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“This year, up to 6 million LTL was allocated from the PSDF budget to offset the costs of dental prosthetics. EUR more than last year and even EUR 13 million. More than in 2018, a total of EUR 39.2 million. Euros. A significant increase in funding has made it possible to shorten the waiting list for dental prostheses and eventually eliminate it. This is really a kind of historic moment, “says Tatiana Golubayeva, deputy director of the State Health Insurance Fund (VLK).
A person who is entitled to reimbursement for denture services and who has been determined to have dentures will no longer need to write an application to be placed on the waiting list.
Once said right and validity is established, the medical institution to which the request has been submitted will only have to enter the data in the Information System of Cooperation Infrastructure and Electronic Health Services and register the person.
“The person will be immediately informed about the acquisition of the right to receive reimbursable dental prosthesis services; the institution will be obliged to issue an informative notice confirming this and may apply to the selected medical institution with a contract with the ICD. Thus, the person You will no longer have to fill out any application, and all data will be processed and recorded electronically, ”says T. Golubajeva.
When the queues ceased to exist, the earlier possibility of having prosthetics on their own, and then receiving compensation from health insurance funds for it, ceased to make sense, as the person now acquires the right immediately.
The specialists point out that the dental prosthesis services reimbursed by PSDF are provided only in those medical institutions that have a contract with one of the
Four groups of the population covered by mandatory medical insurance are entitled to dental prosthesis services provided with PSDF funds: people of retirement age, people declared incapable or partially able to work, those under 18 years of age and those who have received oral treatment, facial. and oncological diseases of the jaw.
Currently, retirees, the disabled and those who have received oral, facial and maxillofacial oncology treatment are reimbursed up to € 504.81 from the PSDF and up to € 257.63 for children. In exceptional cases, where a more complex and expensive treatment is required, the amount reimbursed can be up to € 1,553.24. In case the costs exceed the stated amount reimbursed by the PSDF, the patient may have to pay more.
FOR inf.
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