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No more delays: dental prosthetics are easily accessible

Date

2022 04 08

Rating
1
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Specialists of the Panevėžys Territorial Health Insurance Fund (THIF) have noticed that residents who are entitled to dentures at the expense of the Compulsory Health Insurance Fund (CHIF) and are registered for the service, are not in a hurry to take advantage of these services.

Although there are no longer any denture queues in the whole of Lithuania, around 9,000 residents within the area of activity of the Panevėžys THIF who are currently eligible for prosthetic teeth have not yet chosen a treatment facility. This is surprising: the long queues and inaccessibility of the service used to anger the population, but now that the service is easily accessible, there are no more people seeking prosthetics. The situation suggests that the population continues to register for the service without any need to do so.

Sigita Paulauskienė, Head of the Population Service Department of the Panevėžys THIF, fears that perhaps the population lacks information about the procedure of dentures and reimbursement of expenses from health insurance funds, which changed last year, because the employees of the health insurance funds are still asked about prosthetics at one’s own expense, where to apply for inclusion in the lists, etc.

Health insurance funds remind you of the main things you need to know.

The following persons are entitled to reimbursement of dentures:
•    children;
•    people who have reached the retirement pension age;
•    people who have been declared unable to work or partially able to work;
•    patients who have received treatment for oral and maxillofacial oncological disease.

To receive dentures paid for by the CHIF, eligible residents should see a dentist at the medical institution to which they are registered (the institution must have a contract with THIF), who will assess the need for dentures. Alternatively, you can go to another medical institution that is licensed to provide dental care and has a contract with the THIF for the provision and payment of these services.

During the consultation, the dentist (or, in rarer and more complex cases, a medical consilium) determines the feasibility of the prosthesis and assesses the condition of the teeth. The dentist also checks whether the oral condition is suitable for dentures, i.e. whether the patient has undergone therapeutic and prophylactic treatments, has undergone oral hygiene treatment, has had carious teeth sealed, etc. The dentist then completes the necessary documents electronically and registers the patient for dentures the same day. The institution must issue an information notice to the resident confirming eligibility for dentures. There is no need to wait for any other notification - the patient can immediately choose and apply to a medical institution that has a contract with any of the National Health Insurance Funds for dentures. Since the service can be provided immediately, there is no longer any self-financing of dentures.

If it is established that a person is not eligible for dentures, he/she will be issued with an automated information notice on ineligibility. The patient does not need to write or submit any further requests to the medical institution or THIF.

The cost of the prosthetic dental services is charged to the institution that provided the services. If the institution does not have a contract with THIF, the services will not be reimbursed and will have to be paid for by the resident.

Prosthetic dental services must be provided within 3 years of acquiring this right. The patient may not receive reimbursed services until 3 years after the date of reimbursement.

The exception applies to children under 18 years of age and to persons who have received treatment for oral and maxillofacial oncological disease. These patients can reapply for dentures earlier, i.e. before the 3-year period from the date of reimbursement of the dentures, and receive the services immediately.

We invite the population eligible for dental prostheses covered by the CHIF to wait and apply for the start of the service after choosing a treatment facility. Prosthetics is often a long process and if you delay it, you may forget to apply on time.

Panevėžys THIF information

(Piktochart photo)

The NHIF invites you:

Your questions are welcome by email [email protected] or phone: local (8 5) 232 2222, international +370 5 232 222