janmrTelobis individualuri dazRvevis programa

polisi medi standarti

1.1. mzRveveli - ss “sadazRvevo kompa-nia ji pi ai holdingi”.

1.2. damzRvevi - fizikuri an iuridi-uli piri, romelic ixdis sadazRvevo Senatans dazRveulis sasargeblod.

1.3. dazRveuli - fizikuri piri, vis sasargeblodac xorcieldeba daz-Rveva.

1.3.1. dazRvevas ar eqvemdebarebian dazRvevis momentSi hospitalur mkurnalobaze myofi pirebi, mwoliare avadmyofebi, pirebi, romelTac ar SeuZliaT damoukidebeli gada-adgileba an/da sWirdebaT damxmare yoveldRiuri sayofacxovrebo aqti-vobis Sesasruleblad, fsiqiurad daavadebulebi.

1.4. xelSekrulebis sagani - winamde-bare xelSekruleba iTvaliswinebs mzRvevelis valdebulebas gauwios dazRveuls misi qonebrivi da finans-uri interesis dasacavad, damzRvevis mier sadazRvevo premiis srulad an premiis pirveli Senatanis gadaxdi-sa da xelSekrulebaSi SeTanxmebuli gadaxdis grafikis dacvis sanacvlod sadazRvevo momsaxureba, winamde-bare xelSekrulebiT gaTvalis-winebuli pirobebiTa da wesiT.

1.5. sadazRvevo xelSekruleba/polisi - mzRvevelis mier gacemuli xelmowerili sabuTi - mowmoba daz-Rvevis xelSekrulebis Sesaxeb.

1.6. sadazRvevo baraTi - sadazRvevo pirobebiT gaTvaliswinebul momsax-

urebaTa CamonaTvali, dafarva, limiti (romelsac flobs dazRveuli).

1.7. sadazRvevo premia (Senatani) - damzRvevis mier dazRveulis sa-sargeblod gadasaxdeli sadazRvevo polisis wliuri Rirebuleba, ro-melsac damzRvevi uxdis mzRvevels polisSi miTiTebuli momsaxurebis gawevis sanacvlod.

1.8. sadazRvevo periodi - polisSi miTiTebuli periodi, romlis ganmav-lobaSic sadazRvevo polisi moqme-dia. mzRvevelis mier anazRaurdeba am periodSi momxdari sadazRvevo SemTxvevebi mxolod sadazRvevo pe-riodis amowurvamde.

1.9. limiti - sadazRvevo polisSi mi-TiTebuli konkretuli momsaxurebis anazRaurebis maqsimaluri wliuri limiti, romlis farglebSic mzRvev-eli iRebs valdebulebas aunazRau-ros dazRveuls samedicino momsax-urebis xarjebi.

1.10. sadazRvevo SemTxveva - winamde-bare polisiT gansazRvruli SemTxve-vebi, romelTa dadgomisas warmoiSve-ba mzRvevelis valdebuleba, gasces sadazRvevo anazRaureba am polisis pirobebis Sesabamisad.

1.11. sadazRvevo anazRaureba - sa-dazRvevo SemTxvevis dadgomisas mzRvevelis mier winamdebare polisis pirobebis Sesabamisad mosargeblis-Tvis gadasaxdeli Tanxa.

1

1. zogadi ganmartebebi

1.12. mocdis periodi - periodi, romelic aiTvleba sadazRvevo pe-riodis dasawyisidan da romlis gan-mavlobaSic dazRveuls mzRvevelis mier ar aunazRaurdeba konkretuli samedicino momsaxurebis xarjebi.

1.13. dafarva - sadazRvevo polisSi miTiTebuli procentuli wili, rom-lis farglebSic mzRveveli iRebs valdebulebas aunazRauros daz-Rveuls samedicino momsaxurebis xarjebi.

1.14. Tanagadaxda - samedicino mom-saxurebis mTliani Rirebulebis dazRveulis mier gadasaxdeli nawili.

1.15. samedicino kontraqtori - sa-medicino dawesebuleba da Sesabami-si samedicino saqmianobis licenziis mqone piri (eqimi/specialisti), rome-lic mzRvevelTan gaformebuli xel-Sekrulebisa da mis mier gacemuli mimarTvis safuZvelze dazRveulebs gauwevs Sesabamis samedicino dax-marebas da romelTanac mzRveveli axorcielebs pirdapir angariSswo-rebas sadazRvevo polisiT gansaz-Rvruli momsaxurebisa da pirobebis mixedviT. kontaqtori klinikebis CamonaTvali ix. kompaniis veb-gverdze: www.gpih.ge

1.16. mosargeble - dazRveuli, sa-medicino dawesebuleba an nebis-mieri fizikuri an iuridiuli piri, romelic saqarTveloSi moqmedi kanonmdeblobis da winamdebare xel-Sekrulebis Sesabamisad uflebamosi-lia miiRos sadazRvevo anazRaureba.

1.17. geografiuli limiti - daz-Rvevis moqmedebis geografiuli are-ali. winamdebare dazRveva moqmedebs mxolod saqarTvelos teritoriaze.

1.18. uwyveti ganaxleba - xelSek-rulebis/polisis ganaxleba, rode-sac axali polisis sadazRvevo peri-odis pirveli dRe uSualod mosdevs vadagasuli polisiT gansazRvruli sadazRvevo periodis bolo dRes.

1.19. sawol/dRe - hospitaluri (sta-cionaruli) tipis samedicino dawe-sebulebaSi miRebuli samedicino momsaxureba pacientis RamisTeviT dayovnebisas.

1.20. palata:

1.20.1. standartuli palata - palata, romlis materialur-teqnikuri aRWurva srulad uzrunvelyofs sa-medicino servisis sruli moculo-biT miwodebas.

1.20.2. arastandartuli palata - individualuri komfortis mizniT gaujobesebuli palata.

1.20.3. reanimaciuli palata - palata, romlis materialur-teqnikuri aR-Wurva srulad uzrunvelyofs re-animaciuli RonisZiebebis sruli moculobiT miwodebas.

2.1. 24 saaTiani satelefono konsul-tacia - iTvaliswinebs mimdinare sa-medicino dazRvevasTan dakavSirebul sadReRamiso satelefono konsul-tacias, problematuri sakiTxebis mogvarebas, samedicino momsaxurebis organizeba-koordinacias.

2.2. saswrafo samedicino daxmareba - iTvaliswinebs sicocxlisTvis saSiSi, gadaudebeli mdgomareobis dros samedicino CvenebiT gadaudebeli samedicino daxmarebis brigadis ga-moZaxebis, adgilze samedicino mom-saxurebis, saWiroebis SemTxvevaSi dazRveulis vitaluri funqciebis SenarCunebis mizniT SemTxvevis adgi-lidan samedicino dawesebulebaSi transportirebis Rirebulebis anaz-Raurebas, baraTis Sesabamisad.

2.3. piradi eqimis momsaxureba - iTvaliswinebs polisiT gansazRvrul samedicino dawesebulebaSi mzRve-velis mier miTiTebuli eqimis (zogadi profilis eqimi/Terapevti) konsultacias, dazRveulis janmrTe-lobaze mudmiv meTvalyureobas da asakobriv saskriningo kvlevebis dagegmvas, samedicino rekomenda-ciebiT uzrunvelyofas, samedicino istoriis warmoebas, saWiroebis SemTxvevaSi laboratoriuli da instrumentul gamokvlevebis, aseve sxvadasxva profilis specialistebTan mimarTvebiT uzrunvelyofas, kon-sultaciebis dagegmva-organizebas, saWiroebis SemTxvevaSi medikamenturi mkurnalobis daniSvnas.

2.4. profilaqtikuri kvlevebi - iTvaliswinebs dazRvevis moqmedebis periodSi profilaqtikur da piradi eqimis mier SerCeul asakis Sesabamis sakriningo kvlevebs hipertonuli daavadebis, gul-sisxlZarRvTa daa-vadebebisa da Saqriani diabetisaTvis - weliwadSi erTxel, Semdegi saxe-obebiT: sisxlis saerTo analizi, Sardis saerTo analizi, saerTo qolesterinis gansazRvra sisxlSi, eleqtrokardiografia, glukozis gansazRvra periferiul sisxlSi.

2.5. hospitaluri momsaxureba: mkurnaloba, romlis drosac pacienti stacionaruli tipis samedicino dawe-sebulebaSi ikavebs sawols RamisTeviT.

2.5.1. gadaudebeli hospitaluri momsaxureba - iTvaliswinebs daz-Rveulis janmrTelobis mdgomareo-bis gauaresebasTan dakavSirebuli im aucilebeli samedicino RonisZie-bebis (medikamentebi, diagnostikuri manipulaciebi, Terapiuli da qirur-giuli mkurnaloba) xarjebis anaz-Raurebas, romelTa 24 saaTze meti gadavadebis pirobebSi gardauvalia dazRveulis sikvdili, dainvalideba an janmrTelobis mdgomareobis mniSvnelovani gauareseba da romle-bic dazRveuls gaeweva samedicino dawesebulebaSi ise, rom pacienti ikavebs sawols samedicino dawese-bulebaSi erTi sawol/dRe da meti xniT.anazRaurebas eqvemdebareba mimdi-nare sadazRvevo periodis ganmav-

2. polisiT gaTvaliswinebuli sadazRvevo momsaxurebebis ganmartebebi:

lobaSi janmrTelobis gauarese-basTan dakavSirebuli gadaudebeli hospitaluri momsaxurebis xarjebi winamdebare dazRvevis polisSi gansazRvruli gadaudebeli SemTxve-vebis pozitiuri siis Sesabamisad. agreTve, anazRaurdeba infeqciuri marTvis programis farglebSi 18 wlamde asakis pirTaTvis anda saqar-Tvelos mTavrobis 2013 wlis 21 Tebervlis #36 dadgenilebiT gan-sazRvruli gadaudebeli samedicino momsaxurebis da saqarTvelos mTav-robis 2013 wlis 31 oqtombris 279 dadgenilebiT “2013 wlis janmrTe-lobis dacvis saxelmwifo programe-bis damtkicebis Sesaxeb“ gaTvalis-winebuli “infeqciuri daavadebebis marTvis“ programiT gansazRvruli SemTxvevebi.

2.5.1.1. gadaudebeli hospitaluri momsaxureba CamonaTvali (pozi-tiuri sia):

2.5.1.1.1. alergologiaJ45 asTma (SetevaTa stadia). alergia anafilaqsiuri mdgomareobisa da xor-xis SeSepebis ganviTarebis tendenciiT.L50 urtikaria.T78.1 sakvebis mavne reaqciebi (kvebiTi alergia).T78.3 angionevrozuli SeSupeba.T78.4 alergia, dauzustebeli (alergia mweris nakbenze).T88.7 paTologiuri reaqcia samkur-nalwamlo saSualebaze, an medika-mentze dauzustebeli (wamlismieri) alergia. T80.6 Sratismieri daavadeba

2.5.1.1.2. angiologia, operaciebi zo-gadi gautkivarebiTa da intensiuri TerapiiTI26 filtvis arteriis (venis) infarqti, Tromboembolia, Trombozi. I74 arteriebis embolia da Trombozi. I71.3 muclis aortis anevrizma, gamsk-dari.

I71.5 Torakoabdominuri aortis anev-rizma gaskdomiT.I72 anevrizmebis sxva formebi (ga-mskdari)

2.5.1.1.3. gastroenterologiaK72.0 RviZlis mwvave da qvemwvave ukmarisoba (RviZlismieri encefalo-paTia)K61.2 anoreqtuli abscesi

2.5.1.1.4. ginekologiaO00 saSvilosnos gare orsuloba

2.5.1.1.5. endokrinologiaE27.2 adisonuri kriziE05.5 Tireoiduli krizi an SetevaE10.1 insulindamokidebuli Saqriani diabeti, ketoacidoziT.E11.1 insulindamoukidebeli Saqri-ani diabeti, ketoacidoziTE03.5 miqsedemuri koma

2.5.1.1.6. kardiologia (qirurgiuli da invaziuri Carevis gareSe)I21 miokardiumis mwvave infarqti I20.0 arastabiluri stenokardiaI50.1 marcxena parkuWovani ukmari-soba, mwvave I50.9 gulis mwvave ukmarisoba I47 paroqsizmuli taqikardiaI48 winagulebis fibrilacia da TrTolva

2.5.1.1.7. nevrologiaa) cns-is anTebiTi avadmyofobebi/epizoduri da paroqsizmuli dar-Rvevebi/polineiropaTiebi:G61 anTebiTi polineiropaTia G04 encefaliti, mieliti da ence-falomielitiG45 gardamavali cerebruli iSemiu-ri Setevebi da masTan dakavSirebuli sindrom.G46 Tavis tvinis sisxlZarRvovani sindromebi cerebrovaskuluri daa-vadebebis drosb) epilefsia/nerv-kunTovani avad-myofobebi/nervuli sistemis sxva dazianebebi:

G70 Myasthenia gravis (mZime miasTe-nia) da sxva nervkunTovani daziane-baniG40 epilefsia (seriuli gulyrebi)G93.2 keTilTvisebiani qalaSida hiper-tenzia

2.5.1.1.8. neiroqirurgia operaciuli mkurnaloba/intensiuri Terapia:S 06.4 epiduruli sisxlCaqcevaI61 intracerebruli sisxlCaqcevaG93.5 Tavis tvinis kompresiaG93.6 cerebruli SeSupebaG91 hidrocefalia

2.5.1.1.9. nefrologiaN17 Tirkmlis mwvave ukmarisobaN00 mwvave nefrituli sindromiN10 mwvave tubulo-intersticiuli nefriti (mwvave pielonefriti)

2.5.1.1.10. otolaringologiaa) IV sirTulis operaciebiJ01 mwvave sinusiti (qalasSida an or-bitaluri garTulebebiT)G06.0 intrakranialuri da intraspina-luri abscesi da granulomaH83.0 labirinTitiH66.4 Sua yuris Cirqovani anTeba, dauzustebeli (garTulebuli mas-toiditiT)H66.2 Sua yuris qronikuli epitim-panur-antraluri Cirqovani anTeba (garTulebuli facialisiT)H66.3 Sua yuris sxva qronikuli Cirqovani anTeba (garTulebuli fa-cialisiT)b) III sirTulis operaciebiJ39.0 retrofaringeuli da parafar-ingeuli abscesiJ05 mwvave obstruqciuli laringiti da epiglotiti g) ukana tamponadaR04.0 cxviridan sisxldena (ukana tamponadiT)

2.5.1.1.11. pulmonologiaJ44.1 filtvebis qronikuli obstruq-ciuli daavadeba gamwvavebuli, dau-zustebeli

2.5.1.1.12. revmatologiaa) SemaerTebeli qsovilis sistemu-ri dazianebebi (II x - III x aqtivoba, Sinagani organoebis gamoxatuli dazianebiT)M30 kvanZovani poliarteriiti da misi monaTesave mdgomareobebi M31 sxva nekrozuli vaskulopaTiebiM32 sistemuri wiTeli mgluraM33 dermatopolimiozitiM34 sistemuri skleroziM35 SemaerTebeli qsovilis sxva sistemuri dazianebebib) anTebiTi poliaTropaTiebi da spondilopaTiebi (aqtivoba II-III x.)M05 seropozitiuri revmatoiduli arTritiM06 sxva revmatoiduli arTritiM07 fsoriazuli da enteropaTiuri arTropaTiebiM08 iuveniluri arTritiM10 podagra (gamwvavebuli, garTu-lebuli podagruli statusiT)M11 sxva kristaluri arTropaTiebi (pirofosfatuli da kalciumis fos-fatebiT ganpirobebuli arTropaTiebi)M12 sxva specifikuri arTropaTiebiM45 maankilozirebeli spondilitiM46 sxva anTebiTi spondilopaTiebig) mwvave revmatizmi da gulis qroni-kuli revmatuli avadmyofobebi (aqtiuri faza (revmatuli cxeleba), komisurot.da protezir. Semdg. pe-riodi)I00-I02 mwvave revmatizmiI05-I09 gulis qronikuli revmatuli avadmyofobebi

2.5.1.1.13. urologiaa) operaciebi zogadi gautkivarebiTN20 Tirkmlis da SardsawveTis kenWebi (obstruqciuli uropaTia)N40 prostatis hiperplazia (Sardis Sekaveba, makrohematuria)b) operaciebi adgilobrivi gautki-varebiTN23 dauzustebeli Tirkmlis Wvali (cistoskopia, kaTeterizacia, ureT-erorenoskopia)

N47 grZeli CuCa, fimozi, parafimoziN44 saTesle jirkvlis SemogrexaR33 Sardis Sekaveba (operacia-epi-cistostomia)g) operacia-troakaruli epicis-tostomia/kaTeterizaciaR33 Sardis Sekaveba

2.5.1.1.14. qirurgiaa) IV sirTulis operaciebiA48.0 airovani gangrenaK56 paralizuri gauvaloba da nawla-vis obstruqcia Tiaqris gareSe K25 kuWis wyluli (garTulebuli dekompensirebuli pilorostenoziT)K26 Tormetgoja nawlavis wyluli (garTulebuli dekompensirebuli pilorostenoziT)K27 peptiuri wyluli, dauzustebeli lokalizaciiT (garTulebuli de-kompensirebuli pilorostenoziT)K85 mwvave pankreatiti K65.0 mwvave peritoniti (gavrcele-buli)b) III sirTulis operaciebiA48.0 airovani gangrena (keris radi-kaluri mocilebiT)S36.0 elenTis travmaS36.9 muclis Rrus dauzustebeli organos dazianebaK43.0 muclis wina kedlis Tiaqari gauvalobiT, gangrenis gareSeK45.0 sxva dazustebuli muclis Tia-qari gauvalobiT, gangrenis gareSe (didi zomis an giganturi)I70.2 kidurebis arteriebis aTero-sklerozi (aTerosklerozuli gangrena)E10.5 insulindamokidebuli Saqri-ani diabeti periferiuli cirku-laciuri garTulebebiT (diabeturi gangrena)E11.5 insulindamoukidebuli Saqri-ani diabeti periferiuli cirku-laciuri garTulebebiT (diabeturi gangrena)E12.5 kvebis darRvevasTan dakavSire-buli Saqriani diabeti periferiuli cirkulaciuri garTulebebiT) dia-beturi gangrena)

E13.5 sxva dazustebuli Saqriani dia-beti periferiuli cirkulaciuri garTulebebiT (diabeturi gangrena)E14.5 dauzustebeli Saqriani diabe-ti periferiuli cirkularuli gar-TulebebiT (diabeturi gangrena)K25.1 kuWis peptiuri wyluli, dauzustebeli lokalizaciiT mwvave, perforaciiT K26.1 Tormetgoja nawlavis wyluli mwvave, perforaciiTK65.0 mwvave peritoniti (adgilobrivi)K80.0 naRvlis buStis qvebi mwvave qo-lecistitiT (Cirqovani, gangrenuli)K81.0 mwvave qolecistiti (Cirqovani, gangrenuli)K40.1 ormxrivi sazardulis Tiaqari, gangreniTK40.4 calmxrivi, an dauzustebeli sazardulis Tiaqari, gangreniTK41.4 barZayis calmxrivi an dauzus-tebeli Tiaqari gangreniTK42.1 Wipis Tiaqari gangreniTK43.1 muclis wina kedlis Tiaqari gangreniTK45.1 muclis sxva dazustebuli Tia-qari gangreniTK40.3 sazardulis calmxrivi an dau-zustebeli CaWedili Tiaqari gangrenis gareSeK41.3 barZayis calmxrivi an dauzuste-beli CaWedili Tiaqari gangrenis gareSeK42.0 Wipis Tiaqari gauvalobiT gan-grenis gareSeK43.0 ventraluri CaWedili Tiaqari gangrenis gareSeK45.0 muclis sxva dazustebuli CaWedili Tiaqari gangrenis gareSeK92.0 hematemezisiK92.1 melenaK92.2 gastrointestinuri sisxldena, dauzustebelig) II sirTulis operaciebi da kon-servatuli mkurnalobaK35.9 mwvave apendiciti, dauzuste-beli (kataruli, flegmonuri, gan-grenuli)K92.0 hematemezisi (konservatuli mkurnaloba)

K92.1 melena (konservatuli mkur-naloba)K92.2 gastrointestinuri sisxldena, dauzustebeli (konservatuli mkur-naloba)K85 mwvave pankreatiti (konservatu-li mkurnaloba)

2.5.1.1.15. yba-saxis qirurgiaoperaciebi zogadi gautkivarebiTK10.2 ybebis anTebiTi avadmyofobebi (piris Rrus fskeris, ybisqveSa, ybayur-saReWi, safeT-qlis midamos fleg-monebi, retrobulbaluri da xaxis gverd.midam. abscesebi) hematologia

2.5.1.1.16. qirurgiuli mkurnaloba - spleneqtomiaD69.3 idiopaTiuri Trombocitope-niuri purpura C94.7 sxva dazustebuli leikemiaD55 fermentuli darRvevebiT gamo-wveuli anemiebiD56 TalasemiaD57 namglisebur-ujreduli darRvevebiD58 sxva memkvidruli hemolizuri anemiebiD59 SeZenili hemolizuri anemiebi

2.5.2. hospitalizacia ubeduri SemTxvevis gamo - iTvaliswinebs mimdinare sadazRvevo periodis gan-mavlobaSi gareSe Zalis (fizikuri, meqanikuri, Termuli, qimiuri) zemo-qmedebis Sedegad janmrTelobis mdgomareobis gauaresebisas im sa-medicino RonisZiebebis (medikamentebi, diagnostikuri manipulaciebi, Tera-piuli da qirurgiuli mkurnaloba, standartuli da/an reanimaciuli palatis xarjebi) Rirebulebis anaz-Raurebas, baraTis Sesabamisad, ro-melTa 24 saaTze meti xniT gadavadeba iwvevs dazRveulis sikvdils an dain-validebas.sadazRvevo SemTxvevad iTvleba da anazRaurebas eqvemdebareba mimdinare sadazRvevo periodis ganmavlobaSi momxdari ubeduri SemTxveviT ga-

mowveuli dazRveulis janmrTelobis mdgomareobis mwvave gauaresebasTan dakavSirebuli samedicino RonisZie-baTa erToblioba, romelic gaeweva dazRveuls ise, rom is janmrTelobis mdgomareobidan gamomdinare ikavebs sawols samedicino dawesebulebaSi.

2.5.3. gegmiuri hospitaluri momsax-ureba - (mocdis periodi 12 Tve) iTvaliswinebs Sesabamisi samedicino Cvenebisas piradi eqimis/mzRvevelis mier dadasturebuli hospitaluri (medikamentebi, diagnostikuri manipu-laciebi, Terapiuli da qirurgiuli mkurnaloba, standartuli palatis xarjebi) momsaxurebis Rirebulebis anazRaurebas, polisis pirobebis Se-sabamisad. gegmiuri hospitalur mom-saxurebis jamuri limiti, hospital-Si sawoldRis dakavebis Sesabamisad, iyofa or momsaxurebis tipad:

2.5.3.1. erT sawoldReze meti xnis vadiT gegmiuri hospitalizacia - iTvaliswinebs gegmiuri hospita-lur momsaxurebis Rirebulebis anazRaurebas polisis Sesabamisad, ise rom dazRveuli janmrTelobismdgomareobidan gamomdinare Tav-sdeba klinikaSi da ikavebs sawols erT sawoldReze meti xnis vadiT.

2.5.3.2. erT sawoldRiani gegmiuri hospitalizacia - iTvaliswinebs gegmiuri hospitaluri momsaxurebis Rirebulebis anazRaurebas polisis Sesabamisad, ise rom janmrTelobis mdgomareobidan gamomdinare daz-Rveuli ikavebs sawols RamisTeviT. konservatiul samkurnalo manipula-ciebTan, samkurnalo procedurebTan, qirurgiul CarevebTan dakavSireuli xarjebi, romlebic ar saWiroeben pacientis mier sawolis dakavebas RamisTeviT, mzRvevelis mier anaz-Raurebas ar eqvemdebareba.mzRvevelis mier gegmiuri hospi-talizaciis farglebSi (hospitalSi

sawoldRis dayovnebis Sesabamisad) anazRaurdeba erTaetapad ganxor-cielebuli koronarografiuli kvle-visa da intervenciuli kardiologiuri Carevis Rirebuleba.SeniSvna: dignostikuri koronaro-grafia, intervenciuli kardiolo-giur CarevasTan araerT etapad/araerT momentad ganxorcielebuli koronarografia anda kt koronaro-grafia mzRvevelis mier dafinansebas ar eqvemdebareba.

2.6. ambulatoria: samedicino dawe-sebulebaSi RamisTevis gareSe miRe-buli samedicino momsaxureba.

2.6.1. gadaudebeli ambulatoriuli momsaxureba - iTvaliswinebs same-dicino momsaxurebis, (specialistis konsultacia, instrumentuli da laboratoriuli gamokvlevebi, ambu-latoriuli manipulaciebi, medika-mentebi) Rirebulebis anazRaurebas, polisis pirobebis Sesabamisad, romelic dazRveuls unda gaewios SemTxvevis dadgomidan pirveli 24 saaTis ganmavlobaSi da romelTa meti xniT gadavadeba iwvevs dazRveu-lis sikvdils an dainvalidebas.

2.6.1.1. gadaudebeli ambulatori-uli momsaxureba ”pozitiuri siis” Sesabamisad - iTvaliswinebs qvemoT CamoTvlili pozitiuri siiT gansaz-Rvruli SemTxvevebis dros saWiro samedicino momsaxurebis (specialis-tis konsultacia, instrumentuli da laboratoriuli gamokvlevebi, ambu-latoriuli manipulaciebi, medika-mentebi) Rirebulebis anazRaurebas, polisis pirobebis Sesabamisad, romelic dazRveuls unda gaewios SemTxvevis dadgomidan pirveli 24 saaTis ganmavlobaSi da romelTa meti xniT gadavadeba iwvevs dazRve-ulis sikvdils an dainvalidebas.pozitiuri siiT gansazRvruli gada-udebeli ambulatoriuli SemTxvevebi:

• travmebi: rentgenologiuri kvleva,imobilizacia, repozicia, fiqsacia, blokadebi;• Wriloba: Wrilobis qirurgiulidamuSaveba da gakerva. medikamentebi, antirabiuli da antitetanuri vaqci-nacia.• sisxldena: eqimis konsultacia,tamponada, koagulantebi.• ucxo sxeuli: ucxo sxeulis amoReba.• Termuli, qimiuri, eleqtrokon-taqturi dazianeba - konsultacia, dazianebuli ubnis qirurgiuli damuSaveba, Sexveva.• cxviridan sisxldena: konsultacia, wina tamponada.• gulis riTmis darRvevebi: eleqtro-kardiograma, riTmis stabilizacia.• hipertonuli krizi: konsultacia, eleqtrokardiograma, arteriuli wnevis stabilizacia.• alergia anafilaqsiuri mdgoma-reobisa da xorxis SeSupebis ganvi-Tarebis tendenciiT: konsultacia,antialergiuli mkurnaloba.• mwvave bronqiti/mwvave obstruq-ciuli laringiti/epiglotiti: konsultacia, bronqospazmis kupireba.• Tirkmlis, abdominaluri danaRvlkenWovani kolika: konsulta-cia, sisxlis saerTo analizi, Sardis saerTo analizi, erTi sistemis eqos-kopia, intravenuri infuzia, tkivilis kupireba.• Sardis Sekaveba: konsultacia, ka-Teterizacia, intravenuri infuzia, Sardis saerTo analizi.• gulmkerdis da muclis areSidauzustebeli tkivili da Tavis tkivili: konsultacia, tkivilis kupireba da blokada.• intoqsikacia: konsultacia, kuWisamorecxva, dezintoqsikacia/infu-ziuri Terapia, laboratoriuli kvlevebi.• hiperTermia: konsultacia, anti-piretuli mkurnaloba.

2.6.1.2. gadaudebeli ambulatoriuli momsaxureba „pozitiuri siis“ miRma - iTvaliswinebs pozitiuri siiT gauTva-liswinebeli gadaudebeli ambulato-riuli SemTxvevebisas anda pozitiu-ri siiT gaTvaliswinebuli mdgoma-reobebisas daniSnuli sxva samedi-cino momsaxurebebis (specialistis konsultacia, instrumentuli da laboratoriuli gamokvlevebi, ambu-latoriuli manipulaciebi, medika-mentebi) Rirebulebis anazRaurebas, polisis pirobebis Sesabamisad, rome-lic dazRveuls unda gaewios SemTxve-vis dadgomidan pirveli 24 saaTis ganmavlobaSi da romelTa meti xniT gadavadeba iwvevs dazRveulis si-kvdils an dainvalidebas.

2.6.2. gegmiuri ambulatoriuli mom-saxureba - iTvaliswinebs samedi cino Cvenebisas eqimis mier daniSnuli ambulatoriuli momsaxurebis (spe-cialistebis konsultaciebis, kli-nikuri, instrumentuli, laborato-riuli gamokvlevebisa da diagnosti-kuri manipulaciebis) xarjebis anaz-Raurebas.konservatiul samkurnalo manipu-laciebTan, procedurebTan da im qirurgiul CarevebTan, romlebic ar saWiroeben pacientis mier sawo-lis dakavebas RamisTeviT, dakav-Sirebuli xarjebi ar anazRaurdeba.anazRaurdeba iseTi gegmiuri ma-nipulaciebi da procedurebi, rom-lebic dakavSirebulia sadazRvevo periodSi ubeduri SemTxvevis gamo dazianebis Semdgom periodTan (mag: TabaSiris naxvevis moxsna, Wrilobis nakeris moxsna da a.S.).

2.7. medikamenturi mkurnaloba - iT-valiswinebs samedicino CvenebiT, am-bulatoriuli mkurnalobis mizniT, eqimis mier daniSnuli registrire-

buli medikamentebis Rirebulebis anazRaurebas, baraTis Sesabamisad.

2.8. gadaudebeli stomatologiuri momsaxureba - iTvaliswinebs pirve-ladi stomatologiuri daxmarebis (kbilis mwvave tkivilisas kbilis amoReba (eqstraqcia) da masTan dakav-Sirebuli anesTezia) - Rirebulebis anazRaurebas polisis pirobebis Se-sabamisad.

2.9. gegmiuri stomatologiuri momsa-xureba - iTvaliswinebs stomatolo-gis konsultaciis, diagnostikuri RonisZiebebis (dentograma da/an vizio), kbilis eqstraqciis, kbilis mkurnalobis (dabJenis), qvebisa da nadebebis mocilebis (daxuruli kiuretaJi ultrastomiT), gegmiuri qirurgiuli manipulaciebis xarje-bis anazRaurebas, polisis pirobebis Sesabamisad.

2.10. orTopediuli stomatologia - iTvaliwinebs orTopedis konsul-taciis, diagnostikur RonisZiebebis, mosaxsneli mTliani da/an nawi-lobrivi proTezisa da mikroproTe-zis, metalokeramikis, metaloplast-masis, plastmasis da foladisa gvirgvinis, CanarTis, umetalo kera-mikisa (gvirgvinebis da vinirebis damzadeba) da bigeliseburi pro-Tezis Rirebulebaze fasdaklebas, polisis pirobebis Sesabamisad.

2.11. orTodontiuli stomatologia - iTvaliswinebs orTodontis kon-sultaciis, diagnostikur RonisZie-bebis, mosaxsneli orTodontiuli firfitovani aparatisa da mouxsneli orTodontiuli aparatis (breis-sistema) Rirebulebaze fasdaklebas, polisis pirobebis Sesabamisad.

3.1. samedicino momsaxurebis saWi-roebisas dazRveuli ukavSirdeba pirad eqims (polisSi miTiTebul samedicino dawesebulebaSi), ro-melic uzrunvelyofs samedicino SemTxvevis da daavadebis marTvas (diagnostireba da mkurnaloba, klinikuri, laboratoriuli, in-strumentuli gamokvlevebisa da specialistis konsultaciis gamoy-enebiT), axorcielebs samedicino momsaxurebis organizebas.

3.2. saswrafo samedicino daxmareba - dazRveuli uflebamosilia mimar-Tos nebismier licenzirebul sas-wrafo gadaudebeli samedicino dax-marebis brigadas.

• dazRveuli an sxva dainterese-buli piri ukavSirdeba kompaniis cxel xazs. cxeli xazis meSvebiT kon-traqtori saswrafo gadaudebeli sa-medicino daxmarebis brigadisTvis sadazRvevo polisisa da piradobis damadasturebeli dokumentis ward-genisas dazRveuli Tavisufldeba Sesabamis momsaxurebaSi sadazRvevo pirobiT gaTvaliswinebuli Tanxis wilis gadaxdisgan.

• dazRveuli Tavad ukavSirdeba saswrafo gadaudebeli samedicino daxmarebis brigadas, ixdis momsax-urebis Tanxas srulad da Semdeg anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs mom-saxurebis miRebidan 30 dRis ganmav-lobaSi. anazRaurebisaTvis saWiro dokumentacia: sadazRvevo baraTi;

piradobis damadasturebel doku-menti; momsaxure dawesebulebis/eqi-mis beWdiTa da xelmoweriT dadas-turebuli Catarebuli momsaxurebis damadasturebel samedicino doku-mentacia da gadaxdis damadasture-beli finansuri dokumentacia - fi-nansTa saministros mier dadgenili formiT stamburi wesiT dabeWdili CekTan gaTanabrebuli dokumenti an dokumenti, sadac mocemulia detal-uri ganfaseba/kalkulacia da sala-ros qviTari.

3.3. profilaqtikuri kvlevebi - sa-medicino Cvenebis gareSe janmrT-elobis mdgomareobis Semowmebis mizniT dazRveuli mimarTavs pirad eqims, romelic uzrunvelyofs daz-Rveuls sadazRvevo pirobebiT gaTva-lisiwinebul gamokvlevebze mimar-TviT, piradi eqimis samsaxuris bazaze.

3.4. hospitalizacia:

3.4.1. gadaudebeli hospitalizaciisas, ubeduri SemTxveviT gamowveuli janmrTelobis uecari gauaresebisas - dazRveuli an sxva dainteresebuli piri, valdebulia aRniSnulis Se-saxeb dauyovnebliv, momsaxurebis miRebamde, acnobos kompaniis cxel xazs. Setyobineba moicavs Semdeg informacias: dazRveulis saxeli, gvari, polisis nomeri, samedicino dawesebulebis dasaxeleba, samedicino dawesebulebaSi mimarTvis dro. Setyobinebis gareSe miRebuli same-dicino momsaxurebis xarjebi anaz-Raurebas ar eqvemdebareba.

3. qmedeba sadazRvevo SemTxvevis dadgomisas

• mzRveveli kompaniis kontraqtor klinikasTan awarmoebs pirdapir angariSsworebas, ris safuZvelzec dazRveuli Tavisufldeba Rire-bulebis sadazRvevo pirobebiT ga-Tvaliswinebuli wilis gadaxdisgan.

• kompaniis arakontraqtor klinikaSimimarTvisas dazRveuli ixdis momsa-xurebis Tanxas srulad da Semdeg anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs mom-saxurebis miRebidan 30 dRis ganmav-lobaSi. anazRaurebisaTvis saWiro dokumentacia: sadazRvevo polisi, piradobis mowmoba, momsaxure dawe-sebulebis/eqimis beWdiTa da xel-moweriT dadasturebuli forma #100 (miRebuli momsaxureba detaluri aRweriT), momsaxurebis detaluri gan-faseba/kalkulacia, salaros qviTari.

3.4.2. gegmiuri hospitalizaciis Sesaxeb dazRveulma srulyofili dokumentacia unda warmoadginos mzRvevelTan hospitalizaciis Tari-Ramde minimum 5 (xuTi) samuSao dRiT adre; im SemTxvevaSi, Tu gegmiuri hospitalizacia winaswar ar aris SeTanxmebuli mzRvevelTan da winaswar ar aris warmodgenili Sesa-bamisi dokumentacia, momsaxureba mzRvevelis mier anazRaurebas ar eqvemdebareba.

• dazRveuli uflebamosilia Tavad airCios momsaxure samedicino dawesebuleba xelSekrulebaSi miTi-TiTebuli kontraqtori klinike-bidan. kompaniis kontraqtor klini-kaSi momsaxurebis misaRebad, mzRve-veli gascems sagarantio werils, ris safuZvelzec dazRveuli Tavi-sufldeba Rirebulebis sadazRvevo pirobebiT gaTvaliswinebuli wilis gadaxdisgan. sagarantio werilis misaRebad saWiro dokumentacia:

momsaxurebis detaluri ganfaseba/kalkulacia da forma #100.

• arakontraqtor samedicino dawe-sebulebaSi gegmiuri hospitaluri momsaxurebis xarjebi anazRaurdeba polisi “medis” araumetes sami (im SemTxvevaSi, Tu samze meti kontraq-tori samedicino dawesebulebaa) kontraqtori samedicino dawese-bulebis saSualo fasis Sesabamisad. saSualo fasis daTvlisas gaTvalis-winebuli iqneba kontraqtori klini-kebis mier xelSekrulebiT gansazR-vruli fasdakleba (aseTis arsebobis SemTxvevaSi). kompaniis arakontraqtor klinikaSi mimarTvisas, dazRveuli ixdis momsaxurebis Tanxas srulad da Semdeg anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs momsaxurebis miRebidan 30 dRis ganmavlobaSi. anazRaurebi-saTvis saWiro dokumentacia: sadaz-Rvevo polisi; piradobis mowmoba; momsaxure dawesebulebis/eqimis beW-diTa da xelmoweriT dadasture-buli forma #100 (miRebuli mom-saxurebis detaluri aRweriTa da momsaxurebis miRebis TariRis mi-TiTebiT), momsaxurebis detaluri ganfaseba/kalkulacia, gadaxdis da-madasturebeli salaros qviTari.

saxelmwifo programis monawile-ebisTvis, gegmiuri hospitaluri momsaxurebis anazRaureba moxdeba Semdegi wesis mixedviT: konkretuli samedicino momsaxurebis xarjebis anazRaurebisas sadazRvevo kompania ixelmZRvanelebs im tarifiT, rome-lic iqneba yvelaze maRali saxelmwi-fos mier gansazRvrul samedicino dawesebulebis mier SemoTavazebul an/da kontraqtori klinikebis saSualo tarifs Soris.

dazRvevis pirvel wels gegmiuri hospitalizacia anazRaurebas ar eqvemdebareba.

3.5. ambulatoriuli momsaxureba

3.5.1. gadaudebeli ambulatoriuli momsaxureba - dazRveuli, an sxva dainteresebuli piri, valdebulia aRniSnulis Sesaxeb dauyovnebliv, momsaxurebis miRebamde, acnobos kompaniis cxel xazs. Setyobineba moicavs Semdeg informacias: daz-Rveulis saxeli, gvari, polisis nomeri, samedicino dawesebulebis dasaxeleba, samedicino dawesebule-baSi mimarTvis dro. Setyobinebis gareSe miRebuli samedicino mom-saxurebis xarjebi anazRaurebas ar eqvemdebareba.

• mzRveveli kompaniis kontraqtor klinikasTan awarmoebs pirdapir angariSsworebas, ris safuZvelzec dazRveuli Tavisufldeba Rire-bulebis sadazRvevo pirobebiT gaT-valiswinebuli wilis gadaxdisgan.

• kompaniis arakontraqtor klinika-Si mimarTvisas dazRveuli ixdis mom-saxurebis Tanxas srulad da Semdeg anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs momsaxurebis miRebidan 30 dRis ganmavlobaSi. anazRaurebisaTvis saWiro dokumentacia: sadazRvevo polisi, piradobis mowmoba, momsa-xure dawesebulebis/eqimis beWdiTa da xelmoweriT dadasturebuli forma #100 (miRebuli momsaxurebis detaluri aRweriT), momsaxurebis detaluri ganfaseba/kalkulacia, salaros qviTari.

3.5.2. gegmiuri ambulatoriuli mom-saxureba

3.5.2.1. sadazRvevo baraTebiT medi bazisuri, medi optimali, medi stan-darti da medi klasikiT dazRveuls

gegmiuri ambulatoriuli momsaxure-bis xarjebi aunazRaurdeba mzRveve-lis kontraqtor klinikebSi piradi eqimis mimarTvis safuZvelze.

• gegmiuri ambulatoriuli mom-saxureba piradi eqimis samsaxuris bazaze: dazRveuli mimarTavs pirad eqims. piradi eqimi uzrunvelyofs dazRveuls saWiro mimarTviT pira-di eqimis samsaxuris bazaze. piradi eqimis mimarTvis, sadazRvevo poli-sis da piradobis damadasturebeli dokumentis wardgenisas dazRveuli Tavisufldeba momsaxurebaSi Tanxis dazRveulis mier gadasaxdeli wilis gadaxdisagan.

• im SemTxvevaSi, Tu dazRveulisT-vis saWiro diagnostikuri kvlevebi ar xorcieldeba piradi eqimis sam-saxuris bazaze piradi eqimi uzrun-velyofs dazRveuls saWiro kvleve-biTa da specialistTan mimarTviT mzRvevelis kontraqtor klinikebSi. kontraqtor klinikaSi dazRveuli Tavisufldeba momsaxurebaSi Tanxis dazRveulis mier gadasaxdeli wilis gadaxdisagan sadazRvevo polisis, piradobis damadasturebeli doku-mentisa da piradi eqimis mimarTvis wardgenis safuZvelze.

arakontraqtor klinikaSi miRebuli momsaxureba, agreTve piradi eqimis mimarTvis gareSe (rogorc piradi eqimis samsaxuris bazaze, ise sxva kontraqtor klinikaSi) miRebuli momsaxureba mzRvevelis mier anaz-Raurebas ar eqvemdebareba.

3.5.2.2. sadazRvevo baraTiT medi premiumiT dazRveuli uflebamosi-lia mimarTos nebismier samedicino dawesebulebas Semdegi sqemiTa da pirobebis dacviT:

3.5.2.2.1. gegmiuri ambulatoriuli momsaxureba piradi eqimis samsa-xuris bazaze: dazRveuli mimarTavs pirad eqims. piradi eqimi uzrunvel-yofs dazRveuls saWiro mimarTviT piradi eqimis samsaxuris bazaze. pi-radi eqimis mimarTvis, sadazRvevo polisisa da piradobis damadastu-rebeli dokumentis wardgenisas dazRveuli Tavisufldeba momsa-xurebaSi Tanxis dazRveulis mier gadasaxdeli wilis gadaxdisagan.

3.5.2.2.2. gegmiuri ambulatoriuli momsaxureba piradi eqimis mimarTviT kontraqtor (garda piradi eqimis samsaxurisa da privilegirebul provaider klinikebSi) da arakontraq-tor samedicino dawesebulebaSi: dazRveuli mimarTavs pirad eqims. piradi eqimi uzrunvelyofs dazRve-uls mimarTviT rogorc kompaniis kontraqtor, ise arakontraqtor klinikebSi.

• kontraqtor klinikaSi dazRveuli Tavisufldeba momsaxurebaSi Tanxis dazRveulis mier gadasaxdeli wilis gadaxdisagan sadazRvevo polisis, piradobis damadasturebeli doku-mentisa da piradi eqimis mimarTvis wardgenis safuZvelze.

• arakontraqtor klinikaSi mimarT-visas dazRveuli ixdis Sesabamisi momsaxurebis Tanxas srulad da anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs momsaxurebis miRebidan 30 dRis ganmavlobaSi. anazRaurebisaTvis saWiro dokumentacia: sadazRvevo polisi, piradobis damadasturebel dokumenti, piradi eqimis mimarTva, mimarTvis Sesabamisad Catarebu-li ambulatoriuli momsaxurebis damadasturebeli samedicino (dawe-

sebulebis dasaxelebis da momsa-xurebis miRebis TariRis miTiTebiT, romelic damowmebuli unda iyos uflebamosili piris xelmoweriTa da beWdiT) da gadaxdis damadas-turebeuli finansuri dokumentacia (momsaxurebis detaluri ganfaseba/kalkulacia, salaros qviTari.

3.5.2.2.3. damatebiTi ambulatoriuli momsaxureba privilegirebul prova-iderebSi:

• d. tatiSvilis samedicino centrebSi: dazRveuli saWiroebs specialistis konsultacias, rekavs cxel xazze (tel.: 2 505 111) da aTanxmebs vizits. dazRveuli iRebs Sesabamis momsa-xurebas mxolod sadazRvevo poli-sisa da piradobis mowmobis war-modgenis safuZvelze. specialisti niSnavs gamokvlevas; jipiais war-momadgenlis mier xdeba klinikis specialistebis mier daniSnuli gamokvlevebis jipiais blankze ga-datana, ris safuZvelzec dazRveuli d. tatiSvilis samedicino centrebSi ixdis mxolod polisiT gaTvalis-winebul wils.

• maRali samedicino teqnologiebis centris sauniversiteto klinika: dazRveuli saWiroebs specialistis konsultacias, mimarTavs klinikis recefcias da aTanxmebs vizits. daz-Rveuli iRebs Sesabamis momsaxurebas mxolod sadazRvevo polisisa da piradobis mowmobis warmodgenis sa-fuZvelze. Tu specialisti niSnavs gamokvlevas dazRveuli brundeba klinikis re-cefciaSi, gadascems specialistis mier daniSnuli kvlevebis CamonaT-vals klinikis recefciis TanamSro-mels, romelic gascems Sida mimar-

Tvas aRniSnul kvlevebze, ris safuZ-velzec dazRveuli ixdis mxolod baraTiT gaTvaliswinebul wils.

3.6. medikamenturi mkurnaloba - dazRveuli mimarTavs pirad eqims. piradi eqimi Sesabamis daniSnule-bas gamowers receptis (saWiroebis SemTxvevaSi) da kompaniis blankze, riTac miTiTebul afTiaqebSi daz-Rveuli ixdis gamowerili medikamen-tebis Rirebulebis mxolod sadaz-Rvevo pirobebiT gaTvaliswinebul wils. erTjerad anazRaurebas eqvem-debareba medikamentebis araumetes erTi Tvis mkurnalobisaTvis saWiro Rirebulebis xarjebi. mzRvevelis mier anazRaurebas ar eqvemdebareba medikamentebi, romelic ar aris gamowerili piradi eqimis mier kompaniis blankze.

3.7. stomatologiuri momsaxureba:

3.7.1. gadaudebeli stomatologiuri momsaxureba - dazRveuli ufleba-mosilia mimarTos nebismier licen-zirebul stomatologiur klinikas.

• kompaniis, winamdebare xelSekrule-bis danarTSi miTiTebul kontraqtor klinikaSi mimarTvisas, dazRveulma unda waradginos sadazRvevo polisi da piradobis damadasturebeli doku-menti. msgavs SemTxvevaSi dazRveuli Tavisufldeba Sesabamis momsaxure-baSi Tanxis gadaxdisagan.

• kompaniis arakontraqtor klini-kaSi mimarTvisas dazRveuli ixdis momsaxurebis Tanxas srulad da Semdeg anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs, momsaxurebis miRebidan 30 dRis ganmavlobaSi. anazRaurebisaTvis saWiro dokumentacia: sadazRvevo

polisi, piradobis damadasturebel dokumenti momsaxure dawesebulebis/eqimis beWdiTa da xelmoweriT dadas-turebuli Catarebuli momsaxurebis detalur samedicino dokumentacia, momsaxurebis detaluri ganfaseba/kalkulacia, salaros qviTari.

3.7.2. gegmiuri stomatologiuri (Terapiuli da qirurgiuli) mom-saxureba - dazRveuli mimarTavs kompaniis, winamdebare xelSekrule-bis danarTSi miTiTebul, kontraqtor klinikas. mimarTvisas dazRveulma unda waradginos sadazRvevo polisi da piradobis damadasturebeli doku-menti. msgavs SemTxvevaSi dazRveuli Tavisufldeba polisis pirobebis Sesabamis momsaxurebaSi Tanxis gadaxdisagan. sxva sqemiT, agreTve kompaniis arakontraqtor stomatolo-giur klinikaSi miRebuli momsaxureba anazRaurebas ar eqvemdebareba.

3.7.3. orTopediuli/orTodontiuli stomatologiuri momsaxureba - dazRveuli mimarTavs kompaniis, wina-mdebare xelSekrulebis danarTSi miTiTebul, kontraqtor klinikas. mimarTvisas dazRveulma unda wa-radginos sadazRvevo polisi da pi-radobis damadasturebeli dokumenti. im momsaxurebebze, romelzec kon-traqtori klinika dazRveuls ar sTavazobs fasdaklebas, agreTve kompa-niis arakontraqtor stomatologiur klinikaSi miRebuli momsaxureba mzRvevelis mier anazRaurebas ar eqvemdebareba.

anazRaurebas ar eqvemdebareba qve-moTCamoTvlili SemTxvevebi da/an maT garTulebebTan dakavSirebuli momsaxurebebis xarjebi:

4.1. Semdegi movlenebiT/garemoe-bebiT ganpirobebuli janmrTelobis mdgomareobis gauaresebasTan da/an maT garTulebasTan dakavSirebuli samedicino momsaxurebis xarjebi: TviTdaSaveba, TviTmkvlelobis mcde-lobiT gamowveuli janmrTelobis mdgomareobis gauareseba (Tu es ar exeba sxvisi sicocxlis gadarCenas), kriminalur (kanonsawinaaRmdego) aqtSi monawileoba, samxedro samsa-xurSi yofna, Tavisuflebis aRkve-Tis periodSi damdgari sadazRvevo SemTxveva, alkoholur, narkotikul, toqsikur nivTierebebze damokide-bulebasTan dakavSirebuli samedi-cino momsaxureba, aseve am nivTiere-baTa zemoqmedebis Sedegad gamo-wveuli janmrTelobis mdgomareobis gauareseba, maT Soris am nivTierebaTa zemoqmedebis qveS yofnisas avto-satransporto saSualebebis marTvi-sas momxdari avtosagzao SemTxveviT gamowveuli janmrTelobis mdgoma-reobis gauareseba, nebismieri saxis profesiul sportSi monawileoba.

4.2. Semdeg daavadebebTan an/da maT garTulebebTan dakavSirebuli sa-medicino momsaxurebis xarjebi: Tandayolili an/da genetikuri daa-vadebebi da anomaliebi, seqsualuri darRvevebi, dazRvevamde arsebuli simsivnuri (maT Soris keTilTvise-

bian) daavadebebi, aiv-infeqcia, Sid-si, hepatitebi (nebismieri formisa da stadiis), Saqriani da uSaqro diabeti, veneriuli daavadebebi, Sard-sasqeso sistemis sxvadasxva mikroorganizme-biT gamowveuli daavadebebi, fsiqi-uri daavadebebi, epilefsia; re-produqciuli funqciis darRveva, orsuloba, mSobiaroba, orsulobis Sewyveta, garda orsulobis ubedu-ri SemTxveviT gamowveuli Sewyveta; cxviris Zgidis gamrudeba, niJarebis hipertrofia, kataraqta.

4.3. Semdegi momsaxurebebis/ proce-durebis da/an maT garTulebebTan dakavSirebuli momsaxurebebis xarjebi: eqsperimentuli da ara-tradiciuli medicina; samedicino momsaxureba, romelic ar aris mi-zanSewonili samedicino Tvalsaz-risiT an Catarebulia samedicino Cvenebis gareSe, damatebiTi da eqsklu-ziuri momsaxureba, ayvanili/mowveu-li eqimis honorari; saqarTveloSi aRebuli gamosakvlevi masalis saz-RvargareT gagzavna da gamokvlevebi; gegmiuri acrebi (vaqcinacia, imuni-zacia), nebismieri saxis samedicino cnobis miRebasTan dakavSirebuli gamokvlevebi; sanatoriuli da balne-ologiuri mkurnaloba, samkurnalo varjiSebi, samedicino masaJebi da fizioprocedurebi, kosmetikuri da plastikuri samedicino momsaxureba, wonis koreqciasTan dakavSirebuli samedicino momsaxureba, mxedvelobis koreqcia (maT Soris eqsimeruli lazeriT mkurnaloba); nebismieri

4. gamonaklisebi

saxis egzoproTezireba, koronarog-rafia (garda intervenciul kardi-ologiur CarevisTan erT etapad ganxorcielebuli koronarografiuli kvlevisa - ix. gegmiuri hospitaluri momsaxureba); organoebisa da qsovi-lebis transplantacia, transplan-tacia, implantacia, dializi, sanay-ofe siTxis diagnostika da nebismieri saxis genetikuri kvleva; xelovnuri ganayofiereba, sterilizacia, kontra-cefcia, fsiqoTerapevtis, fsiqo-analitikosisa da logopedis momsax-ureba; dazRvevis ZalaSi Sesvlamde damdgari hospitaluri SemTxveva, sxivuri Terapia, qimioTerapia.

4.4. Semdegi saSualebebis SeZenas-Tan, moxmarebasTan da/an garTule-basTan dakavSirebuli xarjebi: araregistrirebuli medikamentebi, biologiurad aqtiuri sakvebi dana-matebi, higienisa da movlis saSuale-bebi, gadasaxvevi masalebi da Saqris Semcvlelelebi, imunomodula-torebis, fsiqotropuli preparate-bi, sistemuri enzimoTerapia, damx-mare saSualebebi da makoregirebeli saSualebebi/mowyobilobebi (maT So-ris saTvale, linzebi, sasmeni mowyo-bilobebi, endoproTezebi da sxva), proTezebi.

4.5. sxva sadazRvevo polisebiT, saxelmwifo, municipaluri, avtono-miuri respublikebis respublikuri da adgilobrivi TviTmmarTveli er-Teulis biujetebis farglebSi da-finansebuli jandacviTi program-uli momsaxurebebi im samedicino dawesebulebebSi, sadac miRebuli samedicino momsaxurebebi finans-deba aRniSnuli program(eb)is far-glebSi; xolo im SemTxvevaSi, roca gadaudebeli hospitaluri momsax-urebis miReba xdeba samedicino

dawesebulebaSi, sadac ar moqmdebs zemoTCamoTvlili programa/pro-gramebi, momsaxurebis Rirebulebis anazRaureba xdeba mzRvevelis mier polisis pirobebis Sesabamisad.

4.6. im momsaxurebebis xarjebi, rome-lic ar aris mocemuli terminTa ga-namartebaSi da ar ifareba sadazRve-vo xelSekrulebis pirobebiT.

4.7. SeniSvna: ucxo qveynis moqalaqee-bisaTvis nebismieri samedicino mom-saxurebis Rirebulebis anazRaureba ganxorcieldeba saqarTvelos mo-qalaqisaTvis arsebuli fasebisa da SezRudvebis Sesabamisad.mzRvevelis mier ar dafinansdeba saqarTvelos moqalaqisTvis gansaz-Rvruli, saxelmwifo, municipaluri, avtonomiuri respublikebis respub-likuri da adgilobrivi TviTmmarT-veli erTeulis biujetebis far-glebSi dafinansebuli jandacviTi programuli momsaxurebebi.

5.1. dazRvevis ZalaSi Sesvla:

5.1.1. dazRvevis ZalaSi Sesvlisa da xelSekrulebis gaformebis TariRe-bi aisaxeba xelSekruleba/polisSi.

5.1.2. dazRveva moqmedebs polisSi miTiTebuli sadazRvevo periodis ganmavlobaSi. dazRvevis amoqmedebis aucilebeli pirobaa pirveli an/da morigi sapremio Senatanis drouli da sruli moculobiT gadaxda. pir-veladi premia gadaxda xorcieldeba sadazRvevo periodis dawyebamde sul mcire 14 dRiT adre.

5.1.3. Tvis 1-dan 15 ricxvis CaTvliT gaformebuli dazRvevis xelSekruleba ZalaSi Sedis imave Tvis 30 ricxvis 24.00 saaTze. xolo 16 ricxvidan Tvis bolo ricxvis CaTvliT gaformebuli dazRvevis xelSekruleba ZalaSi Sedis momdevno Tvis 15 ricxvis 24:00 saaTze.

5.2. sadazRvevo polisis moqmedebis vada:

5.2.1. polisis moqmedebis vada aris erTi weli.

5.2.2. amasTan, janmrTlobis dazRvevis polisi ”medi” warmoadgens saxel-mwifo jandacviTi/sadazRvevo progra-mebis damatebiT sadazRvevo pakets, moqmedebs mxolod maTi moqmedebis periodSi da maTTan erTad. am pro-gramebis ganxorcielebis meTodebSi cvlilebis SemTxvevaSi, kompania

itovebs uflebas Secvalos winamdeba-re polisiT aRebuli valdebulebebi.

5.3. sadazRvevo premia da gadaxdis pirobebi:

5.3.1. sadazRvevo premiis gamoTvla xdeba arCeuli polisis da damatebiTi modulis fasis Sesabamisad.

5.3.2. damzRvevi valdebulia droulad gadaixados sadazRvevo premia/Se-natani da damatebiTi modul(eb)is Rirebuleba sadazRvevo polisSi/xelSekrulebaSi gansazRvruli gadax-dis grafikis mixedviTa da dadenili odenobiT - erTjeradad an ganvadebiT.

5.3.3. sadazRvevo premiis grafiki/ gadaxdis TariRebi miTiTebulia polisSi.

5.3.4. damatebiTi modulis gadaxdis grafiki/ TariRebi emTxveva premiis gadaxdis TariRs.

5.3.5. sadazRvevo premiis erTjeradi gadaxdisas - misi gadaxda xorciel-deba xelSekrulebis/polisis gafor-mebisTanave.

5.3.6. sadazRvevo premiis ganvadebiT gadaxdisas sadazRvevo premiis pir-veli gadaxda xorcieldeba winaswar xelSekrulebis/polisis gaformebis-Tanave, xolo momdevno gadaxdebi xorcieldeba yovel momdevno Tves polisSi miTiTebul TariRebSi,

5. zogadi pirobebi

SeTanxmebuli gadaxdis grafikis Sesabamisad.

5.3.7. sadazRvevo premiis gadaxdisas unda mieTiTos polisis nomeri.

5.3.8. winamdebare xelSekrulebiT/polisiT dadgenili premiis gadaxdis wesis pirvelive darRvevis SemTxve-vaSi (Tu premia da/an misi nawili droulad an dadgenili odenobiT ar iqna gadaxdili), mzRveveli Tavi-sufldeba xelSekrulebiT/polisiT gaTvaliswinebuli valdebulebebis Sesrulebisagan. mzRveveli ufleba-mosilia SeaCeros xelSekruleba/polisis moqmedeba da ar aanazRauros sadazRvevo SemTxvevebi grafikis darRvevis dRidan 14 kalendaruli dRis Semdeg, yovelgvari Setyo-binebis gareSe, damzRvevis mier finansuri valdebulebis srulad Sesrulebamde. amasTan sadazRvevo xelSekrulebis/polisis moqmedeba ganaxldeba mxolod damzRvevis mier premiis gadaxdis Semdeg, davalianebis gadaxdis dRis 24.00 saaTze davalia-nebis dafarvis Semdgom mzRveveli davalianebis periodSi damdgar SemTxvevebs aRar ganixilavs sadaz-Rvevo SemTxvevad da am periodSi miRebuli momsaxureba mzRvevelis mier anazRaurebas ar daeqvemdebareba.

5.3.9. grafikis darRvevis dRidan 30 kalendaruli dRis Semdeg mzRveveli uflebamosilia gaauqmos dazRvevis xelSekruleba/polisi yovelgvari winaswari Setyobinebis gareSe.

5.3.10. binadrobis mowmobis mqone ucxo qveynis moqalaqeTa dazRveva ganixileba Semdegi pirobiT:

• sapensio asakis ucxo qveynis moqa-laqis dazRveva SesaZlebelia mxo-

lod medi bazisuriT an optimaliT. (sapensio asaki - qali 60 wlis zemoT, kaci 65 wlis zemoT).

• ucxo qveynis moqalaqis/Tu moqa-laqeTa jgufis dazRveva, miuxeda-vad gadaxdis jeradobisa da ojaxis wevrTa raodenobisa/asakisa ar iT-valiswinebs fasdaklebas;

• medi bazisuri da medi optimali iTvaliswinebs premiis erTjerad gadaxdas, yvela danarCeni polisi sul mcire kvartalur gadaxdas.

5.3.11. binadrobis mowmobis armqone ucxo qveynis moqalaqeTa dazRveva xorcieldeba mxolod medi bazisu-riT anda medi optimaliT.

5.4. mxareTa ufleba - movaleobebi:

5.4.1. mzRveveli valdebulia:

5.4.1.1. damzRvevis mier xelSekrule-baSi miTiTebuli grafikis Sesabami-sad gadaxdili sadazRvevo premiis safuZvelze sadazRvevo SemTxvevis dadgomisas aunazRauros dazRveuls (an mosargebles) zarali winamdebare xelSekrulebis/polisis pirobebis Sesabamisad.

5.4.1.2. daicvas da ar gaaxmauros damzRvevTan saqmiani urTierTobebis Sedegad mopovebuli informacia, garda saqarTvelos kanoniT pirdapir gaTvaliswinebuli SemTxvevebisa.

5.4.1.3. aanazRauros samedicino momsa-xurebis xarjebi winamdebare xelSek-rulebiT da danarTebiT gaTvalis-winebuli pirobebis Sesabamisad, sa-dazRvevo SemTxvevis dadgenisa da mzRvevelis mier xarjis odenobis gansazRvris Semdgom.

5.4.1.4. sadazRvevo SemTxvevis dadgomis SemTxvevaSi, sadazRvevo SemTxvevis dadgenisa da sadazRvevo anazRaure-bis odenobis gansazRvrisaTvis dam-zRvevis/dazRveulis mier yvela sa-Wiro dokumentis warmodgenis Sem-dgom Seasrulos dazRveviT nakisri valdebuleba droulad da jerovnad.

5.4.2. mzRveveli uflebamosilia:

5.4.2.1. damzRvevis mxridan xelSek-rulebis pirobebisa da premiis gadax-dis grafikis darRvevis SemTxvevaSi SeaCeros da/an Sewyvitos sadazRvevo xelSekruleba.

5.4.2.2. moiTxovos damatebiTi doku-mentacia (mag. cnoba samarTaldamcavi organoebidan avtoavariiT gamowveu-li janmrTelobis mdgomareobis gau-aresebisas) sadazRvevo SemTxvevis anazRaurebisas.

5.4.2.3. ar gasces sadazRvevo anazRau-reba dazRveulis mier (an dazRveu-lis TanamonawileobiT) sadazRvevo SemTxvevis dadgomis faqtis da/an anazRaurebis miRebisaTvis aucile-beli dokumentebis gayalbebis, aseve, yalbi informaciis warmodgenis faq-tis gamovlenis SemTxvevaSi. xolo Tu anazRaureba ukve gacemulia, damzRvevi valdebulia upirobod daubrunos igi mzRvevels. amasTan yoveli aseTi piris dazRveva mzRve-velis mxridan eqvemdebareba gauqmebas.

5.4.2.4. mzRveveli itovebs uflebas sadazRvevo anazRaurebidan gamo-qviTos sruli sadazRvevo premiis gadauxdeli odenoba.

5.4.2.5. sadazRvevo SemTxvevis dad-gomis Semdeg mosTxovos damzRvevs

yovelgvari cnoba, romelic ki aucilebelia sadazRvevo SemTxvevis an movlenis aseve zianis moculobis dasadgenad.

5.4.2.6. moiTxovos gacemuli anaz-Raurebis dabruneba, Tu aRmoCnda, rom zaralis dadgoma ar iyo gamo-wveuli sadazRvevo SemTxveviT an damzRvevis braliT SeuZlebelia regresis uflebis gamoyeneba.

5.4.2.7. moiTxovos/gadaamowmos daz-Rveulis piradi monacemebi saqar-Tvelos iusticiis saministros sajaro reestris erovnul saagentoSi.

5.4.2.8. calmxrivad moSalos sadaz-Rvevo xelSekruleba, xelSekrulebis moSlis Sesaxeb damzRvevis 1 (erTi) TviT adre werilobiTi informire-bis safuZvelze.

5.4.3. damzRvevi/dazRveuli valde-bulia:

5.4.3.1. xelSekrulebis dadebisas mzRve-vels Seatyobinos yvela is garemoeba, romlebsac SeuZliaT gavlena moax-dinon mzRvevelis gadawyvetilebaze uari Tqvas xelSekrulebaze an da-dos igi Secvlili SinaarsiT.

5.4.3.2. sadazRvevo SemTxvevis dad-gomis Semdeg Seasrulos mzRvevelis yvela miTiTeba, rac ukavSirdeba sadazRvevo SemTxvevis an movlenis, aseve zianis moculobis dadgenas.

5.4.3.3. detalurad gaacnos winam-debare dazRvevis pirobebi dazRve-ulebs. damzRvevi valdebulia, rom dazRveulebs gaacnos valdebuleba, rom mzRvevels eniWeba ufleba moi-Zios da gaecnos yvela im dokumenta-

cias, romelsac mzRveveli CaTvlis saWirod sadazRvevo anazRaurebi-saTvis. winaaRmdeg SemTxvevaSi mzRve-veli itovebs uflebas ar aanazRauros sadazRvevo SemTxvevis Sedegad damdgari ziani.

5.4.3.4. mianiWos mzRvevels ufleba moiTxovos/gadaamowmos dazRveulis piradi monacemebi saqarTvelos iusticiis saministros sajaro rees-tris erovnul saagentoSi.

5.4.3.5. uzrunvelyos mzRvevelisaTvis im dokumentaciis srulad gadacema, romlis safuZvelzec mzRveveli uflebamosili iqneba moiTxovos regresuli anazRaureba pirebisgan, romlebic pasuxismgebelni arian dazRveulisaTvis miyenebul zianze.

5.4.3.6. dazRveulTa/mosargebleTa mier xelSekrulebiT da misi danarTebiTgaTvaliswinebuli qmedebebis Sesru-lebaze, aseve maT mier ganxorciele-buli moqmedebebis/umoqmedobis xel-SekrulebasTan Sesabamisobaze pasu-xismgebelia damzRvevi, Sesabamisad mzveveli uflebamosilia ar aanaz-Rauros ziani, Tu dazRveulTa/mosargebleTa mier darRveuli iqneba winamdebare xelSekrulebiT da misi danarTiT gaTvaliswinebuli valde-bulebebi da procedurebi.

5.4.3.7. xeli Seuwyos mzRvevelis mier sadazRvevo SemTxvevis dadgomasTan da mis SedegebTan dakavSirebuli mo-nacemebis mokvlevamoZiebas.

5.4.3.8. dazRveuli valdebulia mzRve-vels miawodos yvela saWiro da zusti informacia sadazRvevo SemTxvevis faqtis aRiarebisa da sadazRvevo anazRaurebis odenobis dadgenis miz-

niT. mzRvevelis moTxovnisas dazRve-uli valdebulia mzRvevels kanoniT dadgenili wesiT mianiWos ufleba mesame pirTagan (eqimebi, nebismieri samedicino dawesebuleba, satranspor-to samsaxuri da sxv.) saWiro infor-maciis mopovebaze da saWiroebis SemTxvevaSi gaaTavisuflos uka-naskneli pirebi informaciis saidum-lod Senaxvis valdebulebisagan.

5.5. dazRvevis gagrZeleba:

5.5.1. winamdebare dazRveva avtomatur gagrZelebas ar eqvemdebareba.

5.5.2. sadazRvevo polisis axali sa-dazRvevo periodis ganaxlebiTvis, dagvikavSirdiT cxel xazze (+995 2 505 111) polisis vadis amowurvamde 1 TviT adre.

5.5.3. momdevno sadazRvevo periodSi gegmiuri hospitalizaciis anazRau-rebis pirobebi (anazRaurebis pro-centi, limiti) Seesabameba im poliss, romelic dazRveuls SeZenili hqonda wina wels im SemTxvevaSi, Tu dazRveva axldeba igive, an meti Rirebulebis sadazRvevo polisiT. ufro dabali Rirebulebis sadazRvevo polisiT dazRvevis ganaxlebis SemTxvevaSi gegmiuri hospitalizaciis anazRaure-bis pirobebi Seesabameba axalarCeul poliss.

5.6. dazRvevis Sewyveta:

5.6.1. damzRvevis mier sadazRvevo xelSekrulebis vadaze adre moSlis SemTxvevaSi damzRvevi valdebulia, werilobiT Seatyobinos mzRvevels xelSekrulebis moSlis Sesaxeb 1 (erTi) TviT adre.

5.6.2. damzRvevis mier xelSekrulebis/polisis Sewyvetis SemTxvevaSi an damzRvevis mier sadazRvevo premiis gadauxdelobis gamo mzRvevelis mxridan xelSekrulebis vadaze adre Sewyvetisas, damzRvevi vadebulia damatebiT gadaixados dazRvevis Sewyvetis momentisTvis gamoumuSave-buli sadazRvevo premiis 75%, xolo im SemTxvevaSi Tu dazRveuli xel-Sekrulebas wyvets dazRvevis ga-formebis TariRidan pirveli 3 Tvis ganmavlobaSi da amave dros ar usargeblia dazRveviT, xelSekrule-bis Sewyvetis momentisaTvis ixdis 3 Tvis premias.

5.6.3. mzRvevelis mier sadazRvevo xelSekrulebis vadaze adre moSlis SemTxvevaSi, igi valdebulia damzRvevs daubrunos winswrebiT gadaxdili premiis gamoumuSavebeli nawili, ase-Tis arsebobis SemTxvevaSi, Tu dazRveuls ar usargeblia dazRveviT.

5.7. subrogacia:

5.7.1. mzRveveli, xarjebis anaz-Raurebis gacemis Semdeg, ufle-bamosilia, moiTxovos Sesabamisi xarjebis kompensacia im pirTagan, romlebic pasuxismgebelni arian dazRveulisTvis miyenebul zianze.

5.8. davebis gadawyveta:

5.8.1. mxareebma yvela Rone unda ixmaron, raTa SeTanxmebiT moag-varon yvela uTanxmoeba da dava, war-moqmnili maT Soris xelSekrulebis an masTan dakavSirebuli sxva sakiTx-ebis mimarT.

5.8.2. winamdebare xelSekrulebis SesrulebasTan dakavSirebuli mx-

areebs Soris wamoWrili davebis/uTanxmoebis SemTxvevaSi mxaree-bi uTanxmoebis mogvarebisa da xe-lSewyobis mizniT mimarTaven „daz-Rvevis mediacias“ satelefono xazis meSveobiT nomerze: +995 32 2 555 155 an eleqtronuli fostis misamarTze: mediacia@insurance.org.ge

5.8.3. Tu aseTi molaparakebis daw-yebidan 30 (ocdaaTi) dRis ganmav-lobaSi mxareebi ver SeZleben sadavo sakiTxebis SeTanxmebiT mogvarebas, nebismier mxares davis gadawyvetis mizniT SeuZlia dadgenili wesis mixedviT mimarTos sasamarTlos. ga-momdinare iqedan, rom mxareTa mier xelSekrulebis Sesrulebis adgi-lad miCneulia mzRvevelis adgil-samyofeli, davis ganxilva moxdeba misi adgilsamyofelis mixedviT ar-sebul saerTo sasamarTloSi.

orsuloba/mSobiaroba - iTvaliswinebs orsulTa patronaJisaTvis saWiro same-dicino momsaxurebebis (eqimis konsul-tacia, laboratoriuli da instrumen-tuli gamokvlevebi, diagnostikuri ambu-latoriuli manipulaciebi, medikamente-bis Rirebuleba) xarjebis anazRaurebas orsulTa meTvalyureobis erovnuli gaidlainebis, protokolebis da poli-sis pirobebis Sesabamisad.

mSobiarobasTan (maT Soris sakeisro kveTasTan) dakavSirebuli samedicino momsaxurebis Rirebulebis anazRau-rebas - polisis pirobebis Sesabamisad.

orsuloba/mSobiarobasTan dakavSire-biT gansazRvrulia 10 Tviani mocdis periodi.

es aris periodi dazRvevis dawyebidan da am periodis ganmavlobaSi sadazRve-vo kompania ar anazRaurebs orsuloba/mSobiarobasTan dakavSirebul momsa-xurebis xarjebs.

sadazRvevo periodis ganmavlobaSi orsuloba/mSobiarobasTan dakavSi-rebuli samedicino momsaxurebis xar-jebi anazRaurdeba Semdegi odenobiT:

orsulobasTan dakavSirebuli samedi-cino momsaxurebis xarjebi anazRaur-deba SeZenili sadazRvevo polisi „medis“ gegmiuri ambulatoriuli servisis anazRaurebis procentis Sesabamisad 200 laris farglebSi; mSobiarobasTan dakavSirebuli samedicino momsaxure-bis xarjebi 300 laris farglebSi.

orsuloba/mSobiarobasTan dakavSi-rebuli momsaxurebis misaRebad:

orsuloba:dazRveuli mimarTavs pirad eqims. pi-radi eqimi uzrunvelyofs dazRveuls saWiro kvlevebiTa da specialistTan mimarTviT kompaniis provaider klini-kebSi; an dazRveulis survilisamebr, sxva licenzirebul samedicino dawe-

sebulebaSi. piradi eqimis mimarTvis gareSe samedicino dawesebulebaSi mimarTvisas dazRveuli ixdis Sesabam-isi momsaxurebis Tanxas srulad da anazRaurebis misaRebad mimarTavs sa-dazRvevo anazRaurebis jgufs momsa-xurebis miRebidan 30 dRis ganmavlobaSi.

anazRaurebisaTvis saWiro dokumenta-cia: sadazRvevo polisi, piradobis damadasturebeli dokumenti, piradi eqimis mimarTva an eqimi specialistis daniSnuleba, daniSnulebis Sesabamisad Catarebuli samedicino momsaxurebis detaluri CamonaTvali - TiToeuli servisis fasi, momsaxurebis miRebis TariRis da dawesebulebis dasaxele-bis miTiTebiT. dokumenti damowmebuli unda iyos uflebamosili piris xelmo-weriTa da beWdiT.

mSobiaroba:kompaniis kontraqtor klinikaSi same-dicino momsaxurebis misaRebad mSobi-arobis savaraudo TariRamde mzRvevel-Tan winaswar srulyofili dokumenta-ciis wardgenis SemTxvevaSi mzRveveli gascems sagarantio werils, ris safuZ-velzec dazRveuli Tavisufldeba Ri-rebulebis polisiT gaTvaliswinebuli wilis gadaxdis procedurisagan.

sagarantio werilis gareSe, agreTve kompaniis arakontraqtor klinikaSi mimarTvisas dazRveuli ixdis momsa-xurebis Tanxas srulad, Semdeg ki anaz-Raurebis misaRebad mimarTavs sadaz-Rvevo anazRaurebis jgufs momsaxure-bis miRebidan 30 dRis ganmavlobaSi.

anazRaurebisaTvis saWiro dokumenta-cia: sadazRvevo polisi, piradobis mowmoba, forma #100, dabadebis mowmoba, Catarebuli samedicino momsaxurebis detaluri CamonaTvali, - TiToeuli servisis fasis, momsaxurebis miRebis TariRis da dawesebulebis dasaxelebis miTiTebiT. dokumenti damowmebuli unda iyos uflebamosili piris xelmo-weriTa da beWdiT.

moduli I - orsuloba/mSobiaroba

iTvaliswinebs:18 wlamde asakis pirTaTvis binaze anda SemTxvevis adgilze gadaudebe-li samedicino daxmarebis xarjebis anazRaurebas. kerZod: pediatriuli saswrafo samedicino daxmarebis da gadaudebeli samedicino daxmarebis saWiroebisas eqimi pediatris binaze vizitis xarjebis anazRaurebas.

sadazRvevo kompaniis mier pediatri-uli gadaudebeli samedicino daxmare-bis xarjebi ulimitod anazRaurdeba. dazRveulis Tanagadaxda gadaudebeli samedicino daxmarebis yovel SemTxve-vaze Seadgens 5 lars.

saswrafo samedicino daxmareba iTva-liswinebs: samedicino CvenebiT gadau-debeli samedicino daxmarebis gamoZa-xebis, adgilze samedicino momsaxurebis, saWiroebis SemTxvevaSi dazRveulis vitaluri funqciebis SenarCunebis mizniT SemTxvevis adgilidan samedici-no dawesebulebaSi transportirebis Rirebulebis anazRaurebas, polisis pirobebis Sesabamisad.

gadaudebeli samedicino daxmarebis saWiroebisas eqimi-pediatris viziti binaze iTvaliswinebs: samedicino Cven-ebiT eqim-pediatris konsultacias binaze, daavadebis Sesabamisi mkur-nalobis daniSvnas; Semdgom satelefono patronaJs, daavadebis mimdinareobisas,

(vizitidan 1 kviris ganmavlobaSi), saWi-roebisamebr, ambulatoriul gasinjva-konsultacias eqimis ofisSi.

gadaudebeli pediatriuli samedici-no daxmarebis saWiroebisas: dazRveuli an sxva dainteresebuli piri ukavSir-deba kompaniis cxel xazs satelefono nomerze: 2 505 111, saswrafo gadaudebeli samedicino daxmarebis brigadisTvis, an eqimisaTvis sadazRvevo polisisa da piradobis damadasturebeli dokumentis wardgenisas dazRveuli ixdis Tanagadax-dis Tanxas (xuT lars) da Tavisufldeba am momsaxurebaSi sadazRvevo kompaniis wilxvedri Tanxis gadaxdisgan.

sadazRvevo kompania aanazRaurebs pedi-atris mier daniSnul medikamentebis Rirebulebas polisis pirobebis Sesa-bamisad. pediatris mier daniSnuli medikamentebis SeZenisas dazRveulis uflebamosili warmomadgeneli ixdis Sesabamisi momsaxurebis Tanxas srulad da anazRaurebis misaRebad mimarTavs sadazRvevo anazRaurebis jgufs momsa-xurebis miRebidan 30 dRis ganmavlobaSi.

anazRaurebisaTvis saWiro dokumen-tacia moicavs: sadazRvevo poliss, piradobis damadasturebel dokuments, pediatris daniSnulebas, amonawers SeZenili medikamentebis Sesaxeb da salaros qviTars.

iTvaliswinebs:sabaziso klinikad klinika kuracios (q. Tbilisi, cincaZis q.16) arCevas.

moduli II - gadaudebeli pediatria

moduli III - kuracio

_T: 2 505 111www.gpih.ge

Tqven saimedo xelSi xarT!