What services can be obtained under a medical policy. Free dentistry - dental treatment under the compulsory medical insurance policy. How to call an ambulance

All citizens of the Russian Federation, without exception, are insured in the compulsory medical insurance system. Foreigners permanently residing in Russia have the right to receive an insurance policy.

The policyholders in the system of this type are:

• institutions;
• enterprises;
• directly the state.

Enterprises transfer 5.1% of the total amount of wages to territorial or federal compulsory medical insurance funds. Medical insurance for unemployed citizens is paid directly by the state.

The most important component of compulsory health insurance are special funds. They are non-profit organizations that accumulate all money transfers in favor of the health insurance system.

They provide financial stability and, if necessary, provide material support to insurance companies.

The direct participants of compulsory medical insurance are commercial insurance companies. They are required to have the appropriate state license to carry out insurance activities.

They enter into contracts with medical institutions to provide services to their clients, issue medical policies, and monitor the quality and timing of medical care.

Medical institutions are the final segment of compulsory medical insurance. Citizens of the Russian Federation turn to them to receive appropriate assistance. Having a policy of the described sample gives you the full right to receive free medical services.

Law on Compulsory Medical Insurance

Today, the basis for compulsory medical insurance is the Federal Law “On Compulsory Health Insurance in the Russian Federation”.

The main function of this law is to regulate the relationships of all participants in the compulsory health insurance system (insurers, policyholders, funds, government bodies).

It also determines the legal status of subjects and objects in compulsory medical insurance. The basis for the adoption and operation of the law in question is the Constitution of the Russian Federation.

Complement the effect of Federal Law No. 326:

• Law of November 21, 2011 “On the fundamentals of protecting the health of citizens of the Russian Federation”;
• Law of July 16, 1999 “On the basics of compulsory medical insurance.”

The relationships between subjects of the compulsory medical insurance system are also regulated by various other provisions and acts of the regions of the Russian Federation. Each insured event is considered separately, on an individual basis.

Compliance with the law in question is primarily monitored by the federal and regional compulsory medical insurance fund.

Each organization has a special legal department that performs the function of supervision in the field of compliance with the legislation in force in the Russian Federation.

What does the policy provide?

The compulsory medical insurance policy confirms that a citizen has the right to receive free medical care.

If available, the insured person has the right to contact the following institutions:

• the clinic to which the insured person is registered;
• traumatology;
• dentistry;
• oncology departments, dispensaries;
• hospitals participating in compulsory medical insurance.

Having a compulsory health insurance policy allows you to receive almost any medical care without any financial costs.

Today, this document is mandatory to submit to a medical institution upon application. If for some reason there is no compulsory medical insurance policy, then an individual can receive medical care on a paid basis.

What does he look like

Today, the compulsory health insurance policy has a standard form. Moreover, its format does not depend on the services of which insurance company the citizen uses. The appearance depends only on the type of medical policy.

Recently, reform of the health insurance system has been carried out. It is in this regard that a new type of insurance policy was issued. It looks like a plastic card with an individual card number on the front side.

Invalid Displayed Gallery

On the back there is the following information:

• signature of the policyholder;
• photograph of the policyholder;
• validity;
• gender and date of birth.

A copy of the image is simply applied to the policy; it is not an electronic signature. Even a picture with not very high quality can be used as a photograph. The duration of a document is determined by many factors.

There is also another type of policy - temporary. It is issued for a period of 30 days in the event of a situation where the plastic policy is confiscated.

This happens if a person previously simply did not have a policy of the type in question, or if it is being replaced. Upon expiration of thirty days from the date of receipt, the temporary policy ceases to be valid.

It itself is A5 paper and contains the following information:

• date of issue;
• signature of the policyholder;
• name of the representative of the medical insurance organization.

Previously, old-style policies were in effect. They were in A3 format and contained information similar to that presented on the temporary compulsory medical insurance policy.

Agreement conditions

The terms of the compulsory health insurance agreement were approved by the Director of the Federal Compulsory Medical Insurance Fund A.M. Taranov 03.10.03.

All documents of this type must be formed only taking into account this provision and not contradict it. Otherwise, this agreement may be considered partially invalid.

The document under consideration necessarily contains clauses to avoid the emergence of various types of conflicts, and the boundaries of responsibility are indicated.

The section “Subject of the contract” stipulates the conditions under which the insurer provides its services to the policyholder. A certain amount (insurance premium) is paid to the insurance company.

Based on this, when an insured event occurs, the company pays for its client to go to a medical facility.

This section identifies the object of insurance – the client’s property interest. That is, in fact, the compulsory medical insurance policy protects its owner, first of all, from financial damage. This section also defines the concept of an insured event.

The section “Amount insured, the procedure for its payment” explains these two terms in detail. The amount of the insurance premium, the limit of liability, the procedure for paying the insurance premium and the moment of this operation are also indicated.

When applying for a standard compulsory medical insurance policy, this section is absent - it is displayed in the agreement between the insurance company and the regional (federal) compulsory medical insurance fund. The section “Duration of the agreement” determines the duration of the agreement of the type in question.

The clause “rights and obligations of the parties” states the obligations arising between the policyholder and the insurer in the event of its conclusion.

The rights of the parties are also discussed in as much detail as possible. The occurrence of serious violations of at least one clause is a serious reason for termination of the contract.

The insurance company must ensure the confidentiality of information relating to the policyholder. Exceptions are possible only in cases provided for by the current legislation of the Russian Federation.

The following information is confidential:

• content of the agreement, its form;
• the health status of the policyholder, all existing cases of seeking medical help;
• personal data of the policyholder (place of residence, home telephone number, etc.).

The section “Change and termination of the contract” lists situations when it is possible to make any amendments to the text of the document.

All cases when the contract can be terminated and the procedure for carrying out this process are listed. At the end of the agreement, the details of the parties are indicated: actual and legal addresses, telephone numbers.

Validity

Several years ago, different compulsory insurance policies were issued in different regions. That is why their validity period varies significantly. In 2011, a gradual transition to a unified compulsory health insurance policy began.

Today, policies of this type, which are a plastic card, usually do not have expiration dates. The only exception is the issuance of a policy to a foreign citizen.

If an individual uses an old policy (today this is quite acceptable), then you can find out the expiration date of its validity directly on it.

Most often this information is present at the back of the document. Previously, contracts for compulsory medical insurance policies were most often concluded for 12 months.

After which it was necessary to carry out their extension. The expiration of the policy is grounds for its replacement.

Necessary documents for registration

The list of documents required to apply for a compulsory medical insurance policy varies depending on the age, as well as the legal status of the person applying to the insurance company.

To obtain a policy, children over 14 years of age (citizens of the Russian Federation) must provide the following documents to the insurance company:

• identification document (birth certificate or other document);
• (if available).

If the papers for issuing a policy of the appropriate type are provided by a parent or guardian, then a passport or other identification document is required.

If the policy is taken out by relatives, then they must present:

• identification;
• a document allowing registration as an insured person (power of attorney).

Citizens of the Russian Federation who have not reached 18 years of age, but have overcome the age threshold of 14 years:

• temporary identity card or passport;
• SNILS (if already available);
• ID card of the representative of the insured person;
• power of attorney allowing registration (if the representative is a grandparent);
• representative's identity card.

Persons over 18 years of age:

• identity document or passport;
• SNILS.

Refugees who can legally become participants in the health insurance system (Law on Refugees) are required to provide:

• petition;
• certificate of the appropriate type;
• an appeal against a court decision to deprive refugee status to the Federal Migration Service;
• document confirming receipt of temporary asylum.

For individuals who do not have permanent citizenship, but have real estate and a residence permit:

• passport of a foreign citizen;
• SNILS (if available);
• resident card.

Individuals who do not have citizenship (refugees or otherwise) require the following documents to participate in compulsory medical insurance:

• identity card and document confirming lack of citizenship;
• SNILS (if available);
• resident card.

In the absence of any document, obtaining an insurance policy becomes simply impossible.

Insurance premiums

Insurance premiums for compulsory medical insurance are payments transferred to the Federal Compulsory Medical Insurance Fund of the Russian Federation.

Today, payers of compulsory medical insurance premiums, according to the Federal Law “On Compulsory Medical Insurance” are:

• organizations;
• individual entrepreneurs;
• individuals who are not individual entrepreneurs (conducting private practice).

The amount of insurance premiums itself is calculated and then paid depending on the type of organization, the taxation system used, as well as other factors.

The contribution to the federal compulsory medical insurance fund is 5.1% of the total wage fund paid to employees.

The duration of the settlement period for contributions of the type in question is one calendar year. The reporting periods are:

• quarter;
• half year;
• nine month;
• twelve months.

Register of services provided

The basic list of compulsory health insurance includes the following types of assistance:

• emergency medical service;
• preventive;
• primary health care.

There is also a list of specialized services that are provided completely free of charge or on a preferential basis.

Under the compulsory health insurance policy, you can have an abortion, childbirth or the postpartum period free of charge.

The compulsory medical insurance system provides the following types of medical care:

• dental, oncological (list approved by the Health Committee of the Russian Federation);
• implementation of preventive fluorographic studies in order to detect tuberculosis in the early stages;
• prevention of various diseases using special types of vaccines;
• preferential prosthetics, provision of medicines;
• inpatient, provided in special outpatient departments.

Dental treatment according to the policy

Today, the list of services provided under the compulsory medical insurance policy includes dental treatment.

Free of charge, subject to availability:

• conducting an initial examination and consultation (including for patients who are unable to move independently);
• drawing up a preventive disease map;
• treatment:
  • carious formations;
  • pulpitis;
  • periodontitis;
  • periodontal diseases;
  • diseases of the oral cavity, mucous membrane;

• treatment of injuries through surgery, removal of foreign bodies from dental canals;
• removal of teeth and malignant tumors;
• operations on soft tissues of the oral cavity;
• reduction of various types of dislocations.

For children under 14 years of age, many clinics provide treatment:

• non-carious lesions of hard dental tissues;
• demineralization;
• orthodontics using special removable equipment.

What are the types

Today there are three types of compulsory medical insurance policy:

• a sheet of A5 paper with a special barcode on it;
• a plastic card, which is a studded electronic medium;
• electronic application with a number printed on the UEC (universal electronic card).

Previously, until 2011, compulsory medical insurance policies of various formats were issued. Today, this area of ​​insurance is more streamlined.

Amendments have been made to the legislation allowing any citizen to choose the policy format independently.

Policies in electronic form have one important advantage over paper ones - there is no need to renew them.

A standard A5 policy can be obtained at any issuing point. To obtain a universal electronic card or a plastic card, you must visit a specialized issuing point.

The legislation in force on the territory of the Russian Federation allows all citizens to receive medical care in full free of charge. Only in certain cases will it be necessary to make a payment, but this applies only to very rare cases.

Most often, when visiting a clinic, you just need to provide the compulsory medical insurance policy to the registry - this will be enough.

Video: Protecting patients' rights in the compulsory medical insurance system

The care and love of parents is the most important thing that a newborn baby needs first of all. In an emergency, a child may require urgent medical care, so the best way to show concern on the part of parents is to issue a compulsory medical...

Now basic health insurance in Russia has become mandatory. Every citizen needs to have a compulsory medical insurance policy to receive basic medical care. This product is offered by many companies, including VTB Insurance. Features of the policy in the company...

Compulsory medical insurance is not just an innovation designed to fill the budgets of clinics and hospitals with contributions from organizations and citizens. This is one of the state’s social programs designed to provide guaranteed and free medical care to all citizens, albeit in a minimum amount established by the state. Insurance...

The compulsory medical insurance policy is a mandatory document for every citizen. An insurance policy is required when visiting a medical facility. In the article we will answer the question “what to do if the insurance policy is lost?” Why do you need insurance? The name of the certificate – “compulsory health insurance policy” – speaks for itself. For...

What does the abbreviation compulsory medical insurance hide, what are the features and conditions of health insurance, in what cases does a citizen have the right to use an insurance policy - the answer to such questions should be found. This will allow you to fully exercise your insurer's right and receive compensation from your medical insurance...

The insurance company "MAX" was founded in March 1992. Over the years of its activity over a 20-year period, it has gained popularity for its impeccable work in the insurance market. The company is developing, improving its programs, increasing the volume of services provided to the population. It consists of two joint stock companies...

The Medical Insurance Company URALSIB appeared on the insurance market in 1994. It provides its services to Russian citizens, attracting clients to enter into compulsory health insurance contracts. Over the years, the company has become one of the leading ones, gaining fame among the population. Developed...

The compulsory medical insurance policy is absolutely free for all citizens of the Russian Federation. At the same time, its presence is mandatory when receiving medical care in government institutions. A person can have only one policy. Advantages of taking out a policy in a company In 2013, AlfaStrakhovanie OJSC took sixth place in the collection of insurance premiums....

In many countries, they are gradually coming to understand that insurance medicine is a 100% guarantee of receiving reliable, timely, high-quality and highly qualified medical care. Moreover, examinations and treatment will take place using modern devices and equipment. System...

All Russian citizens must have compulsory health insurance policies. In the Russian Federation, more than 60 insurance companies and 200 of their branches, including 13 leaders, compete with each other in this market. These include the RESO group of companies. Features of the company's policy When seeking medical help, it is important to be sure...

In accordance with the legislation of the Russian Federation, every citizen is provided with free medical care. A compulsory health insurance policy (CHI) is a document that guarantees receipt of a certain package of free medical services. However, in addition to free treatment under compulsory medical insurance, citizens can also use a number of paid services.

Proper treatment is the key to improving the quality and life expectancy of every person. Therefore, it is so important to receive high-quality medical care on time and in full if the need arises. Let's consider in what cases medical services will need to be paid.

Possibility of receiving paid assistance under a compulsory medical insurance policy

The list of medical services that can be provided to the population for a certain monetary reward is listed in a special list adopted and approved by Decree of the Government of the Russian Federation No. 291 of April 16, 2012. This is an extensive list, which includes some types of diagnostics, consultations with specialists, etc., as well as services that increase the comfort of treatment and procedures (comfort wards in hospitals, the provision of medical specialist services at home, etc. ).

Note! Emergency care is provided to citizens free of charge in medical institutions with various forms of ownership (even in private clinics), which is regulated by the Law of the Russian Federation No. 323-FZ “On the fundamentals of protecting the health of citizens.”

All types of treatment and examinations (and, for inpatient care, medications) prescribed by a doctor during an appointment under the compulsory medical insurance policy are free. The doctor has the right to recommend a paid service only if it is not available in a free format in a given region or as an alternative option. In the latter case, the doctor is obliged to warn the citizen about the availability of a free option for providing the service and take a written receipt from him about the notification. The patient, at his own request, can use paid medical services from the list approved at the legislative level. This list is given in the last section of our article.

What paid medical services can be obtained under compulsory medical insurance?

The choice of paid medical services depends on the wishes of the patient or on the recommendation of the attending physician, if they are not included in the list of medical care provided free of charge. If a patient doubts that any type of examination, procedure, or service is not included in the free package, then he must contact the insurance company that issued him the compulsory medical insurance policy. You can get advice from the insurer using the hotline telephone number indicated in the policy, or directly at the office of the insurance company. Obviously, you will have to pay for all services not included in the free medical care package from your own pocket. There is a certain procedure for providing paid medical care.

You should know that before providing any medical service, the institution providing it is obliged to conclude an agreement with the patient. This document must contain the details of the institution and the patient, the name of the service, the procedure for its provision, the amount of payment, the date of the document, signatures of the parties and an imprint of the official seal. The contract must be accompanied by a document confirming the fact of payment (cash or sales receipt, cash order, etc.). The listed package of documents is confirmation of the provision of services to the patient.

If it turns out that the paid service received, recommended by the doctor, is included in the free compulsory medical insurance package, then the patient can return the money spent. To do this, the citizen must present to the insurer such documents as an application for a refund, a referral issued by a doctor at an appointment within the framework of compulsory medical insurance, a contract and a receipt.

List of paid medical services that can be obtained under the compulsory medical insurance policy

Some types of medical services are indeed provided only for money. Their list should be posted in a visible place in any medical facility. Most often, such services include: consultations with specialists conducted on your personal initiative; medical support for private events; anonymous treatment; diagnostics and procedures at home, etc. The list of medical services provided for a fee is quite extensive. In particular, it includes the following services:

• Anonymous diagnosis and treatment (except for HIV infection);
• Therapeutic, consulting and diagnostic procedures carried out at home, including after discharge from the hospital (except for cases where the patient is physically unable to visit a medical facility);
• Treatment of sexological problems;
• Artificial insemination;
• Speech therapy treatment for adult patients;
• Preventive vaccinations (except for vaccinations provided for by the state program);
• Sanatorium treatment (except for children and specialized for adult patients);
• Cosmetology procedures;
• Dental prosthetics (except for cases provided for by law);
• Psychological help;
• Training in patient care and first aid skills;
• Household and maintenance services during treatment.

It is worth noting that some of the listed items in certain constituent entities of the Russian Federation may be included in the list of the territorial compulsory medical insurance program. Therefore, if a specific insured event occurs, before paying, you need to contact the insurance company for advice.

Can citizens of the Russian Federation have their teeth treated for free under the compulsory health insurance program? Yes, they can: dental services are included in the list of compulsory medical care under the compulsory medical insurance agreement.

Is it possible to do this efficiently, painlessly, comfortably and aesthetically, using the latest generation materials and drugs? This question cannot be answered unambiguously, so let's figure it out.

What dental services are covered by the mandatory insurance policy?

For adult patients who are citizens of the country this is:

• reception, examination, consultation, x-ray and orthopantomographic examinations;
• prompt dental care for acute pain, opening of abscesses in the oral cavity;
• removal of teeth, opening of the gums with difficulty in the eruption of wisdom teeth;
• treatment of caries, pulpitis, periodontitis, gingivitis, periodontal disease, alveolitis, diseases of the salivary glands, teeth with damaged roots;
• removal of tartar and plaque;
• correction of maxillofacial pathologies, treatment of TMJ injuries.

Physiotherapeutic procedures and the administration of anesthetic drugs to the patient, usually domestically produced, are also free.

In addition, under the compulsory medical insurance policy, the patient has the right to free provision of medications, fillings and consumables, with subsequent reimbursement of their cost by the insurance company. However, there is one condition: these drugs and materials must be included in the list, which is approved by the commission at the regional level.

Where to get treatment?

The easiest and most common way is to visit public clinics. Here, almost the entire range of services is provided free of charge, based on the submitted insurance policy. However, their effectiveness is not always at a high level. And this depends, first of all, not even on the qualifications of dentists, but on the quality of drugs and materials provided free of charge.

Many private dental clinics also offer treatment, and even prosthetics for some preferential categories of citizens under compulsory medical insurance. But even in this case, no one will treat the patient for free with expensive modern materials and drugs.

In addition, a number of dental procedures will have to be paid for in any case, since their implementation is not covered by compulsory health insurance. These are, in particular:

• filling and restoration using light-curing materials;
• teeth whitening and other aesthetic procedures;
• implantation;
• installation of braces for adult patients;
• orthopedic services and prosthetics with expensive materials and structures.

Also, you cannot count on free treatment if you need to get it outside the general queue.

The conclusion from all of the above is the following: if you have financial capabilities, it is advisable to seek paid help - in this case, the result will be of higher quality, reliable, comfortable and guaranteed to last. However, lack of funds for paid treatment is not a reason to ignore existing problems that will sooner or later lead to tooth loss. In this case, the best solution would be free treatment on the basis of a compulsory medical insurance agreement.

By contacting the VivaDent dental clinic, you can receive a fairly wide range of free services under the compulsory medical insurance policy. All you need to do is present your ID and a valid compulsory health insurance contract to the employees of the establishment. You can find out about the list of procedures covered by compulsory medical insurance directly at the clinic, by contacting us by phone or by studying the information on the institution’s website.

List of free compulsory medical insurance services

• Formation of one carious cavity
• Application of a therapeutic bandage for dentin caries (deep caries) biological method of treatment of pulpitis
• Opening of the tooth cavity with medicinal treatment
• Pulp amputation
• Extirpation, removal of decay from 1 channel
• Impregnation or medicinal treatment of 1 channel
• Filling one canal with paste
• Filling one canal with a gutta-percha pin
• Application of arsenic paste
• Applying a temporary filling
• Removing a temporary filling
• Treatment of teeth with fluoride varnish for hypersensitivity
• Mechanical and drug control of bleeding
• Polishing the filling
• Selective grinding of 2-4 teeth
• Reading a radiograph
• Cement filling
• Filling made of chemically cured composite material
• Permanent tooth extraction (simple)
• Extraction of a permanent tooth (complicated) using a drill and/or detachment of a mucoperiosteal flap
• Dressing after complex surgery
• Opening a soft tissue abscess in the oral cavity
• Opening of the subperiosteal abscess (washing, drainage)
• Treatment of alveolitis with socket curettage
• Enucleation of the cyst
• Excision of the hood
• Release incision
• Primary appointment with a dentist, amb.
• Appointment with a dentist, repeated, amb.
• Primary appointment with a dentist-surgeon, amb.
• Appointment with a dentist-surgeon, repeated, amb.
• Dispensary appointment with a dentist
• Preventive appointment with a dentist
• Diathermocoagulation in dentistry
• Removal of filling, crown trepanation
• Determination of the hygiene index
• Removal of dental plaque in the area of ​​1 tooth (manual/mechanical)
• Medical treatment of pathological periodontal pockets
• Opening a periodontal abscess

Throughout the world, dentistry is one of the most expensive and complex branches of medicine, so treatment in private institutions is often inaccessible to people with average and low incomes. Health insurance is a public service for all Russian citizens only if they have a compulsory medical insurance policy. What are the features of dental treatment under the compulsory medical insurance policy? What is included in free dental care under compulsory medical insurance? What is included in the list of dental services under compulsory medical insurance and the materials used for this? What treatment and services are not included in the compulsory medical insurance policy? We will answer these and other questions in this article.

What is included in free dental treatment under compulsory medical insurance?

Participation in the compulsory medical insurance program makes it possible to receive free dental care in municipal medical institutions. Dental treatment under the compulsory medical insurance policy is especially in demand among those who cannot afford to go to private clinics. These include the following groups of citizens:

• The poor (people who do not have a permanent stable income, pensioners, orphans, disabled people, etc.);
• People who cannot currently go to a private clinic due to temporary financial difficulties;
• Patients who do not want to overpay for treatment in private clinics for services that can be classified as light (initial stage of caries, dental filling, etc.).

Every year, the government at the legislative level approves a territorial program, within the framework of which all residents of the Russian Federation are guaranteed the provision of free medical care in the volumes established by legislative norms. Free medical services also include a number of dental procedures that can be performed in a municipal medical institution under the compulsory medical insurance policy. The territorial program establishes a list of the following dental services that can be obtained free of charge:

• Initial consultation with a specialist, examination of the oral cavity, home consultation for patients who are unable to visit a doctor for health reasons;
• Treatment of diseases of the oral cavity (caries, periodontal disease, gingivitis and other types of diseases affecting the teeth and gums);
• Elimination of problems and diseases of salivation (excessive dryness, increased salivation, inflammatory processes, etc.);
• Manual removal of yellow plaque, tartar;
• Surgical treatment of soft tissues (gum excision, removal of inflammation, elimination of purulent processes);
• Tooth extraction, removal of stuck foreign bodies, primary manipulations in the field of orthodontics;
• Trauma care, reduction of dislocated jaw bones;
• Physiotherapeutic procedures;
• X-ray, diagnostic manipulations;
• Dentistry for children, including orthodontics (bite correction, etc.).

If you have a compulsory medical insurance policy, patients are provided free of charge not only with the help of a specialist doctor, but also with some consumables and medications. These include materials for filling: phosphate, silicate and glass ionomer cementing compositions for fixing fillings on teeth; enamel polishing pastes; consumables for bandaging, suturing, equipping a drill, film for X-ray equipment; Russian-made antiseptic and painkillers.

What is not included in the free treatment program?

To have your teeth treated for free, you need to go to a dental clinic or the dental department of a hospital. However, not all types of treatment can be received free of charge; in the fall of 2013, a number of procedures were excluded from the territorial compulsory health insurance program, which henceforth are provided on a paid basis. These include the following:

• Preventive actions to eliminate the risk of dental diseases;
• Use of imported sealing components;
• Removing plaque and tartar using a scaler;
• Treatment of oral diseases using foreign-made materials;
• Restoration of crowns that have been destroyed during long-term use.

The list of services that do not fall under the category of free services does not include the services of an orthopedic dentist. Restoration of dentition, implantation of artificial teeth, restoration of shape - all these procedures are carried out only on a paid basis. In any case, the doctor conducting the treatment must notify the patient of the list of services that can be provided to him free of charge.

The procedure for receiving dental care under compulsory medical insurance

To clarify the contacts of a municipal clinic where you can receive free dental care, you should contact the insurance company that issued and issued the policy. Usually, dental treatment is available in the clinic to which the citizen is attached, but the compulsory medical insurance document allows you to receive help in another region or medical institution of the country. If you do not have a permanent registration at your place of residence, you can be assigned to a clinic using a temporary registration, while doctors are required to provide emergency care regardless of whether you have a permanent registration. Emergency cases of dental care under compulsory medical insurance include:

• Acute toothache, nerve damage;
• Inflammatory processes at a late stage, tissue necrosis;
• Jaw injuries, bone fractures, etc.

In some dental clinics, before visiting, it is necessary to undergo an attachment procedure, for which the patient must write and certify an application, submitting it to the department of the insurance organization. Many insurance companies themselves deal with the assignment of patients - for this they will require the following documents:

• Compulsory medical insurance policy;
• Pension certificate SNILS;
• Identity card (citizen's passport, military ID, birth certificate).

Free dental care is also available in some private clinics: a number of commercial clinics participate in government programs and cooperate with insurance organizations that reimburse treatment costs under the compulsory medical insurance program. To get acquainted with the list of such clinics, just visit the office or website of the insurance company that issued the compulsory medical insurance policy.

Dental treatment under the compulsory medical insurance policy for children

According to the current provisions of the compulsory insurance program, dental care is guaranteed to all citizens in full from the moment of birth until the age of 18. When receiving dental care for children under the compulsory medical insurance program, documents such as a birth certificate or passport, identification card of a parent, close relative or guardian who is accompanying the child to the clinic are required.

Dental treatment without registration

Just a few years ago, there was no single database, and receiving medical care under an insurance policy in another region was impossible. Today, thanks to the Unified Database, patients have the opportunity to be assigned to a clinic at their temporary registration address or undergo the procedure of being assigned to a selected area (the second option is relevant for those who are not registered anywhere). Difficulties at this stage arise only with the choice of institution: patients are assigned to strictly defined healthcare institutions, and it is impossible to select a clinic on their own.

If the patient moves to another microdistrict of the locality, the policy cannot be changed. However, the patient will have to contact the insurance organization again to receive a new memorial sheet: it will list the current addresses of health care institutions that will be able to provide services under the compulsory health insurance program.

Conclusion

Dental treatment under the compulsory medical insurance policy is a good budget alternative to private clinics, especially in cases of receiving medical care for services that can be classified as light (initial stage of caries, dental filling, etc.). When receiving medical care in such cases, you can be sure that the quality of these services will be comparable to those received in private clinics. In all other, more complex cases, dental services will have to be paid for out of pocket, and private clinics often benefit compared to municipal ones.

When visiting a dental office under the compulsory medical insurance program, it is recommended to take an identity card and a compulsory medical insurance policy. In this case, you should contact the clinic to which the patient was officially assigned - this will initially save time. In case of an acute or dangerous illness, you can go to any dental hospital, regardless of the presence or absence of a compulsory medical insurance policy.