Dentistry under compulsory medical insurance policy in 2022: what is included in free dental services

What do you need to register with a dental clinic and how to make an appointment?

To register, the patient must go to the selected clinic with a compulsory medical insurance policy, a passport and a written application. At the registry, the data will be entered into the database and the services will become available.

Appointments can be made in advance through a personal call to the PC, through a terminal in the lobby or through an online application. The patient receives a coupon with which he goes to see a doctor.

Without a coupon they are accepted only in acute situations when it comes to emergency care.

The compulsory medical insurance policy is also valid in some private clinics. The list is also on the insurance company’s website, but there are usually not many of them. Since insurance is not able to cover clinic costs for treatment, free services are provided by a few private dentists.

Features of emergency and 24-hour dentistry

Dentistry at night admits patients without an appointment in cases of sharp and sudden pain in the teeth and jaw.
As a rule, a general practitioner is on duty at night; less often, a dental surgeon stays overnight with him or instead of him in specialized centers. The working hours of the doctors on duty are from eight in the evening to eight in the morning. On Stom-Firms.ru, read about situations when urgent intervention is required at night, what problems are addressed to doctors and how much an appointment costs.

How to make an appointment at a private clinic:

Even if a private clinic is included in the insurance company’s list, you should check with the clinic directly about the possibility of treatment under compulsory medical insurance. Do not forget that the patient may still pay for some procedures. It is better to ask these nuances before starting treatment to avoid misunderstandings.

If the clinic really provides compulsory medical insurance services, the patient must go to the clinic at his place of registration and get a referral from a doctor.

When all the details have been resolved, you can make an appointment.

IMPORTANT!

Contact your insurance company with any confusion or questions. This can be done by calling the hotline or during a personal visit.

Paid and free on-duty dental centers in St. Petersburg

On this page you will find the addresses and telephone numbers of municipal and private dentists working 24 hours. There is also information on prices for services that are performed on an emergency basis in various clinics. The cost of the intervention depends on the complexity of each case.

Prices for basic urgent procedures in 24-hour dentistry:

Removal of one tooth - from 1,500 to 4,500 rubles;
Treatment of three-channel pulpitis - from 7,500 to 14,000 rubles.

The cost of a doctor’s services in dentists working at night depends on his qualifications. The cost is also influenced by the type of materials and painkillers used, and the volume of surgical intervention. A consultation with a doctor on duty costs from 350 to 100 rubles; in some centers the doctor examines you for free. X-rays are also paid separately.

Consumables and drugs under compulsory medical insurance

Insurance companies only pay local manufacturers. Therefore, imported consumables and medicines are not included in the program.

What you can count on:

Composite material

Some domestic medicines

Material for dressings

Consumables for equipment

Anesthesia drugs

In general, this is not a small list that allows you to qualitatively cure a tooth or an oral disease.

In some cases, the doctor may suggest an alternative imported material, but it will be added to the invoice for payment.

. You can refuse the offer; the decision is up to the patient.

Light seals

Dental cement is one of the very first materials in dentistry. Over the entire period of use, it has proven itself well, despite its short service life. But in modern dentistry, better alternatives have appeared - light fillings.

They are also included in the insurance program and can be installed free of charge, but only if indicated. In free dentistry, such fillings are most often placed on the front teeth.

Free medical care

Compulsory medical insurance is part of the state system of social protection of citizens' interests in health care.
The purpose of compulsory medical insurance is to provide every citizen of the Russian Federation with the occurrence of an insured event (illness, injury, childbirth, etc.) medical and drug care free of charge in the volume and on the terms of the compulsory medical insurance program.

In St. Petersburg, the types and volumes of medical care, as well as the conditions and terms of its provision to citizens under compulsory medical insurance, are determined by the Law of St. Petersburg

“On the Territorial program of state guarantees of free provision of medical care to citizens in St. Petersburg for 2022 and for the planning period of 2022 and 2022” (adopted by the Legislative Assembly of St. Petersburg on December 18, 2019)

In accordance with the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation,” the Russian Government annually approves a program of state guarantees of free medical care to citizens for a period of three years (for the next financial year and for the planning period) .

You can always find out what kind of medical care you can receive under the Territorial Compulsory Medical Insurance Program and in which medical organizations (MO registry) from your medical insurance organization. Official website of the Territorial Compulsory Medical Insurance Fund of St. Petersburg spboms.ru

LIST OF DENTAL SERVICES INCLUDED IN THE COMPLIANCE PROGRAM

Therapeutic dentistry and periodontology:

Appointment with a dentist;
Treatment of caries and non-carious lesions of teeth using chemically cured filling materials of domestic production in cases of tooth decay of less than 50%;
Treatment of pulpitis (inflammation of the nerve of the tooth) using endodontic instruments and filling materials of domestic production;
Treatment of periodontitis (inflammation of the tissues surrounding the tooth root) using endodontic instruments and domestically produced filling materials;
Removal of dental deposits (tartar above and below the gum) by manual mechanical method simultaneously in the area of up to six teeth;
Treatment of inflammatory diseases of the oral mucosa and gums (gingivitis, periodontitis, stomatitis) using domestically produced medicines with the exception of surgical treatment methods;
Anesthesia during dental treatment using anesthetics and standard disposable syringes of domestic production;
Treatment of dental hypersensitivity (hypersensitivity) using domestically produced fluoride-containing preparations;
Grinding of hard dental tissues;

Surgical dentistry:

Appointment with a dentist-surgeon;
Simple and complex tooth extraction, including the removal of dystopic and impacted teeth (with anomalies in location) for medical reasons (except for preparing teeth for prosthetics and for orthodontic reasons);
Anesthesia during dental treatment using anesthetics and standard disposable syringes of domestic production;
Treatment of pericoronitis (excision of the hood) with difficult teething;
Treatment of alveolitis (inflammation of the socket of an extracted tooth) with curettage of the socket;
Treatment of injuries to the maxillofacial area (splinting teeth in case of fracture, changing rubber traction and removing splints);
Treatment of inflammatory diseases of the oral cavity: opening of a subperiosteal abscess, soft tissues in the oral cavity;
Removal of bony protrusions;
Removal of benign neoplasms in the periodontal area and oral mucosa;
Treatment of diseases of the salivary glands (diagnosis of the disease, carrying out complex measures aimed at correcting immunity, influencing the pathological process in the salivary gland).

LIST OF DENTAL SERVICES NOT INCLUDED IN THE COMPLIANCE PROGRAM AND STATE GUARANTEES

THERAPY

Aesthetic restoration of teeth using light-curing materials;
Light-curing fillings;
Production of veneers by direct and indirect methods;
The use of intracanal pins (fiberglass, parapulp, etc.);
Treatment of root canals of teeth: treatment of root canals using NITI rotating machine instruments, filling of root canals using gutta-percha pins and imported pastes using various filling methods);
Intra-canal whitening of pulpless (“dead”) teeth;
Restoration of the tooth stump under an artificial crown from modern polymer and glass ionomer materials of imported origin;
Depulpation of teeth under X-ray control in order to prepare teeth for dentures;
Retreatment of teeth for the purpose of dental prosthetics previously treated in other health care facilities;
Unsealing root canals for inlays for the purpose of dental prosthetics;
Treatment of inflammatory periodontal diseases using modern methods (VECTOR device, laser, ultrasound therapy) and imported materials - targeted regeneration of soft tissues, splinting of mobile teeth, cosmetic closure of exposed tooth necks, etc.;
Surgical methods for the treatment of periodontal diseases (open curettage, flap surgery, gingivoplasty, etc.);
Anesthesia using imported carpule anesthetics;
Prevention of dental diseases: professional oral hygiene, removal of dental plaque using an ultrasonic device, use of AIR-FLOW, removal of age spots, plaque, coating with imported fluoride-containing preparations, deep fluoridation of teeth, teeth whitening;
Three-dimensional computed tomography of the maxillofacial region in 3D format;
Orthopantomography of the maxillofacial area for persons over 18 years of age and of working age;
X-ray examination in the provision of paid medical services and preparation for dentures.

SURGERY

Surgical methods for the treatment of periodontal diseases (open curettage, flap surgery, gingivoplasty, etc.);
Implantology, operations for guided bone regeneration and plastic surgery of soft tissues in the area of implants;
Anesthesia using imported carpule anesthetics;
Tooth extraction for orthodontic and orthopedic indications for persons over 18 years of age;
Cystotomy;
Cystectomy (removal of the root cyst);
Plastic surgery of the frenulum of the upper or lower lip, frenulum of the tongue for persons over 18 years of age;
Plastic surgery of scars and cords of the oral mucosa;
Plastic surgery for gum recession, including connective tissue graft (local tissue);
Resection of the root apex;
Hemisection;
Vestibuloplasty surgery;
Correction of lip and tongue frenulum using a diode laser;
Three-dimensional computed tomography of the maxillofacial region in 3D format;
Orthopantomography of the maxillofacial area for persons over 18 years of age and of working age;
X-ray examination in the provision of paid medical services and preparation for dentures.

ORTHOPEDICS

Providing orthopedic treatment to persons over 18 years of age and of working age;
Partial and complete removable laminar dentures made from imported material;
Clasp dentures of varying degrees of complexity;
Fixed dentures (single and bridge dentures: steel, plastic, metal-plastic, metal-ceramic, prostheses made of gold and precious metals) from imported materials;
Prosthetics on implants;
Anesthesia using imported carpule anesthetics;
Depulpation of teeth under X-ray control in order to prepare teeth for dentures;
Three-dimensional computed tomography of the maxillofacial region in 3D format, orthopantomography;
Orthopantomography of the maxillofacial area for persons over 18 years of age and of working age;
X-ray examination in the provision of paid medical services and preparation for dental prosthetics;
Retreatment of teeth for the purpose of dental prosthetics previously treated in other health care facilities;
Unsealing root canals for inlays for the purpose of dental prosthetics.

What to do before your appointment

To make a visit to the dentist effective and comfortable for children, it is necessary to prepare for it.

To do this, it is important to know a few simple rules:

prepare the baby (each mother has her own ways of calming her child);
for peace of mind, the child can take his favorite toy with him;
choose a convenient time to visit a specialist;
prepare documents;
be sure to feed the child (the body tolerates painkillers more easily, and salivation becomes less);
brush your teeth;
take the necessary items, for example, wet wipes, a bottle of water, etc.

In addition, visiting a doctor is not recommended for acute respiratory viral infections, runny nose or exacerbation of chronic diseases. The child must be healthy and as calm as possible.

Where to go with problems that require a quick solution

If your body temperature has risen, a purulent fistula has appeared, a flux has formed, an abscess has formed in the oral cavity, a cyst has begun to fester, or a jaw fracture has occurred, then know that there is emergency dentistry under the compulsory medical insurance policy. This means that you will be accepted at the clinic where you are assigned, without an appointment, that is, right on the day of your visit. The only thing is that you have to wait in a live queue, and the wait can last for several hours.

On a note! According to some studies, 35-40%[1] of citizens are not satisfied with the quality and procedure for the provision of free medical services under compulsory medical insurance. Is there a way out? You can improve the situation and significantly expand the list of services provided with the help of a Voluntary Medical Insurance (VHI) policy. Executing such a document will not be cheap (there are different programs), but the expenses will be worth it in the long run, plus you can get a tax deduction of 13% for the expenses. Some employers also issue VHI policies to their employees.

If dental problems that require an urgent solution arose during a business trip when you are in a foreign city, then you can contact any public dentistry. But it is better to first call the insurance company where the document was issued and find out the list of institutions with which it cooperates in a particular city.

“I hate our free healthcare. Once I had a really bad toothache, I just couldn’t stand it. The pills didn’t help at all... It was evening. We found out via the Internet that there is a dentist on duty, where they accept patients according to the policy even at night. Go. And what do you think: three hours in line, complete indifference of doctors... But that’s not all! The only treatment option that they offered, without even conducting a full examination, was tooth extraction!!!! That's it! Very unpleasant…"
Galina T, review from the dental portal gidpozubam.ru

What is the document

An insurance policy is an official document confirming the fact of insurance of a citizen. It gives the right not only to dental treatment and free solutions to dental problems, but also the opportunity to receive medical care in any public clinics, regardless of their focus (therapy, cardiology, surgery, and so on). The scope of services provided is established by the territorial insurance program.

In appearance, the document looks like paper of a certain color (depending on the insurance company). Has a bar code and also a seal. More modern examples are small laminated cards with a microchip.

Important! In fact, nothing is free in the world, because public sector doctors also need to be paid a salary for the work they perform. Simply, if there is an insurance document, the patient is treated not at his own expense, but at the expense of government contributions to clinics, carried out through insurance companies from the regional compulsory medical insurance fund.

Dental treatment under a medical policy is today available to every citizen of the Russian Federation who resides in the country legally. The right to free medical care is granted regardless of age, type of employment, form of registration (permanent, temporary).

To receive the paper, you need to submit an application, as well as a passport and pension certificate (SNILS) to the insurance company. Within 14 days after your application, you will be given a document of the established form.

What to pay attention to

It is important to know that where treatment is provided free of charge under compulsory medical insurance, additional paid services are also provided. In many public dentistry, doctors have a list of not only domestic, but also paid imported materials, and carry out procedures for which they will then have to pay.

So that the news about the need to pay for treatment at a municipal clinic does not come as a shock to you, check with specialists in advance whether the service you need is included in the list of free services approved by the insurance program in the region. If the doctor offers any additional manipulations, then do not hesitate to clarify whether it is paid or free.

It should be taken into account that sometimes situations arise when it is better to pay extra for materials than to carry out treatment completely free of charge. Let's give a few examples.

Wisdom teeth removal

If you need to remove a wisdom tooth, then if you have a compulsory medical insurance document and want to be treated, you will be given a domestic anesthetic for free. However, it is far from certain that it will completely eliminate pain. Of course, in this case, it is better for the patient to pay for imported anesthesia, which has a minimum of side effects, high efficiency and a long exposure time.

Important! In free medicine, doctors often use painkillers such as Novocaine and Lidocaine. These drugs can cause individual intolerance, allergic reactions and side effects (especially in people with cardiovascular diseases, diabetes and hypertension, and elderly patients).

When filling

If you want to have your teeth filled with high quality, it is better to pay extra for the installation of an imported filling made from light-curing composites. Firstly, the material hardens very quickly, which means the patient has fewer restrictions after treatment. Secondly, the restoration looks more beautiful and natural in comparison with domestic phosphate cements, silicates and composites. Thirdly, imported materials will last several times longer, because they have high strength and wear resistance.

In the treatment of pulpitis

If you are undergoing dental treatment under a compulsory medical insurance policy, in particular for pulpitis, then it is important to understand what is included in the service. In government institutions, patients with pulpitis first kill the nerve using arsenic paste, which must be worn in the tooth for several days in a row.

Preparations containing arsenic are quite toxic; they should not be overexposed or swallowed. While they are in the tooth, many experience very unpleasant painful sensations. Often arsenic does not completely remove the nerve, and then during subsequent dental procedures you can feel severe pain.

Many patients who have had their teeth treated this way admit that they are left with a strong fear of dentists. If you do not want to encounter such problems, then it is easier, again, to pay extra for materials and treatment methods that allow you to remove the nerve in one visit to the clinic and without arsenic paste.