{"id":1412,"date":"2013-03-02T20:55:38","date_gmt":"2013-03-02T19:55:38","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=1412"},"modified":"2013-03-05T10:40:36","modified_gmt":"2013-03-05T09:40:36","slug":"vzala-si-pojistku-ale-penize-od-pojistovny-nedostala","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=1412","title":{"rendered":"Vzala si pojistku, ale pen\u00edze od poji\u0161\u0165ovny nedostala"},"content":{"rendered":"<p>P\u0159ij\u00edt o pen\u00edze, je zl\u00e9. Ale p\u0159ij\u00edt o zdrav\u00ed, je hor\u0161\u00ed a pr\u00e1v\u011b od toho by m\u011bly b\u00fdt pojistky. Kdy\u017e si jednu takovou \u017eena samo\u017eivitelka zalo\u017eila, d\u00e1 se \u0159\u00edct, \u017ee byla zodpov\u011bdn\u00e1, ale kdy\u017e onemocn\u011bla, byla nav\u00edc i p\u0159ekvapen\u00e1. \u017d\u00e1dn\u00e9 pln\u011bn\u00ed, tedy pen\u00edze od poji\u0161\u0165ovny, se toti\u017e nekonalo.<!--more--><\/p>\n<p>Pavl\u00edna Gregorov\u00e1 \u017eije s d\u011btmi v Konic\u00edch u Znojma a spl\u00e1c\u00ed hypot\u00e9ku na d\u016fm. Aby m\u011bla klidn\u00fd sp\u00e1nek ud\u011blala si pojistku. Pojistka je \u00farazov\u00e1 a vykryt\u00e1 i na pracovn\u00ed neschopnost v p\u0159\u00edpad\u011b, \u017ee by neschopnost trvala d\u00e9le jak \u0161edes\u00e1t dn\u016f.<\/p>\n<p>Pojistku \u00a0uzav\u0159ela u poji\u0161\u0165ovny \u010cesk\u00e9 spo\u0159itelny. A m\u011bs\u00ed\u010dn\u011b platila 832 koruny. Loni v b\u0159eznu onemocn\u011bla.<\/p>\n<p>Pavl\u00edna Gregorov\u00e1 :<br \/>\nPracuju v oblasti chirurgie gerolontologie, tak\u017ee pr\u00e1ce zdravotn\u00ed sestry je n\u00e1ro\u010dn\u00e1 po fyzick\u00e9 str\u00e1nce, tak\u017ee jsem onemocn\u011bla se z\u00e1dy. Ta neschopnost trvala d\u00e9le, proto\u017ee do n\u00ed spadalo v\u00edce t\u00fddn\u016f rehabilitace.<\/p>\n<p>redaktorka:<br \/>\nA proto\u017ee neschopnost byla del\u0161\u00ed, ne\u017e \u0161edes\u00e1t dn\u016f, pan\u00ed Gregorov\u00e1 poji\u0161\u0165ovnu po\u017e\u00e1dala o pln\u011bn\u00ed.<\/p>\n<p>Pavl\u00edna Gregorov\u00e1 :<br \/>\nA zhruba za dal\u0161\u00ed m\u011bs\u00edc m\u011b teprve bylo ozn\u00e1meno, \u017ee moje diagn\u00f3za spad\u00e1 pod degenerativn\u00ed onemocn\u011bn\u00ed, proto poji\u0161\u0165ovna nem\u016f\u017ee plnit.<\/p>\n<p>redaktorka:<br \/>\nLaicky \u0159e\u010deno, degenerativn\u00ed onemocn\u011bn\u00ed je onemocn\u011bn\u00ed zp\u016fsoben\u00e9 st\u00e1rnut\u00edm organismu a v takov\u00e9m p\u0159\u00edpad\u011b poji\u0161\u0165ovna plnit nemus\u00ed.<\/p>\n<p>Pavl\u00edna Gregorov\u00e1 :<br \/>\nV p\u0159\u00edpad\u011b, \u017ee by teda m\u011bli n\u011bjak\u00fd z\u00e1jem to prok\u00e1zat, tak by ur\u010dit\u011b m\u011b museli na to vy\u0161et\u0159en\u00ed poslat, jo, aby teda m\u011bli n\u011bjak\u00e9 podklady, \u017ee t\u00edm degenerativn\u00edm onemocn\u011bn\u00edm trp\u00edm.<\/p>\n<p>redaktorka:<br \/>\nProti rozhodnut\u00ed poji\u0161\u0165ovny se ale pan\u00ed Gregorov\u00e1 odvolala. Podala st\u00ed\u017enost i k \u010cesk\u00e9 n\u00e1rodn\u00ed bance a poji\u0161\u0165ovna p\u0159\u00edpad znovu pro\u0161et\u0159ila. Vy t\u0159eba, kdy\u017e jste se odvol\u00e1vala, je\u0161t\u011b u t\u00e9 poji\u0161\u0165ovny, tak jste pos\u00edlala n\u011bjak\u00e9 nov\u00e9 l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy?<\/p>\n<p>Pavl\u00edna Gregorov\u00e1 :<br \/>\nOrtopedick\u00e9 zpr\u00e1vy, jak jsem byla l\u00e9\u010dena, pro co jsem byla l\u00e9\u010dena, jak\u00e9 procedury jsem podstoupila a tak d\u00e1le. V t\u011bch rentgenov\u00fdch zpr\u00e1v\u00e1ch nebyly \u017e\u00e1dn\u00e9 zm\u011bny degenerativn\u00ed, ano. Ale jako reakce byla stejn\u00e1.<\/p>\n<p>redaktorka:<br \/>\nZ \u010deho jste usoudili, \u017ee jde o degenerativn\u00ed onemocn\u011bn\u00ed p\u00e1te\u0159e?<\/p>\n<p>Jana Jir\u00e1skov\u00e1, mluv\u010d\u00ed Poji\u0161\u0165ovna \u010cesk\u00e9 spo\u0159itelny, a.s., Vienna Insurance Group:<br \/>\nPr\u00e1v\u011b z t\u011bchto zdravotnick\u00fdch dotazn\u00edk\u016f a na z\u00e1klad\u011b diagn\u00f3zy, kterou stanovil l\u00e9ka\u0159.<\/p>\n<p>redaktorka:<br \/>\nVid\u011bl ji n\u011bjak\u00fd v\u00e1\u0161 l\u00e9ka\u0159, nebo posuzoval to n\u011bjak\u00fd l\u00e9ka\u0159, to jej\u00ed onemocn\u011bn\u00ed?<\/p>\n<p>mluv\u010d\u00ed Poji\u0161\u0165ovna \u010cesk\u00e9 spo\u0159itelny<br \/>\nPosuzuje to potom tak\u00e9 samoz\u0159ejm\u011b i n\u00e1\u0161 odborn\u00fd l\u00e9ka\u0159. Oni u\u017e sami likvid\u00e1to\u0159i maj\u00ed zdravotnick\u00e9 vzd\u011bl\u00e1n\u00ed.<\/p>\n<p>Mario \u0160vehelka, advok\u00e1t, b\u00fdval\u00fd l\u00e9ka\u0159:<br \/>\nJ\u00e1 skute\u010dn\u011b v tomto p\u0159\u00edpad\u011b v\u016fbec nech\u00e1pu, pro\u010d poji\u0161\u0165ovna nechce t\u00e9 pan\u00ed plnit. Z doklad\u016f, kter\u00e9 jsem vid\u011bl, \u017e\u00e1dn\u00e9 degenerativn\u00ed onemocn\u011bn\u00ed nevypl\u00fdv\u00e1. \u017d\u00e1dn\u00fd z l\u00e9ka\u0159\u016f, kter\u00fd se k tomu vyjad\u0159oval, kter\u00fd pan\u00ed o\u0161et\u0159oval, neuvedl, \u017ee by pan\u00ed trp\u011bla degenera\u010dn\u00edm onemocn\u011bn\u00edm.<\/p>\n<p>redaktorka:<br \/>\n\u017d\u00e1dn\u00e1 ta l\u00e9ka\u0159sk\u00e1 zpr\u00e1va nehovo\u0159\u00ed o tom, \u017ee se jedn\u00e1 o degenerativn\u00ed zm\u011bny, tak\u017ee jak jste na to p\u0159i\u0161li?<\/p>\n<p>mluv\u010d\u00ed, Poji\u0161\u0165ovna \u010cesk\u00e9 spo\u0159itelny, :<br \/>\nOno pod degenerativn\u00ed zm\u011bnou se skr\u00fdv\u00e1 n\u011bkolik typ\u016f toho onemocn\u011bn\u00ed. M\u00e1 to r\u016fzn\u00e9 formy, r\u016fzn\u00e9 projevy a ten posudkov\u00fd l\u00e9ka\u0159, nebo ten n\u00e1\u0161 zku\u0161en\u00fd likvid\u00e1tor u\u017e to prost\u011b pozn\u00e1, u\u017e v\u00ed, co s \u010d\u00edm souvis\u00ed a je si v\u011bdom toho, \u017ee pokud se tam nap\u00ed\u0161e n\u011bjak\u00e1 konkr\u00e9tn\u00ed diagn\u00f3za, kter\u00e1 tady v tomto p\u0159\u00edpad\u011b byla napsan\u00e1, \u017ee to m\u00e1 tu souvislost s touto degenerativn\u00ed zm\u011bnou.<\/p>\n<p>redaktorka:<br \/>\nP\u0159esto, \u017ee l\u00e9ka\u0159sk\u00e9 zpr\u00e1v\u011b o \u017e\u00e1dn\u00fdch degenerativn\u00edch zm\u011bn\u00e1ch nehovo\u0159\u00ed, poji\u0161\u0165ovna to z nich vy\u010detla.<\/p>\n<p>advok\u00e1t, b\u00fdval\u00fd l\u00e9ka\u0159:<br \/>\nJe tam uv\u00e1d\u011bno, \u017ee se jedn\u00e1 o onemocn\u011bn\u00ed akutn\u00ed, jedn\u00e1 se o onemocn\u011bn\u00ed u mlad\u00e9 \u017eeny, osmat\u0159icetilet\u00e9, byl tam proveden dokonce rentgenov\u00fd sn\u00edmek kr\u010dn\u00ed p\u00e1te\u0159e. Op\u011bt nepotvrdil degeneretivn\u00ed zm\u011bny.<\/p>\n<p>Pavl\u00edna Gregorov\u00e1 :<br \/>\nM\u016fj praktick\u00fd l\u00e9ka\u0159 v\u0161ude popisuj, \u017ee to je akutn\u00ed, \u017ee jsem byla l\u00e9\u010dena pro akutn\u00ed onemocn\u011bn\u00ed.<\/p>\n<p>redaktorka:<br \/>\nTak\u017ee zpr\u00e1vy, \u017ee je rentgen v norm\u011b, \u017ee se jedn\u00e1 o akutn\u00ed stav, tak to v\u00e1s nezaj\u00edm\u00e1?<\/p>\n<p>mluv\u010d\u00ed, Poji\u0161\u0165ovna \u010cesk\u00e9 spo\u0159itelny:<br \/>\nSamoz\u0159ejm\u011b by n\u00e1s to zaj\u00edmalo, pokud by tam st\u00e1le se to nedost\u00e1valo k tomuhle tomu j\u00e1dru t\u00e9 v\u011bci. Skute\u010dn\u011b z tohohle \u00fahlu pohledu my jsme postupovali tak, jak jsme m\u011bli.<\/p>\n<p>advok\u00e1t, b\u00fdval\u00fd l\u00e9ka\u0159:<br \/>\nVe\u0161ker\u00e1 dokumentace dle m\u00e9ho n\u00e1zoru aspo\u0148 z toho, co jsem vid\u011bl, sv\u011bd\u010d\u00ed ve prosp\u011bch t\u00e9 varianty pan\u00ed Gregorov\u00e9, \u017ee se u n\u00ed o degenerativn\u00ed onemocn\u011bn\u00ed p\u00e1te\u0159e nejednalo a nejedn\u00e1.<\/p>\n<p>redaktorka:<br \/>\nA tak pan\u00ed Gregorov\u00e9 asi nezbude nic jin\u00e9ho, ne\u017e se obr\u00e1tit na soud.<\/p>\n<p>Pavel Nastis, advok\u00e1t:<br \/>\nPokud se tyto dv\u011b strany nedohodnou, pak to posledn\u00ed slovo bude m\u00edt soud, kter\u00fd bude muset rozsoudit tento spor a v takov\u00e9m p\u0159\u00edpad\u011b bych tedy pan\u00ed Gregorov\u00e9 doporu\u010dil, aby proti poji\u0161\u0165ovn\u011b podala \u017ealobu, aby se dom\u00e1hala toho pln\u011bn\u00ed, na kter\u00e9 m\u00e1 n\u00e1rok.<\/p>\n<p>Mario \u0160vehelka, advok\u00e1t, b\u00fdval\u00fd l\u00e9ka\u0159:<br \/>\nObecn\u011b poji\u0161\u0165ovny maj\u00ed samoz\u0159ejm\u011b z\u00e1jem dosahovat maxim\u00e1ln\u00edho zisku a to i na \u00fakor nemocn\u00fdch a posti\u017een\u00fdch.<\/p>\n<p>Pavel Nastis, advok\u00e1t:<br \/>\nProkazovat se to bude nejsp\u00ed\u0161 znaleck\u00fdm posudkem z oboru soudn\u00edho l\u00e9ka\u0159stv\u00ed. Nicm\u00e9n\u011b pokud se pan\u00ed Gregorov\u00e1 ji\u017e dnes op\u00edr\u00e1 o sv\u00e9 l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy a o vyj\u00e1d\u0159en\u00ed sv\u00e9ho l\u00e9ka\u0159e, tak lze p\u0159edv\u00eddat, \u017ee i v r\u00e1mci dokazov\u00e1n\u00ed p\u0159ed soudem bude \u0159e\u010deno, \u017ee se o \u017e\u00e1dn\u00e9 degenerativn\u00ed onemocn\u011bn\u00ed p\u00e1te\u0159e nejedn\u00e1.<\/p>\n<p>Gregorov\u00e1:<br \/>\nBudu se soudit, proto\u017ee jsem hodn\u011b zaplatila, nen\u00ed to m\u00e1lo pen\u011bz a jen tak ze srandy jsem si ur\u010dit\u011b pojistku neplatila. Tak\u017ee budu bojovat.<\/p>\n<p>\u010cT 1\u00a0\u00a0 \u00a0\u010cern\u00e9 ovce<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>P\u0159ij\u00edt o pen\u00edze, je zl\u00e9. Ale p\u0159ij\u00edt o zdrav\u00ed, je hor\u0161\u00ed a pr\u00e1v\u011b od toho by m\u011bly b\u00fdt pojistky. Kdy\u017e si jednu takovou \u017eena samo\u017eivitelka <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=1412\" title=\"Vzala si pojistku, ale pen\u00edze od poji\u0161\u0165ovny nedostala\">[&#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":[1,9],"tags":[],"class_list":["post-1412","post","type-post","status-publish","format-standard","hentry","category-nezarazene","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/1412","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=1412"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/1412\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1412"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1412"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1412"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}