There is an opinion that treatment at the dentist is always paid for by the citizen. In fact, there are clear obligations of the state to citizens in the field of health care, including the provision of dental care. It is worth noting that free medical dental care is available to absolutely every insured person and it makes no difference which insurance company issued the policy.
Each region of the Russian Federation has its own Territorial Compulsory Health Insurance Program, formed in accordance with the requirements of the unified program of state guarantees.
According to the compulsory medical insurance policy, only emergency medical care is provided throughout the country. The provision of planned medical care is possible only in the insurance territory - in the region of residence.
This means that if a citizen develops a disease of the oral cavity, salivary glands and jaw, he (she) has the right to receive the necessary dental care (in a clinic, hospital) from a medical organization at the district, regional, and, if there are medical indications, at the federal level. free of charge.
How to sign up?
To have your teeth treated for free, you need to go to a dental clinic or the dental department of a hospital, health center...
If a child needs help, then you should contact a children’s dental clinic; often the adult and children’s departments operate within the same clinic.
If inpatient treatment is necessary, it can be completed in the appropriate hospital. Free services under the compulsory medical insurance policy can also be obtained in some private clinics operating in the compulsory medical insurance system.
Just like a regular clinic, you need to be attached to a dentistry. To do this, contact the registry office of the clinic of your choice with your compulsory medical insurance policy and passport. In the future, when applying for dental medical care, it is possible to pre-register for an appointment with a doctor in all available ways: by telephone, in the pre-registration register at a medical organization and, if technically possible, electronic recording using the information and telecommunications network Internet.
Free dental treatment under the compulsory medical insurance policy in 2022: what services are included in the list
Every person has used the services of a dentist at least once in his life.
To get rid of unbearable toothache, people are sometimes willing to pay any amount of money. A lot of money will also be required to carry out dental restoration procedures. After the introduction of compulsory medical insurance policies, the dental treatment procedure became available to any owner without charging a fee, patients can count on receiving qualified and high-quality service.
Terms of assistance
It should be remembered that in accordance with the Territorial Program, when applying for dental care, emergency medical care must be provided immediately; provision of emergency primary health care is no more than 2 hours from the moment of application.
The waiting period for an appointment with local doctors should not exceed 24 hours from the moment the patient contacts the medical organization.
The time frame for consultations with medical specialists when providing primary specialized health care in a planned manner is no more than 14 working days (in Moscow 10 calendar days) from the date the patient contacts the medical organization.
The timing of diagnostic instrumental (radiographic studies, ultrasound studies) and laboratory tests in the provision of primary health care should not exceed 14 working days (in Moscow 10 calendar days) from the date of appointment.
The timing of computed tomography (including single photon emission computed tomography), magnetic resonance imaging and angiography in primary health care should not exceed 14 working days from the date of appointment.
Possibility of minimal costs
People who have set out to have straight teeth should know a few more nuances that relate mainly to private clinics.
They also give you the opportunity to get braces for free. Such cases include:
- Carrying out promotions . Often clinics (especially newly opened ones) hold various advertised promotions for their services to increase their client base. The conditions for their implementation are different, including completely free installation of braces.
- Trial batch for a specific clinic. This is the case when a certain type of brace systems has already been tested in use, but is unfamiliar to this institution.
To determine their characteristics and effectiveness, the clinic (by agreement with the manufacturer) conducts a series of trial procedures free of charge for the client. - Bonus systems. Many private clinics, wanting to “attach” regular clients to themselves, are developing various bonus programs.
As a rule, they have a cumulative principle. Namely: when the payment for the services of this clinic reaches a certain amount, free installation of braces is a bonus for the patient. - Testing a new type of brace systems for yourself. This option is quite rare. Typically, all manufacturers supply already tested models to medical institutions.
But rare cases of such deliveries can still be found. Then the patient receives the brace system free of charge, as a fee for the work performed by the tester.
Attention! The patient must be clearly aware of the consequences of such a step. By agreeing to test an unfamiliar design or materials, he is taking a certain risk.
Of course, identifying opportunities to obtain inexpensive braces requires certain costs (time and effort). But the game is worth the candle - in the end the patient will have straight teeth, received for free.
What dental care is not included in the Territorial Program?
Dental prosthetics is excluded from the program; this type of dental care is paid for from the personal funds of citizens, except for the privileged category of the population, which is financed from the corresponding budget. Unfortunately, there are cases of illegal denial of free dental care under the Territorial Program or you are offered to pay for the specified care.
The insurance company often receives a question: is it possible to install a photopolymer filling under a compulsory medical insurance policy? The fact is that each region has its own Territorial State Guarantee Program, which includes a different range of medical services. In most regions, this type of filling is not included in the list. If there is such a possibility, then the choice of filling material is carried out exclusively by the dentist, with the obligatory informing of the patient about the treatment method.
In Moscow, photopolymer material is not included in the list of services under the compulsory medical insurance policy. Types of filling material: cement, metal-containing filling, filling made of chemically cured composite material.
For more detailed information, you can check with your insurance representative at the contact center number 8-800-200-92-04.
Free dental treatment for children
The compulsory medical insurance program provides for the provision of any type of medical care, without exception, to all persons under 18 years of age. The list is represented by the following services:
- Removal of teeth that cause discomfort (baby, molar or wisdom teeth).
- Treatment of caries and other oral diseases.
- Restoration of dental coating (applying a layer of mineral mixture to restore the enamel layer).
- Physiotherapeutic procedures that are carried out for the purpose of further treatment of diseases of the oral cavity.
- In order to correct the bite, the orthodontist may perform a procedure to remove the septum of the front teeth.
- In rare cases, a plate is installed to correct the bite of a minor child.
- The full range of services provided for the adult population.
In cases where a child needs urgent treatment, dental services are provided without presenting documents and without following the general queuing order. In other cases:
- the presence of the child’s legal representative (parent or guardian) is required;
- the accompanying parent must have an identification document;
- it is necessary to present the child’s birth certificate;
- you will need a compulsory medical insurance policy.
What to do?
First, contact the administrator of the medical organization (chief physician, deputy chief physician, head of department) with a request to explain the reason for the refusal or request for payment. In most cases, the problem is resolved on the spot. If the administrator refuses to help, contact your medical insurance company (name, phone number, address, email address is on your compulsory medical insurance policy). Insurance company employees will provide you with the necessary advice and, if necessary, take measures to solve the problem.
Types of dental care
What to do if you don’t have a residence permit
Treatment can only be done at the medical institution where the patient is registered. If you go to another hospital (except in emergency cases), you will be denied free help.
Citizens who are not registered anywhere also have the opportunity to have their teeth treated for free. A unified database of all insured citizens has been created. Thanks to this, you can contact medical institutions, regardless of your place of registration. But there should have been a policy in hand. It is this that is the main document.
For dental treatment under compulsory medical insurance, you will still have to be assigned to a clinic. It is unlikely that you will be able to get into a private center, but you can easily get into a state hospital.
Orthodontics:
- Specialized (dental) medical care is provided to children in the treatment of dental pathology using removable equipment (orthodontic plates) using domestic materials, with the exception of the brace system
- The waiting period in an outpatient setting is no more than 14 working days (in Moscow 10 calendar days)
- Indications: correction of congenital dental pathologies (bite correction) in children
Originally from the USSR™ – complex tooth extraction with a chisel!
A chisel is a tool from the times of the USSR, when there were no drills in surgical rooms for drilling bone tissue and sawing roots. The way teeth are removed with a chisel is more like a horror movie, when the doctor places the sharp end of the chisel on the bone tissue next to the tooth, while the nurse hits the chisel with a wooden hammer over and over again. Removing a tooth with a chisel is very traumatic for the bone tissue of the jaw and the temporomandibular joint, and often leads to complications.
Often the chisel slips off the bone and penetrates deeply into the soft tissues of the floor of the mouth; the chisel can also easily perforate the maxillary sinus of the upper jaw. Very often, the use of a chisel leads to injury to the mandibular nerve, which runs just under the tips of the roots of the lower teeth. Such an injury can lead to both the development of neuritis and prolonged pain, as well as prolonged numbness of part of the face. The use of a chisel is not permitted.
Mandatory expenses
Listed above are the options for getting braces for free. However, unfortunately, nothing is completely free (except for a mousetrap). Therefore, even if the patient falls under any of these cases, he still faces certain expenses.
Before installing braces, he must independently finance the following steps:
- Preliminary consultation with a dentist and orthodontist.
- Diagnostics. Here the possibility of setting up this system in principle is determined; existing diseases of teeth and gums are identified; a further treatment plan is determined.
- Removal of teeth as prescribed by a doctor (if necessary).
- Treatment of current dental diseases.
- If necessary, tooth filling.
The patient should also be aware that installation, maintenance and removal of the braces system are subject to payment.
One should not miss such nuances as the period of stay of the system in the oral cavity. It is usually a year or more. During this time, a variety of situations can occur - damage to the braces, tooth injury or another unforeseen event. Each of them requires specialist intervention.
The further life of an even dentition also requires financial costs (but they are not large compared to those already made).
To consolidate and maintain the results obtained, the patient is recommended to use special devices - retainers, mouth guards (also not free). The duration and periods of wearing them are prescribed by the orthodontist, individually in each specific case.
How to use wax for braces and where you can buy it.
In this publication we will tell you whether placing and removing braces is accompanied by pain.
Here https://www.vash-dentist.ru/ortodontiya/breketyi/camoligiruyushhie-bezligaturnyie.html you will find a detailed description of non-ligature braces systems.
How to save on treatment: What experts say
Patients wait so long to go to the dentist that it only gets worse. And all because they don’t want to spend large sums of money on treatment. But it’s logical to assume that the faster you solve the problem, the less money you’ll spend later.
Dentists don't understand why patients think that if they start the problem, they can still save money later. How? If the problem is so advanced that you even have to remove several teeth, then you will have to insert implants. It definitely won’t be cheaper than timely dental treatment.
Unfortunately, our people are accustomed to going to the dentist when there is simply no other choice. For example, a tooth hurts terribly, or something even worse...
Therefore, experts advise undergoing treatment on time. It is necessary to undergo a preventive examination at least once a year to prevent serious problems. It is better, of course, to go to the dentist once every six months according to all the rules.
Thus, timely detection of caries at the initial stage will allow you to save almost a fortune. Preventing this disease is twenty times cheaper than treating it!
Problems of free dentistry
Unfortunately, such a range of services cannot be found in government institutions everywhere. It all depends on how financially secure a particular region is. For example, the further you are from Moscow, the smaller the list of services you will be offered.
In such areas, the client will not be offered prosthetics, even if he is a war veteran or disabled. Some experts believe that this situation arose due to the recently launched process of streamlining government institutions and reducing resources to finance these clinics.
As a result, hundreds of layoffs and the closure of many dental departments in public clinics. As a result, many people in some cities simply do not have the opportunity to visit a public dental office due to the lack of one. Therefore, they go to a private owner or ignore dental problems.
What's worse is that there are few specialists in some areas of the country. Sometimes there are so few of them that it is necessary to use special mobile teams so that local residents have the opportunity to have their teeth treated.
Nuances of saving
If a person was unable to take advantage of any of the described points for free bite correction, then there are options for making it cheaper . They allow you to significantly save on this procedure when installing braces.
First, you should pay attention to the newly opened dental centers . There is a high probability that in the initial period of their work they pursue a more loyal financial policy.
Installation of braces is a very popular service. It is possible that the price here will be significantly lower than that of competitors.
There are other ways to save money. Let's list them:
- Inexpensive but reliable systems. These are metal braces (provided that there is no allergy to the material used). In addition to the lower price, their short rehabilitation period compared to other types of structures also speaks in their favor.
- Self-ligating systems. Their maintenance does not require frequent visits to the dentist to check functionality. Considering that each visit is paid, the use of such systems will be more economical.
- Elimination of computer modeling. The installation of braces was carried out when computer models were not yet common. Dentists have already gained significant experience in this area. Therefore, in certain situations (in agreement with the doctor), such a service can be neglected.
- Promotions on certain models of braces. They are periodically carried out in clinics, often at the initiative of the manufacturers of these systems. In these cases, there is no point in counting on a completely free service. However, it is quite possible to get a significant discount.
- Tax deduction. You should take advantage of this benefit (it applies to all medical procedures associated with the installation of braces) when paying taxes.
Important! If a clinic refuses to provide documents for filing a tax deduction, it is better not to use its services. Most likely, illegal schemes are used here.
- Bank loan. Sometimes it makes sense to use credit funds for these purposes. Of course, the total costs will be higher, but they will allow you to choose the best option. In addition, they will be spread out over time, and this will not have a painful impact on the monthly budget.
The listed methods of saving also require some effort from the patient. In addition to searching for the necessary information in the press and on the Internet, you should conduct thorough consultations with specialists. They will help eliminate an option that turns out to be completely unsuitable for a given case.
The video provides additional information on the topic of the article.
How to keep your teeth healthy
There is a list of what not to do if you want to have healthy and strong teeth:
- Snack less, so you provide food for bacteria. It is necessary to brush your teeth or rinse your mouth after every meal.
- Do not eat chewy sweets and chewing gum - they provoke tooth decay.
- Don't go overboard on sugar; it's better to snack on some fruit.
- At least reduce the number of cigarettes you smoke if you cannot quit smoking. Smoking not only harms your gums and makes your teeth yellow, but worse, it can cause cancer of the lips and oral cavity.
- Consume less sugary soda and packaged juices. There is too much sugar, and this is an excellent environment for the development of bacteria.
