For which category of people is the correction of bite defects with braces included in the compulsory medical insurance list?

Being the owner of an even row of beautiful teeth is the desire of most modern people. But nature has not given such a gift to everyone.

In addition, bite alignment is quite a costly endeavor.

There are ways to correct this flaw for free, or by significantly reducing financial losses. This opportunity is provided by a compulsory health insurance policy (CHI).

The reality of free installation

It should be noted right away that the list of compulsory medical insurance services today does not include such a procedure as straightening teeth using braces.

This rule applies to most medical policy holders. For them, the desire to have a beautiful smile must be paid for independently.

However, there are still a few exceptions here. There are certain groups of citizens who can count on benefits or completely free installation of braces.

First of all, they are the category of children in difficult life situations, namely:

• Children without parental care (orphans).
• Children with congenital maxillofacial pathologies.
• Children with disabilities.
• Families with low material income can count on government assistance in paying for such a service for a child.

For adults , there are also options for free braces installation. These options could be:

• Work at an enterprise under an employment contract, one of the clauses of which is reimbursement for dental and orthodontic services.
• If a person’s activities involve constant public contacts, and his appearance directly or indirectly affects the result of his work.
  In this case, the employer can pay for the elimination of such a deficiency. But to receive such a bonus, a person must be sure that he is a valuable employee.
• When the need to install a brace system arose as a result of incorrect actions or failure to provide assistance to the patient on the part of the clinic staff.

Important! It is recommended to resolve this situation peacefully, through dialogue with the management of the medical institution. If this is not possible, then the main weapon for the injured patient will be only an appropriate court decision. In other words, the fact of medical error must be proven in court.

• Also, people with disabilities and receiving state disability benefits have a chance to receive a similar procedure for free.
• Pensioners who have earned the minimum pension can try to get braces installed for free. The condition for this possibility must be medical indications for the need for its installation (for example, gastrointestinal diseases).

To use one of these options, first of all, it is worth studying the legal side of the issue . A qualified lawyer will help you take into account the nuances and avoid making mistakes.

It will also require a lot of effort and attention on the part of the patient. Any document (reflecting his physical condition, financial and marital status, or another) can be decisive.

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What is a compulsory medical insurance policy and what does it give?

A compulsory medical insurance policy is a document that confirms your right to receive medical care free of charge.
It can be in the form of a card made of thick plastic, but it can also be on paper. Issued to absolutely all citizens of the Russian Federation, as well as people who live only temporarily or permanently in Russia, but always legally. On a note! This is a mandatory document even for infants - it gives the child the right to receive a wide range of free medical services. Timely registration of the policy is the task of the parents.

The registration and issuance of compulsory medical insurance policies falls within the competence of insurance companies. At the same time, each person retains the right to independently choose an organization. To do this, he needs to personally contact the insurance institution, having with him a passport (another identification document), SNILS and an application of the established form.

To apply for a compulsory medical insurance policy you will need a passport and SNILS

As soon as you have the document in your hands, you can immediately go to the selected clinic for registration. At the same time, you can receive medical care free of charge at any government medical institution. In some regions of Russia, additional features may be included in the list of free services.

Possibility of minimal costs

People who have set out to have straight teeth should know a few more nuances that relate mainly to private clinics.

They also give you the opportunity to get braces for free. Such cases include:

• Carrying out promotions . Often clinics (especially newly opened ones) hold various advertised promotions for their services to increase their client base. The conditions for their implementation are different, including completely free installation of braces.
• Trial batch for a specific clinic. This is the case when a certain type of brace systems has already been tested in use, but is unfamiliar to this institution.
  To determine their characteristics and effectiveness, the clinic (by agreement with the manufacturer) conducts a series of trial procedures free of charge for the client.
• Bonus systems. Many private clinics, wanting to “attach” regular clients to themselves, are developing various bonus programs.
  As a rule, they have a cumulative principle. Namely: when the payment for the services of this clinic reaches a certain amount, free installation of braces is a bonus for the patient.
• Testing a new type of brace systems for yourself. This option is quite rare. Typically, all manufacturers supply already tested models to medical institutions.

But rare cases of such deliveries can still be found. Then the patient receives the brace system free of charge, as a fee for the work performed by the tester.

Attention! The patient must be clearly aware of the consequences of such a step. By agreeing to test an unfamiliar design or materials, he is taking a certain risk.

Of course, identifying opportunities to obtain inexpensive braces requires certain costs (time and effort). But the game is worth the candle - in the end the patient will have straight teeth, received for free.

Retainers: why are they worn after braces are removed?

A retainer is a device that looks like an arch. It is placed on the back surface of the teeth when braces are removed. This way the new position of the teeth is secured. The ligamentous apparatus of the teeth has muscle memory, so no matter how we move the teeth, they will tend to return to their “original” position. Wearing a retainer is an essential part of orthodontic treatment. This is especially true for people over twenty-five years of age. A retainer is installed for at least two periods of wearing braces: for example, the patient wore them for one year, then the retainer will need to be worn for two years. Foreign orthodontists generally argue that you need to wear retainers constantly - this is the only way to guarantee that your teeth will remain straight. In general, after some time the retainer can be replaced with a night guard or plate. But some kind of structure supporting the new position of the teeth will definitely be needed - this is a classic. Unfortunately, patients often neglect this stage of treatment, experience relapses and begin to talk about the ineffectiveness and uselessness of orthodontic treatment in adulthood.

Mandatory expenses

Listed above are the options for getting braces for free. However, unfortunately, nothing is completely free (except for a mousetrap). Therefore, even if the patient falls under any of these cases, he still faces certain expenses.

Before installing braces, he must independently finance the following steps:

• Preliminary consultation with a dentist and orthodontist.
• Diagnostics. Here the possibility of setting up this system in principle is determined; existing diseases of teeth and gums are identified; a further treatment plan is determined.
• Removal of teeth as prescribed by a doctor (if necessary).
• Treatment of current dental diseases.
• If necessary, tooth filling.

The patient should also be aware that installation, maintenance and removal of the braces system are subject to payment.

One should not miss such nuances as the period of stay of the system in the oral cavity. It is usually a year or more. During this time, a variety of situations can occur - damage to the braces, tooth injury or another unforeseen event. Each of them requires specialist intervention.

The further life of an even dentition also requires financial costs (but they are not large compared to those already made).

To consolidate and maintain the results obtained, the patient is recommended to use special devices - retainers, mouth guards (also not free). The duration and periods of wearing them are prescribed by the orthodontist, individually in each specific case.

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Mandatory expenses

Despite the existence of real savings options when installing braces, any patient will face expenses that will have to be paid.

First of all, this is a fee for an initial consultation with an orthodontist . At the first visit, the doctor examines the oral cavity, assesses the condition of the dentofacial apparatus, paying special attention to the type of bite and the correct location of the dental elements.

Based on the results of the examination, a treatment protocol is drawn up. Then the specialist, together with the client, selects a suitable brace design, based on the complexity of the defect and the latter’s financial capabilities.

After establishing the fact of the need for treatment, the diagnostic stage begins. To better understand the position of individual teeth, the condition and structure of the jaws, radiography .

If necessary, the orthodontist prescribes other examinations and tests (for example, if periodontal inflammation or other pathologies of the oral cavity are detected).

You must understand that installing a braces system is only possible on healthy teeth. Therefore, if the examination reveals caries, inflammation or other problems, a full treatment course is carried out.

During the development of treatment tactics, the doctor may decide to extract certain elements . For example, if a person with large dental units has insufficient jaw parameters.

In this situation, crooked teeth will not be able to align due to lack of space on the jaw arch, and removing one or two is the only way to make room for the rest.

To place the devices at the required angle and correctly calculate the force of the entire structure, an impression is taken from the patient’s jaws and a plaster model is made . Hygienic cleaning is also a mandatory preparatory procedure .

The client's costs do not end there. After installing the device, he will have to periodically visit a doctor to monitor the process and prevent complications, which is also a paid service.

You will also have to pay for the removal of the structure upon completion of treatment.

It is also necessary to take into account such a nuance as the time the system remains in the mouth. Usually it is 1.5-2 years. During this period, an unexpected situation may arise:

• arc deformation;
• loss of adhesive properties;
• tooth injury, etc.

Each such case will require the intervention of an orthodontist to eliminate the problems that have arisen and, accordingly, a separate fee.

Life after removing the braces will also require financial expenses, but not as significant as before and during treatment.

To maintain the result of the correction, you will need to use special devices - mouth guards or retainers. The duration of wearing is determined by the doctor on an individual basis.

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Nuances of saving

If a person was unable to take advantage of any of the described points for free bite correction, then there are options for making it cheaper . They allow you to significantly save on this procedure when installing braces.

First, you should pay attention to the newly opened dental centers . There is a high probability that in the initial period of their work they pursue a more loyal financial policy.

Installation of braces is a very popular service. It is possible that the price here will be significantly lower than that of competitors.

There are other ways to save money. Let's list them:

• Inexpensive but reliable systems. These are metal braces (provided that there is no allergy to the material used). In addition to the lower price, their short rehabilitation period compared to other types of structures also speaks in their favor.
• Self-ligating systems. Their maintenance does not require frequent visits to the dentist to check functionality. Considering that each visit is paid, the use of such systems will be more economical.
• Elimination of computer modeling. The installation of braces was carried out when computer models were not yet common. Dentists have already gained significant experience in this area. Therefore, in certain situations (in agreement with the doctor), such a service can be neglected.
• Promotions on certain models of braces. They are periodically carried out in clinics, often at the initiative of the manufacturers of these systems. In these cases, there is no point in counting on a completely free service. However, it is quite possible to get a significant discount.
• Tax deduction. You should take advantage of this benefit (it applies to all medical procedures associated with the installation of braces) when paying taxes.

Important! If a clinic refuses to provide documents for filing a tax deduction, it is better not to use its services. Most likely, illegal schemes are used here.

• Bank loan. Sometimes it makes sense to use credit funds for these purposes. Of course, the total costs will be higher, but they will allow you to choose the best option. In addition, they will be spread out over time, and this will not have a painful impact on the monthly budget.

The listed methods of saving also require some effort from the patient. In addition to searching for the necessary information in the press and on the Internet, you should conduct thorough consultations with specialists. They will help eliminate an option that turns out to be completely unsuitable for a given case.

The video provides additional information on the topic of the article.

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?

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.

conclusions

The possibility of free installation of a braces system, or a significant reduction in its cost, can turn the head of any patient. But here it is important to remember the main goal of the upcoming event - beautiful, healthy teeth for the coming years.

The priority should be the safety and reliability of the system, its effectiveness during the treatment process and beyond, and of course, the experience and professionalism of the attending physician. It is not uncommon for failure to follow these fundamental rules to lead to more serious problems.

As popular wisdom says, a stingy person pays twice.

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How to care for braces

To reduce the likelihood of developing dental diseases, the patient will have to carefully monitor their diet and oral hygiene. In particular, it is necessary to avoid hard and sticky foods, foods with dyes and smoking. If possible, you should limit your consumption of sweets. For oral care you should purchase:

• a brush with V-shaped bristles (CURAPROX Ortho);
• brush (Curaprox CPS 10, Biorepair Scovolini Interdentali Cilindrici);
• dental floss (Mirafloss implant chx);
• rinse aid with antibacterial properties (Biorepair Mouthwash).

It is advisable to use toothpastes without abrasive substances and periodically (2-3 times a week) clean the oral cavity with an irrigator. To do this, purchase devices that are suitable for caring for orthodontic structures: Little Doctor International Ltd Aquajet LD-A7, Donfeel Donfeel OR-820D Compact, Revyline RL100, Donfeel Donfeel OR-888, Panasonic EW-1411, Revyline RL 200XL, etc.