{"id":21761,"date":"2015-06-15T22:36:54","date_gmt":"2015-06-15T20:36:54","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=21761"},"modified":"2015-06-15T22:44:12","modified_gmt":"2015-06-15T20:44:12","slug":"jak-refundovat-uraz-v-cizine","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=21761","title":{"rendered":"Jak refundovat \u00faraz v cizin\u011b"},"content":{"rendered":"

OT\u00c1ZKA: P\u0159i cyklistice v\u00a0\u010desko-rakousk\u00e9m pohrani\u010d\u00ed jsem spadl z\u00a0kola a\u00a0zlomil si ruku. Vyhledal jsem o\u0161et\u0159en\u00ed na klinice v\u00a0nedalek\u00e9m rakousk\u00e9m m\u011bst\u011b. Za o\u0161et\u0159en\u00ed mi byla vystavena faktura, kterou jsem zaplatil v\u00a0hotovosti. Mohu po\u017eadovat proplacen\u00ed t\u011bchto pen\u011bz od VZP?<\/strong><\/p>\n

foto: Studio Cl Art \/ Photl<\/p>\n


\nODPOV\u011a\u010e:<\/strong><\/p>\n

Podm\u00ednky refundace z\u00e1vis\u00ed na m\u00edst\u011b poskytnut\u00ed zdravotn\u00edch slu\u017eeb, na jejich povaze a\u00a0p\u0159edev\u0161\u00edm na pr\u00e1vn\u00edch p\u0159edpisech, podle nich\u017e je poskytov\u00e1na. Pokud byly zdravotn\u00ed slu\u017eby poskytnuty v\u00a0\u010dlensk\u00e9m st\u00e1t\u011b EU, rozli\u0161ujeme, zda se jednalo o\u00a0p\u00e9\u010di nezbytnou, \u010di pl\u00e1novanou. <\/p>\n

Nezbytn\u00e1 p\u00e9\u010de je zdravotn\u00ed p\u00e9\u010de poskytovan\u00e1 v\u00a0zemi pobytu, kterou z l\u00e9ka\u0159sk\u00e9ho hlediska vy\u017eaduje zdravotn\u00ed stav dan\u00e9 osoby v d\u016fsledku \u00farazu nebo onemocn\u011bn\u00ed, k nim\u017e do\u0161lo b\u011bhem tohoto p\u0159echodn\u00e9ho pobytu v cizin\u011b. Naproti tomu pl\u00e1novan\u00e1 zdravotn\u00ed p\u00e9\u010de je takov\u00e1, za n\u00ed\u017e poji\u0161t\u011bnec c\u00edlen\u011b do zahrani\u010d\u00ed vycestoval. <\/p>\n

Pokud jste vyhledal o\u0161et\u0159en\u00ed po \u00farazu, kter\u00fd se v\u00e1m stal v\u00a0Rakousku, jedn\u00e1 se o\u00a0p\u00e9\u010di nezbytnou a\u00a0vy m\u00e1te mo\u017enost volby mezi tarify st\u00e1tu o\u0161et\u0159en\u00ed a\u00a0tarify \u010desk\u00fdmi.<\/p>\n

Je ale t\u0159eba zd\u016fraznit, \u017ee n\u00e1hrada n\u00e1klad\u016f nen\u00ed absolutn\u00ed, tj. nevznik\u00e1 automaticky n\u00e1rok na vyplacen\u00ed celkov\u00e9 \u010d\u00e1stky n\u00e1klad\u016f. Jestli\u017ee se rozhodnete \u017e\u00e1dat n\u00e1hradu podle zahrani\u010dn\u00edch tarif\u016f, mohou b\u00fdt uhrazeny pouze n\u00e1klady ve v\u00fd\u0161i \u010d\u00e1stky, kter\u00e1 by za tyto zdravotn\u00ed slu\u017eby byla vynalo\u017eena z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed tamn\u00ed zdravotn\u00ed poji\u0161\u0165ovnou na jej\u00edho poji\u0161t\u011bnce. Spolu\u00fa\u010dast, stanoven\u00e1 pr\u00e1vn\u00edmi p\u0159edpisy dan\u00e9 zem\u011b, p\u0159edstavuje \u010d\u00e1stku, kterou se na n\u00e1kladech zdravotn\u00ed slu\u017eby v\u017edy \u00fa\u010dastn\u00ed poji\u0161t\u011bnec, a\u00a0nem\u016f\u017ee tedy b\u00fdt zahrnuta do n\u00e1hrady podle tarif\u016f st\u00e1tu o\u0161et\u0159en\u00ed. Jestli\u017ee si zvol\u00edte refundaci podle \u010desk\u00fdch tarif\u016f, bude v\u00e1m uhrazena \u010d\u00e1stka ve v\u00fd\u0161i n\u00e1klad\u016f, kter\u00e9 by vynalo\u017eila VZP za sv\u00e9ho poji\u0161t\u011bnce, kdyby mu tyt\u00e9\u017e zdravotn\u00ed slu\u017eby byly poskytnuty zdravotnick\u00fdm za\u0159\u00edzen\u00edm v\u00a0\u010cesk\u00e9 republice.<\/p>\n

V p\u0159\u00edpad\u011b volby vy\u010d\u00edslen\u00ed podle zahrani\u010dn\u00edch pr\u00e1vn\u00edch p\u0159edpis\u016f se jedn\u00e1 o\u00a0aplikaci ciz\u00edch pr\u00e1vn\u00edch p\u0159edpis\u016f, co\u017e VZP nem\u016f\u017ee sama prov\u00e9st. Za\u0161le tedy dotaz p\u0159\u00edslu\u0161n\u00e9 zahrani\u010dn\u00ed instituci a\u00a0vy\u010dk\u00e1 jej\u00ed odpov\u011bdi. \u010cek\u00e1n\u00ed na odpov\u011b\u010f se m\u016f\u017ee i\u00a0p\u0159es urgence ze strany VZP velmi prot\u00e1hnout, u\u00a0n\u011bkter\u00fdch st\u00e1t\u016f nen\u00ed v\u00fdjimkou \u010dekac\u00ed doba 6\u00a0m\u011bs\u00edc\u016f. Naproti tomu vy\u010d\u00edslen\u00ed podle \u010desk\u00fdch pr\u00e1vn\u00edch p\u0159edpis\u016f provede revizn\u00ed l\u00e9ka\u0159 VZP a\u00a0bude rychlej\u0161\u00ed, av\u0161ak nahrazen\u00e1 \u010d\u00e1stka m\u016f\u017ee b\u00fdt zejm\u00e9na ve srovn\u00e1n\u00ed se z\u00e1padn\u00edmi zem\u011bmi v\u00fdrazn\u011b ni\u017e\u0161\u00ed. <\/p>\n

Pokud by \u0161lo o\u00a0slu\u017eby p\u0159edem pl\u00e1novan\u00e9 (nap\u0159. se rozhodnete jet do Rakouska i\u00a0na n\u00e1slednou kontrolu po \u00farazu), bude jejich n\u00e1hrada mo\u017en\u00e1 pouze do v\u00fd\u0161e \u010desk\u00fdch tarif\u016f.<\/p>\n

S\u00e1m klient v\u017edy mus\u00ed podat \u017e\u00e1dost o n\u00e1hradu n\u00e1klad\u016f vynalo\u017een\u00fdch na zdravotn\u00ed slu\u017eby poskytnut\u00e9 v zahrani\u010d\u00ed; jej\u00ed formul\u00e1\u0159 spolu s\u00a0pou\u010den\u00edm je k\u00a0dispozici na klientsk\u00fdch pracovi\u0161t\u00edch nebo na internetov\u00fdch str\u00e1nk\u00e1ch VZP \u010cR. Dolo\u017eit je t\u0159eba nejen origin\u00e1l potvrzen\u00ed o\u00a0\u00fahrad\u011b (pouh\u00e1 faktura nesta\u010d\u00ed), ale i\u00a0zahrani\u010dn\u00ed l\u00e9ka\u0159skou zpr\u00e1vu v\u010detn\u011b \u010desk\u00e9ho p\u0159ekladu.<\/p>\n

O refundaci je rozhodov\u00e1no ve spr\u00e1vn\u00edm \u0159\u00edzen\u00ed veden\u00e9m podle spr\u00e1vn\u00edho \u0159\u00e1du. VZP tedy po shrom\u00e1\u017ed\u011bn\u00ed v\u0161ech pot\u0159ebn\u00fdch podklad\u016f vyd\u00e1 rozhodnut\u00ed, v\u00a0n\u011bm\u017e bude uvedena \u010d\u00e1stka, je\u017e m\u00e1 b\u00fdt nahrazena. Rozhodnut\u00ed bude doru\u010deno na adresu uvedenou v\u00a0\u017e\u00e1dosti a\u00a0pot\u00e9, co nabyde pr\u00e1vn\u00ed moci, jsou klientovi zasl\u00e1ny pen\u00edze.<\/p>\n

Mgr. Old\u0159ich Tich\u00fd
\nvedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n","protected":false},"excerpt":{"rendered":"

OT\u00c1ZKA: P\u0159i cyklistice v\u00a0\u010desko-rakousk\u00e9m pohrani\u010d\u00ed jsem spadl z\u00a0kola a\u00a0zlomil si ruku. Vyhledal jsem o\u0161et\u0159en\u00ed na klinice v\u00a0nedalek\u00e9m rakousk\u00e9m m\u011bst\u011b. Za o\u0161et\u0159en\u00ed mi byla vystavena faktura, […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":21763,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18,11],"tags":[],"class_list":["post-21761","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-poradna","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21761","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=21761"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/21761\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/21763"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=21761"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=21761"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=21761"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}