Dentistry under compulsory medical insurance policy in 2022: what is included in free dental services

What do you need to register with a dental clinic and how to make an appointment?

To register, the patient must go to the selected clinic with a compulsory medical insurance policy, a passport and a written application. At the registry, the data will be entered into the database and the services will become available.

Appointments can be made in advance through a personal call to the PC, through a terminal in the lobby or through an online application. The patient receives a coupon with which he goes to see a doctor.

Without a coupon they are accepted only in acute situations when it comes to emergency care.

The compulsory medical insurance policy is also valid in some private clinics. The list is also on the insurance company’s website, but there are usually not many of them. Since insurance is not able to cover clinic costs for treatment, free services are provided by a few private dentists.

List of private medical institutions in St. Petersburg available in the compulsory medical insurance system

More and more private clinics are ready to provide medical care in the compulsory health insurance system. Today, just under a third of medical institutions in the compulsory medical insurance system are non-state. The list of institutions entitled to provide medical care to the population under the compulsory health insurance policy includes the following private medical organizations.

How to make an appointment at a private clinic:

Even if a private clinic is included in the insurance company’s list, you should check with the clinic directly about the possibility of treatment under compulsory medical insurance. Do not forget that the patient may still pay for some procedures. It is better to ask these nuances before starting treatment to avoid misunderstandings.

If the clinic really provides compulsory medical insurance services, the patient must go to the clinic at his place of registration and get a referral from a doctor.

When all the details have been resolved, you can make an appointment.

IMPORTANT!

Contact your insurance company with any confusion or questions. This can be done by calling the hotline or during a personal visit.

Range of services in 24-hour dentistry

Emergency or emergency care is indicated for patients with acute toothache that does not go away with painkillers and prevents them from falling asleep. It often occurs when pus forms in the oral cavity: the gums become very swollen, the chewing process is disrupted, and the patient cannot even close his jaws. Fractured teeth and severe bleeding from the mouth are also treated urgently.

Night duty dentistry provides the following services:

• Filling and tooth extraction . The root canals are opened, the pulp is removed, cleaned and a temporary filling is installed. In severe cases, simple extraction is performed with forceps or the stuck roots are cut out with a drill.
• Opening of oral abscesses . The pus is sucked out with an aspirator, the tissues are washed with antiseptics and a drainage tube is installed. If suppuration begins after the operation, remove the stitches from the wound, clean it and insert new ones.
• Anesthesia of the maxillofacial area . For severe toothache, temporary pain relief is provided.
• Stop bleeding . Mechanical and medicinal methods are used.
• Inflammation therapy . Curettage of the hole is carried out for alveolitis and surface treatment for acute stomatitis.
• Reduction . If the temporomandibular joint is dislocated, the doctor performs a reduction, puts a bandage on for 15-20 minutes and gives recommendations to avoid re-dislocation.
• Treatment of "eights" . In case of severe inflammation of the gums, the “hood” with which it is covered is removed over the erupting wisdom tooth.

The purpose of urgent intervention in the dentist's office is to solve acute problems: relieve pain, alleviate the symptoms of inflammation, carry out superficial manipulations and anesthetize the affected nerves. A thorough examination and choice of treatment is carried out during the day after consultation with a specialist.

Consumables and drugs under compulsory medical insurance

Insurance companies only pay local manufacturers. Therefore, imported consumables and medicines are not included in the program.

What you can count on:

Composite material

Some domestic medicines

Material for dressings

Consumables for equipment

Anesthesia drugs

In general, this is not a small list that allows you to qualitatively cure a tooth or an oral disease.

In some cases, the doctor may suggest an alternative imported material, but it will be added to the invoice for payment.

. You can refuse the offer; the decision is up to the patient.

Light seals

Dental cement is one of the very first materials in dentistry. Over the entire period of use, it has proven itself well, despite its short service life. But in modern dentistry, better alternatives have appeared - light fillings.

They are also included in the insurance program and can be installed free of charge, but only if indicated. In free dentistry, such fillings are most often placed on the front teeth.

Legislation

• Constitution of the Russian Federation
• Law of the Russian Federation dated 02/07/1992 N 2300-1 (as amended on 05/05/2014) “On the protection of consumer rights”
• Federal Law of July 17, 1999 N 178-FZ (as amended on March 7, 2018) “On State Social Assistance”
• Federal Law of November 21, 2011 N 323-FZ (as amended on August 3, 2018) “On the fundamentals of protecting the health of citizens in the Russian Federation”
• Federal Law of November 29, 2010 N 326-FZ (as amended on July 29, 2018) “On compulsory health insurance in the Russian Federation”
• Order No. 834n dated December 15, 2014 on approval of unified forms of medical documentation used in medical organizations providing medical care on an outpatient basis, and procedures for filling them out
• Order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2012 N 406n “On approval of the Procedure for a citizen to choose a medical organization when providing medical care within the framework of the program of state guarantees of free medical care to citizens”
• Order of the Ministry of Health of the Russian Federation dated December 21, 2012 N 1342n “On approval of the Procedure for a citizen to choose a medical organization (except for cases of emergency medical care) outside the territory of the subject of the Russian Federation in which the citizen lives, when providing him with medical care within the framework of the state program guarantees of free medical care"
• Decree of the Government of the Russian Federation of March 6, 2013 N 186 “On approval of the Rules for the provision of medical care to foreign citizens on the territory of the Russian Federation”
• About the program of state guarantees of free medical care to citizens for 2022 and for the planning period of 2022 and 2023
• On the territorial program of state guarantees of free medical care to citizens in the Leningrad region for 2022 and for the planning period of 2022 and 2023
• List of population groups and categories of diseases for outpatient treatment of which drugs, medical devices, specialized medical nutrition products are dispensed according to doctors’ prescriptions free of charge at the expense of the regional budget of the Leningrad Region
• List of medicines, specialized medical nutrition products, medical products dispensed to the population in accordance with the list of population groups and categories of diseases, for outpatient treatment of which medicines, medical devices, specialized medical nutrition products are dispensed according to doctors’ prescriptions free of charge at the expense of the regional budget of the Leningrad Region
• List of vital and essential drugs for medical use for 2022
• List of medications for medical use, including medications for medical use prescribed by decision of medical commissions of medical organizations
• List of medications intended to provide persons with hemophilia, cystic fibrosis, pituitary dwarfism, Gaucher disease, malignant neoplasms of lymphoid, hematopoietic and related tissues, multiple sclerosis, as well as persons after organ and (or) tissue transplantation
• Order of the Ministry of Health and Social Development of the Russian Federation dated April 26, 2012 N 406n “ON APPROVAL OF THE PROCEDURE FOR A CITIZEN’S CHOICE OF A MEDICAL ORGANIZATION WHEN PROVIDING MEDICAL CARE TO HIM WITHIN THE FRAMEWORK OF THE PROGRAM OF STATE GUARANTEES OF FREE PROVISION OF MEDICINE TO CITIZENS SKY HELP"

Services under the compulsory medical insurance policy: what is required and what is not

Let us consider in detail the list of services that can be obtained under compulsory medical insurance in dentistry in 2022:

• examination, consultation and diagnostics from doctors in various fields of dentistry: therapist, surgeon, orthopedist and orthodontist,
• treatment of caries, pulpitis and periodontitis, gingivitis and periodontitis, installation of fillings,
• treatment and healing of jaw fractures,
• removal of mineralized plaque mechanically,
• tooth extraction, treatment of alveolitis, cysts, abscesses and pericoronitis,
• radiography: only targeted two-dimensional images can be taken free of charge,
• physiotherapeutic procedures,
• enamel remineralization procedures, orthodontic bite correction with plates and production of temporary stamped crowns for children.

It must be emphasized that to carry out manipulations free of charge, doctors use exclusively domestically produced materials.

And here is a list of what is not covered under the compulsory medical insurance policy in dentistry:

• installation of light-curing fillings, pins,
• use of imported materials and glass ionomer cements,
• surgical methods of treating periodontal tissues (curettage, tissue regeneration, osteoplastic surgery, vestibuloplasty),
• tooth-preserving operations (cystectomy, root apex resection),
• prosthetics, dental implantation,
• orthodontic bite correction using braces, mouth guards and other devices,
• imported anesthesia, sedation and anesthesia,
• teeth cleaning using ultrasound and Air-Flow, fluoridation,
• whitening,
• computed tomography and other types of 3D studies.

Important! Some services, for example, preferential prosthetics, are available only to certain categories of citizens. But again, it is important to understand that to receive them you need to collect the necessary papers, stand in line at the relevant social services and wait. In addition, only prostheses made from inexpensive materials - metal, acrylic, nylon - can be supplied free of charge. Who is eligible for the service and how to get it? More details about this in the feature article on the website.