{"id":15814,"date":"2014-04-23T21:52:14","date_gmt":"2014-04-23T19:52:14","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15814"},"modified":"2014-04-23T21:53:41","modified_gmt":"2014-04-23T19:53:41","slug":"budeme-cekat-dele-na-operaci-kvuli-cizincum","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15814","title":{"rendered":"Budeme \u010dekat d\u00e9le na operaci kv\u016fli cizinc\u016fm?"},"content":{"rendered":"<style type=\"text\/css\"><!--\nP { margin-bottom: 0.21cm; direction: ltr; color: rgb(0, 0, 0); widows: 2; orphans: 2; }P.western { font-family: \"Arial\",sans-serif; font-size: 10pt; }P.cjk { font-family: \"Times New Roman\",serif; font-size: 10pt; }P.ctl { font-family: \"Arial\",sans-serif; font-size: 12pt; }A:visited { color: rgb(128, 0, 128); }A.western:visited {  }A.cjk:visited {  }A.ctl:visited {  }A:link { color: rgb(0, 0, 255); }\n--><\/style>\n<p align=\"JUSTIFY\"><b>DOTAZ: D\u00e1 se mo\u017en\u00e1 p\u0159edpokl\u00e1dat, \u017ee na z\u00e1klad\u011b evropsk\u00e9 sm\u011brnice o\u00a0mo\u017enosti \u010derp\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de kdekoli v\u00a0EU sem cizinci budou \u010dast\u011bji vyj\u00ed\u017ed\u011bt za kvalitn\u00ed a levn\u011bj\u0161\u00ed p\u00e9\u010d\u00ed. M\u016f\u017ee se st\u00e1t, \u017ee kv\u016fli nim budou na\u0161i lid\u00e9 t\u0159eba na operace d\u00e9le \u010dekat?<!--more--><\/b><\/p>\n<p align=\"CENTER\"><b>ODPOV\u011a\u010e:<\/b><\/p>\n<p>&nbsp;<\/p>\n<p align=\"JUSTIFY\">Evropsk\u00e1 sm\u011brnice o\u00a0uplat\u0148ov\u00e1n\u00ed pr\u00e1v pacient\u016f v\u00a0p\u0159eshrani\u010dn\u00ed zdravotn\u00ed p\u00e9\u010di skute\u010dn\u011b p\u0159in\u00e1\u0161\u00ed nov\u00e9 mo\u017enosti ohledn\u011b \u010derp\u00e1n\u00ed a\u00a0\u00fahrady zdravotn\u00ed p\u00e9\u010de, za kterou poji\u0161t\u011bnec c\u00edlen\u011b vycestoval do jin\u00e9 zem\u011b EU. Obavy z\u00a0up\u0159ednost\u0148ov\u00e1n\u00ed poji\u0161t\u011bnc\u016f z\u00a0jin\u00fdch st\u00e1t\u016f p\u0159ed na\u0161imi poji\u0161t\u011bnci ale nejsou nam\u00edst\u011b. Tento mo\u017en\u00fd probl\u00e9m m\u00e1 VZP ji\u017e dnes ve smlouv\u00e1ch s\u00a0poskytovateli zdravotn\u00edch slu\u017eeb o\u0161et\u0159en\u00fd.<\/p>\n<p align=\"JUSTIFY\"><b>Smlouvy jak s\u00a0ambulantn\u00edmi, tak i\u00a0l\u016f\u017ekov\u00fdmi poskytovateli obsahuj\u00ed ustanoven\u00ed br\u00e1n\u00edc\u00ed diskriminaci nebo sni\u017eov\u00e1n\u00ed dostupnosti zdravotn\u00ed p\u00e9\u010de pro poji\u0161t\u011bnce VZP.<\/b> Je v\u00a0nich uvedeno, \u017ee hrazen\u00e9 zdravotn\u00ed slu\u017eby mus\u00ed b\u00fdt poji\u0161t\u011bnc\u016fm z EU poskytov\u00e1ny tak, aby nedoch\u00e1zelo k\u00a0jejich diskriminaci ani up\u0159ednost\u0148ov\u00e1n\u00ed, zejm\u00e9na p\u0159i p\u0159ij\u00edm\u00e1n\u00ed na operace \u010di jin\u00e9 l\u00e9ka\u0159sk\u00e9 z\u00e1kroky, na kter\u00e9 se \u010dek\u00e1, a\u00a0to ani v\u00a0p\u0159\u00edpad\u011b, \u017ee by poji\u0161t\u011bnec z\u00a0EU hradil zdravotn\u00ed slu\u017eby v\u00a0hotovosti. Poru\u0161en\u00ed smluvn\u00edch podm\u00ednek samoz\u0159ejm\u011b podl\u00e9h\u00e1 sankc\u00edm.<\/p>\n<p align=\"JUSTIFY\">\u010cerpat pl\u00e1novanou p\u00e9\u010di v\u00a0zahrani\u010d\u00ed bylo mo\u017en\u00e9 v r\u00e1mci zem\u00ed EU, EHP a \u0160v\u00fdcarska i\u00a0d\u0159\u00edve, ale v\u011bt\u0161inou to (alespo\u0148 u\u00a0l\u016f\u017ekov\u00e9 p\u00e9\u010de) vy\u017eadovalo p\u0159edchoz\u00ed souhlas pacientovy zdravotn\u00ed poji\u0161\u0165ovny, kter\u00e1 t\u00edm zdravotnick\u00e9mu za\u0159\u00edzen\u00ed garantovala \u00fahradu. Pacient s\u00e1m na m\u00edst\u011b hradil jen p\u0159\u00edpadnou povinnou spolu\u00fa\u010dast.<\/p>\n<p align=\"JUSTIFY\">Podle sm\u011brnice, kter\u00e1 je nyn\u00ed i\u00a0v\u00a0\u010cesku zapracov\u00e1na do legislativy novelou z\u00e1kona o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed s\u00a0\u00fa\u010dinnost\u00ed od 22.\u00a0dubna 2014, m\u016f\u017ee poji\u0161t\u011bnec<b> vyjet do jin\u00e9 zem\u011b EU za ambulantn\u00ed i\u00a0l\u016f\u017ekovou p\u00e9\u010d\u00ed, s\u00e1m si ji na m\u00edst\u011b zaplat\u00ed v\u00a0pln\u00e9 v\u00fd\u0161i a\u00a0po n\u00e1vratu po\u017e\u00e1d\u00e1 svoji zdravotn\u00ed poji\u0161\u0165ovnu o\u00a0refundaci. <\/b><span style=\"text-decoration: underline;\"><b>Refunduje se mu ale jen cena, kterou za danou p\u00e9\u010di hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna v\u00a0jeho zemi poji\u0161t\u011bn\u00ed<\/b><\/span>, a\u00a0ne v\u00edce, ne\u017e poji\u0161t\u011bnec skute\u010dn\u011b uhradil. Mus\u00ed nav\u00edc j\u00edt <b>o\u00a0p\u00e9\u010di, kter\u00e1 je v jeho zemi hrazena z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b> (nelze tedy \u010derpat p\u00e9\u010di tam neschv\u00e1lenou) a\u00a0mus\u00ed b\u00fdt spln\u011bny v\u0161echny podm\u00ednky pro jej\u00ed \u00fahradu (nap\u0159. indikace l\u00e9ka\u0159em ur\u010den\u00e9 odbornosti, schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em apod.). Sm\u011brnice plat\u00ed pouze v\u00a0EU, nikoli v\u00a0EHP a\u00a0\u0160v\u00fdcarsku.<\/p>\n<p align=\"JUSTIFY\">M\u016f\u017eeme doplnit, \u017ee podle informac\u00ed Centra mezist\u00e1tn\u00edch \u00fahrad <b>v\u00a0naprost\u00e9 v\u011bt\u0161in\u011b \u010dlensk\u00fdch st\u00e1t\u016f EU existuj\u00ed v\u00fdznamn\u00e1 regula\u010dn\u00ed opat\u0159en\u00ed,<\/b> co\u017e sm\u011brnice umo\u017e\u0148uje. U\u00a0velk\u00e9 \u010d\u00e1sti zdravotn\u00edch slu\u017eeb tak je t\u0159eba u\u00a0na\u0161ich soused\u016f nad\u00e1le <b>zachov\u00e1na podm\u00ednka p\u0159edchoz\u00edho souhlasu zdravotn\u00ed poji\u0161\u0165ovny s\u00a0vycestov\u00e1n\u00edm a\u00a0\u010derp\u00e1n\u00edm zdravotn\u00ed slu\u017eby v\u00a0zahrani\u010d\u00ed.<\/b> Nap\u0159\u00edklad v\u00a0N\u011bmecku je poskytnut\u00ed nemocni\u010dn\u00ed p\u00e9\u010de v\u00a0jin\u00e9m st\u00e1t\u011b i\u00a0nad\u00e1le podm\u00edn\u011bno souhlasem nemocensk\u00e9 pokladny. Obdobn\u011b postupovalo Rakousko. Slovensko p\u0159ijalo rozs\u00e1hl\u00fd seznam zdravotn\u00edch slu\u017eeb, u kter\u00fdch nebude mo\u017en\u00e9 vycestovat jinam a\u00a0\u017e\u00e1dat n\u00e1hradu na Slovensku, a\u00a0tak\u00e9 Polsko bude m\u00edt seznam typ\u016f zdravotn\u00ed p\u00e9\u010de, je\u017e z\u016fstane omezena p\u0159edchoz\u00edm souhlasem poji\u0161\u0165ovny. V\u00a0na\u0161em z\u00e1kon\u011b o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed si vl\u00e1da tuto mo\u017enost rovn\u011b\u017e vym\u00ednila \u2013 je zde uvedeno, \u017ee <b>vl\u00e1da m\u016f\u017ee na\u0159\u00edzen\u00edm vymezit hrazen\u00e9 p\u0159eshrani\u010dn\u00ed slu\u017eby, u\u00a0nich\u017e je poskytnut\u00ed n\u00e1hrady n\u00e1klad\u016f podm\u00edn\u011bno ud\u011blen\u00edm p\u0159edchoz\u00edho souhlasu<\/b>. O n\u011bm by pak rozhodovala zdravotn\u00ed poji\u0161\u0165ovna na \u017e\u00e1dost sv\u00e9ho poji\u0161t\u011bnce.<\/p>\n<p><b>Mgr. Old\u0159ich Tich\u00fd<br \/>\n<\/b>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n<p>ilustra\u010dn\u00ed foto: Adam-Ciesielski-sxc.hu<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>DOTAZ: D\u00e1 se mo\u017en\u00e1 p\u0159edpokl\u00e1dat, \u017ee na z\u00e1klad\u011b evropsk\u00e9 sm\u011brnice o\u00a0mo\u017enosti \u010derp\u00e1n\u00ed zdravotn\u00ed p\u00e9\u010de kdekoli v\u00a0EU sem cizinci budou \u010dast\u011bji vyj\u00ed\u017ed\u011bt za kvalitn\u00ed a levn\u011bj\u0161\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=15814\" title=\"Budeme \u010dekat d\u00e9le na operaci kv\u016fli cizinc\u016fm?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14511,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-15814","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15814","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=15814"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15814\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14511"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15814"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15814"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15814"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}