Braces under compulsory medical insurance – is it possible to correct a bite under an insurance policy?

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A beautiful smile is something that many people dream of for many years, or even their entire adult life.

However, the cost of correcting malocclusion using braces may exceed the financial capabilities of many patients.

The article will provide examples of the possibility of free bite correction, as well as methods of treatment at minimal cost.

The reality of free installation

It should be noted right away that bite correction is not included in the health insurance policy in the Russian Federation.

Accordingly, neither adults nor children have the right to free installation of braces or visits to the orthodontist.

There are, however, several exceptions to this statement. First of all, these are children from privileged categories of the population:

• orphans;
• children with congenital jaw pathology;
• disabled children.

In addition, free installation of braces can be carried out in cases where the patient’s bite pathology appeared as a result of a medical error.

However, it is difficult to call this procedure completely free - the fact of damage as a result of the doctor’s action or inaction will have to be proven in court, and therefore, the costs of litigation will have to be borne.

Public people can also count on free installation of braces. If the patient is the face of a large company or brand, then the employer whose interests he represents may well act as a sponsor for the procedure to correct the bite.

If the patient does not fall into any of the above categories, do not despair.

Installing braces for free or at minimal cost is still possible, however, this will require some effort.

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Orthodontic services under the compulsory medical insurance policy for children

Children are the majority of orthodontic patients, since bite problems most often arise in childhood. What free services can you count on?

Article on the topic: Tests under the compulsory medical insurance policy and which ones can be taken for free

The list of free services for children within the framework of compulsory medical insurance includes:

• orthodontist appointment;
• correction of bite using orthodontic plates;
• removable prosthetics;
• massage;
• repair and correction of orthodontic plates;
• Help with painful teething in babies.

It should be noted that the plates are made only from domestic material. The installation of imported dental structures is not provided for under compulsory medical insurance.

It is necessary to correct the bite in children as early as possible. Then it is possible to do without braces and use the services of an orthodontist under the compulsory medical insurance program.

Possibility of minimal spending

There are several ways to correct your bite with minimal investment in treatment. In this case, the direction of searches should be turned from public to private clinics.

It is there that there are various options for paying for treatment at a price significantly lower than the fixed one:

1. The first way to save is through profitable promotions.
   Regarding braces, there is a widespread practice of holding a promotion, during which the client pays in full for the bite correction course, and receives the brace system itself for free. The total cost of treatment becomes less by a third, or even half of the total amount.
2. Another way is to test new products.
   Such chances don’t come along very often, and in order not to miss them, you will have to very carefully follow the news from various clinics and manufacturers. The idea is that the manufacturer recruits a group of volunteers to test new products.

   Since the procedure is associated with certain risks, testing the product is absolutely free for the patient.

   In addition, in the event of the development of adverse symptoms and poor-quality treatment, the brand may not bear any responsibility. Also, the patient will have to visit the doctor more often than usual so that he can compile reports on the progress of testing the product.

3. Another way, similar to the previous option, is to participate in testing new batches of goods for the clinic.
   In this case, we are talking about the fact that a manufacturer has been producing a product that has passed testing for a long time, but a clinic has only recently signed a contract to cooperate with it.

   The patient is given either a significant discount or free braces, but with payment for installation and maintenance during treatment. In any case, such chances also come infrequently and require careful monitoring of various social networks, etc.

4. Another common way to save is by having savings and bonus systems.
   This practice exists in many private dental clinics. If you have been a client of a clinic for a long time, you can enjoy large discounts and sometimes even free services.

   Some clinics issue unnamed discount cards, so you can use one that belongs to a friend or relative.

In public clinics, as a rule, there is no such practice of rewarding regular clients. At the same time, prices for treatment may be slightly lower, however, the choice of products and additional services there is usually small.

The video provides additional information on the topic of the article.

Is it possible to get braces for free?

The insurance policy, mandatory for citizens of the Russian Federation, does not include dental services in terms of correcting the bite and defects in the position of the teeth. However, there are currently several options for installing a free (or almost free) correction device. This will probably sound quite strange, but private dental centers offer this opportunity:

• promotions: a real chance to avoid paying for braces. For example, the patient may be offered to pay for the full course of treatment immediately, i.e. the work of a doctor, and in return get the system itself completely free of charge. Or just get a big discount,

• testing new systems: This is a very rare opportunity that only arises when an orthodontic product manufacturer tests new samples. In this case, the patient puts himself at risk, but can get braces for free,
• trial batches,

“There are situations when a manufacturer has been supplying its products to the market for quite some time, but some individual clinic has never purchased it. To attract a new customer in the form of a dental center, the company offers a trial batch of its product. This is an excellent opportunity for a patient to install an almost free braces system, the effectiveness of which has already been tested in other medical institutions.”

Ilyin Petr Olegovich Orthodontist with more than 17 years of experience.

• bonus programs: a popular method of building loyalty on the part of modern medical centers today. Regular clients are offered the opportunity to take part in profitable promotions, and in some cases even receive free treatment.

“I called dozens of dental centers in Rostov, and even came to many for consultations. The cost of braces is practically the same and that’s a fact! This is a rather expensive service everywhere. As far as I understand, the minimal difference is only in the cost of the doctor’s work, and the braces themselves cost the same everywhere.”

Irina F., Rostov-on-Don, from correspondence on the forum

State clinics offer exclusively paid services for correcting the bite and position of teeth with a separate cost for the orthodontic apparatus itself. It should also be noted that prices in good government institutions and private clinics are not so different.

Mandatory expenses

Despite the fact that the above were ways to save money and even get braces for free, a patient who wants to correct his bite still faces mandatory expenses prior to the installation procedure.

First of all, this is payment for the initial consultation of the orthodontist. At the initial consultation, the oral cavity is examined and a treatment strategy is drawn up - the type of bite and problematic dental units whose position needs to be changed are determined.

During the initial consultation, the orthodontist invites the patient to choose a specific type of braces system, taking into account his wishes and financial capabilities, and, if possible, offers alternative treatment methods.

After the doctor has established the need for treatment, the diagnostic stage . An x-ray is taken to better understand the position of the teeth and the structure of the jaws. If necessary, the doctor prescribes a number of other tests (in particular, if the patient has inflammatory processes or other diseases of the oral cavity).

It should be kept in mind that braces can only be installed on healthy teeth.

Therefore, if the patient has carious cavities, inflammation of soft or bone tissue, then all these diseases must first be cured.

Also, based on preliminary diagnosis, the doctor may decide to remove some dental units (for example, if the patient has a small jaw, but large teeth - when correcting the bite in such a situation, some dental units simply will not be able to “fall into place”).

To properly install the system, an impression is taken from the patient’s jaw and a plaster model is made to understand the required angle and force of impact. Immediately before installation, the patient needs to undergo hygienic cleaning of the oral cavity .

During treatment, the patient will also need to visit the doctor several times to adjust the teeth alignment process and prevent possible complications.

When using self-ligating braces, such visits occur a little less often, and with ligature braces - a little more often.

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How to get braces for your child for free

The formation of correct closure of teeth is the main criterion for the development of the human maxillofacial apparatus. The development of a normal bite is divided by dentists into five stages. All five stages of development range from birth to sixteen years of age. For this reason, the issue of normalizing orthognathic occlusion in children is extremely pressing for every family.

A timely visit to an orthodontist will save not only time, but also the cost of correcting improperly aligned teeth in children.

Detection of malocclusion in the early stages of the formation of the dentoalveolar system makes it possible to use more gentle (compared to brace systems) methods for correcting improper closure of teeth.

For example, the use of retainers (special plates) and mouthguards is possible even in the first two periods of formation of the dentofacial apparatus (from birth to six years).

In later periods of development, retainers are used after the main course of wearing braces, to consolidate the result.

The initial list of dentist services under the insurance policy included a clause in which the dentist could install braces for children free of charge and provide other types of assistance in correcting malocclusion in children.

Unfortunately, in the fall of 2013, the federal health insurance program (CHI) in the field of dental care was significantly reduced. At the moment, orthodontic services in pediatrics are provided only on a paid basis.

However, using the methods described in the previous chapter, you can significantly reduce the cost of correcting an orthognathic bite or install corrective products free of charge.

Nuances of saving

There are some principles that will allow the patient to save some money on installing braces:

1. Search for dental clinics that have only recently started operating.
   Such centers, as a rule, organize various promotions, provide free diagnostics, and also offer their first customers a discount card. This policy allows newly opened clinics to quickly gain a client base.
2. Another way is to look for advertisements for promotions and coupons.
   If the patient has a particular clinic in mind, you can follow them on social networks. They usually publish the latest information about discounts, as well as partner promotions.
3. It is also worth keeping in mind that saving means choosing cheaper materials.
   Regarding braces, it will cost significantly less to install models made of non-precious alloys than samples made of titanium, sapphire or ceramics.
4. The type of braces also significantly affects the final cost of treatment.
   Vestibular models, which we are used to thinking of when we hear the word “braces,” will cost the patient much less than lingual models, which are worn hidden, since they are located on the lingual part of the dentition.

Is it possible to install braces for free under VHI?

The VHI policy does not include consultations and installation of braces with an orthodontist in the standard insurance package, since visits to a specialist and bite correction are expensive and are required for a long period of time.

The basic VHI package for dental services includes the following:

• consultations with a dentist, periodontist, surgeon;
• diagnostic procedures;
• treatment of caries and pulpitis, tooth filling;
• preventive measures (professional hygiene, etc.);
• X-ray visualization;
• opening of an abscess, enucleation of a cyst, tooth extraction;
• anesthesia during treatment and extraction of teeth;
• emergency care in case of acute pain;
• some physiotherapy.

The VHI policy does not cover services for orthodontics, prosthetics and transplantology. Therefore, it is impossible to install braces under the compulsory medical insurance and voluntary medical insurance policy if the person does not fall under the category of beneficiaries.