{"id":15902,"date":"2014-04-29T11:39:54","date_gmt":"2014-04-29T09:39:54","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=15902"},"modified":"2014-04-29T11:39:54","modified_gmt":"2014-04-29T09:39:54","slug":"jak-si-nechat-u-sve-pojistovny-proplatit-zdravotni-peci-v-zahranici","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=15902","title":{"rendered":"Jak si nechat u sv\u00e9 poji\u0161\u0165ovny proplatit zdravotn\u00ed p\u00e9\u010di v zahrani\u010d\u00ed"},"content":{"rendered":"<p><strong>Od \u00fater\u00fd 22. dubna mohou ob\u010dan\u00e9 \u010cR \u010derpat pl\u00e1novanou <span class=\"highlight\">zdravotn\u00ed<\/span> p\u00e9\u010di ve st\u00e1tech Evropsk\u00e9 unie. Aby nedo\u0161lo k myln\u00e9 interpretaci t\u00e9to sm\u011brnice, poskytla V\u0161eobecn\u00e1 <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovna podrobn\u00e9 vysv\u011btlen\u00ed toho, za jak\u00fdch podm\u00ednek mohou klienti pl\u00e1novanou p\u00e9\u010di v zahrani\u010d\u00ed \u010derpat a jak postupovat p\u0159i \u017e\u00e1dosti o jej\u00ed refundaci.<\/strong><!--more--><\/p>\n<p>Poji\u0161t\u011bnec m\u016f\u017ee vyjet do jin\u00e9 zem\u011b EU za ambulantn\u00ed i l\u016f\u017ekovou p\u00e9\u010d\u00ed. S\u00e1m si ji na m\u00edst\u011b zaplat\u00ed v pln\u00e9 v\u00fd\u0161i a po n\u00e1vratu m\u016f\u017ee po\u017e\u00e1dat svoji <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovnu o refundaci. Sm\u011brnice plat\u00ed pouze v EU.<br \/>\nRefundov\u00e1na m\u016f\u017ee b\u00fdt pouze l\u00e9\u010dba, kter\u00e1 je v domovsk\u00e9 zemi poji\u0161t\u011bnce hrazena z ve\u0159ejn\u00e9ho <span class=\"highlight\">zdravotn\u00edho<\/span> poji\u0161t\u011bn\u00ed. Pro refundaci je pot\u0159eba m\u00edt spln\u011bny v\u0161echny podm\u00ednky pro \u00fahradu t\u00e9to p\u00e9\u010de stejn\u011b, jako kdyby m\u011bla b\u00fdt poskytnuta v \u010cR &#8211; tedy nap\u0159. indikaci <span class=\"highlight\">l\u00e9ka\u0159em<\/span> ur\u010den\u00e9 odbornosti, pop\u0159\u00edpad\u011b schv\u00e1len\u00ed revizn\u00edm <span class=\"highlight\">l\u00e9ka\u0159em<\/span>.<\/p>\n<p>Poji\u0161\u0165ovna uhrad\u00ed jen takovou \u010d\u00e1stku, kterou by za stejnou p\u00e9\u010di zaplatila v \u010cR. Vzhledem k tomu, \u017ee v n\u011bkter\u00fdch zem\u00edch EU je <span class=\"highlight\">zdravotn\u00ed<\/span> p\u00e9\u010de v\u00fdrazn\u011b dra\u017e\u0161\u00ed ne\u017e v \u010cR, m\u016f\u017ee klient \u010dasto dostat zp\u011bt jen zlomek \u010d\u00e1stky, kterou v zahrani\u010d\u00ed zaplatil. \u017d\u00e1dost o refundaci klienti najdou na v\u0161ech pobo\u010dk\u00e1ch i na internetov\u00fdch str\u00e1nk\u00e1ch VZP. Spolu s vypln\u011bnou \u017e\u00e1dost\u00ed je tak\u00e9 nutn\u00e9 dolo\u017eit origin\u00e1ly faktur a doklad\u016f o zaplacen\u00ed a l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy z ciziny, u kter\u00fdch posta\u010d\u00ed kopie. To v\u0161e i v \u010desk\u00e9m p\u0159ekladu.<\/p>\n<p>Klienti by m\u011bli velmi pozorn\u011b db\u00e1t na to, aby spl\u0148ovali v\u0161echny podm\u00ednky pro refundaci. Rizik m\u016f\u017ee b\u00fdt \u0159ada -nap\u0159\u00edklad pokud l\u00e9\u010dbu doporu\u010d\u00ed <span class=\"highlight\">l\u00e9ka\u0159<\/span> jin\u00e9 odbornosti, ne\u017e jak to poji\u0161\u0165ovna b\u011b\u017en\u011b po\u017eaduje u tuzemsk\u00e9 p\u00e9\u010de. Pozor by si klienti m\u011bli d\u00e1t i na to, zda p\u00e9\u010de, kterou hodlaj\u00ed v EU \u010derpat, nen\u00ed v \u010cR v\u00e1z\u00e1na na p\u0159edchoz\u00ed schv\u00e1len\u00ed revizn\u00edm <span class=\"highlight\">l\u00e9ka\u0159em<\/span>. Pokud by toti\u017e tento krok obe\u0161li, vystavovali by se mo\u017enosti, \u017ee poji\u0161\u0165ovna jim n\u00e1sledn\u011b nic refundovat nebude.<\/p>\n<p>Poji\u0161\u0165ovna bude o refundaci rozhodovat ve spr\u00e1vn\u00edm \u0159\u00edzen\u00ed, kter\u00e9 stanovuje lh\u016ftu 30 dn\u016f, ve zvl\u00e1\u0161t\u011b slo\u017eit\u00fdch p\u0159\u00edpadech 60 dn\u016f.<\/p>\n<p>Ceny z\u00e1krok\u016f v \u010cR klienti zjist\u00ed na Centru mezist\u00e1tn\u00edch \u00fahrad (www.cmu.cz) nebo u sv\u00e9 <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovny.<\/p>\n<p>Pokud se u pacienta dostav\u00ed komplikace je\u0161t\u011b p\u0159i l\u00e9\u010den\u00ed v cizin\u011b, budou uhrazeny jako sou\u010d\u00e1st l\u00e9\u010dby. U komplikac\u00ed, kter\u00e9 nastanou a\u017e po n\u00e1vratu do \u010cR, bude z\u00e1le\u017eet na tom, kde pacient vyhled\u00e1 <span class=\"highlight\">l\u00e9ka\u0159e<\/span>. Pokud v \u010cR, pak bude l\u00e9\u010dba uhrazena standardn\u00edm zp\u016fsobem z ve\u0159ejn\u00e9ho <span class=\"highlight\">zdravotn\u00edho<\/span> poji\u0161t\u011bn\u00ed. Pokud v cizin\u011b, tak za\u010d\u00edn\u00e1 znovu cel\u00e9 kole\u010dko od za\u010d\u00e1tku &#8211; klient mus\u00ed s\u00e1m uhradit l\u00e9\u010dbu, pak m\u016f\u017ee po\u017e\u00e1dat o refundaci atd.<\/p>\n<p>Takzvanou nezbytnou p\u00e9\u010di maj\u00ed klienti VZP doposud v zahrani\u010d\u00ed hrazenou do t\u00e9 v\u00fd\u0161e, v jak\u00e9 ji maj\u00ed hrazenou i poji\u0161t\u011bnci st\u00e1tu, kde je p\u00e9\u010de \u010derp\u00e1na. Pokud nap\u0159. \u010cech v N\u011bmecku naboural a skon\u010dil v n\u011bmeck\u00e9 <span class=\"highlight\">nemocnici<\/span>, m\u011bl n\u00e1rok na poskytnut\u00ed a uhrazen\u00ed stejn\u00e9 p\u00e9\u010de, jako by m\u011bl v dan\u00e9m p\u0159\u00edpad\u011b n\u011bmeck\u00fd poji\u0161t\u011bnec. Platil jen spolu\u00fa\u010dast, stejn\u011b jako n\u011bme\u010dt\u00ed poji\u0161t\u011bnci, ale n\u00e1klady za samotnou p\u00e9\u010di si mezi sebou p\u0159e\u00fa\u010dtov\u00e1valy <span class=\"highlight\">zdravotn\u00ed<\/span> poji\u0161\u0165ovny. Na t\u00e9to praxi se nic nem\u011bn\u00ed.<\/p>\n<p>Pozor, a\u0165 na operac\u00edch v cizin\u011b neprod\u011bl\u00e1te!<\/p>\n<p>Jana DUBNI\u010cKOV\u00c1<\/p>\n<p>Hal\u00f3 noviny<\/p>\n<p>ilustra\u010dn\u00ed foto: stockimages-FreeDigitalPhotos.net<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Od \u00fater\u00fd 22. dubna mohou ob\u010dan\u00e9 \u010cR \u010derpat pl\u00e1novanou zdravotn\u00ed p\u00e9\u010di ve st\u00e1tech Evropsk\u00e9 unie. Aby nedo\u0161lo k myln\u00e9 interpretaci t\u00e9to sm\u011brnice, poskytla V\u0161eobecn\u00e1 zdravotn\u00ed <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=15902\" title=\"Jak si nechat u sv\u00e9 poji\u0161\u0165ovny proplatit zdravotn\u00ed p\u00e9\u010di v zahrani\u010d\u00ed\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15130,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-15902","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\/15902","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=15902"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/15902\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15130"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=15902"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=15902"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=15902"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}