The absence of teeth has unpleasant consequences: even one removed tooth can affect the process of chewing food, lead to gum disease, and dysfunction of the digestive organs. Timely replacement is very important, but such a procedure costs a significant amount and is not always affordable for the people who, as a rule, need it most - elderly patients or veterans. Fortunately, today there are programs that allow you to get free dental prosthetics.
Dental prosthetics
The most common need among citizens of retirement age is the need for dentures. This dental service in the Russian Federation can be provided with some discounts or even absolutely free. The list of these persons is defined in the Federal Law “On Social Protection of the Population”, however, in some regions the procedure for obtaining such benefits is determined in a special manner. In this case, the terms and conditions are prescribed in the regulations of regional legislation.
In certain cases, the service may be provided to the patient out of turn. In addition, there are situations when, with the help of the local budget, preferential dental prosthetics are provided to labor veterans in full.
Who is entitled to such assistance from the state?
Dentures are made and inserted in every dental clinic, whether private or public, but exclusively on a paid basis. Restoring teeth is quite expensive, and not every patient can afford such a medical procedure at a high price. Therefore, the state, taking into account the analysis of socio-economic factors, decided to provide certain categories of people with preferential dental prosthetics. Labor veterans fall into this category.
Let's consider this issue in more detail.
List of beneficiaries
The priority list of such citizens is as follows:
- labor veterans of the Russian Federation;
- disabled people of the Second World War;
- veterans of the Great Patriotic War;
- people with 1 or 2 disability groups;
- non-working old-age pensioners;
- disabled children under 18 years of age.
There is also a so-called second-order queue, which includes the following persons:
- participants in the liquidation of the accident at the Chernobyl nuclear power plant;
- low-income citizens with an income below the subsistence level in a certain region by 2 times;
- military pensioners and employees of the Ministry of Internal Affairs;
- patients who joined the queue before 2005.
This applies to the general list of beneficiaries, but full funding from the state budget is provided for:
- disabled people and WWII veterans, home front workers;
- disabled people with an officially confirmed group;
- labor veterans;
- rehabilitated and repressed persons;
- old age pensioners.
What dental services are provided at a discount?
In addition to the direct manufacture and installation of dentures, a labor veteran can express his desire to receive other free dental services:
- examination of the oral cavity, recommendations for eliminating dental defects, consultation regarding medications and upcoming procedures;
- diagnosis of problems, sanitation of the oral cavity;
- installation of fillings, repair of damage, treatment of caries;
- cleaning the tooth surface from deposits;
- treatment of pathologies and inflammation;
- removal of tumors in the oral cavity.
Consumables and medicines under compulsory medical insurance
As part of treatment under the compulsory medical insurance policy in dentistry, the following types of medications and materials are offered free of charge:
- cleaning brushes;
- cotton wool, bandages, burs;
- suture and dressing materials;
- X-ray film;
- polishing pastes;
- silicate, glass ionomer filling cements;
- phosphate cements;
- arsenic;
- domestically produced anesthetics and antiseptics (for example, Lidocaine, Novocaine, Trimecaine).
A doctor, for example, if a client is allergic to medications or anesthesia, can offer the patient higher quality, expensive materials. They will be used only with the consent of the pensioner, but the patient will need to pay the difference independently.
Dental prosthetics
Not all pensioners have the right to free prosthetics, but only those who belong to the following categories of beneficiaries:
- participants, disabled people and veterans of the Great Patriotic War;
- disabled people;
- combatants;
- liquidators;
- Heroes of the USSR and Russia;
- labor veterans;
- repressed and subsequently rehabilitated;
- awarded the badge “Resident of besieged Leningrad”;
- home front workers;
- non-working pensioners.
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Please note that in addition, the dental prosthetics program for pensioners is free of charge for persons who:
- joined the queue before January 1, 2005, regardless of belonging to one of the above categories;
- have an average per capita income for each family member that is less than half the subsistence level in the region.
Regional legislation can expand the circle of beneficiaries in dentistry. Accurate information must be obtained from an authorized social security specialist at your place of residence. The right to free prosthetics is granted once every 5 years.
The state finances the production of prosthetics from domestic materials (acrylic removable structures, stamped metal crowns). The warranty on them does not exceed 1 year. You can use it if it is proven that the damage, breakdown or defect is a consequence of the unskilled work of the dentist or the fault of the medical institution.
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Photopolymer light fillings if indicated
In a public clinic, a light seal can be installed only for medical reasons. This is due to the fact that the cost of materials is high and not all insurance companies agree to include them in the list of free drugs. Typically, dentists install photopolymer fillings on the front teeth or in cases of cervical caries.
The pensioner, if desired, can independently pay for the cost of the material used. The dentist's work will be free. It is recommended to keep the receipt for payment for the material. Subsequently, it will be possible to receive a tax deduction from this amount (only for those elderly people who have taxable income.).
Conditions for the provision of public services
If we talk specifically about providing preferential dental prosthetics to labor veterans, then in this case it is necessary to take into account the features and procedure of this process in a particular region separately. A similar privilege in the territorial social protection body is assigned in different ways: in some places the list of such citizens is expanded taking into account additional items, and in some regions it is significantly reduced, often forced, which depends mainly on the state of the regional budget. But in certain regions of our country this program is not provided at all.
So, for example, in the Krasnodar Territory, labor veterans are reimbursed by the state for only half the cost of the procedure. That is, dental prosthetics are provided at a discount.
The budget of St. Petersburg is ready to pay for prosthetics only for certain categories of beneficiaries, including labor veterans and widows of WWII veterans. And in the legislative documents of Kamchatka, all members of families raising a disabled child are also added to the standard list of beneficiaries. In Moscow and the Moscow region, for example, only employed pensioners are entitled to benefits. Preferential dental prosthetics for certain categories of citizens are provided exclusively by state dental clinics. Some private medical institutions also provide such a service, but this must be clarified separately. In most cases, this implies a certain discount on medical services in an amount determined by the contractor.
What does it take to qualify for preferential dental prosthetics for labor veterans?
How to compensate for treatment costs if payment still becomes necessary
Important! There are situations when a patient cannot wait his turn or free services are not suitable for him. Then you have to pay for the treatment yourself. But benefits help to save significantly even in such cases.
- If the beneficiary has allergic reactions to the materials used to make free prostheses, or has oncological diseases of the gastrointestinal tract, then it is possible to install prostheses from other materials. More expensive and completely free. True, the decision is made by a special commission and you will first have to undergo a series of examinations.
- Those veterans who have received the right to preferential treatment, but do not have allergies, are also not prohibited from choosing designs from other materials. If you are not satisfied with acrylic and plastic prostheses, you can pay extra for more expensive materials yourself. For example, ceramics or zirconium dioxide. They are not included in the free list, however, neither are dental implants. However, when choosing these treatment methods, you can simply get a certain discount equal to the cost of manufacturing and installing a prosthesis, which is paid for by the state.
- Also, a patient for whom payment for services was not cheap (if paid independently) can return part of the money spent, namely, receive a tax deduction in the amount of 13 percent of the entire amount. True, there is a limitation here: a veteran cannot independently process this tax refund, since he belongs to a preferential category of citizens and does not pay income tax (naturally, provided that he does not work and does not receive an official salary). Therefore, if the treatment was paid for at your own expense, it is better to issue all documents to working child taxpayers. In this case, they will be able to return 13% of the treatment amount.
Documentation
To get on the waiting list for free dental prosthetics, you should contact the social welfare department at your place of residence. The labor veteran must provide the following documentation to this government agency:
- relevant statement;
- passport;
- certificate of family composition;
- a certificate of income for each family member for the past 3 months (form 2NDFL);
- health insurance policy;
- a medical certificate confirming the need for dental prosthetics;
- SNILS.
In cases where it is necessary to register a person who is unable to move independently, then close relatives, or guardians and trustees, or social workers are allowed to handle all matters.
Mechanism for receiving social services
The mechanism for carrying out such a documentary procedure is as follows: a labor veteran receives a coupon and is sent to a designated dental clinic to provide medical services. For prosthetics, materials are used that are financed from the regional budget. If a patient is allergic to prescribed medications and materials, then he has the right to pay the difference in cost between the supplies provided and those specifically needed by him.
Under what conditions are preferential dental prosthetics provided to labor veterans?
Help with free prosthetics is not available to all retirees.
And for beneficiaries there is a queue, by joining which you can get a certificate for prosthetics. There is a first, second stage, etc. The laws of Federal Law No. 5 of 01/09/1997, Federal Law No. 76 of 05/27/1999, Federal Law No. 4301-1 of 01/15/1993 define preferential categories that have the right to undergo the prosthetic procedure free of charge.
Federal Law No. 178 of July 17, 1999 provides for the possibility of providing free prosthetics to certain categories of citizens, but at the expense of funds allocated in the region where pensioners live.
However, this is possible if the entity has a regulatory framework and funds for this program. In some regions, a pensioner can decide to install a denture on his own, and he will be paid compensation.
Attention! Labor veterans, according to legal norms, are among the first priority when deciding on free prosthetics.
You can get preferential prosthetics only in state clinics, or in any licensed dental clinic, regardless of the form of ownership, that provide these services on the basis of a certificate for prosthetics provided to a labor veteran for free (if the region has accepted this program).
It is important to remember that free prosthetics does not include the production of metal-ceramic prostheses and other prostheses made of precious metals.
If a pensioner decides to use the above materials, then he will have to pay the difference in the cost of this procedure himself. With prosthetics, only the cost of the prosthesis and its installation are free.
If medical indications require the use of additional procedures (local surgery), then they must be paid for by the pensioner on the basis of a paid agreement. Prosthetics are provided free of charge once every five years.
One year warranty
A dental structure in the form of a removable denture is subject to an annual warranty, that is, if a malfunction of the denture occurs during this period, it will be replaced or repaired. For such a procedure, as a rule, the first priority is provided. At the same time, there is no monetary investment for a labor veteran, but a very important condition here is proof that only the dental clinic is to blame for the breakdown of the removable denture. Each case is assessed by a special commission.
So, what benefits are provided under a veteran of labor certificate?
Types of services under the program
You can use the state service for dental prosthetics once every five years. After this period has expired and the procedure needs to be performed again, you must join the queue again.
In addition to dental prosthetics, labor veterans can count on other dental services free of charge:
- examination by a dentist and receiving recommendations for upcoming therapy;
- sanitation and diagnostics of the oral cavity;
- treatment of caries, restoration of damage and filling of teeth;
- cleaning the oral cavity from dental plaque;
- therapy of inflammatory processes and pathologies of the mucous membrane;
- surgical manipulations to remove tumors in the jaw area;
- installation of removable dentures of any degree of complexity.
The legislation states that the provision of the following services free of charge is not provided:
- installation of ceramic and metal-ceramic prostheses;
- dental implantation;
- production and repair of orthodontic equipment for the treatment of periodontal disease and the prevention of intensive tooth decay;
- manufacturing, subsequent installation, as well as maintenance of prostheses made of precious and other expensive metals.
How is subsidized dental prosthetics carried out in Moscow?
What services are included in the certificate besides prosthetics?
It is important to understand that the certificate only applies to strictly defined dental procedures.
In addition to free prosthetics, a labor veteran can be provided with:
- Examination and consultation of a labor veteran by a dentist.
- Treatment of dental caries.
- Tooth filling.
- Sanitation of the oral cavity of a pensioner.
- Surgical removal of the tumor.
- Treatment of mucosal inflammation.
- Tartar removal.
Providing services in Moscow
In the capital, as in other cities, in addition to the standard promotion of labor veterans one by one, there are some exceptions. In cases where there are any additional factors affecting the health status of a working veteran, he is moved to the very beginning of the queue automatically. Today in Moscow, many private dental clinics offer a preferential program of therapy and dental prosthetics for labor veterans, both on credit and in installments.
This helps to obtain fixed and removable dentures that are not available free of charge in public clinics. As you know, the most significant costs that arise during dental therapy are incurred by labor veterans during prosthetics. Accordingly, the relevance of such discounts on dentures is most obvious. In private clinics operating under preferential programs in Moscow, this category of citizens has higher quality prostheses than in ordinary government institutions. There are special requirements for such dentures:
- hypoallergenic;
- increased hygiene;
- less weight compared to other dental structures.
Particularly popular are different options for removable dentures, such as nylon, acrylic and clasp. Taking into account the processes of bone tissue resorption, which often occurs due to periodontitis and the mobility of remaining teeth, all prosthetic structures must be hygienic and lightweight.
The volume and parameters of free services in public clinics in Moscow are determined by the Department of Social Protection and the Department of Health of the Government, based on the annual budget of this city.
What prostheses are installed free of charge?
When dental prosthetics are performed for pensioners, special requirements are imposed on dentures that are installed for military and civilian pensioners and other privileged categories of the population: after all, these are usually elderly people or those with certain diseases. Based on this, the structures are made from hypoallergenic and hygienic materials, which are also lightweight. As a rule, various removable dentures are used: clasp, acrylic, nylon.
It is also important that the number of teeth in older people often does not allow the installation of bridges, as well as the lower price of removable structures. In addition, usually only such structures are made in municipal clinics.
Sources:
- https://DentConsult.ru/protezirovanie/lgotnoe-protezirovanie-zubov-veter.html
- https://kompensacii.ru/lgoty-na-protezi-veteranam-truda/
- https://sovets24.ru/2262-besplatnye-uslugi-pensioneram-v-stomatologii.html
- https://StomaGet.ru/o-zubah/lgotnoe-i-besplatnoe-protezirovanie-zubov
- https://nava.ru/lgotnoe-zuboprotezirovanie
- https://infportal.ru/lgoty/sertifikat-na-protezirovanie-zubov-dlya-veteranov-truda.html
- https://MikDent.ru/stomatolog/o-zubax/lgotnoe-protezirovanie-zubov-veteranam-truda.html
How much does dental prosthetics cost in a clinic?
Prices for dentures in Russia can vary very widely; they depend on several factors, such as the type of material, features of the manufacture of the prosthesis and its installation. The lowest price is for plastic options - from 10,000 to 20,000 rubles. From 20,000 to 30,000 rubles. you will have to pay for nylon prostheses.
The most expensive are clasp structures; they will cost the customer 30,000-80,000 rubles, and the specific price depends on the method of fixing the prosthesis.
Queuing Features
In addition to the general order of priority, there are also some additional factors that contribute to faster advancement in the queue of labor veterans, disabled people and pensioners. Sometimes the following movement is noted at the beginning of the queue:
- for jaw deformities caused by serious trauma to the facial area;
- for oncological diseases of the hematopoietic organs;
- for malignant pathologies of the digestive organs;
- in the presence of a malignant formation of the maxillofacial system;
- after severe surgical interventions on any of the digestive organs.
State compensation for dental prosthetics is possible in accordance with the terms of the tax deduction. To do this, it is necessary to regularly pay personal income tax to the state budget. In this case, the need to install a removable denture must be confirmed. Benefits for prosthetics and the installation of specialized structures make life much easier for labor veterans who need such procedures, because the oral cavity must be in order, since the condition of the internal organs depends on this. State protection of certain categories of citizens is a guarantee of providing the population with necessary services.
We looked at who is entitled to preferential dental prosthetics.
What will you have to pay separately?
Medical indications may require a labor veteran to undergo additional procedures, which must be paid for by the person himself.
These include:
- Manufacturing of dentures, which are used to prevent tooth wear.
- Manufacturing and installation of implants.
- Use in the treatment of specialized orthodontic appliances designed to straighten teeth.
- Prevention and, if necessary, treatment of the oral cavity. For example, treatment of periodontitis.
