Extension of sick leave - key points and subtleties
Many patients have to think about how to extend sick
leave from a therapist or other doctor if the law establishes
a specific period
of possible incapacity for work, and the body has not yet had time to recover. This review will help you understand the main issues that arise in such situations. The article also contains information about what awaits the patient if he missed an appointment at the clinic, and for what maximum period the ballot can be extended.
How is sick leave paid for day hospital treatment?
I am in a day hospital, and before that I go to work.
They will give me sick leave, but will it be paid if I also go to work? What does this mean for me and my employer? You will definitely not receive double pay for sick leave. Either you present sick leave for payment and receive benefits for sick days, or you will be given full working hours on your time sheet and your wages will be calculated as usual. What to choose? Sick leave payment may be slightly less for days of illness, because when calculating the average monthly earnings, some nuances will affect its size.
At the same time, being on sick leave gives you greater freedom in solving some of your problems. You can not submit sick leave for payment, even if the employer knows about it, but does not require it and agrees to mark this time as working time.
We recommend reading: I made a return to the sportsmaster when will the money be returned
In what cases and for how long is a certificate of incapacity for work issued?
Before sending a patient on sick leave, doctors are guided by the provisions of the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation
"
In particular, clauses 1 and 2 of Art.
59 of this normative act lists cases when it is necessary to issue a certificate of incapacity for work, and indicates the maximum time limit. So, sick leave opens in the following cases:
- the presence of diseases, injuries, poisonings and other conditions associated with temporary disability;
- after-care in sanatorium-resort organizations;
- the need to care for a sick family member or due to quarantine;
- for the duration of prosthetics in stationary conditions;
- in connection with pregnancy and childbirth, as well as when adopting a child.
Depending on qualification
medical worker, a certificate of incapacity for work is issued:
- By a dentist or paramedic alone for a period of no more than 10 days.
- A therapist and other specialized specialists for a period not exceeding 15 days inclusive.
The duration of the period for which a patient can be granted sick leave is determined either by the specifics of the patient’s disease, or by another reason causing his disability. You can learn more about this from the text of the Order of the Ministry of Health of the Russian Federation dated June 29, 2011 No. 624n “On approval of the Procedure for issuing certificates of incapacity for work
».
Many uncured patients go to an appointment with the thought of what to tell the doctor in order to extend sick leave? In essence, test results and symptoms will speak for them. The attending doctor does not take into account complaints about poor health and weakness without confirming these facts with compelling arguments in the form of external manifestations and laboratory tests. Therefore, complaints based on words alone cannot contribute to either the opening or extension of a certificate of incapacity for work.
Which sick leave is paid more: inpatient or outpatient?
In this article we will provide information on what important points the employee and employer need to know about sick leave, and will consider the issues of registration, calculation and payment of sick leave:
A sick leave certificate (sick leave certificate) performs two tasks:
- A sick leave confirms the employee’s incapacity for work and is the basis for temporary release from work; A sick leave certificate as a financial document is the basis for assigning monetary benefits for temporary disability.
The employee's insurance length will directly affect the amount of disability benefits: Up to 5 years, the amount of the benefit will be 60% of average earnings.
How is sick leave paid by the employer?
In Russia, only persons subject to compulsory social insurance have the right to receive sick leave.
- farmers, lawyers, notaries, individual entrepreneurs and other self-employed citizens;
- other categories of citizens on the basis of federal law.
- municipal and civil servants;
- employees registered on the basis of employment contracts;
- employees of the blood transfusion station;
- reception departments of medical institutions;
- employees of sanitary and resort institutions.
- ambulance service specialists;
Additionally, wages for sick leave are not accrued if it was issued by other healthcare institutions that do not have the right to conduct an examination to determine the fact of temporary disability.
How to correctly calculate sick leave
As an exception, the Social Insurance Fund pays compensation in full from its own funds from the first day if the sick leave is issued for one of the following reasons:
- Prosthetics in a hospital setting.
- Treatment under quarantine conditions.
- Caring for an incapacitated family member.
- Sanatorium-resort treatment after hospital treatment.
- 80% – 8 years;
- 60% – less than 5 years;
- 100% when working for over 8 years.
If sick leave is issued due to caring for a minor child under 15 years of age, then the calculation is made as follows:
- If the child is being treated in a hospital,
- If the child is treated on an outpatient basis, then the payment is in the amount of the insurance period (more than 10 calendar days - 50%);
Sick leave in a hospital is paid
This amount, grossly, is withheld by the personal income tax.
In addition, it is paid when caring for a child, another sick family member, as well as when going on maternity leave. Another exception is for employees working under a fixed-term employment contract.
An employee whom you hired for a period of less than 6 months can remain on paid sick leave for no more than 75 days under this agreement.
Who pays for sick leave?
Payment terms, calculation and restrictions
A sick leave certificate is a special medical document issued by a specialized body on an official basis.
Source: https://152-zakon.ru/kakoj-bolnichnyj-oplachivaetsja-bolshe-stacionarnyj-ili-ambulatorno-12444/
Period for extending sick leave after hospitalization in a clinic
Order of the Ministry of Health of the Russian Federation No. 624n
, which was mentioned above, specifies cases of extension of the period of temporary disability. After all, it is obvious that 10-15 days for the complete rehabilitation of the patient’s body after a difficult operation or difficult childbirth is clearly not enough.
To avoid any problems when filling out the form, it would be a good idea for patients to know how to extend their sick leave after surgery.
.
In this situation, all issues are resolved with the attending physician - the doctor in such cases personally determines the patient’s physical condition and can independently increase the period
of incapacity for work without convening a commission (in this case, weekends and holidays are also included in this period). His competence extends to the following situations:
- The patient must attend additional treatment procedures
at the clinic (an additional 15 days may be prescribed). - Inpatient treatment
in the hospital was not enough (plus 10 days to the due date). - If the sick leave was issued by a paramedic or dentist, then in case of complications
can add another 10 days for rehabilitation.
In private medical institutions, doctors are authorized, just like their “state” colleagues, to increase the period of incapacity for work by an additional 15 days.
Extension of a certificate of incapacity for work for a period of more than 1 month is carried out by a medical commission
.
In this case, the patient must agree to undergo a specialized examination
, which will prove the need for a longer period for satisfactory recovery of the body.
Maximum term
sick leave after a decision to extend it by the commission is 10 months. Doctors make this decision in the following cases:
- carrying out major surgery;
- experienced a heart attack or stroke;
- the presence of complex fractures.
There is also an exceptional period
disability of 1 year. Such long-term sick leave is allowed for patients:
- those suffering from an open form of tuberculosis;
- having illnesses associated with oncology;
- those experiencing severe physical trauma or complications after difficult operations.
Against the backdrop of such serious problems, many are worried about something else - whether they will extend their sick leave if the runny nose continues. In this case, the attending doctor will increase the period independently without the involvement of a commission. However, you should not count on a long renewal of the ballot. In such cases, no one gives more than 1-2 weeks for recovery.
Day hospital
.
The full amount of necessary funds for a course of treatment without hospitalization. Each field of medicine has a list of indications that are the basis for sending a patient to a day hospital. Reviews from patients, as well as statistics, indicate the convenience and effectiveness of this form of medical care. – this is one of the structural units of a medical institution, intended for the stay of patients who do not need round-the-clock monitoring of their condition and supervision of medical personnel.
Features of registration of a certificate of incapacity for labor for women in labor
In Art. 255 Labor Code of the Russian Federation
(hereinafter referred to as the Labor Code of the Russian Federation) states that:
Women, upon their application and on the basis of a certificate of incapacity for work issued in accordance with the established procedure, are granted maternity leave of 70 (in the case of multiple pregnancies - 84) calendar days before childbirth and 70 (in the case of complicated childbirth - 86, for the birth of two or more children - 110) calendar days after childbirth.
However, in Order of the Ministry of Health of the Russian Federation No. 624n
There are cases when the hospital period may become longer.
Such cases include:
- Childbirth performed by cesarean section, or the presence of complications during the birth of the child.
- If the ultrasound did not show the expectant mother the presence of a multiple pregnancy, and this circumstance became clear only during childbirth.
- Childbirth that began earlier than expected (before the 30th week), the birth of a stillborn child.
- If a woman has diseases of the cardiovascular system or other chronic illnesses.
- If in vitro fertilization was performed.
Calculation of the extension of sick leave after complicated childbirth or other cases is made by an obstetrician-gynecologist
. In all situations, a woman giving birth has the right to an additional 16 days of maternity leave. If a woman gives birth to triplets or more, the doctor may extend the period of incapacity for another 40 days.
If the illness occurred while on vacation
Sometimes a much-desired vacation can be ruined by a sudden deterioration in health. Trips to medical institutions do not add any color to your vacation, and citizens who are little familiar with the law assume that these days cannot be returned. A reliable and proven way to extend sick leave during vacation
, there is - this is knowledge of the laws.
Art.
124 of the Labor Code of the Russian Federation states that:
Annual paid leave must be extended or transferred to another period determined by the employer taking into account the wishes of the employee, in the event of temporary disability of the employee.
How to extend sick leave if you are not sick
Some would dream of not going to work longer, resting at the expense of their organization or the state. However, the attitude of doctors towards such scoundrels has never been favorable. Each issued certificate of incapacity for work is registered
, and unscrupulous patients may be added to the “
ignore list
”. Therefore, it will become more difficult for deceivers to get medical help in the future.
There is no way to extend sick leave if you have recovered while complying with Russian laws. However, a healthy person can apply for a certificate of temporary incapacity for work if supervision of a sick person
family member (in particular, a minor child). The period will vary depending on the age of the sick children:
- For disabled children, the parent or guardian has the right not to go to work until the child has fully recovered;
- sick children over 7 years of age but under 15 can “exempt” their legal guardians or parents from work for a maximum of 2 weeks;
- 3 days is the period of sick leave if family members over 15 years of age need care (in exceptional cases, the commission may release an able-bodied citizen from work for a week so that he can look after his loved ones).
Many illnesses are cured when the mark on the thermometer does not rise above 36.6, and patients worry about how long they can extend sick leave without a fever
?
Some patients mistakenly believe that if they do not have a fever, they will be considered healthy. This is not so - the doctor takes into account the general condition
of the patient who contacts him, and according to a single rule, he can increase the period of temporary disability to 15 days.
Step-by-step instructions for obtaining sick leave
Step-by-step instructions allow you to understand how to open a sick leave certificate at a clinic. To do this, you need to see a doctor. In case of injury, a surgeon will help; in case of an emergency, an ambulance is needed.
If you have a cold, you must make an appointment with a therapist and have your insurance card and passport with you. For some diseases you should call a doctor at home:
The procedure for issuing sick leave at the clinic:
- A certificate of incapacity for work is issued by a doctor on the day of application.
- If the patient himself comes to the appointment, then the sheet is given to him.
- If the patient called a doctor to his home, he will receive a certificate of incapacity for work when he comes to the appointment.
- When hospitalized in a hospital, sick leave is given upon discharge.
- A follow-up appointment is scheduled after 5 days; the patient must bring sick leave.
- On the certificate of incapacity for work, you must check the completed data: company name, surname, first name, patronymic, gender, date of issue.
- At the time of discharge, the sick leave must bear the stamp of the clinic and a seal.
- The patient must sign for receipt of the document.
Sick leave in another city
Sometimes it happens that a person gets sick while traveling to other localities or during a business trip. When contacting a medical institution not at the place of residence, the patient may encounter some difficulties in obtaining a certificate of incapacity for work ( lack of a card
patient at the local clinic complicates the doctor's job).
However, in other cities it is possible to issue a certificate of incapacity for work. However, is it possible to extend sick leave in another city if it was opened at the clinic at the place of registration of the citizen? There are no legislative obstacles to such a procedure, but doctors may have fair questions for a patient who seems to be sick, does not go to work, but for some reason travels around the country.
How is sick leave paid for day hospital treatment?
I am in a day hospital, and before that I go to work. They will give me sick leave, but will it be paid if I also go to work?
What does this mean for me and my employer?
You will definitely not receive double pay for sick leave. Either you present sick leave for payment and receive benefits for sick days, or you will be given full working hours on your time sheet and your wages will be calculated as usual. What to choose? Sick leave payment may be slightly less for days of illness, because when calculating the average monthly earnings, some nuances will affect its size.
At the same time, being on sick leave gives you greater freedom in solving some of your problems.
You can not submit sick leave for payment, even if the employer knows about it, but does not require it and agrees to mark this time as working time.
How and when to apply for sick leave
What happens if you don’t extend your sick leave
?
You can calm down: in practice, an employee who neglects his duties to visit a doctor is deprived of only part of the benefit
due to violation of the regimen prescribed by the doctor.
The benefit on the day of missing a visit to a medical institution and after it will be calculated according to the minimum wage, and not based on the employee’s salary. Doctors usually extend the certificate of incapacity for work retroactively
.
However, there are exceptions
, and this must be remembered.
No one will renew a ballot if they suspect that an absolutely healthy person is deliberately shirking work. Therefore, in order to avoid various disputes with the doctor and the accounting department of the company in which the patient works, it is recommended not to violate the deadlines for visiting
the doctor.
There is a category of patients who are late to see the doctor and who are concerned about whether their sick leave can be extended by 1 day. They don’t have to worry about this - there is such a possibility. Medical staff for good reasons
can meet halfway. At the same time, there is no need to pester doctors too intrusively so that they put an extra day on the sick leave list due to the negligent behavior of the patient who missed an appointment.
Day hospital
Medical hospitals are specialized institutions designed for long-term stays of patients.
There are 24-hour hospitals, where patients stay continuously (until completion of the course of treatment), and day hospitals, where patients visit only to perform procedures.
Day hospitals allow you to undergo a full course of treatment without interrupting work, study and family. (DS) is a division of medical institutions of a treatment and preventive nature.
Here, patients undergo diagnosis and treatment in conditions comparable to a conventional 24-hour hospital, but the process takes much less time. It often only takes a few hours a day to complete the prescribed treatments.
It is impossible to carry out such treatment at home. Day hospitals are created on the basis of hospitals and clinics, research and educational medical institutions.
