{"id":28128,"date":"2017-05-04T20:45:45","date_gmt":"2017-05-04T18:45:45","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28128"},"modified":"2017-05-06T22:47:07","modified_gmt":"2017-05-06T20:47:07","slug":"jak-hradi-pojistovna-hul-a-berle","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28128","title":{"rendered":"Jak hrad\u00ed poji\u0161\u0165ovna h\u016fl a berle?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA: Po \u00farazu chod\u00edm s podpa\u017en\u00edmi berlemi, brzo pr\u00fd budu moci p\u0159ej\u00edt na francouzsk\u00e9 hole, ale n\u00e1sledn\u011b asi budu muset dlouhodob\u011b pou\u017e\u00edvat alespo\u0148 h\u016fl. Jak tyto pom\u016fcky hrad\u00ed poji\u0161\u0165ovna?<\/strong><!--more--><\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>Berle a hole pat\u0159\u00ed mezi kompenza\u010dn\u00ed pom\u016fcky pro t\u011blesn\u011b posti\u017een\u00e9 a poji\u0161\u0165ovna tyto zdravotnick\u00e9 prost\u0159edky hrad\u00ed v\u017edy v z\u00e1kladn\u00edm proveden\u00ed nejm\u00e9n\u011b ekonomicky n\u00e1ro\u010dn\u00e9m, v z\u00e1vislosti na m\u00ed\u0159e a z\u00e1va\u017enosti zdravotn\u00edho posti\u017een\u00ed. Maxim\u00e1ln\u00ed \u00fahrada z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed tedy vych\u00e1z\u00ed ze z\u00e1kladn\u00edho proveden\u00ed dan\u00e9ho zdravotnick\u00e9ho prost\u0159edku, co\u017e je takov\u00e9, kter\u00e9 po medic\u00ednsk\u00e9 str\u00e1nce poji\u0161t\u011bnci pln\u011b vyhovuje a p\u0159itom spl\u0148uje podm\u00ednky nejmen\u0161\u00ed ekonomick\u00e9 n\u00e1ro\u010dnosti.<\/p>\n<p>Pacient plat\u00ed p\u0159\u00edpadn\u00fd rozd\u00edl mezi cenou a maxim\u00e1ln\u00ed \u00fahradou od poji\u0161\u0165ovny. Nap\u0159\u00edklad u podp\u016frn\u00e9 hole je \u00fahrada poji\u0161\u0165ovny stanovena na 130 K\u010d a z\u00e1le\u017e\u00ed pak na tom, jakou v\u00e1m l\u00e9ka\u0159 doporu\u010d\u00ed, resp. jakou si po porad\u011b s n\u00edm vyberete. D\u0159ev\u011bnou podp\u016frnou h\u016fl tak dostanete zadarmo, na duralovou si doplat\u00edte cca 100-200 K\u010d a kdy\u017e budete cht\u00edt duralovou skl\u00e1dac\u00ed a se sed\u00e1tkem, tak si mus\u00edte p\u0159ipravit p\u0159ibli\u017en\u011b tis\u00edcikorunu. Variant hol\u00ed a berl\u00ed, jejich mo\u017en\u00fdch \u00fahrad a cen je v\u0161ak velk\u00e9 mno\u017estv\u00ed, tak\u017ee jejich p\u0159edeps\u00e1n\u00ed a \u00fahradu zde nelze zobecnit.<\/p>\n<p>Berle i podp\u016frnou h\u016fl v\u00e1m m\u016f\u017ee p\u0159edepsat praktick\u00fd l\u00e9ka\u0159, nebo ortoped, chirurg, rehabilita\u010dn\u00ed l\u00e9ka\u0159 \u010di neurolog, pokud v\u00e1\u0161 zdravotn\u00ed stav vy\u017eaduje trval\u00e9 nebo p\u0159echodn\u00e9 pou\u017e\u00edv\u00e1n\u00ed tohoto zdravotnick\u00e9ho prost\u0159edku. L\u00e9ka\u0159 na z\u00e1klad\u011b vy\u0161et\u0159en\u00ed v\u00e1\u0161 zdravotn\u00ed stav posoud\u00ed a navrhne v dan\u00e9m konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b nejvhodn\u011bj\u0161\u00ed zdravotnick\u00fd prost\u0159edek. Jestli\u017ee se na jeho \u00fahrad\u011b m\u00e1 pod\u00edlet t\u00e9\u017e pacient, je l\u00e9ka\u0159 povinen ho na tuto skute\u010dnost upozornit. V\u00fdb\u011br tedy m\u016f\u017ee b\u00fdt v\u011bc\u00ed vz\u00e1jemn\u00e9 diskuse, s ohledem na v\u00fd\u0161i doplatku pacienta.<\/p>\n<p>N\u00e1sledn\u011b l\u00e9ka\u0159 vystav\u00ed na vybran\u00fd zdravotnick\u00fd prost\u0159edek poukaz, kde uvede mj. jeho p\u0159esn\u00fd k\u00f3d z \u010d\u00edseln\u00edku. Podle toho v\u00e1m ve v\u00fddejn\u011b zdravotnick\u00fdch pot\u0159eb vydaj\u00ed konkr\u00e9tn\u00ed h\u016fl nebo berle. P\u0159i v\u00fddeji v\u00e1s vyd\u00e1vaj\u00edc\u00ed informuje i o mo\u017en\u00fdch alternativ\u00e1ch k p\u0159edepsan\u00e9mu zdravotnick\u00e9mu prost\u0159edku a v p\u0159\u00edpad\u011b va\u0161eho souhlasu ho m\u016f\u017ee zam\u011bnit za obdobn\u00fd jin\u00fd, kter\u00fd m\u00e1 stejnou funkci a \u00fa\u010del pou\u017eit\u00ed. Poukaz m\u00e1 platnost 3 m\u011bs\u00edce.<\/p>\n<p>Poukazy na berle a hole nepodl\u00e9haj\u00ed schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em. H\u016fl hrad\u00ed poji\u0161\u0165ovna maxim\u00e1ln\u011b jednu za t\u0159i roky; to je tzv. u\u017eitn\u00e1 doba. U podpa\u017en\u00edch berl\u00ed poji\u0161\u0165ovna hrad\u00ed maxim\u00e1ln\u011b 1 p\u00e1r jednou za dva roky, maxim\u00e1ln\u011b do v\u00fd\u0161e 400 K\u010d\/p\u00e1r. U p\u0159edloketn\u00edch berl\u00ed, tzv. francouzsk\u00fdch hrad\u00ed 1 p\u00e1r (nebo 1 kus, dle pot\u0159eby) jednou za 2 roky v maxim\u00e1ln\u00ed v\u00fd\u0161i 300 K\u010d za kus. Uplynut\u00ed t\u00e9to doby ale nezakl\u00e1d\u00e1 automaticky n\u00e1rok na p\u0159edpis nov\u00e9ho zdravotnick\u00e9ho prost\u0159edku, rozhodnut\u00ed z\u00e1vis\u00ed na l\u00e9ka\u0159i. Uveden\u00e9 \u010dasov\u00e9 a finan\u010dn\u00ed limity stanov\u00ed p\u0159\u00edmo z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, resp. jeho p\u0159\u00edloha \u010d. 3 \u2013 Seznam zdravotnick\u00fdch prost\u0159edk\u016f.<\/p>\n<p>Mgr. Old\u0159ich Tich\u00fd vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed <\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>OT\u00c1ZKA: Po \u00farazu chod\u00edm s podpa\u017en\u00edmi berlemi, brzo pr\u00fd budu moci p\u0159ej\u00edt na francouzsk\u00e9 hole, ale n\u00e1sledn\u011b asi budu muset dlouhodob\u011b pou\u017e\u00edvat alespo\u0148 h\u016fl. Jak <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=28128\" title=\"Jak hrad\u00ed poji\u0161\u0165ovna h\u016fl a berle?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15989,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-28128","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\/28128","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=28128"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28128\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15989"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28128"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28128"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28128"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}