{"id":4231,"date":"2013-04-26T10:55:35","date_gmt":"2013-04-26T08:55:35","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=4231"},"modified":"2014-10-20T20:13:49","modified_gmt":"2014-10-20T18:13:49","slug":"pojistovna-mu-prestala-hradit-leky-kratce-nato-prisel-zachvat-nemoci","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=4231","title":{"rendered":"Poji\u0161\u0165ovna \u0161et\u0159\u00ed, nechce hradit l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy"},"content":{"rendered":"

Biologickou l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy p\u0159estala VZP hradit v\u00edce ne\u017e dv\u011bma stovk\u00e1m pacient\u016f v \u010cesku. Pacienti se bou\u0159\u00ed a n\u011bkte\u0159\u00ed z nich u\u017e vin\u00ed poji\u0161\u0165ovnu ze zhor\u0161en\u00ed jejich zdravotn\u00edho stavu. <\/strong>\/na sn\u00edmku pacienti s RS\/
\n<\/p>\n

Biologickou l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy (RS) p\u0159estala VZP hradit v\u00edce ne\u017e dv\u011bma stovk\u00e1m pacient\u016f v cel\u00e9m \u010cesku. V\u00edt Posel z Chocn\u011b je jedn\u00edm z pacient\u016f, kte\u0159\u00ed na to \u00fadajn\u011b doplatili.<\/p>\n

„O tom, \u017ee mi V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna l\u00e9k p\u0159estala hradit, jsem se dozv\u011bd\u011bl loni v \u010dervnu. A\u017e do prosince jej je\u0161t\u011b platila nemocnice, proto\u017ee l\u00e9ka\u0159i m\u011b v tom nenechali, napsali odvol\u00e1n\u00ed a \u010dekali jsme, jak dopadne. Pak ale p\u0159i\u0161lo rozhodnut\u00ed, \u017ee na l\u00e9k nem\u00e1m n\u00e1rok,“ \u0159ekl dvaa\u010dty\u0159icetilet\u00fd V\u00edt Posel.<\/p>\n

Necel\u00e9 t\u0159i m\u011bs\u00edce od vysazen\u00ed l\u00e9ku p\u0159i\u0161la ataka nemoci. A s n\u00ed i prohlouben\u00ed zdravotn\u00edch pot\u00ed\u017e\u00ed. „Podstatn\u011b se mi zhor\u0161ila ch\u016fze, m\u00e1m \u0159ezav\u00e9 bolesti p\u0159i p\u0159edkl\u00e1n\u011bn\u00ed hlavy, nem\u016f\u017eu \u0159\u00eddit auto a nikam d\u00e1l nedojdu. I na krat\u0161\u00ed vzd\u00e1lenosti mus\u00edm pou\u017e\u00edvat berle,“ popsal pacient.<\/p>\n

Je p\u0159esv\u011bd\u010den, \u017ee nemoc by se nemusela ozvat, kdyby zdravotn\u00ed poji\u0161\u0165ovna nezas\u00e1hla do jeho re\u017eimu l\u00e9\u010dby.<\/p>\n

„Kdyby mi l\u00e9k nevysadili, nep\u0159i\u0161la by ataka takto rychle a nebyla by takto v\u00e1\u017en\u00e1,“ m\u00edn\u00ed. N\u00e1zor op\u00edr\u00e1 o l\u00e9ka\u0159sk\u00e9 zpr\u00e1vy i fakt, \u017ee za t\u0159i roky u\u017e\u00edv\u00e1n\u00ed dra\u017e\u0161\u00ed l\u00e9\u010dby neprod\u011blal ani jednu ataku a lo\u017eiska nemoci se nezv\u011bt\u0161ovala.<\/p>\n

Zhor\u0161en\u00ed stavu zp\u016fsobilo vysazen\u00ed l\u00e9\u010dby, \u0159\u00edk\u00e1 l\u00e9ka\u0159ka<\/p>\n

To, \u017ee poji\u0161\u0165ovna zas\u00e1hla do zdravotn\u00edho stavu V\u00edta Posla, je p\u0159esv\u011bd\u010dena i jeho l\u00e9ka\u0159ka Alena Novotn\u00e1. „Ke zhor\u0161en\u00ed stavu se vznikem t\u011b\u017ek\u00e9 ataky do\u0161lo vysazen\u00edm l\u00e9\u010dby. Je tak\u00e9 velice pravd\u011bpodobn\u00e9, \u017ee se na jej\u00edm vzniku pod\u00edlela dlouhodob\u00e1 psychick\u00e1 z\u00e1t\u011b\u017e souvisej\u00edc\u00ed s odebr\u00e1n\u00edm l\u00e9\u010dby po revizi VZP, kter\u00e1 vy\u00fastila k rozvoji deprese,“ tvrd\u00ed Novotn\u00e1.<\/p>\n

„Pacient se velice ob\u00e1val, \u017ee mu l\u00e9\u010dba ji\u017e nebude zp\u011bt vr\u00e1cena a z finan\u010dn\u00edch d\u016fvod\u016f by si nemohl dovolit pravidelnou m\u011bs\u00ed\u010dn\u00ed \u00fahradu,“ popsala Novotn\u00e1.<\/p>\n

Pod jedn\u00edm ze stanovisek k \u017e\u00e1dosti o op\u011btovn\u00e9 povolen\u00ed l\u00e9\u010dby je podeps\u00e1na revizn\u00ed l\u00e9ka\u0159ka VZP Marie Lev\u00ednsk\u00e1. V kolonce stanovisko revizn\u00edho l\u00e9ka\u0159e stoj\u00ed stru\u010dn\u011b: „Neschvaluji – rozhodnut\u00ed \u00fast\u0159ed\u00ed.“<\/p>\n

Lev\u00ednsk\u00e1 \u0159ekla, \u017ee jen respektovala rozhodnut\u00ed nad\u0159\u00edzen\u00fdch. „Mus\u00edm d\u00e1t na posouzen\u00ed centrov\u00e9 skupiny poji\u0161\u0165ovny a nem\u016f\u017eu do n\u011bj aktivn\u011b vstupovat. Tato skupina rozhodla, \u017ee l\u00e9\u010dba nem\u011bla b\u00fdt indikov\u00e1na, po dal\u0161\u00edch dopl\u0148uj\u00edc\u00edch n\u00e1lezech \u00fast\u0159ed\u00ed dal\u0161\u00ed l\u00e9\u010den\u00ed u\u017e schv\u00e1lilo,“ tvrd\u00ed revizn\u00ed l\u00e9ka\u0159ka VZP.<\/p>\n

Poji\u0161\u0165ovna p\u0159\u00edpad V\u00edta Posla zat\u00edm nechce komentovat s t\u00edm, \u017ee jedn\u00e1n\u00ed o \u00fahrad\u011b l\u00e9ku nen\u00ed st\u00e1le uzav\u0159eno. Pan Posel ale nyn\u00ed u\u017e dra\u017e\u0161\u00ed l\u00e9k op\u011bt bere, l\u00e9ka\u0159i mu jej za\u010dali ps\u00e1t po zhruba t\u0159ech m\u011bs\u00edc\u00edch.<\/p>\n

V pardubick\u00e9m centru p\u0159i\u0161lo o \u00fahradu l\u00e9k\u016f 15 lid\u00ed<\/p>\n

V\u00edt Posel je jedn\u00edm z t\u011bch, kter\u00fdm VZP p\u0159estala hradit biologickou l\u00e9\u010dbu. O dra\u017e\u0161\u00ed l\u00e9ky p\u0159i\u0161ly des\u00edtky pacient\u016f, Loni provedla revizi v t\u00e9m\u011b\u0159 v\u0161ech centrech, kde tuto nemoc l\u00e9\u010d\u00ed. Celkem je jich v \u010cesku 15.<\/p>\n

„Vy\u00fa\u010dtov\u00e1n\u00ed l\u00e9\u010div jsme ozna\u010dili za nespr\u00e1vn\u00e9 u 226 pacient\u016f,“ uvedl mluv\u010d\u00ed poji\u0161\u0165ovny Old\u0159ich Tich\u00fd. Celkem jde o p\u00e9\u010di za zhruba 115 milion\u016f korun. V\u011bt\u0161inu n\u00e1mitek v souvislosti s revizemi poji\u0161\u0165ovna vyhodnotila jako neod\u016fvodn\u011bn\u00e9 a zam\u00edtla je.<\/p>\n

Jen v pardubick\u00e9m centru l\u00e9\u010dby t\u00e9to nemoci, kde se l\u00e9\u010d\u00ed i V\u00edt Posel, se bez \u00fahrad biologick\u00e9ho l\u00e9ku ocitlo 15 lid\u00ed, mezi nimi i 21let\u00e1 d\u00edvka. Krajsk\u00e1 nemocnice, pod n\u00ed\u017e centrum spad\u00e1, situaci nechce komentovat, proto\u017ee jedn\u00e1n\u00ed o \u00fahrad\u00e1ch mezi n\u00ed a VZP st\u00e1le nen\u00ed uzav\u0159eno. Tak\u00e9 VZP je k vysv\u011btlov\u00e1n\u00ed zdr\u017eenliv\u00e1.<\/p>\n

„M\u00e1me z\u00e1jem na \u0159e\u0161en\u00ed, kter\u00e9 bude p\u0159\u00ednosn\u00e9 pro v\u0161echny strany. Nechceme komplikovat mo\u017enost nalezen\u00ed takov\u00e9ho \u0159e\u0161en\u00ed, a proto nebudeme vyd\u00e1vat \u017e\u00e1dn\u00e1 jednostrann\u00e1 prohl\u00e1\u0161en\u00ed a stanoviska. O v\u00fdsledku sm\u00edr\u010d\u00edho \u0159\u00edzen\u00ed, a\u0165 ji\u017e bude jak\u00fdkoliv, jsme p\u0159ipraveni samoz\u0159ejm\u011b informovat,“ uvedl Tich\u00fd.<\/p>\n

Poji\u0161\u0165ovna kontroly h\u00e1j\u00ed t\u00edm, \u017ee na l\u00e9\u010dbu jdou nemal\u00e9 prost\u0159edky. Loni to bylo v\u00edce ne\u017e 979 milion\u016f korun. V roce 2011 za ni VZP platila 980 milion\u016f. M\u011bs\u00ed\u010dn\u00ed l\u00e9\u010den\u00ed biologickou l\u00e9\u010dbou stoj\u00ed od 20 do 40 tis\u00edc korun. Bez biologick\u00e9 l\u00e9\u010dby jsou n\u00e1klady ni\u017e\u0161\u00ed. Pohybuj\u00ed se mezi 5 a\u017e 18 tis\u00edci korunami m\u011bs\u00ed\u010dn\u011b. V \u010cesku je nyn\u00ed zhruba 18 tis\u00edc lid\u00ed, kte\u0159\u00ed trp\u00ed roztrou\u0161enou skler\u00f3zou, a jejich po\u010det stoup\u00e1.<\/p>\n

Ministerstvo zdravotnictv\u00ed na situaci kolem \u00fahradov\u00fdch tahanic, je\u017e jsou dlouhodob\u00e9, u\u017e d\u0159\u00edve zareagovalo t\u00edm, \u017ee do na\u0159\u00edzen\u00ed vl\u00e1dy dalo lh\u016ftu. Ta \u0159\u00edk\u00e1, \u017ee pacienti s roztrou\u0161enou skler\u00f3zou se mus\u00ed k biologick\u00e9 l\u00e9\u010db\u011b dostat nejpozd\u011bji \u010dty\u0159 t\u00fddn\u016f od diagn\u00f3zy.<\/p>\n

Dev\u011bt pacient\u016f ze severu \u010cech loni v lednu ozn\u00e1milo, \u017ee se \u00fahrad budou dom\u00e1hat soudn\u011b. Na \u017ealoby ale nedo\u0161lo, proto\u017ee provozovatel tam\u011bj\u0161\u00edho zdravotnick\u00e9ho za\u0159\u00edzen\u00ed rychle couvl a pen\u00edze na l\u00e9\u010dbu na\u0161el.<\/p>\n

P\u0159esto se mezi odborn\u00edky hovo\u0159\u00ed o tom, \u017ee VZP hled\u00e1 mo\u017enosti, jak \u010d\u00e1st center zav\u0159\u00edt. P\u0159itom u\u017e nyn\u00ed se do n\u011bkter\u00fdch, nap\u0159\u00edklad v Praze ve VFN, pacienti nemohou kv\u016fli po\u010detn\u00edmu p\u0159etlaku dostat.<\/p>\n

„Pro leto\u0161n\u00ed rok m\u00e1me uzav\u0159eny v\u0161echny smlouvy. Jak se bude situace vyv\u00edjet v p\u0159\u00ed\u0161t\u00edm roce, nelze p\u0159edv\u00eddat, nicm\u00e9n\u011b v\u00fd\u0161e n\u00e1klad\u016f na centrovou p\u00e9\u010di by rozhodn\u011b nem\u011bla b\u00fdt krit\u00e9riem, podle kter\u00e9ho bude VZP k uzav\u00edr\u00e1n\u00ed smluv p\u0159istupovat,\u2018 doplnil mluv\u010d\u00ed poji\u0161\u0165ovny.<\/p>\n

Mlad\u00e1 fronta DNES<\/p>\n

Hana V\u00e1lkov\u00e1<\/p>\n","protected":false},"excerpt":{"rendered":"

Biologickou l\u00e9\u010dbu roztrou\u0161en\u00e9 skler\u00f3zy p\u0159estala VZP hradit v\u00edce ne\u017e dv\u011bma stovk\u00e1m pacient\u016f v \u010cesku. Pacienti se bou\u0159\u00ed a n\u011bkte\u0159\u00ed z nich u\u017e vin\u00ed poji\u0161\u0165ovnu ze […]<\/a><\/p>\n<\/div>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[],"class_list":["post-4231","post","type-post","status-publish","format-standard","hentry","category-zdravi"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4231","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=4231"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/4231\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=4231"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=4231"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=4231"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}