{"id":1245,"date":"2013-02-22T20:15:10","date_gmt":"2013-02-22T19:15:10","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=1245"},"modified":"2014-10-20T20:14:48","modified_gmt":"2014-10-20T18:14:48","slug":"pojistovna-zaplatila-invalidnimu-duchodci-milion-za-cesty-k-lekari-nikam-nejezdil","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=1245","title":{"rendered":"Poji\u0161\u0165ovna vyplatila pacientovi milion za cesty k l\u00e9ka\u0159i. Nikam nejezdil"},"content":{"rendered":"<p>Skoro \u010dty\u0159i roky okr\u00e1dal V\u0161eobecnou zdravotn\u00ed poji\u0161\u0165ovnu pacient z Duchcova. Zneu\u017eil toho, \u017ee poji\u0161\u0165ovny plat\u00ed klient\u016fm n\u00e1klady na cestu za vy\u0161et\u0159en\u00edm a \u017e\u00e1dal proplatit pen\u00edze za dopravu k l\u00e9ka\u0159i, ke kter\u00e9mu v\u0161ak ve skute\u010dnosti v\u016fbec nejezdil.<!--more--><\/p>\n<p>Sedmadvacetilet\u00fd Jind\u0159ich Svoboda m\u011bl onkologick\u00e9 onemocn\u011bn\u00ed a zpo\u010d\u00e1tku opravdu jezdil do Prahy na oza\u0159ov\u00e1n\u00ed. B\u011bhem cest ho ale napadlo, jak p\u0159ij\u00edt k pen\u011bz\u016fm, a cesty si za\u010dal vym\u00fd\u0161let. Poprv\u00e9 vym\u00e1mil z pobo\u010dky VZP v Teplic\u00edch pen\u00edze v dubnu 2008. Na prvn\u00ed pohled v\u0161echno vypadalo v po\u0159\u00e1dku.<\/p>\n<p>&#8222;M\u011bl doklad \u0159\u00e1dn\u011b vystaven\u00fd s indikac\u00ed n\u00e1dorov\u00e9 diagn\u00f3zy tumor registruj\u00edc\u00edm praktick\u00fdm l\u00e9ka\u0159em a na druh\u00e9 stran\u011b potvrzen\u00fd Fakultn\u00ed Thomayerovou nemocnic\u00ed,&#8220; popsal mluv\u010d\u00ed VZP Ji\u0159\u00ed Rod.<\/p>\n<p>Ob\u017ealovan\u00fd mu\u017e za\u010dal skromn\u011b, nejprve po\u017e\u00e1dal o dva tis\u00edce korun za dv\u011b cesty. Kdy\u017e mu to pro\u0161lo, cht\u011bl v\u00edc. Nakonec to bylo i v\u00edce ne\u017e 30 tis\u00edc korun m\u011bs\u00ed\u010dn\u011b a\u017e do \u00fanora 2012, kdy poji\u0161\u0165ovna podvod prohl\u00e9dla. P\u0159i vym\u00fd\u0161len\u00ed cest nevynechal V\u00e1noce, Silvestr ani Nov\u00fd rok.<\/p>\n<p>Do VZP chodil invalidn\u00ed d\u016fchodce s vypln\u011bn\u00fdmi formul\u00e1\u0159i dvakr\u00e1t m\u011bs\u00ed\u010dn\u011b. Proch\u00e1zelo mu to celkem 47 m\u011bs\u00edc\u016f. &#8222;Vzhledem k tomu, \u017ee doklady p\u0159ij\u00edmaj\u00ed st\u0159\u00eddav\u011b r\u016fzn\u00ed referenti a doklady jsou p\u0159ed\u00e1v\u00e1ny pr\u016fb\u011b\u017en\u011b ke kontrole revizn\u00edmu l\u00e9ka\u0159i, nebylo n\u00e1padn\u00e9, \u017ee pacient jezd\u00ed tak dlouho na onkologickou l\u00e9\u010dbu a \u017ee by se mohlo jednat o falzifik\u00e1ty,&#8220; \u0159\u00edk\u00e1 Rod. Poji\u0161\u0165ovna mu vyplatila celkem bezm\u00e1la milion korun.<\/p>\n<p>Na podvod se p\u0159i\u0161lo a\u017e p\u0159i auditu, kdy kontrolory zarazily vysok\u00e9 n\u00e1klady jednoho klienta. &#8222;N\u00e1slednou d\u016fkladnou kontrolou a porovn\u00e1n\u00edm v\u0161ech doklad\u016f se zjistilo, \u017ee sice doklad je vystaven v origin\u00e1lu u praktick\u00e9ho l\u00e9ka\u0159e, ale raz\u00edtka z Thomayerovy nemocnice jsou falzifik\u00e1tem,&#8220; p\u0159ibl\u00ed\u017eil Rod. Poji\u0161\u0165ovna okam\u017eit\u011b podala na podvodn\u00edka trestn\u00ed ozn\u00e1men\u00ed.<\/p>\n<p>Mu\u017e se ke v\u0161emu p\u0159iznal. &#8222;Mrz\u00ed m\u011b to,&#8220; prohl\u00e1sil v\u010dera p\u0159ed soudem a po p\u00e1r minut\u00e1ch ode\u0161el s t\u0159\u00edlet\u00fdm trestem odlo\u017een\u00fdm na zku\u0161ebn\u00ed dobu p\u011bti rok\u016f. Nav\u00edc m\u00e1 povinnost celou \u010d\u00e1stku VZP vr\u00e1tit. U\u017e dop\u0159edu se na tom dohodli obh\u00e1jce, ob\u017ealovan\u00fd a st\u00e1tn\u00ed z\u00e1stupkyn\u011b, kdy\u017e vyu\u017eili novinky, j\u00ed\u017e je dohoda o uzn\u00e1n\u00ed viny a trestu, kter\u00e1 m\u00e1 v n\u011bkter\u00fdch p\u0159\u00edpadech p\u0159edej\u00edt zbyte\u010dn\u00fdm soudn\u00edm pr\u016ftah\u016fm.<\/p>\n<p>&#8222;N\u00e1vrh odpov\u00edd\u00e1 z\u00e1konn\u00fdm podm\u00ednk\u00e1m,&#8220; \u0159ekl soudce Miroslav \u010capek a dohodu uznal. Podm\u00ednka je v\u00fdhodn\u00e1 i pro okradenou VZP, odsouzen\u00fd toti\u017e brzo nastoup\u00ed do pr\u00e1ce a m\u016f\u017ee spl\u00e1cet dluh.<\/p>\n<p>Mlad\u00e1 fronta DNES<\/p>\n<p>Artur Janou\u0161ek<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Skoro \u010dty\u0159i roky okr\u00e1dal V\u0161eobecnou zdravotn\u00ed poji\u0161\u0165ovnu pacient z Duchcova. Zneu\u017eil toho, \u017ee poji\u0161\u0165ovny plat\u00ed klient\u016fm n\u00e1klady na cestu za vy\u0161et\u0159en\u00edm a \u017e\u00e1dal proplatit pen\u00edze <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=1245\" title=\"Poji\u0161\u0165ovna vyplatila pacientovi milion za cesty k l\u00e9ka\u0159i. Nikam nejezdil\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7,9],"tags":[],"class_list":["post-1245","post","type-post","status-publish","format-standard","hentry","category-spolecnost","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/1245","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1245"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/1245\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1245"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1245"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1245"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}