{"id":25662,"date":"2016-05-31T09:57:33","date_gmt":"2016-05-31T07:57:33","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=25662"},"modified":"2016-05-31T10:14:32","modified_gmt":"2016-05-31T08:14:32","slug":"kdy-se-u-zubare-plati-doplatek","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=25662","title":{"rendered":"Kdy se u zuba\u0159e plat\u00ed doplatek?"},"content":{"rendered":"<p><strong>Co vlastn\u011b hrad\u00ed poji\u0161\u0165ovna u zuba\u0159e tak, aby pacient nemusel platit doplatek? Je snad v po\u0159\u00e1dku, \u017ee za plombu nebo za injekci na umrtven\u00ed mus\u00edm platit, a\u010dkoli jsem si na\u0161el zuba\u0159e, kter\u00fd m\u00e1 smlouvu s poji\u0161\u0165ovnou? Odpov\u00edd\u00e1 VZP. <\/strong><!--more--><\/p>\n<p>ilustra\u010dn\u00ed foto:  Gregory Szarkiewicz FreeDigitalPhotos<\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>U stomatologick\u00fdch v\u00fdkon\u016f, tedy prohl\u00eddek, vy\u0161et\u0159en\u00ed, o\u0161et\u0159en\u00ed atd. je smluvn\u00edmu l\u00e9ka\u0159i v\u00fdkon bu\u010f pln\u011b poji\u0161\u0165ovnou hrazen\u00fd a pacient neplat\u00ed \u017e\u00e1dn\u00fd doplatek, nebo hrazen\u00fd z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed nen\u00ed a pacient si ho mus\u00ed zaplatit s\u00e1m. V\u0161echny pln\u011b hrazen\u00e9 v\u00fdkony jsou obsa\u017eeny v \u00fahradov\u00e9 vyhl\u00e1\u0161ce platn\u00e9 pro p\u0159\u00edslu\u0161n\u00e9 obdob\u00ed.<\/p>\n<p>Obecn\u011b pro stomatologick\u00e9 v\u00fdkony plat\u00ed, \u017ee l\u00e9ka\u0159 m\u00e1 povinnost sezn\u00e1mit pacienta se standardn\u00edm o\u0161et\u0159en\u00edm a m\u016f\u017ee mu pak nab\u00eddnout o\u0161et\u0159en\u00ed s pou\u017eit\u00edm nadstandardn\u00edch materi\u00e1l\u016f. Pacient tedy mus\u00ed s navrhovan\u00fdm postupem souhlasit. Nadstandardn\u00ed v\u00fdkon si cel\u00fd plat\u00ed. Ceny vych\u00e1zej\u00ed z individu\u00e1ln\u00ed kalkulace ordinace a pacient m\u00e1 pr\u00e1vo b\u00fdt sezn\u00e1men p\u0159ed o\u0161et\u0159en\u00edm s cenou v\u00fdkonu a nahl\u00e9dnout do cen\u00edku. V\u017edy mus\u00ed obdr\u017eet potvrzen\u00ed o \u00fahrad\u011b.<\/p>\n<p>Pln\u011b hrazen\u00e9 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je komplexn\u00ed vy\u0161et\u0159en\u00ed p\u0159i registraci poji\u0161t\u011bnce stomatologem a ka\u017edoro\u010dn\u00ed preventivn\u00ed prohl\u00eddky, v\u010detn\u011b profylaktick\u00e9ho odstran\u011bn\u00ed zubn\u00edho kamene a kontroly \u00fastn\u00ed hygieny. Hrazena je tak\u00e9 b\u011b\u017en\u00e1 p\u00e9\u010de a o\u0161et\u0159en\u00ed, nap\u0159. extrakce zub\u016f, injek\u010dn\u00ed lok\u00e1ln\u00ed anestezie, l\u00e9\u010dba onemocn\u011bn\u00ed d\u00e1sn\u00ed \u010di z\u00e1n\u011btu nervu, rentgenov\u00e1 vy\u0161et\u0159en\u00ed, zubn\u00ed v\u00fdpln\u011b (plomby) pak v rozsahu standardu.<\/p>\n<p>To v souladu se z\u00e1konem o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed znamen\u00e1, \u017ee v\u00fdpln\u011b zubu poji\u0161\u0165ovna hrad\u00ed z ned\u00f3zovan\u00e9ho amalg\u00e1mu. Proto\u017ee jde o v\u00fdkon pln\u011b hrazen\u00fd ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, nen\u00ed u n\u011bj mo\u017en\u00e1 jak\u00e1koli spolu\u00fa\u010dast pacienta. L\u00e9ka\u0159 tedy nesm\u00ed na pacientovi po\u017eadovat \u017e\u00e1dn\u00fd doplatek. Pokud je ale jako v\u00fdpl\u0148ov\u00fd materi\u00e1l p\u0159i o\u0161et\u0159en\u00ed zubn\u00edho kazu zvolen d\u00f3zovan\u00fd amalg\u00e1m, jedn\u00e1 se ji\u017e o v\u00fdkon nehrazen\u00fd z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. To znamen\u00e1, \u017ee je zde naopak pln\u00e1 \u00fahrada pacienta, nikoli doplatek.<\/p>\n<p>Co se t\u00fdk\u00e1 &#8222;b\u00edl\u00fdch plomb&#8220;, VZP hrad\u00ed d\u011btem do 18 let fotokompozitn\u00ed v\u00fdpl\u0148, pokud je pou\u017eita ve front\u00e1ln\u00edm \u00faseku chrupu, tj. do trojek v\u010detn\u011b. Dosp\u011bl\u00fdm hrad\u00ed ve stejn\u00e9 lokalizaci v\u00fdpln\u011b z kompozitn\u00edch samopolymeruj\u00edc\u00edch materi\u00e1l\u016f. Je to tak\u00e9 b\u00edl\u00e1 v\u00fdpl\u0148, ale tento materi\u00e1l tuhne chemicky, modern\u011bj\u0161\u00ed fotokompozitn\u00ed se vytvrzuje \u201esv\u011btlem\u201c. Jin\u00e9 typy v\u00fdpln\u011b nebo uvedenou v\u00fdpl\u0148 v jin\u00e9 lokalizaci si op\u011bt pacient hrad\u00ed v pln\u00e9 v\u00fd\u0161i s\u00e1m.<\/p>\n<p>Injek\u010dn\u00ed anestezie je poji\u0161\u0165ovnou pln\u011b hrazena ve v\u0161ech p\u0159\u00edpadech, kdy z l\u00e9ka\u0159sk\u00e9ho hlediska od\u016fvodn\u011bn\u00e1 (indikovan\u00e1). Pokud pacient po\u017eaduje po l\u00e9ka\u0159i &#8222;umrtven\u00ed&#8220;, ani\u017e by to vlastn\u011b bylo nutn\u00e9, plat\u00ed si ho s\u00e1m \u2013 nap\u0159\u00edklad p\u0159i b\u011b\u017en\u00e9m vrt\u00e1n\u00ed zubu. Hrazena nen\u00ed, a to op\u011bt v souladu se z\u00e1konem, tzv. intraligament\u00e1rn\u00ed anestezie, co\u017e je speci\u00e1ln\u00ed druh m\u00edstn\u00edho znecitliv\u011bn\u00ed jen jednotliv\u00fdch zub\u016f.<\/p>\n<p>P\u0159esn\u00e9 \u00fadaje o stomatologick\u00fdch v\u00fdkonech pln\u011b hrazen\u00fdch z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a o v\u00fd\u0161i \u00fahrad VZP za ambulantn\u00ed stomatologickou p\u00e9\u010di najdete na wwww.vzp.cz\/stomatologicka-pece.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd<br \/>\nvedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed VZP<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Co vlastn\u011b hrad\u00ed poji\u0161\u0165ovna u zuba\u0159e tak, aby pacient nemusel platit doplatek? Je snad v po\u0159\u00e1dku, \u017ee za plombu nebo za injekci na umrtven\u00ed mus\u00edm <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=25662\" title=\"Kdy se u zuba\u0159e plat\u00ed doplatek?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14165,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-25662","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\/25662","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=25662"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/25662\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14165"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=25662"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=25662"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=25662"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}