Braces under compulsory medical insurance – is it possible to correct a bite under an insurance policy?

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A beautiful smile is something that many people dream of for many years, or even their entire adult life.

However, the cost of correcting malocclusion using braces may exceed the financial capabilities of many patients.

The article will provide examples of the possibility of free bite correction, as well as methods of treatment at minimal cost.

Is it possible to get braces under the compulsory medical insurance policy?

An orthodontist straightens your teeth and corrects your bite; however, compulsory medical insurance coverage does not apply to all of his services. Can I get braces for free?

No, their installation is not provided for by the compulsory medical insurance policy. This service is exclusively paid for both adults and children. Although braces may not be required to correct an overbite in children under 5 years of age. Sometimes removable plates or mouth guards are sufficient, which are provided free of charge as part of compulsory health insurance. For treatment to be successful, you need to find a good orthodontist.

However, both children and adults can get braces for free. There are still exceptions to the rules.

The following categories of citizens are entitled to free installation of braces under the compulsory medical insurance policy:

• disabled children;
• orphans;
• children with congenital pathologies of the jaw apparatus;
• children from low-income families;
• disabled people;
• pensioners who receive a minimum pension (only according to indications);
• “victims” of medical error (formation of malocclusion due to the incompetence of the dentist).

But first of all, free orthodontics is provided to children.

Important! If the patient does not fall under any category for free installation of braces under the compulsory medical insurance policy, then thanks to insurance it is possible to at least minimize the costs of dental services.

Nuances of saving

There are some principles that will allow the patient to save some money on installing braces:

1. Search for dental clinics that have only recently started operating.
   Such centers, as a rule, organize various promotions, provide free diagnostics, and also offer their first customers a discount card. This policy allows newly opened clinics to quickly gain a client base.
2. Another way is to look for advertisements for promotions and coupons.
   If the patient has a particular clinic in mind, you can follow them on social networks. They usually publish the latest information about discounts, as well as partner promotions.
3. It is also worth keeping in mind that saving means choosing cheaper materials.
   Regarding braces, it will cost significantly less to install models made of non-precious alloys than samples made of titanium, sapphire or ceramics.
4. The type of braces also significantly affects the final cost of treatment.
   Vestibular models, which we are used to thinking of when we hear the word “braces,” will cost the patient much less than lingual models, which are worn hidden, since they are located on the lingual part of the dentition.

Is minimum spending possible?

You can reduce the cost of orthodontic procedures by visiting not only public but also private clinics. Sometimes paid dental offices offer promotional prices for installing braces, but the cost of services still remains high.

Article on the topic: Who are the subjects and participants of compulsory health insurance in the Russian Federation, their rights, duties and responsibilities

Some clinics install braces that have just appeared on the market for free (if you do not take into account the payment for the orthodontist’s work). However, by agreeing to become a “guinea pig,” the patient risks his health. Side effects of new products are unknown, although they, of course, may not exist.

Attention! You can save money by taking advantage of the bonus program, if it operates in the clinic. With each visit to the dentist, bonuses accumulate that can be spent on orthodontic services.

There are no promotions in public clinics, and there are no bonuses or discounts. It is also unlikely that you will be among those testing new braces, but the prices there are much lower than in private offices.

What may be mandatory expenses?

It is necessary to understand that it will not be possible to install braces completely free of charge for a patient who is not on the list of exceptions under the compulsory medical insurance program. The cost of the service can be reduced by resorting to tricks, but you will still have to pay.

The following expenses are required:

• Consultation with an orthodontist and dentist. It should be included in the list of free services under the compulsory medical insurance policy, but if the patient goes to a private office, he will have to pay. The specialist will assess the condition of the dentition and identify possible pathologies that need to be corrected before installing the braces system.
• Diagnostics. Necessary for identifying hidden pathologies of teeth and gums. Sometimes, after an examination, there can no longer be any talk about correcting the bite.
• Surgery. This is a preparatory stage for installing braces. We can talk about removing teeth, opening abscesses, cutting gums.
• Therapeutic dentistry. Provides for filling, treatment of caries and other dental diseases.

Braces are installed only on healthy teeth. If you are served in paid offices, then at the preparatory stage you may need a considerable amount, so it is better to use a compulsory medical insurance policy.

Mandatory expenses

Despite the fact that the above were ways to save money and even get braces for free, a patient who wants to correct his bite still faces mandatory expenses prior to the installation procedure.

First of all, this is payment for the initial consultation of the orthodontist. At the initial consultation, the oral cavity is examined and a treatment strategy is drawn up - the type of bite and problematic dental units whose position needs to be changed are determined.

During the initial consultation, the orthodontist invites the patient to choose a specific type of braces system, taking into account his wishes and financial capabilities, and, if possible, offers alternative treatment methods.

After the doctor has established the need for treatment, the diagnostic stage . An x-ray is taken to better understand the position of the teeth and the structure of the jaws. If necessary, the doctor prescribes a number of other tests (in particular, if the patient has inflammatory processes or other diseases of the oral cavity).

It should be kept in mind that braces can only be installed on healthy teeth.

Therefore, if the patient has carious cavities, inflammation of soft or bone tissue, then all these diseases must first be cured.

Also, based on preliminary diagnosis, the doctor may decide to remove some dental units (for example, if the patient has a small jaw, but large teeth - when correcting the bite in such a situation, some dental units simply will not be able to “fall into place”).

To properly install the system, an impression is taken from the patient’s jaw and a plaster model is made to understand the required angle and force of impact. Immediately before installation, the patient needs to undergo hygienic cleaning of the oral cavity .

During treatment, the patient will also need to visit the doctor several times to adjust the teeth alignment process and prevent possible complications.

When using self-ligating braces, such visits occur a little less often, and with ligature braces - a little more often.

Objective reviews about braces and the consequences of wearing them.

In this publication we will talk about the indications for the installation of orthoimplants.

Follow the link https://orto-info.ru/sistemyi-vyiravnivaniya-zubov/breketyi/kak-privyiknut-sovetyi.html if you are interested in what the period of getting used to braces depends on.

Orthodontic services under the compulsory medical insurance policy for children

Children are the majority of orthodontic patients, since bite problems most often arise in childhood. What free services can you count on?

Related article: Attaching a compulsory medical insurance policy to a clinic

The list of free services for children within the framework of compulsory medical insurance includes:

• orthodontist appointment;
• correction of bite using orthodontic plates;
• removable prosthetics;
• massage;
• repair and correction of orthodontic plates;
• Help with painful teething in babies.

It should be noted that the plates are made only from domestic material. The installation of imported dental structures is not provided for under compulsory medical insurance.

It is necessary to correct the bite in children as early as possible. Then it is possible to do without braces and use the services of an orthodontist under the compulsory medical insurance program.

List of dental services not included in the compulsory medical insurance program

• Aesthetic restoration (restoration) of teeth using light-curing materials;
• Light-curing fillings; (light seal);
• 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;
• Treatment of inflammatory periodontal diseases using modern methods (VECTOR device, laser, ultrasound therapy), using imported materials (directed tissue regeneration, 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.);
• Implantology, operations on directed bone regeneration and plastic surgery of soft tissues in the area of ​​implants;
• Tooth extraction for orthodontic and orthopedic indications for persons over 18 years of age
• Depulpation of teeth under X-ray control in order to prepare teeth for dentures;
• 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;
• Installation of implants;
• Prosthetics on implants;
• Correction of lip and tongue frenulum using a diode laser (for children and adults);
• 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
• Single fixed dentures and bridges: metal, plastic, metal-ceramic made from imported materials;
• 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.
• Anesthesia using carpule syringes and imported anesthetics;
• General anesthesia (anesthesia) with the use of an anesthetic aid for more than 30 minutes using imported drugs;
• Treatment and removal of teeth using sedation methods while maintaining consciousness;
• 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;
• Orthopantomography of the maxillofacial area for persons over 18 years of age and of working age;
• X-ray examination when providing paid medical services and preparing for dentures.

Free treatment in a private dental clinic

The cost of a basic VHI policy for a private individual starts from 20,000 RUR. If VHI is purchased for a group, in terms of per person, the price of the policy starts from 10,000 RUR. This is beneficial, considering that just one appointment with a doctor in a private medical center costs from 800 RUR, and a visit from a private ambulance team or calling a specialist to your home - from 2000 RUR.

On the other hand, for a healthy and successful person these expenses will not be justified and he will pay for others with his contribution.

There are also intermediary companies on the market offering everyone an individual opportunity to join large corporate insurance programs. They promise to take into account the client’s wishes regarding the content of the program and give a discount of 50% or more. The reliability of such intermediaries and the legal organization of relations with them are unclear.

Expanded voluntary health insurance program, from RUR 50,000

Everything in the base plus:

1. Direct access to certain mid-level clinics or access to an expanded number of clinics in agreement with the insurance company.
2. Unlimited number of analyses, except high-tech ones.
3. Unlimited number of physical treatments.
4. An expanded list of specialized specialists, including a dermatologist, mammologist, and proctologist.
5. Hospitalization for planned reasons, for example, to lie down on a drip and receive treatment, but usually only for a period of 10-15 days.
6. Medical insurance for the duration of a business trip or tourist trip.
7. Flu vaccination.
8. Personal doctor services - the ability to call and consult with the right specialist 24 hours a day.
9. Periodic medical examinations to monitor health.
10. Spa treatment.

VHI will not provide treatment Medical services in other cities

Typically, the coverage area of ​​a voluntary health insurance policy is limited to the client’s city of residence - this is indicated in the contract. Therefore, it most likely will not be possible to go for free treatment in the capital’s clinics by applying for voluntary health insurance in another region.

Most of my friends are young boys and girls. Dentistry is rarely discussed, but anything can happen. The other day, a friend Nastya said: “I went to a private clinic and they offered to pull out a wisdom tooth for 10 thousand rubles. I changed my mind. I’ll go to my parents in Samara, and there I’ll break it for 500-700 rubles.” Of course, I asked why she didn’t go to the city dentistry, to which she received the answer: “Look at the prices there. I didn’t even register.”

Attached after two hours

How to use VHI

If you have already signed up for voluntary health insurance, you can apply for help in case of illness in two ways.
Direct access. The insurance company provides the client with a list of medical institutions where they can be treated under VHI. The insured simply contacts one of the specified clinics; there is no need to notify the insurance company in advance.

Call to the “medical console”. Before going to the hospital, the client calls the insurance company's 24-hour number. He is answered by an operator who confirms or does not confirm that the insurance company is ready to pay for the required service. Typically, such operators are people with secondary and higher medical education.

They listen to the client’s complaints and select the necessary clinic, calculating in advance what services will be provided to the patient. If the required procedures are covered by insurance, the operator makes an appointment for the client and sends a letter of guarantee to the clinic: they say, treat this citizen, and we will pay for these procedures.

This is convenient if the insured rarely visits hospitals or if something happens to him on the weekend when the desired clinic is closed. In theory, insurance employees should know well where, how and at what prices medical services are provided both in planned and emergency situations: which clinic has strong therapists, which is a good cardiologist, and where you shouldn’t go at all.

Some time ago, it was impossible to receive medical services without registration, even with a health insurance policy - there was no single database. But now patients have the opportunity to register with the clinic at their temporary residence address, if there are legal grounds for doing so, or at any other chosen medical facility. institution.

First, you need to contact the branch of your insurance company in the city where you live, and from there you will be directed to a specific institution. If your insurance company does not have a representative office in this area, you can go to any municipal clinic and get appropriate recommendations there. At the registry you will be asked to contact directly the insurer with whom the institution cooperates.

Basic VHI program, from RUB 20,000

These are medical services, free analogues of which can be obtained under compulsory medical insurance in a regular clinic:

1. Access to a limited number of mid-level clinics in agreement with the insurance company.
2. Outpatient treatment is the same as in a regular clinic, but without the queue.
3. Private ambulance and doctor's call at home, the number of visits per week or month is limited.
4. Consultations of narrow specialists. This does not include all specialists - for example, there may not be a mammologist.
5. Diagnostics and tests: x-ray, ultrasound, blood test - usually a total of up to 10 procedures per year.
6. Physiotherapy procedures: therapeutic massage, inhalation, magnetic therapy, exercise therapy - usually a total of up to 10 procedures per year.
7. Hospitalization in private medical centers and luxury wards of public clinics, but only in case of a threat to life, for example, if the appendix needs to be cut out.
8. Payment for medications prescribed by a doctor during hospitalization.
9. Dentistry: anesthesia, treatment, light fillings, professional hygiene.
10. Issuance of sick leave.

Full voluntary health insurance program, from RUR 100,000

Everything in Basic and Advanced, plus:

1. Access to expensive private clinics and public hospitals with big names.
2. Expensive high-tech tests, such as tomography.
3. Hospitalization for both emergency and planned reasons in separate luxury rooms.
4. Dentistry includes whitening, prosthetics and implantation.
5. Pregnancy management and childbirth.
6. Psychotherapist services.
7. Diagnostics and treatment in foreign medical institutions.

These lists are indicative - the insurance company may offer you other conditions, remove or add services, or refuse you altogether. Always read the contract so there are no surprises.