How to treat your teeth free OMC policy
Health / / December 19, 2019
Nick Logunov
blog content manager of life hacking OMC "My health».
All Russian citizens are insuredFZ "On Mandatory Medical Insurance in the Russian Federation" in the fund of CHI. To use medical services free of charge, to get MHI policy and attach to the clinic. The policy gives the insurance company of your choice, you need to have a passport and SNILS.
There are basic health care services, which can be used in the entire state, and territorial, which are slightly different within a single region. CHI dental treatment can also be carried free of chargeArt. 35 p. 6 of the Law № 326-FZ "On Mandatory Medical Insurance in the Russian Federation". A complete list of dental services regulatedArt. 36 Law № 326-FZ "On Mandatory Medical Insurance in the Russian Federation" territorial CHI program.
List of dental CHI program services can be found in the table of tariffs on primary health care specialist dental care on an outpatient basis. For example, in Online TF OMS SPB This document can be found in Annex 14, in the file "Addendum № 1 to the General tariff agreement for 2018".
If you have decided to treat CHI teeth, use these instructions to save time and money.
What kind of dental care is available at CHI
For free dental services include:
- examination and medical consultation;
- treatment caries and its complications (pulpitis, periodontitis);
- autopsy periodontal abscess;
- removing permanent tooth (simple and complex);
- radiography, orthopantomography;
- removal of dental plaque;
- emergency dental care;
- Removing jammed foreign bodies, primary manipulation in orthodontics;
- trauma care, reposition dislocated jaw bones.
Free products and materials:
- Materials for dental fillings (domestic drugs);
- anesthesia (lidocaine, procaine);
- composites, cements, silicates, and for the treatment of teeth;
- expendable materials.
The clinic must provide you with a free and analgesic use free filling materials. Pay for a different kind of fillings - for example, light-curing, - you too can. But not by compulsion, but willingly: how for an alternative, and not as the only possible. Decide what to use - your right.
Make brushing your teeth, remove tartar is also possible under the policy of compulsory medical insurance, but only manually. For a more pleasant view of the procedure, such as ultrasonic cleaning, have to pay.
Prosthetic implants and installing braces, treatment of inflammatory periodontal disease using guided tissue regeneration, tooth restoration using intracanal pins - a paid service.
We do not believe that the interests of the service refers to free under the policy of compulsory medical insurance? Call your insurance company and check.
Is it possible under the policy of the MLA to remove a wisdom tooth
This is a complex type of removal, but it is included in the MLA, even if surgery is needed. In this case, you have the right to choose another type of anesthesia, and then have to pay for it.
If the dental clinic for removal wisdom tooth since you need money, ask for what. If, because "it is difficult" and not for the other type of anesthesia, insist on their right to receive the service free of charge.
If the doctor refuses to remove the tooth free of MHI policy, call your insurance company. Insurance representatives - these are your protectors in conflict situations in hospitals. Ask them, if you are eligible for free help and what to do if the doctor refuses to provide it.
Important: emergency dental care - for example, the treatment of acute pulpitis (inflammation of the nerve of the tooth) or acute periodontitis (inflammation of the tissues surrounding the tooth root) - is regardless of where attachment. Call the ambulance can be by number 103, around the clock and free of charge.
How do I know you can go to any clinic
Do not know, attached to a dentistry? Call the hotline of their insurance. Her name is indicated on the back of MHI policy.
Remember that the policy is valid in all regions of the Russian Federation, therefore, not necessarily to receive medical services at his residence. By clinic can be attached and the place of temporary residence.
As a free dental treatment at a private clinic
Free dental care is available in some private clinics: a number of commercial clinics involved in government programs and cooperates with insurance companies, offsetting the cost of treatment in the program MHI. The list can be seen in a special register, where all clinics, hospitals, clinics and private centers that treat free policy.
Registry of your city can be found on the official website of the Territorial Compulsory Medical Insurance Fund or by calling the insurance.
- A list of private clinics in Moscow, where you can be treated CHI →
- The list of St Petersburg clinics →
If you have a MHI policy, you may contactArt. 16 p. 1 of the Law № 326-FZ "On Mandatory Medical Insurance in the Russian Federation" in any clinic, which is in the registry. That is, if you live in Moscow, and are registered in Tambov, is not an obstacle to access to private dentist.
For private clinic be attached in advance to confirm that you are now her patient. If this is not done, have to pay out of pocket.
Attached to a private clinic can be the same as for a conventional clinic:
- Select the clinic from the registry.
- Call registry, ask when you can come to attach. Sometimes you need to wait, as the popular clinics can not cope with the flow of requests.
- Bring a passport and MHI policy.
- After that, you can record to the doctor.
If you do not like the chosen clinic, you can change it. But you can change the attachmentArt. 21, p. 2 № 323-FZ "On the basis of public health protection in the Russian Federation" only once a year, except in cases of moving to another city.
Things to remember
- Do you have a "defender" in the face of the insurance company, because it was she transfers the money for the treatment and has the right to verify the quality of medical services rendered.
- Does not necessarily refer to the dentist in the community: you can find a more suitable clinic and attach to it.
- To attach to the dental clinic is not at its address, go to the head of the selected medical facilities and take the application form. Fill it out and bring your insurance.
see also😁
- How to recognize dental scams
- strange entries may appear in your medical record. Here's what to do
- How to become the owner of an impeccable smile: Tips dentist