2024-07-16 23:31:12
Dental prosthetics
Dental prosthesis costs are reimbursed for people who have reached retirement age. The Mandatory Health Insurance Fund (PSDF) pays for the doctor’s work, materials for the production of dental prostheses, fitting and other actions to restore the chewing function.
“For several years now, residents no longer have to wait in lines, they don’t have to pay for dentures and wait for compensation. Now all you have to do is contact a dentist at the medical institution where the person is registered.
After determining that the patient has compensatory dentures, the doctor registers it in the system. Then a person can immediately apply for dental prosthetics to the desired treatment facility that has signed a contract with the health fund for these services”, explains the procedure, Inga Kvedarienė, head of the Resident Services Department of the Šiauliai Territorial Health Fund.
According to her, there are more than 1,000 institutions providing compensatory dental prosthetics services in Lithuania. Their list is published on the website of the health insurance fund.
People of old-age pension age and disabled persons are reimbursed up to EUR 670.39 for dental prosthesis costs. In certain more complex medical cases or after the treatment of oncological disease of the mouth, face, jaws, with the approval of the council of doctors, up to 2,062.70 euros can be compensated. People only have to pay extra at their own expense if the actual cost of dental prosthetics is higher than the set reimbursement amount.
Services must be provided within 3 years of acquiring the right to receive them and registering a person in the system. These services can be re-received after 3 years from the date of compensation for dental prosthetics services.
Dental prosthetics services are very necessary for the elderly population. For example, almost 83 thousand people used them last year. people, most of whom have reached retirement age, and persons with disabilities. Over 56 million was paid from the PSDF for dental prosthetics last year. euros.
Compensatory medicines
Reimbursement of the cost of medicines and medical aids (MPD) is another important guarantee for the elderly. In total, 1.24 million patients used compensatory medicines and MPP in Lithuania last year, of which 43% were over 65 years old.
All patients are reimbursed 100% of the base price of reimbursed drugs prescribed by a doctor, ie the so-called List A drugs for the treatment of oncological diseases, tuberculosis, diabetes, epilepsy, asthma, multiple sclerosis, blood clotting disorders, etc.
People over the age of 75 do not have to pay for prescribed compensatory drugs and MPP at all – they are also reimbursed for drug premiums. They are also covered for residents who have reached retirement age and persons with disabilities whose income (pensions, welfare pensions, compensatory payments, annuities) is less than 446 euros per month.
A new procedure came into effect on July 1 of last year, according to which the state budget funds cover drug premiums for those patients who have incurred a lot of expenses since the beginning of the year by paying premiums for the cheapest drugs.
After accumulating the set amount of the premium basket (currently 48.33 euros), these patients do not need to pay premiums at the pharmacy for the cheapest medicines until the end of the year. This measure 63 thousand. Last year, Lithuanian patients helped save 2 million in just half a year. euros.
Disease prevention
It is important for older people to take care of their health preventively. If the risk of getting sick is detected early or the disease is diagnosed in the initial stage, it is possible to avoid serious consequences of the disease. Of the five disease prevention programs aimed at early diagnosis, three are adapted to both older pre-retirement and old-age pensioners.
50-69 year olds can be screened for breast cancer every 2 years. (inclusive) women, every 2 or 5 years for prostate cancer – ages 50-69. (inclusive) men (from 45 years old, if father or brothers had this disease), every 2 years for colon cancer – 50-74 years old. (inclusive) men and women. In order to get a free check-up according to the programs, you need to contact your family doctor.
Pancreas specialists also remind that once a year, for adult patients, the family doctor must measure blood pressure, weight, height, order an electrocardiogram, determine the level of cholesterol in the blood, perform an oral examination, for women – a breast examination and palpation, etc. as a preventive measure.
People over the age of 65 must additionally have an annual visual acuity check and a general urine test, and a blood glucose test, while younger people should have this done every 2 years. From the age of 65, free flu and pneumococcal vaccinations are also included.
If the doctor determines the need for other services, they must also be provided to the insured without additional premiums.
Šiauliai territorial sick fund information
2024-07-16 23:31:12