Toothache, bleeding gums, visible discoloration of the teeth are common reasons for visits to the dentist’s office. There is a false belief that dental treatment is basically not reimbursed and costs a lot. Indeed, not all dental procedures are reimbursed, but there is a certain range of services for which the National Health Fund pays. People who pay health insurance premiums have the full right to take advantage of free services at the dentist’s office.
Cabinet with a contract with the National Health Fund
A dental office is one of the most popular types of private medical activity. In every major city there are several private dental offices and larger dental clinics offering the highest quality of treatments and treatments performed on teeth and gums. No wonder that the residents think that there are no dental offices with contracts with the National Health Fund and that you have to spend a lot of money for dental treatment. A dentist under contract is available in some district surgeries. Some dental offices operating as private ones also have signed contracts with the National Health Fund for dental treatment as part of basic medical care in this area and you can use the services of a dentist and not pay out-of-pocket for treatment.
Too small scope of guaranteed dental services
The National Health Fund does not allocate too much money for dental treatment. Guaranteed dental services financed from the National Health Fund do not meet all the needs of patients, are insufficient and often involve waiting in a queue. Dentists and patients are not satisfied with the scope of guaranteed dental treatment and the pricing of services. Therefore, despite the popularity of dental services and the considerable social demand for dental care, there are few dentists who have decided to sign a contract with the National Health Fund. Even they have a whole range of treatments and medical supplies available at full cost.
Dental services paid for by the National Health Fund
You do not need a referral to see a dentist, which is good news. It is hard to imagine running to the clinic and asking the family doctor for a referral to the dentist, when a toothache effectively makes life difficult. A patient with a toothache has the right to free dental treatment in any facility in the country. Regionalization in health care is a thing of the past. Once a year, an adult should be examined by a doctor and instructed on how to properly care for oral hygiene. Three times a year you are entitled to a dental check-up to check for new cavities. We have the right to x-ray the tooth twice a year. Children and adolescents are entitled to 5 x-rays of teeth per year. Tartar can be removed on the National Health Fund, but only once a year. People with diagnosed periodontitis are entitled to rinsing the periodontal pocket and administering the drug to it, as well as placing a wire ligature immobilizing the teeth. The National Health Fund reimburses the treatment of lesions on the oral mucosa and curettage – scraping the walls of the diseased periodontal pocket. The dentist is obliged to treat caries in all teeth, because there is a disease that can threaten health and life.
Seals reimbursed by the National Health Fund
Our national payer for health services even reimburses dental fillings. The joy of patients who think that they will have beautiful, aesthetic fillings for free is premature. The dentist will not use the most modern materials under the contract, because the Fund pays only for basic fillings of the older generation, e.g. cement and amalgam. A chemically hardened filling is inserted in adult patients only in teeth one to three. Minors can count on a light-curing filling in the incisors and canines. Patients with disabilities, regardless of age, are entitled to light-curing fillings in all teeth, provided that there are medical indications for this.
Prostheses paid for by the National Health Fund
As part of the health insurance premiums, the dentist can put a prosthesis on the patient with simple, bendable clasps for up to eight missing teeth in one arch. The prosthesis is to be replaced once every five years, and its repair every two years. Time limits on dentures do not apply only to patients who need a denture due to a history of cancer in the oral cavity and facial skeleton.
The National Health Fund does not reimburse too many services in the field of oral health prophylaxis. It finances the removal of teeth, the dressing of wounds in the sockets and the staunching of bleeding and the excision of any lumps and biopsy.
The range of dental services reimbursed by the National Health Fund certainly does not meet the expectations of patients. The society has the impression that dental care is neglected in Poland. A dentist on the National Health Fund has too few possibilities to treat oral diseases under the contract.