Compulsory medical insurance policy - is this document sufficient to receive the service?
A compulsory medical insurance policy or a compulsory health insurance policy gives the right to all citizens of our country to receive a certain list of free dental services at their place of registration or residence. Naturally, only government agencies provide services free of charge.
Experts say that in each region of our country the list of free services for patients may be different. Thus, in financially secure regions it can include up to 200 different positions, and in disadvantaged regions it may not exceed 20. In some regions, it is even difficult to obtain free assistance, which is associated with optimization and job cuts.
By appointment, upon presentation of a compulsory medical insurance policy, any patient can count on examination and diagnosis (only two-dimensional radiography), treatment of caries, pulpitis, gingivitis, periodontitis, free domestically produced anesthesia, and splinting of teeth. It is also possible to receive a number of surgical services: simple and complex tooth extraction, autopsy, drainage of abscesses, removal of benign tumors, treatment of alveolitis. According to the policy, you can undergo a course of physical procedures (for example, magnetic therapy).
Without a queue and without an appointment, you can be seen in emergency cases: when there is acute pain, bleeding, chills and high body temperature against the background of inflammation in the oral cavity and any dental disease.
On a note! In public medical institutions of the country, it is not possible to do dental implantation and install braces, whitening and strengthening of enamel, bone tissue augmentation, surgical treatment of periodontitis and periodontal disease, or professional oral hygiene. Also, you should not count on the use of imported fillings, pins and inlays in free medicine.
What about dental prosthetics? Not every citizen of Russia has the right to receive this service under the compulsory medical insurance policy, but only preferential categories of the population, which we will discuss further.
Refusal to receive compulsory medical insurance services
If suddenly for some reason you are denied services under the compulsory health insurance program, then in this case there is an information and analytical database of citizens’ appeals. It is conducted jointly by the TFOMS of the Nizhny Novgorod region and the regional Ministry of Health, so every Nizhny Novgorod resident can complain about the quality of compulsory health insurance services.
In order to protect the rights of citizens in the compulsory medical insurance system, the territorial fund operates a 24-hour contact center, where Nizhny Novgorod residents can receive competent advice on issues related to medical care at the expense of compulsory medical insurance funds.
Hotline number
In addition, each medical insurance organization also operates hotlines, the number of which can be found on the website of the territorial compulsory medical insurance fund: www.tfoms.nnov.ru.
Patients who are entitled to preferential prosthetics
A quota for dental prosthetics is an opportunity to receive free treatment within the framework of various contracts and agreements designated by the state. Let's list who is entitled to the benefit:
- veterans: labor, war,
- adults and children with disabilities,
- patients who have retired due to age and are unemployed,
- low-income citizens: the state includes among them those whose income is several times lower than the subsistence level,
- liquidators of the Chernobyl accident.
It is worth understanding that in different regions of Russia the list of those who can qualify for free prosthetics differs: it can be expanded or, conversely, reduced. For example, in some regions, mothers with many children (when there are more than 5 children in the family), wives of WWII veterans, family members of disabled children, honorary donors and pensioners of the Ministry of Internal Affairs are entitled to a quota. Therefore, it is better to check the list of persons with the social security or local government authorities at your immediate place of residence and stay.
Who is eligible to receive
A quota for free dental prosthetics is primarily provided to heroes, disabled people and war veterans, as well as children with disabilities - these patients receive the service ahead of others.
However, patients with oncology or those who have recently undergone a complex operation on the gastrointestinal tract, as well as people faced with the problem of missing teeth due to serious injuries to the maxillofacial apparatus, can also be served out of turn. Naturally, such patients must confirm their status with relevant documents, extracts and doctor’s prescriptions.
Old-age pensioners, people with disabilities and labor veterans can receive benefits on a first-come, first-served basis.
Package of documents that need to be collected
First of all, you need to contact a dentist, who will confirm on an official form that you need a service such as dental prosthetics and issue a certificate or referral. Remember that the benefit is provided solely for medical reasons, and not simply at the request of the patient.
Next, you will need to attach a passport, compulsory medical insurance policy, pension certificate to the received document - copies are needed, but when going with social security, it is better to play it safe and take the originals of these documents with you.
Important! We strongly recommend that you contact local government and social security authorities to find out in detail what list of documents needs to be collected for citizens living in your region, because everywhere it may differ slightly.
The collection of documents does not end there. You need to contact the housing office at your place of residence and request a certificate of family composition. Also, depending on your social status, for example, if the service is needed because your income is less than the subsistence level, you may be asked to provide a certificate of income in form 2NDFL for each family member for the last three months.
If you are seeking to obtain a quota for a disabled minor child, then a birth certificate and a copy of the passport of one of the parents/guardians must also be added to the package of documents.
After this package of documents has been collected, you need to go to social security, where you will also have to fill out an application for a quota in the form established by the state.
Features and difficulties of tooth extraction
Removal of any type of dental units (extraction) falls into the category of quite complex and painful dental surgical procedures. The main problems that patients may encounter when performing this type of operation are the relatively long healing of the resulting hole, pain, as well as a high percentage of the likelihood of complications in the event of an incompetent approach to removal.
It is also important to mention that extraction of dental units is often used as a preliminary stage for the subsequent implementation of other types of dental procedures: installation of implants (implantation), some types of prosthetics, bite correction, etc. In this case, the dentist is required not only to extract sometimes a completely healthy tooth, but also do it as delicately as possible in order to best preserve the integrity of both soft and hard tissues of the gums and jaw.
That is why, if you want to make an appointment for tooth extraction in Nizhny Novgorod, we recommend that you be as careful and responsible as possible when choosing a dental clinic.
How long will you have to wait
We have already told you how to get a quota for dental prosthetics - you need to apply with a package of collected documents to the social security authorities, where you will be put on a waiting list.
Unfortunately, more and more people want to receive this service every year, because not only many pensioners, but also a large number of young people need it. Massive loss of teeth is associated with environmental degradation and poor nutrition, lack of time and money for the treatment of dental diseases, and stress. In this regard, no one can say for sure how long you will have to wait in line.
“We applied for a quota for my grandfather and waited eighteen months to receive it!!!! It's just awful. Everything is easy and beautiful only on paper, but in reality, not all people, and especially socially vulnerable sections of the population, have the opportunity and strength to endlessly knock on the thresholds of social services. Yes, and wait a year and a half!!! Imagine the standard of living of those old people without teeth who wait so long. Today it’s better to take out a loan or installment plan and go and do everything for a fee - it’s quick and not so humiliating.”
Lion, review from jur24pro.ru
After the patient receives a quota, he will be issued a coupon with a limited validity period. That is, the service will need to be used for a certain time - in different regions of Russia the period can range from 2 weeks to 6 months. If you do not take advantage of the benefit within the designated period, you will have to stand in line again. It should not be forgotten that the right to free dental prosthetics or repair of dentures is granted to citizens of the country only once every 5 years.
Prices
Anesthesia
Name of medical service | Service cost |
Anesthesia (pain relief using one carpule) | 200 rub. |
Application anesthesia (aerosol, gel) | 100 rub. |
Removal of a tooth
Name of medical service | Service cost |
Removing a baby tooth | 500 rub. |
Tooth wall removal | 350 rub. |
Removal of a mobile tooth | from 500 rub. |
Removal of permanent incisor | 1,000 rub. |
Removal of permanent canine, premolar | 1,300 rub. |
Permanent molar removal | 1,600 rub. |
Removal of the third molar ("wisdom tooth") | RUB 1,900 |
Difficult removal (with separation of roots, with hypercementosis) | RUB 2,600 |
Removal of semi-impacted, dystopic tooth | from 2,300 rub. |
Removal of an impacted tooth of 1st degree of complexity (covered with mucous) | from 3,500 rub. |
Removal of an impacted tooth of 2nd degree of complexity (lying in bone tissue) | from 4,000 rub. |
Stitching
Name of medical service | Service cost |
Applying 1 suture using domestically produced material | 200 rub. |
Applying 1 suture with imported material | 300 rub. |
Removing stitches | 300 rub. |
Wisdom tooth hurts: what to do?
If your wisdom tooth hurts, you shouldn’t panic – modern dentists can handle this problem very well. It will be possible to influence the situation using both therapeutic and surgical techniques. The decision will be up to the specialist. He will weigh the cause of the development of pathological symptoms, the location of the tooth, its effect on neighboring ones, as well as other related factors. X-ray examination will be of great help in making the right decision.
Free prosthetics: what you can count on under the quota
If there is a quota for dental prosthetics, then, first of all, you can count on an examination before treatment. It will include not only a visual examination and history taking, but also an OPTG (orthopantomogram) - these are two-dimensional photographs of both jaws, which will allow us to judge the hidden processes occurring in the jaw. They are much less informative than three-dimensional computed tomography, but unfortunately, one cannot expect anything more from free medicine these days.
As for the prosthetics itself, patients have little choice according to the quota. For them, only removable structures made of acrylic or nylon, or permanent crowns made of metal or metal-plastic can be created - these materials are cheap and are not suitable for all people.
Constructions made of plastic and nylon are short-lived, because... materials absorb dyes and pigments and quickly become unusable. In addition, they are low-functional, it is almost impossible to fully restore chewing function in them, and the patient has to limit himself in nutrition, for example, refuse to eat hard and favorite foods, giving preference to the softest ones.
On a note! Independent researchers have found that there are many times more cases of poor-quality treatment and prosthetics in patients who received free treatment than in those who received paid services.
Metal and acrylic can cause an allergic reaction. However, if the patient proves and documents that these materials are really not suitable for him due to his health, then the clinic may offer to install prostheses made from other materials. Will I then need to pay anything? Yes, you will have to pay the difference in price.
What about service? If your installed prostheses are damaged, then, by decision of the medical commission, they can be replaced with new ones or repaired within a year from the date of application. Moreover, if the doctor or clinic is to blame for the breakdown of the structure (for example, due to poor quality manufacturing or installation), then replacement or repair work will be carried out out of turn.
Advantages of visiting our clinic
Today, you can successfully and without risk to your own health perform tooth extraction and, in particular, wisdom tooth removal in Nizhny Novgorod by contacting our clinic. The main advantages of visiting Dental Studio PRO are:
- a carefully selected staff of highly qualified specialists with a level of training that meets modern requirements, as well as impressive experience in the leading dental centers of the city;
- innovative technical equipment of offices that provide a European level of quality not only for removal, but also for treatment of a wide variety of dental ailments;
- the use of exclusively certified foreign medications and anesthesia (including sedation), guaranteeing the fastest possible recovery after surgery;
- prices for wisdom tooth removal in the clinic that are affordable to a wide range of patients;
- guarantee of maintaining the health of all patients without exception through the implementation of a full range of anti-Covid measures, as well as the implementation of the Anti-HIV and Anti-Hepatitis programs.