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janmrTelobis dazRvevis polisiT gaTvaliswinebuli dazRvevis pirobebi 1. gansazRvrebani 1.1 winamdebare gansazRvrebani nebismier nawilSi. inarCunebs miTiTebul mniSvnelobas polisis

mzRveveli ­ ss "sadazRvevo kompania aldagi bisiai"; dazRveuli (polisis mflobeli) ­ winamdebare polisSi miTiTebuli piri, romlis janmrTeloba da/an sicocxle warmoadgens dazRvevis sagans; damzRvevi ­ iuridiuli an pizikuri piri, romelic axorcielebs dazRvevas dazRveulis sasargeblod da iRebs pasuxismgeblobas gadaixados sadazRvevo premia. polisi ­ dazRvevis damadasturebeli dokumenti, romelSic gansazRvrulia dazRvevis pirobebi da romelic awesrigebs urTierTobas damzRvevsa da dazRveuls Soris. samedicino dawesebuleba ­ saqarTvelos farglebSi moqmedi, nebismieri licenzirebuli samedicino dawesebuleba, romelSic dazRveuli miiRebs samedicino momsaxurebas; provaideri samedicino dawesebuleba ­ mzRvevelTan sakontraqto urTierTobaSi myofi samedicino dawesebuleba; sadazRvevo SemTxveva ­ winamdebare pirobebiT gansazRvruli SemTxvevebi, romelTa dadgomisas warmoiSveba mzRvevelis valdebuleba, gasces sadazRvevo anazRaureba winamdebare pirobebis Sesabamisad; sadazRvevo periodi ­ periodi, romlis ganmavlobaSi dazRveuli piri iTvleba dazRveulad; anazRaurebis maqsimaluri limiti (limiti) ­ winamdebare polisiT gaTvaliswinebuli Tanxa, romelic warmoadgens sadazRvevo anazRaurebis maqsimums; dazRvevis pirobebi _ winamdebare polisSi, gansazRvruli pirobebi. dazRvevis xelSekruleba ­ winamdebare polisi, masSi gansazRvruli dazRvevis pirobebi da dazRveulis/damzRvevis mier xelmowerili ganacxadi. yvela CamoTvlili dokumenti Seadgens erTian ganuyofel dokuments. teritoriuli limiti ­ saqarTvelos teritoria. sadazRvevo Sesatani (premia) _ Tanxa, romelsac winamdebare pirobebiT gaTvaliswinebuli dazRvevisaTvis ixdis damzRvevi, rogorc dazRvevis sazRaurs. mocdis periodi _ periodi dazRvevis ZalaSi Sesvlidan erTi Tvis ganmavlobaSi. mocdis periodi orsuloba/mSobiarobaze - periodi dazRvevis ZalaSi Sesvlidan oTxi Tvis ganmavlobaSi Cven, Cveni ­ mzRveveli, ss ,,sadazRvevo kompania aldagi bisiai" Tqven, Tqveni ­ damzRvevi, 2. xelSekrulebis sagani 2.1. winamdebare polisi aregulirebs urTierTobebs, romelic warmoiSveba Cvensa da Tqvens Soris dazRveuli piris dazRvevisas, polisis pirvel gverdze gansazRvruli pirobebis Sesabamisad;

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2.2. winamdebare polisis pirvel gverdze gansazRvruli pirobebis Sesabamisad, Cven valdebuli varT, Tqvens mier winamdebare polisis gacemisa da pirveli (erTjeradi) sadazRvevo Sesatanis (premiis) gadaxdis Semdeg, vuzrunvelyoT dazRveuli samedicino momsaxurebis xarjebis anazRaurebiT sadazRvevo SemTxvevis dadgomisas; 3. sadazRvevo dafarvebi da anazRaurebis wesebi qveviT mocemuli sadazRvevo dafarvebi ZalaSia, im SemTxvevaSi, Tu polisis pirvel gverdze aRniSnulia Sesabamisi sadazRvevo dafarva. 3.1. bi si ai asistansis 24 saaTiani samsaxuri - samedicino asistansis samsaxurSi dazRveulebs saSualeba eqnebaT miiRon kvalificiuri satelefono samedicino konsultacia, sruli informacia momsaxure samedicino provaiderebisa da mimdinare dazRvevis programis Sesaxeb. 3.2 saswrafo samedicino daxmareba ­ gadaudebeli samedicino momsaxureba, adgilze gamoZaxebiT. saWiroebis SemTxvevaSi, transportireba Sesabamisi profilis samedicino dawesebulebaSi. 3.2.1 anazRaurebis miReba saswrafo samedicino daxmarebis brigadis gamoZaxebis mizniT, dazRveuli, an sxva dainteresebuli piri akeTebs Setyobinebas sadazRvevo polisSi miTiTebul asistansis nomerze, romelic, Tavis mxriv, uzrunvelyofs dazRveuls samedicino daxmarebis organizebiT. polisisa da piradobis mowmobis wardgenis safuZvelze dazRveuli Tavisufldeba momsaxurebis Rirebulebis gadaxdisagan. dazRveuli piri, agreTve, uflebamosilia, Tavad gamoiZaxos saswrafo daxmarebis brigada. aseT SemTxvevaSi, dazRveuli ixdis momsaxurebis mTlian safasurs da sadazRvevo anazRaurebis misaRebad mimarTavs sadazRvevo kompanias. dazRveulma unda waradginos miRebuli momsaxurebis damadasturebeli dokumentebi; - Catarebuli momsaxureobis damadasturebeli CamonaTvali; - gadaxdis damadasturebeli dokumentacia; - sadazRvevo polisi; - piradobis damadasturebeli mowmoba. asanazRaurebeli Tanxa dazRveuls gadaericxeba winaswar SeTanxmebul angariSis nomerze an gaicema naRdi angariSsworebiT, yvela saWiro dokumentis wardgenidan 7 (Svidi) samuSao dRis vadaSi.

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ojaxis eqimi - dazRveulis pirveladi gasinjva, TiToeuli dazRveuli pirisaTvis anketa-istoriis Seqmna, Casatarebeli gamokvlevebis, mkurnalobis xarisxisa da mizanSewonilobis kontroli, dazRveulTa samedicino konsultaciebiT uzrunvelyofa, pirveladi daxmarebis gaweva da Sesabamisi daniSnulebis micema, damatebiT konsultantis konsultaciisa da instrumentul-laboratoriuli gamokvlevebis saWiroebis SemTxvevaSi,

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Sesabamisi mimarTvis werilis gamowera.

micema;

medikamentebis

SesaZenad

saWiro

sagarantio

3.3.1 anazRaurebis miReba ojaxis eqims SegiZliaT mimarToT yoveldRe, kviris garda 09:30-dan 17:30 saaTamde, bi si ais janmrTelobis centrSi ­ "Cemi ojaxis klinika" (griboedovis q. # #34. tel: 999 105; 999 205. faqsi 999 501). 3.4 ambulatoriuli momsaxureba konsultaciis, laboratoriuli ambulatoriulad Catarebuli anazRaureba. sxvadasxva profilis specialistis instrumentuli gamokvlevebis, samedicino manipulaciebis xarjebis -

3.4.1 anazRaurebis miReba ambulatoriuli momsaxurebis misaRebad, dazRveulma winaswar unda gaakeTos Setyobineba bi si ai asistansSi. Tu dazRveuli ambulatoriul momsaxurebas miiRebs bi si ais janmrTelobis centrSi ("Cemi ojaxis klinikaSi") an bi si ais provaider klinikaSi, dazRveuli adgilze gadaixdis mTliani Rirebulebis mxolod TanagadaxdiT gaTvaliswinebul procents. darCenili Tanxis angariSsworeba moxdeba pirdapir samedicino dawesebulebasTan Cven mier. Tu dazRveuli ambulatoriul momsaxurebas miiRebs ara porvaider samedicino dawesebulebaSi ­ igi adgilze gadaixdis ambulatoriuli momsaxurebis mTlian safasurs, xolo amis Semdeg mimarTavs bi si ai asistanss anazRaurebis misaRebad. aseT SemTxvevaSi, dazRveulma unda waradginos Catarebuli mkurnalobis amsaxveli Semdegi dokumentacia: - forma #100, - konsultantis Canaweri; - konsultantis daniSnuleba; - Catarebuli gamokvlevebis CamonaTvali; - gamokvlevebis pasuxebi; - gadaxdis damadasturebeli dokumentacia; - sadazRvevo polisi; - piradobis damadasturebeli mowmoba. asanazRaurebeli Tanxa dazRveuls gadaericxeba winaswar SeTanxmebul angariSis nomerze yvela saWiro dokumentis wardgenidan 7 (Svidi) samuSao dRis vadaSi. 3.5. medikamentebis xarjebis anazRaureba - ojaxis eqimis an sxva konsultantis mier daniSnuli medikamentebis Rirebulebis anazRureba 3.5.1 anazRaurebis miReba medikamentebis SesaZenad dazRveulma unda mimarTos bi si ais ojaxis eqims. ojaxis eqimi gamowers sagarantio werils SesaZeni medikamentebis CamonaTvalis, raodenobis miTiTebiT, romelsac dazRveuli warudgens "aversis" afTiaqs da SeiZens saWiro medikamentebs, afTiaqSi dazRveuli gadixdis mxolod aranazRaurebad minimums anu Tanagadaxdis wesis Tanaxmad, mis wilad gadasaxdel Tanxas.

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im SemTxvevebSi, rodesac mkurnaloba dazRveuls daeniSna sxva eqimikonsultantis mier, savaldebuloa, dazRveulma daniSnuleba warudginos ojaxis eqims, ris mixedviTac ojaxis eqimi gamouwers dazRveuls "aversSi" warsadgen sgarantio werils, ris safuZvelzec dazRveuli gadaixdis mxolod TanagadaxdiT gaTvaliswinebul Tanxas. dazRveuls SeuZlia weliwadSi xuTjer SeiZinos 20 laramde jamuri Rirebulebis medikamentebi ojaxis eqimis sagarantio werilis gareSe (TiTo SeZenisas medikamentebis jamuri Rirebuleba ar unda aRematebodes 20 lars). 3.6. hospitaluri momsaxureba ­ gegmiuri an/da gadaudebeli mkurnalobis, operaciiis, sawoldReebis xarjebis anazRaureba. stacionaluri

3.6.1 anazRaurebis miReba sadazRvevo SemTxvevis dadgomisas, dazRveuli piri valdebulia, daukavSirdes bi si ai asistanss da moaxdinos Setyobineba sadazRvevo SemTxvevis Sesaxeb. Tu dazRveuli piri itarebs stacionarul samedicino momsaxurebas bi si ais provaider klinikaSi an asistansTan winaswar SeTanxmebul samedicino dawesebulebaSi, hospitalizaciis xarjebis anazRaureba, sadazRvevo limitis farglebSi, moxdeba samedicino dawesebulebasTan pirdapiri angariSsworebis safuZvelze. aseT SemTxvevebSi, sakmarisia, dazRveulma pirma waradginos sadazRvevo polisi da piradobis damadasturebeli mowmoba da igi Tavisufldeba gadaxdis procedurisagan. Tu asistansSi Setyobinebis gakeTeba da mkurnalobis winaswari SeTanxmeba SeuZlebeli iyo obieqturi mizezebis gamo, es garemoebebi unda dasturdebodes Sesabamisi sabuTiT, Setyobineba unda moxdes mkurnalobis dawyebidan araugvianes 48 saaTisa. 3.7. profilaqtikuri gamokvlevebi _ sisxlisa da Sardis saerTo analizi, eleqtro kardiografia, zogadi profilis eqimis konsultacia, erT-erTi sistemis ultrabgeriTi gamokvleva zogadi profilis eqimis daniSnulebiT 3.7.1. anazRaurebis miReba profilaqtikuri samedicino gamokvlevebis misaRebad, dazRveuli ukavSirdeba bi si ai asistanss an ojaxis eqims. isini gauweven gamokvlevebis Catarebis organizebas. dazRveuli gamokvlevebis Rirebulebis gadaxdisagan sruliad Tavisufalia. 3.8. stomatologiuri momsaxureba _ stomatologiuri momsaxureba iTvaliswinebs bi si ais provaideri klinikebis bazaze miRebuli Semdegi momsaxurebebis xarjebis anazRaurebas: kbilis dabJena; martivi da garTulebuli kariesis mkurnaloba; paradontozisa da lorwovani garsis daavadebebis mkurnaloba; kbilis mwvave tkivilis gayuCeba; kbilis eqstraqcia; rentgenografia. 3.8.1. anazRaurebis miReba stomatologiuri momsaxurebis misaRebad, dazRveuli ukavSirdeba bi si ai asistanss. asistansis TanamSromlebi dagegmaven provaider klinikebs Soris dazRveulisTvis sasurvel klinikaSi stomatologTan vizits. dazRveuli adgilze gadaixdis mxolod polisiT gaTvalswinebul Tanagadaxdis procents.

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3.9. orsuloba-mSobiarobis xarjebis anazRaureba ­ orsulobasTan dakavSirebuli gamokvlevebis, mkurnalobis, fiziologiuri mSobiarobisa da sakeisro kveTis, romlis aucileblobac ganpirobebulia Sesabamisi samedicino CvenebiT (samSobiaro moqmedebis sisuste, pirveladi da meoradi) xarjebis anazRaureba. 3.9.1. anazRaurebis miReba sadazRvevo SemTxvevis dadgomisas, dazRveuli piri valdebulia daukavSirdes bi si ai asistanss da moaxdinos Setyobineba sadazRvevo SemTxvevis Sesaxeb. Tu dazRveuli piri itarebs momsaxurebas bi si ais provaider klinikaSi an asistansTan winaswar SeTanxmebul samedicino dawesebulebaSi, xarjebis anazRaureba, sadazRvevo limitis farglebSi, moxdeba samedicino dawesebulebasTan pirdapiri angariSsworebis safuZvelze. aseT SemTxvevebSi, sakmarisia, dazRveulma pirma waradginos sadazRvevo polisi da piradobis damadasturebeli mowmoba da igi Tavisufldeba gadaxdis procedurisagan. Tu dazRveuli momsaxurebas miiRebs ara provaider samedicino dawesebulebaSi ­ igi adgilze gadaixdis momsaxurebis mTlian safasurs, xolo amis Semdeg mimarTavs bi si ai asistanss anazRaurebis misaRebad. aseT SemTxvevaSi dazRveulma unda waradginos Catarebuli mkurnalobis amsaxveli dokumentacia: - forma 100, - konsultantis Canaweri; - konsultantis daniSnuleba; - Catarebuli gamokvlevebis CamonaTvali; - gamokvlevebis pasuxebi; - gadaxdis damadasturebeli dokumentacia; - sadazRvevo polisi; - piradobis damadasturebeli mowmoba. asanazRaurebeli Tanxa dazRveuls gadaericxeba winaswar SeTanxmebul angariSis nomerze yvela saWiro dokumentis wardgenidan 7 (Svidi) samuSao dRis vadaSi 3.10. ubeduri SemTxveviT ganpirobebuli janmrTelobis gauaresebisas gadaudebeli stacionaruli mkurnalobis xarjebis anazRaureba ­ iTvaliswinebs ubeduri SemTxvevis Sedegad dazRveulis janmrTelobis gauaresebisas stacionarSi Catarebuli gadaudebeli mkurnalobis xarjebis anazRaurebas. 3.10.1. anazRaurebis miReba sadazRvevo SemTxvevis dadgomisas, dazRveuli piri valdebulia daukavSirdes bi si ai asistanss da moaxdinos Setyobineba sadazRvevo SemTxvevis Sesaxeb. Tu dazRveuli piri itarebs gadaudebel stacionarul samedicino momsaxurebas bi si ais provaider klinikaSi an asistansTan winaswar SeTanxmebul samedicino dawesebulebaSi, xarjebis anazRaureba, sadazRvevo limitis farglebSi, moxdeba samedicino dawesebulebasTan pirdapiri angariSsworebis safuZvelze. aseT SemTxvevebSi, sakmarisia, dazRveulma pirma waradginos sadazRvevo

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polisi da piradobis damadasturebeli mowmoba da igi Tavisufldeba gadaxdis procedurisagan. Tu asistansSi Setyobinebis gakeTeba da mkurnalobis winaswari SeTanxmeba SeuZlebeli iyo obieqturi mizezebis gamo, es garemoebebi unda dasturdebodes Sesabamisi sabuTiT, Setyobineba unda moxdes mkurnalobis dawyebidan araugvianes 48 saaTisa.

3.11. sicocxlis dazRveva _ dazRveuli piris nebismieri mizeziT gardacvalebis SemTxvevaSi polisis pirvel gverdze gansazRvruli Tanxis memkvidr(eb)isaTvis (mosargebleTaTvis) gadaxda. polisis pirvel gverdze miTiTebuli Tanxa warmoadgens Cveni pasuxismgeblobis maqsimalur limits, miuxedavad memkvidreTa (mosargebleTa) raodenobisa. 3.11.1. anazRaurebis miReba dazRveuli piris gardacvalebis SemTxvevaSi, dainteresebulma pirma 10 samuSao dRis vadaSi unda gaakeTos Setyobineba bi si ai asistansSi. saWiro dokumentaciis detaluri CamonaTvali damokidebulia dazRveuli piris gardacvalebis mizezze. bi si ai asistansis TanamSromlebi miawvdian dainteresebul pirs im dokumentaciis detalur CamonaTvals, romlis wardgenac iqneba saWiro anazRaurebis misaRebad. anazRaureba gaicema dokumentaciis wardgenidan 14 samuSao dRis vadaSi.

4. gamonaklisebi winamdebare polisSi gansazRvruli pirobebis Tanaxmad, dazRveviT ar ifareba da anazRaurebas ar eqvemdebareba: 1. dazRveulis ojaxis wevrebisa da sxva axloblebis konsultaciasa da mkurnalobasTan dakavSirebuli xarjebi; 2. is sadazRvevo SemTxvevebi, romlebic winamdebare polisis ZalaSi Sesvlamde dadga. dazRvevamde aRmocenebuli/arsebuli daavadebebis mkurnalobis, maTi garTulebebis xarjebi; 3. dazRveulis mier individualuri ganacxadis Sevsebisas ganucxadebeli (damaluli) daavadebebis mkurnalobis xarjebi; 4. mocdis periodis ganmavlobaSi gaweuli samedicino momsaxurebis xarjebi, garda urgentuli SemTxvevebis mkurnalobisa, romlebic dadasturebuli unda iyos samedicino CvenebiT; 5. sadazRvevo periodis pirveli 4 Tvis ganmavlobaSi damdgar orsulobasTan/mSobiarobasTan dakavSirebuli xarjebis anazRaureba. dazRvevamde arsebuli orsulobis, masTan dakavSirebuli mSobiarobis xarjebis anazRaureba 6. 24 saaTian cxel xazze (asistansSi) an ojaxis eqimTan Setyobinebis gareSe Catarebuli mkurnalobis xarjebi, garda gadaudebeli, urgentuli SemTxvevebisa, romlis drosac SeuZlebeli iyo dakavSireba 24 saaTian cxel xazze;

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7. profilaqtikis mizniT Catarebuli gamokvlevebisa da mkurnalobis xarjebi (polisis pirvel gverdze gaTvaliswinebulis garda) 8. saTvalis, kontaqturi linzebisa da smenis aparatis SeZenasTan dakavSirebuli xarjebi; 9. seqsualuri darRvevebis, impotenciis, unayofobis, orsulobis SenarCunebis kvlevasa da mkurnalobasTan, reproduqtologiur gamokvlevasa da mkurnalobasTan, kontracefciasTan dakavSirebuli xarjebi; 10. fsiqiatriuli daavadebebis mkurnalobis xarjebi; aseve nebismieri saxis nervuli depresiuli an nevrologiuri aSlilobebis mkurnalobasTan dakavSirebuli xarjebi; 11. ftiziatriul avadmyofTa gamokvlevasa da mkurnalobasTan dakavSirebuli xarjebi; 12. onkologiur avadmyofTa, aseve, miomis gamokvlevasTan, mkurnalobasTan da garTulebebTan dakavSirebuli xarjebi; 13. qronikuli daavadebebis (Saqriani an uSaqro diabeti, qr. hepatiti, Tirkmlis qr. ukmarisoba, farisebri jirkvlis daavadebebi da sxva) da maTi garTulebebis gamokvlevasa da mkurnalobasTan dakavSirebuli xarjebi; aseve im daavadebebis medikamentozuri mkurnalobis xarjebi, romlebic saWiroeben xangrZliv an mudmiv mkurnalobas; 14. stomatologiur: orTodontiul, orTopediul, paradontozisa da paradontitis mkurnalobasTan dakavSirebuli xarjebi (Tu aseTi sadazRvevo dafarva ar aris gaTvaliswinebuli Sesabamisi dazRvevis pirobebiT); 15. orsulobis da mSobiarobis garTulebebis mkurnalobasTan, orsulobis SenarCunebasTan, sanayofe siTxis diagnostikasa da nayofis genetikur kvlevasTan dakavSirebuli xarjebi; 16. Sidsis, sqesobrivi gziT gadamdebi daavadebebis, infeqciuri daavadebebis (trixomona, qlamidia, soko, gardnerela da sxva amgvari), b da c hepatitis, toqsoplazmozis, citomegalovirusis da sxva amgvari daavadebebisa da maTi garTulebebis gamokvlevisa da mkurnalobis xarjebis anazRaureba; 17. aratradiciuli medicinis, akupunqturis, homeopaTiis, manualuri Terapiis, lazeroTerapiis, krioTerapiis, plazmaferezis, balneo da fizioTerapiis, samkurnalo masaJis, samkurnalo varjiSis, logopedis, reabilitaciuri da sanatoriul-kurortuli mkurnalobis xarjebi (polisiT gaTvaliswinebulis garda); 18. kosmetikuri mizniT Catarebuli mkurnalobis xarjebi (stomatologiis CaTvliT); 19. sazRvargareT mkurnalobasTan, aseve gamosakvlevi masalis sazRvargareT gagzavnasTan dakavSirebuli xarjebi, rac cdeba dadgenili dazRvevis teritoriis farglebs; 20. federaluri, municipaluri Tu sxva samedicino programebiT gaTvaliswinebuli daavadebebis mkurnalobis xarjebis is nawili, rac anazRaurdeba Sesabamisi programiT. 21. saqarTvelos moqmedi kanonmdeblobis dadgenil moTxovnaTa Seusabamo an/da saTanado licenziis armqone samedicino

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dawesebulebebsa da samedicino saqmianobis uflebis armqone kerZo pirebTan konsultaciisa da mkurnalobis, TviTmkurnalobis xarjebi; 22. saqarTvelos moqmedi kanonmdeblobiT gansazRvruli saTanado kompetenciis mqone uwyebis mier araregistrirebuli, aseve, homeopaTiuri samkurnalwamlo saSualebebis, biologiurad aqtiuri danamatebis Rirebuleba; aseve, nebismieri arasamkurnalwamlo saSualebebis (bandaJi, korseti da sxva), higienuri da kosmetikuri saSualebebis (maT Soris, nebismieri saxis kbilis pasta, piris Rrus savlebi, Sampuni, saponi) Rirebuleba 23. sisxlis samarTlis kodeqsiT gaTvaliswinebuli kanonsawinaaRmdego qmedebisas an TviTdaSavebiT miRebuli dazianebebis mkurnalobis xarjebi, garda im SemTxvevebisa, romelTac adgili aqvs sxvisi sicocxlis gadarCenas an aucielebeli mogeriebis farglebSi Cadenili qmedebisas; 24. alkoholuri da/an narkotikuli nivTierebebis zemoqmedebis Sedegad janmrTelobis gauaresebis mkurnalobis xarjebi da aseTi nivTierebebis zemoqmedebisas damdgari SemTxvevebi; narkomaniis, alkoholizmis da toqsikomaniis mkurnalobasTan dakavSirebuli xarjebi; 25. samoqalaqo omSi, saomari moqmedebebis dros, antisaxelmwifoebriv gamosvlebSi, SeiaraRebul dapirispirebaSi, teroristul aqtebSi monawileobis Sedegad miRebul dazianebaTa mkurnalobis xarjebi; 26. radiaciuli dasxivebisas miRebuli dazianebis mkurnalobis xarjebi; 27. mRvimeebisa da gamoqvabulebis gamokvlevasTan, agreTve, Zlier feTqebad nivTierebaTa ganadgurebaSi monawileobasTan dakavSirebuli sadazRvevo SemTxvevebis xarjebi; 28. sadazRvevo SemTxvevebi, romlebic dakavSirebulia dazRveulis profesionalur an/da samoyvarulo sportSi monawileobasTan, alpinizmsa da kldeze cocvasTan, deltaplaniTa da paraSutiT xtomasTan an sxva saxeobasTan, romelic Seicavs daSavebis momatebul risks; 29. Tandayolili da genetikuri daavadebebisa da defeqtebis mkurnalobis xarjebis anazRaureba; 30. proTezirebis (stomatologiis CaTvliT), transplantaciisa da implantaciis xarjebis anazRaureba; 31. epidemiebiT, garemos dabinZurebiT an stiqiuri ubedurebiT gamowveuli janmrTelobis mdgomareobis gauaresebis mkurnalobasTan dakavSirebuli xarjebi; 32. kardioqirurgiuli mkurnalobis (aorto-koronaruli Suntireba, stentireba, balonireba, operaciebi gulis sarqvlebze da operaciebi Ria gulze) xarjebi; 33. im SemTxvevaSi, Tu dazRveulma Caitara gamokvleva an mkurnaloba samedicino momsaxurebis im mimwodebelTan, romlis

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fasebic mkveTrad aRemateba mimwodebelTa bazarze arsebul saSualo fasebs, kompania uflebas itovebs, aanazRauros Catarebuli gamokvlevis Tu mkurnalobis Rirebulebis mxolod is nawili, romelic Seesabameba sabazro fasebs (anu msgavsi profilis klinikebSi arsebul saSualo fass); 34. anazRaurebas ar daeqvemdebareba, aseve, xarjebi, romlebic dakavSirebuli iqneba stacionaruli mkurnalobisa da mSobiarobisas eqskluziuri da damatebiTi momsaxurebiT srgeblobasTan (ayvanili samedicino personali 4.2. sicocxlis dazRvevisaTvis gaTvaliswinebuli gamonaklisebi: ar anazRaurdeba SemTxvevebi, Tu dazRveulis gardacvaleba gamowveulia: - SidsiT an IV infeqciiT; - alkoholuri, narkotikuli an sxva toqsikuri nivTierebis zemoqmedebiT; - TviTmkvlelobiT an ganzax gamowveuli sxeulis dazianebiT - winamdebare dazRveviT pirdapir an arapirdapir dainteresebuli pirebis mier ganzrax Cadenili qmedebiT; - omSi, samoqalaqo omSi, SeiaraRebul dapirispirebaSi monawileobiT ajanyebasa da gaficvaSi nebayoflobiTi monawileobiT; - Tu sadazRvevo SemTxveva dadgeba dazRveulis mier sisxlis samarTlis kanonmdeblobiT gaTvaliswinebuli danaSaulebrivi qmedebis Cadenis (an aseTi mcdelobis) Sedegad; - Tu sadazRvevo SemTxveva Sedegia dazRveulis monawileobisa sahaero, sawylosno an sxva romelime sarisko, samoyvarulo sportSi (mag.: avtorbola, wyalqveS yvinTva, TxilamurebiT sriali da sxva) da Tu aseTi saxeobebi, gamonaklisTa siidan ar aris amoRebuli Sesabamis sadazRvevo polisSi specialuri miTiTebis gakeTebis gziT. Tu sadazRvevo SemTxveva (gardacvaleba) gamowveulia dazRveulis janmrTelobis iseTi mdgomareobiT, romlis Taobazec ganacxadSi ar yofila aRniSnuli, maSin, rodesac Cvengan moTxovnili iyo aseTi informaciis wardgena. 5. mxareTa ufleba-movaleobebi 5.1. Cven valdebuli varT: 5.1.1. droulad da srulad gavceT sadazRvevo anazRaureba winamdebare polisiT gansazRvruli pirobebis Sesabamisad; 5.1.2. . Cven valdebulni varT, sadazRvevo polisis dakargvis an ganadgurebis SemTxvevaSi, ganvaxorcieloT dakarguli polisis Zaladakargulad gamocxadeba da misi dublikatis gacema. am procedurasTan dakavSirebul xarjebis gaReba Tqveni valdebulebaa.

5.2. Tqven valdebuli xarT: 5.2.1. gadaixadoT sadazRvevo Sesatani (premia) winamdebare polisSi dadgenili wesiTa da vadebSi;

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5.2.2. uzrunvelyoT xelSekrulebis dadebisaTvis aucilebeli utyuari informaciis CvenTvis wardgena Cvens mier dadgenili formiT,. 5.2.3. uzrunvelyoT miRebuli Sesabamisi sadazRvevo polisis dazRveulisaTvis Cabareba da polisiT gaTvaliswinebuli pirobebisa da valdebulebebis misTvis gacnoba (Tu dazRveuli sxva piria).

6. angariSsworebis wesi (sadazRvevo premia da gadaxdis pirobebi,) 6.1. winamdebare polisiT gaTvaliswinebuli Tqven mier gadasaxdeli sadazRvevo premia gansazRvrulia polisis pirvel gverdze. 6.2. sadazRvevo premiis gadaxda xorcieldeba winamdebare polisis pirvel gverdze gansazRvruli periodulobiT. pirveli Senatanis gadaxda xorcieldeba wianmdebare polisis gacemisTanave. 6.3. angariSsworeba SesaZlebelia, rogroc naRdi, aseve, unaRdo angariSsworebis gziT erovnul valutaSi gadaxdis dRisTvis Tbilisis bankTaSoris savaluto birJaze oficialurad dafiqsirebuli kursis Sesabamisad. 6.4. pirveli an erTjeradi sadazRvevo premiis gadaxdamde Cven Tavisufali varT winamdebare polisiT nakisri movaleobebisagan. amasTan, ganvadebiT angariSsworebis SemTxvevaSi, Tqven mier morigi Sesatanis (premiis) gadauxdelobisas, Cven vTavisufldebiT nakisri movaleobisagan orkviriani gafrTxilebis vadis dacviT.

7. dazRvevis moqmedeba, 7.1. winamdebare polisiT gaTvaliswinebuli dazRveva ZalaSi Sedis sadazRvevo perodis pirveli dRis 24 saaTidan da wydeba sadazRvevo periodis bolo dRis 24 saaTze; polisis gauqmebis safuZveli SeiZleba gaxdes, aseve: a) mzRvevelis mier nakisri valdebulebebis srulad Sesruleba anu Sesabamisi pasuxismgeblobis/anazRaurebis limit(eb)is (aseTi arsebobisas) sruli amowurva; b) meore mxaris mier nakisr valdebulebaTa Seusrulebloba; g) mxareTa winaswari werilobiTi SeTanxmeba. 7.2. dazRvevis xelSekrulebaze Tqven mier xelSekrulebis moqmedebis vadis amowurvamde uaris gacxadebis SemTxvevaSi, CvenTvis gadaxdili sadazRvevo premiis dabrunebis sakiTxi Semdegnairad regulirdeba: Tu Tqven mier sadazRvevo urTierTobis Sewyvetis survili ganpirobebulia pativsadebi mizezebiT anu motivirebulia (risi Sefasebis prerogativac Cven gvekuTvnis calkeuli konkretuli SemTxvevis specifikis mixedviT) Tqven mier gadaxdili gamoumuSavebeli sadazRvevo premia brundeba ori Tvis Sesabamisi sadazRvevo premiis gamoklebiT. xolo zemoxsenebuli pativsadebi mizezebis ararsebobisas ki, Tqven mier gadaxdili sadazRvevo premia ar eqvemdebareba dabrunebas. dazRvevis xelSekrulebis Sewyvetamde Cven mier anazRaurebuli zaral(eb)is SemTxvevaSi, sadazRvevo premia ar eqvemdebareba dabrunebas. 8. dava

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8.1. mxareTa Soris wamoWrili nebismieri dava wydeba mxareTa urTierTSeTanxmebiT, SeuTanxmleblobis SemTxvevaSi ki _ sasamarTlos meSveobiT saqarTvelos kanonmdeblobiT dadgenili wesiT.

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