{"id":29550,"date":"2017-11-17T18:30:55","date_gmt":"2017-11-17T17:30:55","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29550"},"modified":"2017-11-17T18:34:21","modified_gmt":"2017-11-17T17:34:21","slug":"priplaci-pojistovna-na-multifokalni-bryle","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29550","title":{"rendered":"P\u0159ipl\u00e1c\u00ed poji\u0161\u0165ovna na multifok\u00e1ln\u00ed br\u00fdle?"},"content":{"rendered":"<p><b>Nos\u00edm cel\u00fd \u017eivot br\u00fdle na d\u00e1lku, m\u00e1m 3,6 a\u00a03,2 dioptrie. Nyn\u00ed se mi zhor\u0161il zrak p\u0159i \u010dten\u00ed\u00a0apod. P\u0159ipl\u00e1c\u00ed poji\u0161\u0165ovna n\u011bco na multifok\u00e1ln\u00ed br\u00fdle? Odpov\u00edd\u00e1 VZP.<br \/>\n<\/b><!--more--><\/p>\n<p>ODPOV\u011a\u010e:<\/p>\n<p>Multifok\u00e1ln\u00ed br\u00fdle, resp. \u010do\u010dky nemohou b\u00fdt dle z\u00e1kona hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Poji\u0161\u0165ovna poskytuje sv\u00fdm klient\u016fm z\u00e1konem stanovenou \u010d\u00e1stku na br\u00fdlov\u00e9 obruby a pln\u011b hrad\u00ed br\u00fdlov\u00e9 dioptrick\u00e9 \u010do\u010dky v z\u00e1kladn\u00edm proveden\u00ed. Ve smluvn\u00edch provozovn\u00e1ch o\u010dn\u00edch optik p\u0159itom v\u017edy mus\u00ed b\u00fdt dostupn\u00e1 pln\u011b hrazen\u00e1 varianta br\u00fdl\u00ed, bez doplatku. Povinnost m\u00edt v nab\u00eddce z\u00e1kladn\u00ed sortiment zcela bez doplatku poji\u0161t\u011bnce je zaji\u0161t\u011bna prost\u0159ednictv\u00edm smluvn\u00edho ujedn\u00e1n\u00ed s VZP.<\/p>\n<p>Br\u00fdlov\u00e9 \u010do\u010dky poji\u0161\u0165ovna hrad\u00ed v z\u00e1vislosti na druhu o\u010dn\u00ed vady (a p\u0159\u00edpadn\u00fdch dal\u0161\u00edch zdravotn\u00edch pot\u00ed\u017e\u00edch). V\u017edy jde o takov\u00e9 br\u00fdlov\u00e9 \u010do\u010dky, kter\u00e9 jsou nutn\u00e9 pro z\u00e1kladn\u00ed korekci zraku.<\/p>\n<p>Pacientovi s b\u011b\u017enou o\u010dn\u00ed vadou (kr\u00e1tkozrakost, dalekozrakost, vetchozrakost) poji\u0161\u0165ovna pln\u011b hrad\u00ed b\u011b\u017en\u00e9 sklen\u011bn\u00e9 \u010do\u010dky, a to jednou za t\u0159i roky, pokud nedojde ke zm\u011bn\u011b korekce. Jestli\u017ee je pot\u0159ebn\u00e1 zm\u011bna, jsou samoz\u0159ejm\u011b \u010do\u010dky hrazeny v\u017edy. P\u0159i v\u00edce ne\u017e 3 dioptri\u00edch do d\u00e1lky m\u00e1 poji\u0161t\u011bnec n\u00e1rok na dvoje kompletn\u00ed br\u00fdle. \u010co\u010dky sklen\u011bn\u00e9 zten\u010den\u00e9, vytvrzen\u00e9, s antireflexem, zabarven\u00e9 nebo samozabarvovac\u00ed apod., stejn\u011b jako \u010do\u010dky bifok\u00e1ln\u00ed nebo multifok\u00e1ln\u00ed, p\u0159\u00edpadn\u011b \u010do\u010dky plastov\u00e9 mu hrazeny nejsou. N\u011bkte\u0159\u00ed poji\u0161t\u011bnci v\u0161ak na br\u00fdlov\u00e9 \u010do\u010dky v tomto proveden\u00ed n\u00e1rok maj\u00ed.<\/p>\n<p>Nap\u0159\u00edklad epileptik\u016fm nebo jednook\u00fdm je v\u017edy hrazena tvrzen\u00e1 \u00faprava sklen\u011bn\u00fdch br\u00fdlov\u00fdch \u010do\u010dek. Vysokoindexov\u00e9 \u010do\u010dky, kter\u00e9 jsou ten\u010d\u00ed a leh\u010d\u00ed, jsou (se souhlasem revizn\u00edho l\u00e9ka\u0159e) hrazeny pacient\u016fm s myopi\u00ed nad -10 dioptri\u00ed nebo s poruchou centr\u00e1ln\u00edho zorn\u00e9ho pole. Absorp\u010dn\u00ed vrstvy na br\u00fdlov\u00e9 \u010do\u010dky poji\u0161\u0165ovna uhrad\u00ed nap\u0159. pacient\u016fm s chorobami a vadami, kter\u00e9 jsou prov\u00e1zan\u00e9 sv\u011btloplachost\u00ed. <strong>Bifok\u00e1ln\u00ed \u010do\u010dky se hrad\u00ed d\u011btem do 18 let s afaki\u00ed (v oku chyb\u00ed o\u010dn\u00ed \u010do\u010dka) nebo strabismem (\u0161ilh\u00e1n\u00edm).<\/strong> <strong>U poji\u0161t\u011bnc\u016f nad 18 let je lze p\u0159edepsat p\u0159i poruch\u00e1ch pohybov\u00e9ho apar\u00e1tu doln\u00edch kon\u010detin, kter\u00e9 vy\u017eaduj\u00ed trval\u00e9 pou\u017e\u00edv\u00e1n\u00ed francouzsk\u00fdch hol\u00ed; p\u0159edpis nav\u00edc podl\u00e9h\u00e1 schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em.<\/strong> Multifok\u00e1ln\u00ed \u010do\u010dky hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed nejsou.<\/p>\n<p>Na br\u00fdlov\u00e9 obruby d\u00e1vaj\u00ed poji\u0161\u0165ovny dosp\u011bl\u00fdm (od 15 let) 150 K\u010d jednou za t\u0159i roky, resp. p\u0159i refrak\u010dn\u00ed vad\u011b nad 3 dioptrie do d\u00e1lky se poskytuje p\u0159\u00edsp\u011bvek 150 K\u010d na dvoje br\u00fdle.<\/p>\n<p>Pacient, kter\u00fd m\u00e1 v\u00edce ne\u017e 3 dioptrie do d\u00e1lky a pot\u0159ebuje i br\u00fdle do bl\u00edzka, m\u00e1 tedy 1x za t\u0159i roky n\u00e1rok na dvoje kompletn\u00ed br\u00fdle do d\u00e1lky a jedny do bl\u00edzka. To znamen\u00e1, \u017ee o\u010dn\u00ed l\u00e9ka\u0159 v\u00e1m m\u016f\u017ee vystavit celkem 3 poukazy, na jejich\u017e z\u00e1klad\u011b poji\u0161\u0165ovna uhrad\u00ed 3x 150 K\u010d za br\u00fdlovou obrubu a 3x br\u00fdlov\u00e9 \u010do\u010dky v odpov\u00eddaj\u00edc\u00edm z\u00e1kladn\u00edm proveden\u00ed. Zda si nech\u00e1te na z\u00e1klad\u011b vystaven\u00e9ho poukazu zhotovit b\u011b\u017en\u00e9 br\u00fdle (kde si doplat\u00edte jen p\u0159\u00edpadn\u011b na obruby), nebo br\u00fdle bifok\u00e1ln\u00ed \u010di multifok\u00e1ln\u00ed, je na va\u0161em rozhodnut\u00ed. Poji\u0161\u0165ovna ale uhrad\u00ed jen to, co j\u00ed umo\u017e\u0148uje hradit z\u00e1kon na z\u00e1klad\u011b l\u00e9ka\u0159em vystaven\u00e9ho poukazu.<\/p>\n<p><b>.<br \/>\n<\/b><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<div class=\"mh-excerpt\"><p>Nos\u00edm cel\u00fd \u017eivot br\u00fdle na d\u00e1lku, m\u00e1m 3,6 a\u00a03,2 dioptrie. Nyn\u00ed se mi zhor\u0161il zrak p\u0159i \u010dten\u00ed\u00a0apod. P\u0159ipl\u00e1c\u00ed poji\u0161\u0165ovna n\u011bco na multifok\u00e1ln\u00ed br\u00fdle? Odpov\u00edd\u00e1 VZP.<\/p>\n<\/div>","protected":false},"author":1,"featured_media":27519,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[9],"tags":[],"class_list":["post-29550","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-zpravy"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29550","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=29550"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29550\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/27519"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29550"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29550"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29550"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}