Prosthetics under a quota - who is entitled to free prosthetics, what documents are needed and how it happens

Is a compulsory medical insurance policy sufficient to obtain a quota?

The quota in orthopedic dentistry is the amount of qualified and high-tech medical care that a person can receive if he needs prosthetics. In this case, assistance is financed from the state budget. But not everyone can receive it, but only a person who meets certain criteria. Just having a compulsory medical insurance policy (compulsory health insurance) and a passport of a citizen of the Russian Federation is not enough here. Documents confirming social status, income or special contribution to the welfare of the state are also needed - the full list will be given below.

Compulsory health insurance program for citizens in Russia

Compulsory medical insurance guarantees free care in public clinics and hospitals. Medical insurance comes with territorial and basic programs. Basic policies apply to the entire territory of the Russian Federation. Territorial - only for the territory of a specific region. Such an insurance document determines the procedure for receiving free assistance to insured persons in a certain region of Russia.

Each region, region of the country has its own territorial compulsory insurance program. It is approved at a meeting of self-government bodies. The program is formed taking into account all the requirements recommended by the Ministry of Health. Provision of free services is possible only at the place of registration.

Dental services are also included in the compulsory medical insurance policy. Therefore, free dental care is available to every citizen. To get help, you need to go to a dental clinic or hospital. Have your insurance policy and identification document with you. At the reception, the patient fills out an application for choosing a medical organization and creates a medical record, which will contain all the information about the treatment. Afterwards, the patient is referred to a specialist for examination and further treatment.

Treatment covered by insurance is provided by some private clinics. To receive free help in a commercial clinic, a referral from a public clinic at your place of residence is required.

Patients are admitted and treated by appointment. It is impossible to get a scheduled appointment right away; you will have to wait about a week.

Without registration, appointment, queue and insurance, they accept patients in critical condition, with acute toothache, bleeding, high body temperature.

Who can use the quota

Who is entitled to a quota for dental prosthetics? It can be received by socially vulnerable segments of the population - pensioners, disabled people, disabled children, people with severe pathologies. The list should also be supplemented by pensioners of the Ministry of Internal Affairs and those who retired from military service, heroes of the Second World War, home front workers, Heroes and Veterans of Labor, Heroes of the USSR and the Russian Federation, mothers of many children, etc.

You need to know that there are several programs for free dental prosthetics - federal and regional. The federal list includes only those pensioners who retired from government, military service and the Ministry of Internal Affairs. Regions or subjects of the Russian Federation supplement this list with other categories of citizens. You can use the quota for free prosthetics once every 5 years.

Composition of the “first” and “second” stages

The first stage includes the following categories of the population:

Heroes and veterans of the Great Patriotic War,
participants in military conflicts (servicemen of the army of the USSR or the Russian Federation),
victims of repression,
persons with disabilities,
Heroes and Veterans of Labor.

“Those categories of citizens for whom dentures are vitally necessary can bypass the queue for free prosthetics under the Federal or regional program and get to the beginning. This includes patients with oncological pathologies, serious injuries to the jaw system, as well as those who have undergone surgery on the gastrointestinal tract. You just need to get a certificate from your doctor."

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The second group includes the following groups of citizens:

non-working pensioners who have no additional income other than a pension,
persons whose average per capita income is less than half the subsistence level in the region,
liquidators and disabled people of the Chernobyl accident.

Read more about what kind of prosthetics is suitable for pensioners and how to get it for free.

What is included in the package of necessary documents

The list of documents that will be required to obtain a quota includes the following:

ID card (passport of a citizen of the Russian Federation),
SNILS,
compulsory medical insurance policy (if you have a voluntary medical insurance policy, then take that too),
pensioner's ID,
certificate of Hero, Veteran,
military ID,
certificate of illness, injury,
employment history,
certificate of family composition.

It is better to have with you not only the originals of all documents, but also their copies. In some cases, you will need to provide a certificate of income - both from the applicant himself and from his relatives (spouse, mother / father).

Promotions and discounts - when you can implant a tooth much cheaper

Implantation is not a cheap procedure. However, installing implants makes it possible to solve many problems within a short period of time. A full healthy life is impossible without teeth.

Many clinics work with budget systems, which makes the procedure more accessible . To attract patients, systems of discounts and special offers . Many private dental institutions are ready to offer promotions on implantable structures and their installation.

Prices for implantation during the promotional period can be reduced by up to 50%.

Where to go and how long to wait for your turn

How to get a quota for dental prosthetics? You should first contact your local Social Security Administration office or Department of Health. In small settlements - to the village administration. If a pensioner worked at an enterprise that had a good voluntary medical insurance program - additional health insurance, then you should contact the personnel department or trade union committee. Take with you your passport and pension certificate, work record book, and a doctor’s note about a previous (current) serious illness. This way it will be clear whether you can count on the quota or not.

Then you definitely need to visit a dentist - specifically in a public clinic, and get a certificate from a doctor that dentures are really necessary. This certificate, along with a package of documents, is submitted to social security, where the application is written. Then, within 10 days, a special commission considers it. Next comes queuing - the average waiting period is 3-6 months, but sometimes people wait 1.5-2 years or more for their turn. When the turn comes, the person is informed about it. You need to come to the social security office again to get a coupon (referral).

Be careful, in different regions the validity period of the referral ranges from 14 days to 3-6 months. And if you take it to the dentist later, it will no longer be valid - you will have to collect documents again and stand in line.

At the clinic, an agreement is concluded with the patient (this is a mandatory stage), which prescribes future treatment, prosthetics, a warranty period (usually 12 months), and the responsibility of the parties. For example, it is possible to repair a prosthesis free of charge under warranty during the first year of operation only if the person handled it with care and did not initiate the breakdown. After official registration, dental prosthetics begins.

What specific treatment and prosthetics can be performed free of charge?

A large number of patients who really need free prosthetics want to take advantage of the right to a quota. And you need to understand that if it were expensive treatment, examination and materials for prostheses, then the help would “reach” a minimum number of people - there is simply not enough government money for everything. Therefore, inexpensive materials for fillings and prostheses are almost always used. So, the list of free services that can be obtained in public dentistry (in a clinic) includes the following:

examination by a doctor, x-ray examination (regular targeted image or panoramic image of OPTG),
anesthesia with domestic drugs,
removing tartar with hand instruments,
treatment of caries, pulpitis, periodontitis,
installation of domestic filling compounds,
tooth extraction, incl. complex,
simple surgical operations (excision of the gingival hood, fistula on the gum, installation of drainage),
production and installation of removable dentures in the case of complete or partial absence of teeth: as a rule, these are inexpensive plate models made of acrylic. The prosthesis may include dental crowns made of base metals (nickel alloy, for example) and plastic,
free repair of prosthetic structure.

Metal-ceramics, ceramics, zirconium dioxide, Acry-Free prostheses, fixed bridges are not made free of charge under compulsory medical insurance. Clasp structures made according to compulsory medical insurance are an exception to the rule rather than a common practice. The patient will need to justify with documents and collect a lot of information that the classic “removal device” will not suit him - and then he will be able to have either a clasp with locks or a nylon1 prosthesis. There is also an option that the patient himself chose a more expensive prosthesis and paid the difference between it and the “free” one.

As for, for example, if the patient is allergic to the material of the prosthesis - metal, acrylic, etc., a more expensive (and less allergenic) design can be made here. However, this requires justification - the conclusion of a medical commission. You should also know that dental implantation is not carried out under compulsory medical insurance.

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Dental services and consumables that are not paid for by the state

During treatment, the doctor may offer services and materials for which you will have to pay. After all, some treatment methods and drugs used under the policy are frankly outdated. High-quality foreign analogs have a minimum of side effects and contraindications compared to domestic drugs. The list of paid services should also be freely available.

Paid services:

use of foreign-made filling materials;
restoration of teeth using light-curing materials;
orthodontic treatment;
restoration of teeth with intracanal pins;
installation of implants;
prosthetics on implants;
anesthesia with carpule anesthetics;
surgical treatment of periodontal diseases;
bone tissue augmentation operations;
preventive teeth cleaning, stone removal;
teeth whitening, fluoridation;
extraction for orthodontic indications (after 18 years);
surgical treatment of jaw cysts;
plastic surgery of the frenulum of the lips and tongue (for patients over 18 years of age);
vestibuloplasty;
installation of bracket systems.

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Alternative options for free or low-cost prosthetics

Of course, the state quota for dentures is sometimes the only chance for a person to get a denture. But many people are not satisfied with going through authorities and waiting for their turn for a long time - after all, they want to quickly get normal teeth so they can chew food and smile. What can you do here? You should look for information and study the proposals of scientific and medical organizations, private dentistry, which conduct research on new types of prosthetics and organize social events. In this case, it is possible to get a good prosthesis, and sometimes even dental implants for free.

“In our region we have a generally incomprehensible situation with free prosthetics. Some are given them (I mean pensioners), but others are not. Here are my parents, for example. Mom receives a small pension of 10 thousand, dad works as a security guard for 25 thousand. And they asked my mother for my father’s salary certificate and said that she was not entitled to a prosthesis. That the average income per person is higher than the minimum wage. Like this. And for my aunt in Moscow, they did everything for free without any problems, they didn’t look at my husband’s income.”

Olga T., review from otzovik.com

Some private centers offer discounts to pensioners, or organize seasonal promotions for all patients. Another option is to get paid prosthetics, and then return 13% of the total amount of dental restoration from taxes paid. But this method is only suitable for officially employed patients or those pensioners whose contract with the clinic is concluded with one of their close relatives. That is, a pensioner underwent prosthetics, and the contract was drawn up for his working spouse or child.

1Naumov S.G. Modern materials for removable orthopedic structures, 2011.

Your questions and answers

QUESTION Please tell me what documents need to be collected for a quota for a denture? Viktor Nikolaevich

ANSWER Hello, Viktor Nikolaevich. First, you need to go to a dentist in a public clinic, undergo an examination and get a certificate from the doctor that you need a removable denture. Then you need to take this certificate to the local department of social protection of the population (USZN), write an application and stand in line. Take a certificate of family composition in advance; you will also need to take your passport, compulsory medical insurance policy, SNILS, work book, and pension certificate with you. It is better to check with a social worker at the Social Insurance Fund for a complete list of required documents.