There are benefits for pensioners for dental prosthetics

Compulsory medical insurance policy - is this document sufficient to receive the service?

A compulsory medical insurance policy or a compulsory health insurance policy gives the right to all citizens of our country to receive a certain list of free dental services at their place of registration or residence. Naturally, only government agencies provide services free of charge.

Experts say that in each region of our country the list of free services for patients may be different. Thus, in financially secure regions it can include up to 200 different positions, and in disadvantaged regions it may not exceed 20. In some regions, it is even difficult to obtain free assistance, which is associated with optimization and job cuts.

By appointment, upon presentation of a compulsory medical insurance policy, any patient can count on examination and diagnosis (only two-dimensional radiography), treatment of caries, pulpitis, gingivitis, periodontitis, free domestically produced anesthesia, and splinting of teeth. It is also possible to receive a number of surgical services: simple and complex tooth extraction, autopsy, drainage of abscesses, removal of benign tumors, treatment of alveolitis. According to the policy, you can undergo a course of physical procedures (for example, magnetic therapy).

Without a queue and without an appointment, you can be seen in emergency cases: when there is acute pain, bleeding, chills and high body temperature against the background of inflammation in the oral cavity and any dental disease.

On a note! In public medical institutions of the country, it is not possible to do dental implantation and install braces, whitening and strengthening of enamel, bone tissue augmentation, surgical treatment of periodontitis and periodontal disease, or professional oral hygiene. Also, you should not count on the use of imported fillings, pins and inlays in free medicine.

What about dental prosthetics? Not every citizen of Russia has the right to receive this service under the compulsory medical insurance policy, but only preferential categories of the population, which we will discuss further.

Orthodontics:

1. Specialized (dental) medical care is provided to children in the treatment of dental pathology using removable equipment (orthodontic plates) using domestic materials, with the exception of the brace system
2. The waiting period in an outpatient setting is no more than 14 working days (in Moscow 10 calendar days)
3. Indications: correction of congenital dental pathologies (bite correction) in children

Patients who are entitled to preferential prosthetics

A quota for dental prosthetics is an opportunity to receive free treatment within the framework of various contracts and agreements designated by the state. Let's list who is entitled to the benefit:

• veterans: labor, war,
• adults and children with disabilities,
• patients who have retired due to age and are unemployed,
• low-income citizens: the state includes among them those whose income is several times lower than the subsistence level,
• liquidators of the Chernobyl accident.

It is worth understanding that in different regions of Russia the list of those who can qualify for free prosthetics differs: it can be expanded or, conversely, reduced. For example, in some regions, mothers with many children (when there are more than 5 children in the family), wives of WWII veterans, family members of disabled children, honorary donors and pensioners of the Ministry of Internal Affairs are entitled to a quota. Therefore, it is better to check the list of persons with the social security or local government authorities at your immediate place of residence and stay.

Healthy eating in old age

The diet of an elderly person should be varied and healthy. The need for minerals and vitamins increases with age. Vitamin complexes can be used. Calcium is especially needed, which accumulates poorly and is lost from the period of maturity. Due to its deficiency, teeth and bones become fragile. Vitamins A, C, D and others are important.

You should limit your consumption of sweets. A good alternative is a glass of water with a tablespoon of honey. This drink can replace morning or evening tea. It will prevent dental diseases and help treat existing problems.

Before drinking a cup of coffee or tea in the morning, eat a small piece of solid food.

Do not mix very cold and hot foods.

Special attention should be paid to the nutrition of people without teeth. The oral cavity of such pensioners is vulnerable, so the food must be suitable.

When creating a menu and preparing food for elderly people without teeth, you need to follow these rules:

• Eat soft foods. Examples: cream soup, fresh bread, bananas. Rough food and large pieces can be chopped, include more drinking food in the diet, or choose recipes with soft dishes. • Food for older people without teeth should be healthy and balanced. Proteins, fats and carbohydrates are important in the diet. You should not replace healthy foods with only easy-to-digest ones. Yogurt will not be able to nourish you in the same way as meat - both products are healthy and necessary, only in the second case careful processing and grinding is important. • Consult your doctor when planning your diet. He will help you choose a menu and create a diet, tell you what to include in your diet and what to exclude from it. A nutritionist will select a suitable diet and create a nutrition plan. • Planning will help you create a varied and healthy diet. Make a list of groceries and dishes for your relative for the week, select suitable recipes. For example, you can plan oatmeal for breakfast, stew and soup for lunch, and a vegetable salad for dinner. A good snack option is healthy smoothies. • Use suitable kitchen equipment. A food processor will help grind various solid foods, a blender will help create purees and liquid smoothies.

It is very important for an elderly person to monitor the condition of the oral cavity. Maintaining hygiene, regular visits to the dentist, timely treatment of diseases and prevention of dental problems will help maintain oral health for life.

Who is eligible to receive

A quota for free dental prosthetics is primarily provided to heroes, disabled people and war veterans, as well as children with disabilities - these patients receive the service ahead of others.

However, patients with oncology or those who have recently undergone a complex operation on the gastrointestinal tract, as well as people faced with the problem of missing teeth due to serious injuries to the maxillofacial apparatus, can also be served out of turn. Naturally, such patients must confirm their status with relevant documents, extracts and doctor’s prescriptions.

Old-age pensioners, people with disabilities and labor veterans can receive benefits on a first-come, first-served basis.

The statistics are inexorable

According to dental statistics, 50-year-old women who have all their teeth lose about 50% of their teeth after ten years. The most intense process of tooth loss due to osteoporosis is observed in women.

The statistics are deplorable, but these are the realities of life.
YuliSTOM dental clinics in St. Petersburg invite all elderly people for consultations and treatment. Our clinics are equipped with modern effective methods of preventing tooth loss. Moscow metro station Zvezdnaya, Danube Avenue, 23

Package of documents that need to be collected

First of all, you need to contact a dentist, who will confirm on an official form that you need a service such as dental prosthetics and issue a certificate or referral. Remember that the benefit is provided solely for medical reasons, and not simply at the request of the patient.

Next, you will need to attach a passport, compulsory medical insurance policy, pension certificate to the received document - copies are needed, but when going with social security, it is better to play it safe and take the originals of these documents with you.

Important! We strongly recommend that you contact local government and social security authorities to find out in detail what list of documents needs to be collected for citizens living in your region, because everywhere it may differ slightly.

The collection of documents does not end there. You need to contact the housing office at your place of residence and request a certificate of family composition. Also, depending on your social status, for example, if the service is needed because your income is less than the subsistence level, you may be asked to provide a certificate of income in form 2NDFL for each family member for the last three months.

If you are seeking to obtain a quota for a disabled minor child, then a birth certificate and a copy of the passport of one of the parents/guardians must also be added to the package of documents.

After this package of documents has been collected, you need to go to social security, where you will also have to fill out an application for a quota in the form established by the state.

Implantation: arguments “FOR”

Advantages of installing implants for an elderly person:

• aesthetics of a smile - dentures installed on implants are difficult to distinguish from natural teeth;
• natural recovery - the implant replaces the tooth root, so the bone tissue receives the necessary load and does not atrophy;
• the need for grinding is insignificant or completely absent;
• dentures fixed on implants do not rub the gums or irritate the mucous membranes;
• convenient, since there is no need to remove dentures before going to bed;
• fixed dentures on implants do not fall out during eating, when speaking and do not interfere with speech;
• provide quick addiction;
• The service life of implants is more than 20 years and fixed dentures are more than 10 years.

How long will you have to wait

We have already told you how to get a quota for dental prosthetics - you need to apply with a package of collected documents to the social security authorities, where you will be put on a waiting list.

Unfortunately, more and more people want to receive this service every year, because not only many pensioners, but also a large number of young people need it. Massive loss of teeth is associated with environmental degradation and poor nutrition, lack of time and money for the treatment of dental diseases, and stress. In this regard, no one can say for sure how long you will have to wait in line.

“We applied for a quota for my grandfather and waited eighteen months to receive it!!!! It's just awful. Everything is easy and beautiful only on paper, but in reality, not all people, and especially socially vulnerable sections of the population, have the opportunity and strength to endlessly knock on the thresholds of social services. Yes, and wait a year and a half!!! Imagine the standard of living of those old people without teeth who wait so long. Today it’s better to take out a loan or installment plan and go and do everything for a fee - it’s quick and not so humiliating.”

Lion, review from jur24pro.ru

After the patient receives a quota, he will be issued a coupon with a limited validity period. That is, the service will need to be used for a certain time - in different regions of Russia the period can range from 2 weeks to 6 months. If you do not take advantage of the benefit within the designated period, you will have to stand in line again. It should not be forgotten that the right to free dental prosthetics or repair of dentures is granted to citizens of the country only once every 5 years.

What consumables can be obtained under the medical policy?

A number of medicines and medical materials are provided to pensioners free of charge

A pensioner can not only receive free treatment, but also receive some types of consumables that are needed for therapeutic procedures:

• Cleaning brushes;
• Cotton wool, bandage;
• Dental burs;
• Surgical threads, dressing materials;
• X-ray film;
• Silicate, glass ionomer filling compounds;
• Phosphate cements;
• Arsenic;
• Russian-made disinfectants and painkillers (Lidocaine, Novocaine, Trimecaine).

If the patient suffers from individual intolerance to the proposed painkiller injection or simply wants to receive better anesthesia, he can ask the doctor for another drug, for which he will have to pay separately.

A doctor can use a medicine for a fee only with the consent of the patient.

Free prosthetics: what you can count on under the quota

If there is a quota for dental prosthetics, then, first of all, you can count on an examination before treatment. It will include not only a visual examination and history taking, but also an OPTG (orthopantomogram) - these are two-dimensional photographs of both jaws, which will allow us to judge the hidden processes occurring in the jaw. They are much less informative than three-dimensional computed tomography, but unfortunately, one cannot expect anything more from free medicine these days.

As for the prosthetics itself, patients have little choice according to the quota. For them, only removable structures made of acrylic or nylon, or permanent crowns made of metal or metal-plastic can be created - these materials are cheap and are not suitable for all people.

Constructions made of plastic and nylon are short-lived, because... materials absorb dyes and pigments and quickly become unusable. In addition, they are low-functional, it is almost impossible to fully restore chewing function in them, and the patient has to limit himself in nutrition, for example, refuse to eat hard and favorite foods, giving preference to the softest ones.

On a note! Independent researchers have found that there are many times more cases of poor-quality treatment and prosthetics in patients who received free treatment than in those who received paid services.

Metal and acrylic can cause an allergic reaction. However, if the patient proves and documents that these materials are really not suitable for him due to his health, then the clinic may offer to install prostheses made from other materials. Will I then need to pay anything? Yes, you will have to pay the difference in price.

What about service? If your installed prostheses are damaged, then, by decision of the medical commission, they can be replaced with new ones or repaired within a year from the date of application. Moreover, if the doctor or clinic is to blame for the breakdown of the structure (for example, due to poor quality manufacturing or installation), then replacement or repair work will be carried out out of turn.

Installation of photopolymer fillings for pensioners

A pensioner can be given a free photopolymer filling at a municipal dentistry only if it is indicated by a doctor.

If prescribed by a doctor, a pensioner can have a photopolymer filling placed on his front teeth free of charge.

The fact is that modern filling materials are expensive, so not all insurance companies want to cover the costs of them. Typically, doctors use such fillings only when treating anterior units or cervical caries.

If a patient wants to have a high-quality filling made from modern material, he can pay its cost separately. The doctor's work will continue to be free.

Elderly people with taxable income can receive a tax deduction for installing a paid seal. To do this, you must have a receipt for payment for the used filling material.

Compensation payments for dental treatment - regulatory framework

An income tax refund of 13% of the amount paid can be provided to all citizens of the country who receive official income and are income tax payers. Some categories of citizens have the right to preferential prosthetics.

The legislative framework on the issue of compensation payments for dental services is as follows:

• Art. 219 Tax Code of the Russian Federation;
• PP No. 201 dated March 19, 2001;
• Letter of the Ministry of Finance No. 03-04-05/4878 dated January 29, 2018;
• Federal Law No. 178 dated December 21, 2001;
• Letter of the Ministry of Health of Russia No. 03-04-05/39799 dated September 25, 2013;
• Federal Law No. 5 dated January 12, 1995.