Free dentistry under the compulsory medical insurance policy in 2019: list of services, how and where to treat teeth

Holders of the MHI policy can count on the free provision of services in state dentistry clinics. Any citizen of Russia can apply for a compulsory medical insurance policy, regardless of his age and type of employment.

What is a free treatment for compulsory medical insurance?

There are no free dentists; their work costs money. Dental procedures are paid by either the patient himself or the insurance company. If a person is treated with insurance, all medical services provided to him are financed from the regional compulsory health insurance fund.

In which clinics are patients admitted under the compulsory medical insurance program

Free dental treatment according to the usual policy of compulsory medical insurance is available in state polyclinics and hospital departments of maxillofacial surgery. To find a medical institution where you can cure your teeth for free, just find the nearest budget clinic.

The policy applies to all Russian regions, wherever its holder is registered. If the document was received in one subject of the Russian Federation, and its holder plans to live in another, then upon moving it must check in at the local branch of the insurance company that issued the policy. If this company does not have its own representative office in a particular city, then one should proceed from the recommendations of the dental clinic in which treatment is planned. In her registry, they may be advised to contact organizations with which the medical institution actively cooperates.

That is, registration in another region does not affect the ability to remove and treat teeth for free, but without a medical policy, even with constant registration, free treatment will be refused. An exception is emergency dental care for the appearance of flux and symptoms that threaten a person’s life. In such emergency situations, even a patient without a compulsory medical insurance policy will be sent to a hospital for urgent surgery.

The procedure for attaching to a state clinic and a list of necessary documents

To start dental treatment in a particular dental clinic, you need to attach to it. To do this, provide the following documents to the registry:

• medical policy with a mark of the regional division of the insurance company;
• passport or birth certificate (if a child is attached);
• SNILS;
• statement.

If the dentist’s office is located in the building of a regular clinic, it does not need to be attached to it. If the dental clinic is a separate institution, then attachment to it is necessary.

Immediately after registration in the clinic, the patient will acquire the right to treatment or tooth extraction as part of emergency care without an appointment. Further receptions will be held by appointment, it is needed for the competent optimization of the dentist’s working time.

You can sign up for a dentist under the compulsory medical insurance policy in three ways:

• by phone;
• through the Internet;
• using a special electronic recording machine in the lobby of the clinic (available in clinics in Moscow and other major cities).

When forming the coupon, you will need to indicate what kind of service the patient needs - removal or treatment of teeth.

Free treatment at a private dental clinic

The compulsory medical insurance program involves predominantly low-cost medical institutions; private clinics rarely provide such services. A list of commercial clinics where you can get qualified free dental care under the compulsory medical insurance policy can be found on the website of the insurance organization. Then you need to:

1. Call the indicated clinics to find out the relevance of the information and the list of services that are really provided for free.
2. Come to the state dental clinic, to which the policy is attached, and ask in its registry for a referral to a private clinic in which the patient is going to treat his teeth.
3. Contact a commercial institution, sign up for an examination and undergo treatment.

With free treatment in private dental clinics, you still have to pay for some of the services, so it’s better to clarify in advance which dental treatment services by compulsory medical insurance are included in the preferential package of a specific commercial clinic in order to avoid billing after just one or two preventive examinations.

List of free dental services for compulsory medical insurance in 2019

To find out what services from the field of dentistry are included in the compulsory medical insurance policy, you need to read the memo of the insurance organization or find the same information on the company's website. By standard, the list of dental services for compulsory medical insurance for adults and children includes:

• primary reception (in the clinic or at home, if it is a question of bedridden patients): examination, consultation, training in proper brushing;
• treatment of gingivitis, caries, pulpitis, periodontitis, abscess;
• tooth extraction: milk, permanent or wisdom teeth;
• removal of tartar;
• removal of foreign bodies from dental canals;
• reduction of the jaw (dislocations and subluxations);
• local operations on soft tissues;
• physiotherapeutic treatment;
• radiography;
• children's dental services included in compulsory health insurance: orthodontics with removable products, remineralization and silvering of teeth.

The appropriateness of this or that procedure is determined by the attending physicians; sometimes consultation of related specialists or additional paid procedures is required. In any region of the Russian Federation, free dental services for compulsory medical insurance are provided only for medical reasons.

Supplies and medicines for compulsory medical insurance

As part of treatment under the compulsory medical insurance policy, the following materials and medicines are used:

• filling cements: silicate, phosphate cements, glassomer;
• polishing pastes;
• arsenic;
• cleaning brushes;
• consumables: dressings, suture, burs, bandages, cotton wool, x-ray film;
• domestic anesthetics and antiseptics: Novocain, Lidocaine, Trimecain.

The doctor can offer the patient other drugs for anesthesia, a modern filling paste that “seals” almost instantly, and other better materials for an additional fee, but the patient has the right to refuse them. In this case, materials and medicines prescribed by state guarantees for compulsory medical insurance will be used for his treatment. The patient has the right to know what kind of medication he will be given, regardless of whether the treatment is paid or free.

The seal installed in the state polyclinic is given 1 year warranty.

Prosthetics

Prosthetics are not included in the state medical insurance program; such services are provided for money. But There are a number of preferential categories of citizens who can install dentures for free. These include:

• WWII veterans;
• combatants (Afghanistan, Chechnya);
• Chernobyl liquidators.

Installation of light seals

There are practically no photopolymer light fillings according to the compulsory medical insurance policy, which is due to their high cost and insufficient funding of insurance funds. In a state clinic, you can get such a seal only for medical reasons. Dentists usually place them on the front teeth or in the case of cervical caries.

In a private clinic participating in the CHI program, you can install a light seal, paying only the cost of the material - the treatment itself will be free. Cash spending in this case will be from 500 rubles. When paying for treatment, it is necessary to save the payment documentation in order to later receive a tax deduction for this amount (relevant for working citizens).

Wisdom tooth extraction free

Wisdom teeth are removed free of charge in the presence of a compulsory medical insurance policy, but during this operation a stronger anesthesia may be required, which will have to be paid extra. Conventional anesthetics may not effectively anesthetize a problem area.

The cost of paid dental services (filling, treatment, removal) is quite high and can not afford the majority of working and unemployed Russians. But teeth can be cured even for free by applying for a compulsory medical insurance policy. We must remember our rights and focus on legislative acts, and not on the local orders of the head physician of any clinic.