacting with society, then he may be referred for a medical and social examination. He will either be assigned a status and given an IPR, or given recommendations for treatment and recovery.

Diseases that in 2019 may become the basis for assigning a minor to a preferential category:

mental retardation;
mental retardation;
delay in physical growth and development;
impairment of visual and auditory function;
disruptions in the functioning of the endocrine system;
motor dysfunction;
dysfunction of metabolic processes;
an external manifestation of deformity that cannot be corrected.

Attention! If there are irreversible consequences in the body, a minor citizen may be determined to have permanent disability, without the need for an annual examination.

When disability is established for a year and indefinitely

In a standard situation, special status is assigned for a period of one year. An annual commission is appointed to check:

whether membership in a particular group has been preserved;
whether the grounds for special status remain.

If during rehabilitation the patient regains health and improves it, then the disability can be canceled or assigned a lighter category.

On a note! Children are a special category who, in the presence of deviations, defects, and persistent impairments, receive the status of “disabled child.” It remains with them until they reach adulthood. Before this period, they are not required to undergo any examination; they will be able to take it in absentia.

Standard order:

Contact your doctor for examination, identification and confirmation of the disease.
Receiving a referral to a commission.
Collection of documentation.
Contact the MSEC Bureau with a corresponding application.
Passing the inspection.
Obtaining a certificate/refusal confirming your special status.
Appealing the commission's decision to higher authorities if the refusal is unlawful.
Passing the examination a year later according to the same scheme.

But the law also provides for rules for establishing permanent and absentee disability. The first case provides for lifelong assignment of preferential status to the applicant. The second option is the possibility of confirming disability without a personal visit to the authorized body.

Permanent disability

The law allows the definition of permanent disability in 2019. This is done based on the presence of a new expanded list of diseases. But the deviation itself, the dysfunction, is not enough to obtain lifelong status. Additional circumstances are required

An indefinite disability group is established in the following cases:

The patient experiences irreversible consequences.
The diagnosis and group have been confirmed for more than 10 years in a row.
There are persistent diseases or disorders that provide grounds for lifelong status:

amputation of limbs and other vital joints;
dementia;
degenerative irreversible conditions of the main brain;
deformation of the limbs without the possibility of correction;
chromosomal pathologies, including Down syndrome;
pathologies of a progressive type;
cerebral paralysis;
cirrhosis of the liver;
complete blindness;
deafness;
schizophrenia.

The regulation of the new sample rules allows you to immediately assign lifelong status. It is determined by who will be diagnosed with a disease at the first MSEC, which gives the right to permanent disability. Until 2018, it was necessary to undergo at least two examinations. The same regulations also allow for absentee examination.

Sometimes a lot of events happen in a person's life that can affect their health. Diseases can be of various types; some, after being on sick leave, can be cured with medication and go back to work, but because of other ailments, you have to register for disability and forget about working for several years or for the rest of your life.

Thus, according to the list, upon initial application, permanent disability for adults or children under 18 years of age will be established in the presence of the following diseases and conditions:

Chronic kidney disease stage V in the presence of contraindications to kidney transplantation.
Liver cirrhosis with hepatosplenomegaly and grade III portal hypertension.
Congenital incomplete (imperfect) osteogenesis.
Hereditary metabolic disorders, uncompensated by pathogenetic treatment, having a progressive severe course, leading to pronounced and significantly impaired body functions (cystic fibrosis, severe forms of acidemia or aciduria, glutaric aciduria, galactosemia, leucinosis, Fabry disease, Gaucher disease, Niemann-Pick disease, mucopolysaccharidosis , cofactor form of phenylketonuria in children (phenylketonuria types II and III) and others).
Hereditary metabolic disorders that have a progressive, severe course, leading to pronounced and significantly impaired body functions (Tay-Sachs disease, Krabbe disease and others).
Juvenile arthritis with severe and significant disturbances of skeletal and movement-related (static-dynamic) functions, the blood system and the immune system.
Systemic lupus erythematosus, a severe course with a high degree of activity, rapid progression, a tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without the effect of treatment using modern methods.
Systemic sclerosis: diffuse form, severe course with a high degree of activity, rapid progression, tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without effect from treatment using modern methods.
Dermatopolymyositis: severe course with a high degree of activity, rapid progression, tendency to generalization and involvement of internal organs in the process with persistent, significant impairment of body functions, without the effect of treatment using modern methods.
Individual disorders involving the immune mechanism with a severe course, recurrent infections and oslonia, severe syndromes of immune dysregulation, requiring constant (lifelong) replacement and (or) immunomodulatory therapy.
Congenital epidermolysis bullosa, severe form.
Congenital defects of various organs and systems of the child’s body, for which only palliative correction of the defect is possible.
Congenital anomalies of the development of the spine and spinal cord, leading to persistent, pronounced and significantly impaired neuromuscular, skeletal and movement-related (static-dynamic) functions and (or) dysfunction of the pelvic organs, when surgical treatment is impossible or ineffective.
Congenital anomalies (defects), deformations, chromosomal and genetic diseases (syndromes) with a progressive course or unfavorable prognosis, leading to persistent, pronounced and significantly impaired body functions, including mental dysfunction to the level of moderate, severe and profound mental retardation. Complete trisomy 21 (Down syndrome) in children, as well as other autosomal numerical and unbalanced structural chromosomal abnormalities.
Schizophrenia (various forms), including the childhood form of schizophrenia, leading to severe and significantly impaired mental functions.
Epilepsy is idiopathic, symptomatic, leading to severe and significantly impaired mental functions and (or) resistant attacks to therapy.
Organic diseases of the brain of various origins, leading to persistent, pronounced and significantly impaired mental, linguistic and speech functions.
Cerebral palsy with persistent severe and significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions. Age and social skills are lacking.
Pathological conditions of the body caused by blood clotting disorders (hypoprothrombinemia, hereditary deficiency of factor VII (stable), Stewart-Prower syndrome, von Willebrand disease, hereditary deficiency of factor IX, hereditary deficiency of factor VIII, hereditary deficiency of factor XI with persistent severe, significantly impaired blood function and/or immune system).
HIV infection, stage of secondary diseases (stage 4B, 4B), terminal 5th stage.
Hereditary progressive neuromuscular diseases (pseudohypertrophic Duchenne muscular dystrophy, Werdnig-Hoffmann spinal amyotrophy) and other forms of hereditary rapidly progressive neuromuscular diseases.
Complete blindness in both eyes if treatment is ineffective; a decrease in visual acuity in both eyes and in the better-seeing eye up to 0.04 with correction or a concentric narrowing of the visual field in both eyes up to 10 degrees as a result of persistent and irreversible changes.
Complete deaf-blindness.
Bilateral sensorineural hearing loss of III-IV degree, deafness.
Congenital arthrogryposis multiplex.
Paired amputation of the hip joint area.
Ankylosing spondylitis with persistent, significant impairment of body functions.

A list of diseases and conditions for which disability can be established during an absentee examination is also presented - it contains 14 points.

Diseases of the respiratory system with significant impairment of the functions of the respiratory system, characterized by a severe course with chronic respiratory failure of the third degree; chronic pulmonary heart failure stage IIB, III.
Diseases of the circulatory system with significant impairment of the functions of the cardiovascular system: angina pectoris of functional class IV - severe, significantly pronounced degree of impairment of coronary circulation (occurring in combination with chronic heart failure up to stage III inclusive).
Diseases characterized by high blood pressure with severe complications from the central nervous system (with persistent severe disturbances of neuromuscular, skeletal and movement-related (statodynamic) functions, language and speech, sensory (vision) functions, dysfunctions of the cardiovascular system (accompanied by insufficiency blood circulation IIB -III degree and coronary insufficiency of III-IV functional class), with chronic renal failure (chronic kidney disease stages 2-3).
Diseases of the nervous system with a chronic progressive course, including neurodegenerative diseases of the brain (parkinsonism plus), with persistent severe impairments of neuromuscular, skeletal and movement-related (static-dynamic) functions, language and speech, sensory (vision) functions.
Extrapyramidal and other movement disorders with persistent significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, language and speech functions.
Cerebrovascular diseases with persistent significant impairment of neuromuscular, skeletal and movement-related (static-dynamic) functions, mental, sensory (vision), language and speech functions.
Diabetes mellitus with significant multiple dysfunctions of organs and systems of the body (with chronic arterial insufficiency of stage IV in both lower extremities with the development of gangrene with the need for high amputation of both extremities and the impossibility of restoring blood flow and performing prosthetics).
Unremovable fecal and urinary fistulas, stomas - with ileostomy, colostomy, artificial anus, artificial urinary tract.
Malignant neoplasms (with metastases and relapses after radical treatment; metastases without an identified primary focus when treatment is ineffective; severe general condition after palliative treatment; disease incurability).
Malignant neoplasms of lymphoid, hematopoietic and related tissues with severe symptoms of intoxication and severe general condition.
Inoperable benign neoplasms of the brain and spinal cord with persistent pronounced and significantly severe impairments of neuromuscular, skeletal and movement-related (statodynamic) functions, mental, sensory (vision), language and speech functions, severe liquorodynamic disorders.
Congenital epidermolysis bullosa, generalized moderate-severe, severe forms (simple epidermolysis bullosa, borderline epidermolysis bullosa, dystrophic epidermolysis bullosa, Kindler syndrome).
Severe forms of psoriasis with persistent, significant impairment of body functions, not controlled by immunosuppressive drugs.
Congenital forms of ichthyosis and ichthyosis-associated syndromes with pronounced, significantly impaired function of the skin and related systems.

In April 2019, the Government of the Russian Federation adopted a list of diseases confirming this diagnosis and made amendments to the rehabilitation program. It is very difficult to compile a complete list of diseases that give the right to incapacity, everything is individual. Disability is assigned indefinitely, in absentia and upon reaching adulthood. Amendments for 2019-2019 included new deviations in the functioning of the body, Down syndrome, schizophrenia, liver disease, blindness, deafness, and cerebral palsy. In total, there are 58 ailments on the list.

A disabled citizen is unable to work fully due to the fact that there are disorders in the body. Diseases for registration of exemption in 2019-2019 are established by a special board; it carefully studies the status of the patient and his social status, as well as statements from the attending physician at the place of registration. A referral to the commission must also be obtained from the attending physician, and all necessary extracts and opinions from specialists must be completed. A medical and social expert commission studies all the information on each specific case and, by voting, issues a conclusion on the person’s registration. If the data is insufficient, additional examinations are ordered; if a person applying for disabled status refuses to undergo them, the commission makes a verdict based on the available facts.

Disability in 2019-2019 is divided into group 1 (for up to two years), groups 2 and 3 (for a year), childhood disability is usually established before adulthood or up to two years, depending on the degree of the disease. In cases where the patient cannot attend the commission in person, it goes to the home.

After the commission assigns the right to receive disability due to a problem of the body, the patient or his guardian will be issued a document of the established form that has full legal force. With the received certificate, the patient or legal representative must appear at the territorial Department of Social Protection at their place of residence and apply for subsidies.