Are the Russians willing to pay extra for treatment and where should the line be drawn between voluntary payment for additional treatment options and the financing of the aid that the state is obliged to guarantee today? Deductible Mechanism: Potential Application in Dentistry and Diabetes Treatment Today, the cost of innovative drugs, medical technologies and treatments for chronic diseases is increasing with limited budgetary resources. Considering the current parameters of the Russian budget and general economic trends, the problem of attracting additional sources of funds is one of the most acute. The reserves available directly in the system and new opportunities outside it were discussed at the plenary session of the 6th "Right to Health" Congress "Efficiency Code: Financial Models Determining the Future of the Health System". Among them: Centralized procurement as a tool to increase the efficiency of drug supply. Changing the financing model for foreign medical care: organizing a pilot medicine reimbursement in Russia. Voluntary payment for additional services, partial state reimbursement for paid treatment or mandatory payment for treatment not included in insurance coverage - what did the congress participants propose? Deductible in the dental industry Vice President of the All-Russian Association of Insurers Roman Shcheglevatykh gave the example of dentistry as one of the possible areas for introducing a deductible. To some extent, the "ground" has already been prepared here for deductible payments: many times there are situations where a patient receives treatment within the framework of mandatory medical insurance, but expresses a willingness to pay extra for certain materials or additional assistance.