{"id":28672,"date":"2017-07-12T00:52:10","date_gmt":"2017-07-11T22:52:10","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=28672"},"modified":"2017-07-12T07:55:21","modified_gmt":"2017-07-12T05:55:21","slug":"osetrili-me-v-zahranici-proplati-mi-vzp-uctenku","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=28672","title":{"rendered":"O\u0161et\u0159ili m\u011b v zahrani\u010d\u00ed. Proplat\u00ed mi VZP \u00fa\u010dtenku?"},"content":{"rendered":"

V Rakousku jsem spadl z kola a utrp\u011bl \u00faraz. S pr\u016fkazem poji\u0161t\u011bnce VZP jsem vyhledal o\u0161et\u0159en\u00ed na klinice v nejbli\u017e\u0161\u00edm m\u011bst\u011b, kde jsem ale musel zaplatit v hotovosti, proto\u017ee pr\u00fd \u0161lo o soukrom\u00e9 za\u0159\u00edzen\u00ed. Mohu po\u017eadovat refundaci t\u011bchto pen\u011bz od VZP? <\/strong><\/p>\n

ODPOV\u011a\u010e: <\/p>\n

Podm\u00ednky refundace z\u00e1vis\u00ed zejm\u00e9na na m\u00edst\u011b poskytnut\u00ed zdravotn\u00edch slu\u017eeb (v zemi EU, \u010di mimo EU), na jejich povaze (zda \u0161lo o p\u00e9\u010di nezbytnou, nebo pl\u00e1novanou) a na pr\u00e1vn\u00edch p\u0159edpisech, podle nich\u017e je poskytov\u00e1na. V r\u00e1mci EU pak je podstatn\u00e9 tak\u00e9 to, zda poji\u0161t\u011bnec vyhled\u00e1 zdravotn\u00ed p\u00e9\u010di ve zdravotnick\u00e9m za\u0159\u00edzen\u00ed napojen\u00e9m na ve\u0159ejn\u00fd syst\u00e9m, kde jsou n\u00e1klady na zdravotn\u00ed p\u00e9\u010di hrazen\u00e9 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, nebo v za\u0159\u00edzen\u00ed \u010dist\u011b soukrom\u00e9m. U v\u00e1s \u0161lo o nezbytnou p\u00e9\u010di poskytnutou v zemi EU, ale v za\u0159\u00edzen\u00ed bez n\u00e1vaznosti na ve\u0159ejn\u00fd syst\u00e9m. V takov\u00e9m p\u0159\u00edpad\u011b m\u00e1te n\u00e1rok na refundaci jen do v\u00fd\u0161e \u010desk\u00fdch cen. <\/p>\n

Kdyby \u0161lo o za\u0159\u00edzen\u00ed napojen\u00e9 na ve\u0159ejn\u00fd syst\u00e9m, tak by v\u00e1s po p\u0159edlo\u017een\u00ed pr\u016fkazu poji\u0161t\u011bnce (EHIC) m\u011bli o\u0161et\u0159it za stejn\u00fdch podm\u00ednek jako tamn\u00ed poji\u0161t\u011bnce, co\u017e znamen\u00e1, \u017ee byste platil jen spolu\u00fa\u010dast. Poskytnutou p\u00e9\u010di by uhradila tamn\u00ed zdravotn\u00ed poji\u0161\u0165ovna a p\u0159e\u00fa\u010dtovala by ji \u010desk\u00e9 poji\u0161\u0165ovn\u011b. Kdybyste pr\u016fkaz nem\u011bl, musel byste si tam sice uhradit poskytnutou p\u00e9\u010di v hotovosti, ale mohl byste po n\u00e1vratu svoji poji\u0161\u0165ovnu po\u017e\u00e1dat na z\u00e1klad\u011b evropsk\u00fdch na\u0159\u00edzen\u00ed o refundaci podle tamn\u00edch tarif\u016f (pokud byste se nerozhodl m\u00edsto toho pro refundaci podle \u010desk\u00fdch cen, kterou dostanete rychleji). <\/p>\n

Jin\u00e1 situace nast\u00e1v\u00e1, kdy\u017e se \u2013 jako v tomto p\u0159\u00edpad\u011b \u2013 nech\u00e1te o\u0161et\u0159it v „nesmluvn\u00edm“ zdravotnick\u00e9m za\u0159\u00edzen\u00ed, kde si i tamn\u00ed pacienti hrad\u00ed p\u00e9\u010di sami, bez \u00fa\u010dasti ve\u0159ejn\u00e9ho syst\u00e9mu. Pak samoz\u0159ejm\u011b tamn\u00ed poji\u0161\u0165ovna ani za v\u00e1s nic nehrad\u00ed, nic se mezi st\u00e1ty nep\u0159e\u00fa\u010dtov\u00e1v\u00e1, a vy m\u00e1te mo\u017enost v \u010cesku po\u017e\u00e1dat jen o refundaci v \u010desk\u00fdch cen\u00e1ch podle z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Podle n\u011bj m\u00e1 poji\u0161t\u011bnec n\u00e1rok na n\u00e1hradu n\u00e1klad\u016f, kter\u00e9 vynalo\u017eil na zdravotn\u00ed slu\u017eby \u010derpan\u00e9 v jin\u00e9m \u010dlensk\u00e9m st\u00e1t\u011b Evropsk\u00e9 unie, pokud jde o zdravotn\u00ed slu\u017eby, kter\u00e9 by byly p\u0159i poskytnut\u00ed na \u00fazem\u00ed \u010cR hrazeny ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, a to do v\u00fd\u0161e stanoven\u00e9 pro \u00fahradu takov\u00fdch slu\u017eeb, pokud by byly poskytnuty na \u00fazem\u00ed \u010cR. <\/p>\n

Mus\u00edte si 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 pou\u010den\u00edm je k dispozici na klientsk\u00fdch pracovi\u0161t\u00edch nebo na webov\u00fdch str\u00e1nk\u00e1ch VZP. Dolo\u017eit je t\u0159eba nejen origin\u00e1l potvrzen\u00ed o \u00fahrad\u011b (pouh\u00e1 faktura nesta\u010d\u00ed), ale tak\u00e9 zahrani\u010dn\u00ed l\u00e9ka\u0159skou zpr\u00e1vu (i jen v kopii) v\u010detn\u011b \u010desk\u00e9ho p\u0159ekladu. <\/p>\n

O refundaci je pak rozhodov\u00e1no ve spr\u00e1vn\u00edm \u0159\u00edzen\u00ed veden\u00e9m podle spr\u00e1vn\u00edho \u0159\u00e1du. VZP po shrom\u00e1\u017ed\u011bn\u00ed v\u0161ech pot\u0159ebn\u00fdch podklad\u016f vyd\u00e1 rozhodnut\u00ed, v n\u011bm\u017e bude uvedena \u010d\u00e1stka, je\u017e m\u00e1 b\u00fdt nahrazena. Vy\u010d\u00edslen\u00ed podle \u010desk\u00fdch pr\u00e1vn\u00edch p\u0159edpis\u016f prov\u00e1d\u011bj\u00ed revizn\u00ed l\u00e9ka\u0159i VZP. Rozhodnut\u00ed v\u00e1m bude doru\u010deno na adresu uvedenou v \u017e\u00e1dosti a pot\u00e9, co nabyde pr\u00e1vn\u00ed moci, v\u00e1m budou zasl\u00e1ny pen\u00edze. Bohu\u017eel je pravd\u011bpodobn\u00e9, \u017ee nahrazen\u00e1 \u010d\u00e1stka bude ve srovn\u00e1n\u00ed se zaplacenou v\u00fdrazn\u011b ni\u017e\u0161\u00ed. Proto tak\u00e9 doporu\u010dujeme i p\u0159i sebekrat\u0161\u00edm v\u00fdletu do ciziny uzav\u0159\u00edt cestovn\u00ed poji\u0161t\u011bn\u00ed. Klient\u016fm VZP ho v\u00fdhodn\u011b nab\u00edz\u00ed Poji\u0161\u0165ovna VZP, \u010dlen\u016fm na\u0161eho Klubu pevn\u00e9ho zdrav\u00ed dokonce se slevou 30 %. <\/p>\n

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

V Rakousku jsem spadl z kola a utrp\u011bl \u00faraz. S pr\u016fkazem poji\u0161t\u011bnce VZP jsem vyhledal o\u0161et\u0159en\u00ed na klinice v nejbli\u017e\u0161\u00edm m\u011bst\u011b, kde jsem ale musel […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":14164,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-28672","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\/28672","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=28672"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/28672\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/14164"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=28672"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=28672"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=28672"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}