{"id":29839,"date":"2017-12-20T19:40:21","date_gmt":"2017-12-20T18:40:21","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=29839"},"modified":"2017-12-20T19:40:21","modified_gmt":"2017-12-20T18:40:21","slug":"zdravotni-pojistovna-chce-nahradu-skody-postupuje-spravne","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=29839","title":{"rendered":"Zdravotn\u00ed poji\u0161\u0165ovna chce n\u00e1hradu \u0161kody. Postupuje spr\u00e1vn\u011b?"},"content":{"rendered":"<p><strong>OT\u00c1ZKA : Zdravotn\u00ed poji\u0161\u0165ovna po mn\u011b chce zaplatit n\u00e1klady za l\u00e9\u010dbu m\u00e9ho bratra, kter\u00e9ho jsem p\u0159i sporu fyzicky napadl a zp\u016fsobil mu \u00faraz. Napaden\u00ed jsem p\u0159iznal, cel\u00e1 v\u011bc ale byla Polici\u00ed \u010cR odlo\u017eena, proto\u017ee bratr s m\u00fdm trestn\u00edm st\u00edh\u00e1n\u00edm nesouhlasil. Postupuje poji\u0161\u0165ovna spr\u00e1vn\u011b?<\/strong><!--more--><\/p>\n<p><strong>ODPOV\u011a\u010e<\/strong>:<\/p>\n<p>Postup zdravotn\u00ed poji\u0161\u0165ovny je naprosto spr\u00e1vn\u00fd. Zdravotn\u00ed poji\u0161\u0165ovna m\u00e1 v\u016f\u010di t\u0159et\u00ed osob\u011b pr\u00e1vo na n\u00e1hradu t\u011bch n\u00e1klad\u016f na hrazen\u00e9 zdravotn\u00ed slu\u017eby, kter\u00e9 vynalo\u017eila v d\u016fsledku zavin\u011bn\u00e9ho protipr\u00e1vn\u00edho jedn\u00e1n\u00ed t\u00e9to t\u0159et\u00ed osoby v\u016f\u010di poji\u0161t\u011bnci (podle ustanoven\u00ed \u00a7 55 odst. 1 z\u00e1kona \u010d. 48\/1997 Sb., o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed).<\/p>\n<p>Rozhoduj\u00edc\u00ed je zde skute\u010dnost, \u017ee jste \u00famysln\u011b fyzicky napadl sv\u00e9ho bratra a zp\u016fsobil mu p\u0159itom \u00fajmu na zdrav\u00ed. Jedn\u00e1 se tedy o zavin\u011bn\u00e9 protipr\u00e1vn\u00ed jedn\u00e1n\u00ed, kter\u00fdm je opodstatn\u011bn n\u00e1rok na n\u00e1hradu \u0161kody zdravotn\u00ed poji\u0161\u0165ovny, tzn. na uhrazen\u00ed n\u00e1klad\u016f vynalo\u017een\u00fdch na hrazen\u00e9 zdravotn\u00ed slu\u017eby poskytnut\u00e9 va\u0161emu bratrovi. Do n\u00e1klad\u016f l\u00e9\u010den\u00ed jsou p\u0159itom zahrnov\u00e1ny ve\u0161ker\u00e9 n\u00e1klady za l\u00e9\u010dbu hrazenou z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, kter\u00e9 byly vynalo\u017eeny v p\u0159\u00ed\u010dinn\u00e9 souvislosti s po\u0161kozen\u00edm zdrav\u00ed, to znamen\u00e1 nejen n\u00e1klady ambulantn\u00edho o\u0161et\u0159en\u00ed nebo hospitalizace, ale i n\u00e1klady na l\u00e9\u010diva, prost\u0159edky zdravotnick\u00e9 techniky, p\u0159\u00edpadn\u011b na dopravu, l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di atd.<\/p>\n<p>Samotn\u00fd fakt, \u017ee trestn\u00ed st\u00edh\u00e1n\u00ed bylo Polici\u00ed \u010cR odlo\u017eeno z d\u016fvodu nesouhlasu po\u0161kozen\u00e9ho, vyjad\u0159uje blahov\u016fli z\u00e1konod\u00e1rce trestn\u011b nepostihovat z\u00e1konem vymezen\u00fd okruh osob, pokud k tomu ned\u00e1 ten, komu bylo ubl\u00ed\u017eeno na zdrav\u00ed, souhlas. Srozumiteln\u011b \u0159e\u010deno, za napaden\u00ed bratra nebudete potrest\u00e1n, ale sv\u00fdm jedn\u00e1n\u00edm jste zavinil jeho po\u0161kozen\u00ed na zdrav\u00ed, zdravotn\u00ed poji\u0161\u0165ovna musela zaplatit zdravotn\u00ed p\u00e9\u010di p\u0159i o\u0161et\u0159en\u00ed a l\u00e9\u010db\u011b, a proto opr\u00e1vn\u011bn\u011b po\u017eaduje n\u00e1hradu \u0161kody. Pokud byste na v\u00fdzvu k zaplacen\u00ed n\u00e1klad\u016f l\u00e9\u010den\u00ed nereagoval a \u010d\u00e1stku nezaplatil, byla by vym\u00e1h\u00e1na soudn\u00ed cestou.<\/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 : Zdravotn\u00ed poji\u0161\u0165ovna po mn\u011b chce zaplatit n\u00e1klady za l\u00e9\u010dbu m\u00e9ho bratra, kter\u00e9ho jsem p\u0159i sporu fyzicky napadl a zp\u016fsobil mu \u00faraz. Napaden\u00ed jsem <a class=\"mh-excerpt-more\" href=\"https:\/\/www.invarena.cz\/?p=29839\" title=\"Zdravotn\u00ed poji\u0161\u0165ovna chce n\u00e1hradu \u0161kody. Postupuje spr\u00e1vn\u011b?\">[&#8230;]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":15684,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[18],"tags":[],"class_list":["post-29839","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\/29839","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=29839"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/29839\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/media\/15684"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=29839"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=29839"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=29839"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}