{"id":8192,"date":"2013-07-22T13:17:40","date_gmt":"2013-07-22T11:17:40","guid":{"rendered":"http:\/\/www.invarena.cz\/?p=8192"},"modified":"2013-07-22T13:18:48","modified_gmt":"2013-07-22T11:18:48","slug":"mam-platit-mamografii-nebo-ne","status":"publish","type":"post","link":"https:\/\/www.invarena.cz\/?p=8192","title":{"rendered":"M\u00e1m platit mamografii nebo ne?"},"content":{"rendered":"

Jak je to s proplacen\u00edm preventivn\u00edho mamografick\u00e9ho vy\u0161et\u0159en\u00ed klientk\u00e1m VZP a ev. navazuj\u00edc\u00ed sonografie? Objevuj\u00ed se p\u0159\u00edpady, kdy l\u00e9ka\u0159i ne zcela spr\u00e1vn\u011b vy\u017eaduj\u00ed od pacientek placen\u00ed. Proto v poradn\u011b invAreny uv\u00e1d\u00edme spr\u00e1vn\u00fd postup.<\/strong> <\/p>\n

OT\u00c1ZKA:<\/p>\n

Vyu\u017eila jsem mo\u017enosti nechat si v r\u00e1mci bonusov\u00e9 akce VZP proplatit mamografii v term\u00ednu mezi dv\u011bma \u0159\u00e1dn\u00fdmi vy\u0161et\u0159en\u00edmi, tedy u\u017e po roce. Na z\u00e1klad\u011b mamografie mne ale poslali na sono a to cht\u011bli tak\u00e9 zaplatit. Proplat\u00ed mi poji\u0161\u0165ovna nejen mamografii, ale i sono? Byl v\u016fbec tento postup opr\u00e1vn\u011bn\u00fd?
\n<\/b><\/p>\n

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

\u00a0Ano, V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna v\u00e1m v takov\u00e9m p\u0159\u00edpad\u011b proplat\u00ed nejen proveden\u00e9 mamografick\u00e9 vy\u0161et\u0159en\u00ed, ale tak\u00e9 navazuj\u00edc\u00ed vy\u0161et\u0159en\u00ed sonografick\u00e9.<\/b> Celkov\u00e1 mo\u017en\u00e1 v\u00fd\u0161e p\u0159\u00edsp\u011bvku 1\u00a0500 K\u010d jist\u011b pokryje oboj\u00ed vzhledem k tomu, \u017ee podle dostupn\u00fdch informac\u00ed mamografie obvykle stoj\u00ed 500\u2013800 K\u010d a sono 250-400 K\u010d. Na dokladu jen mus\u00ed b\u00fdt uvedeno, \u017ee se jedn\u00e1 o\u00a0ultrasonografii (ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed) prsou<\/b>.<\/p>\n

 <\/p>\n

V r\u00e1mci bonusov\u00e9ho programu Zdrav\u00fd \u017eivot VZP propl\u00e1c\u00ed do v\u00fd\u0161e 1\u00a0500 K\u010d a\u017e do 30. listopadu 2013 <\/b>preventivn\u00ed mamografii a ultrasonografii prsou, proveden\u00e9 v souladu s ministersk\u00fdm Doporu\u010den\u00fdm standardem pro poskytov\u00e1n\u00ed screeningu karcinomu prsu.<\/p>\n

Zde je uvedeno, \u017ee screeningovou mamografii lze prov\u00e9st ve screeningov\u00e9m centru tak\u00e9 na vlastn\u00ed \u017e\u00e1dost pacientky, a to od 40. roku v\u011bku, p\u0159i\u010dem\u017e interval by nem\u011bl b\u00fdt krat\u0161\u00ed ne\u017e 1 rok. P\u0159i preventivn\u00edm vy\u0161et\u0159eni \u017eeny mlad\u0161\u00ed ne\u017e 40 let v\u011bku se prov\u00e1d\u00ed ultrasonografie. Vy\u0161et\u0159eni na vlastn\u00ed \u017e\u00e1dost nejsou hrazena z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

 <\/p>\n

Pokud je v\u0161ak vy\u0161et\u0159en\u00ed indikovan\u00e9 l\u00e9ka\u0159em, co\u017e sonografick\u00e9 dovy\u0161et\u0159en\u00ed po mamografii bylo, tak by m\u011blo b\u00fdt hrazeno zdravotn\u00ed poji\u0161\u0165ovnou. Indikovat dal\u0161\u00ed pot\u0159ebn\u00e1 dopl\u0148uj\u00edc\u00ed vy\u0161et\u0159en\u00ed l\u00e9ka\u0159 screeningov\u00e9ho centra sm\u00ed, tak\u017ee byly spln\u011bny v\u0161echny n\u00e1le\u017eitosti k\u00a0\u00fahrad\u011b z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

Jinak \u0159e\u010deno: to, \u017ee jste dopl\u0148uj\u00edc\u00ed sonografick\u00e9 vy\u0161et\u0159en\u00ed musela zaplatit, nebyl spr\u00e1vn\u00fd postup. <\/b>M\u011blo b\u00fdt vyk\u00e1z\u00e1no k \u00fahrad\u011b poji\u0161\u0165ovn\u011b. Nyn\u00ed tedy m\u00e1te dv\u011b mo\u017enosti \u2013 bu\u010f po\u017e\u00e1dat screeningov\u00e9 centrum o vr\u00e1cen\u00ed zaplacen\u00e9 \u010d\u00e1stky, nebo si nechat proplatit i platebn\u00ed doklad na sono vy\u0161et\u0159en\u00ed prsou od poji\u0161\u0165ovny.<\/p>\n

 <\/p>\n

V\u00edce o bonusov\u00e9m programu Zdrav\u00fd \u017eivot, kter\u00fd vyjma mamografie kon\u010d\u00ed 31. 7. 2013, se do\u010dtete na webov\u00fdch str\u00e1nk\u00e1ch V\u0161eobecn\u00e9 zdravotn\u00ed poji\u0161\u0165ovny www.vzp.cz\/zdravy-zivot-bonus<\/a>.<\/p>\n

 <\/p>\n

Mgr. Old\u0159ich Tich\u00fd
\n<\/b>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed<\/p>\n

 <\/p>\n","protected":false},"excerpt":{"rendered":"

Jak je to s proplacen\u00edm preventivn\u00edho mamografick\u00e9ho vy\u0161et\u0159en\u00ed klientk\u00e1m VZP a ev. navazuj\u00edc\u00ed sonografie? Objevuj\u00ed se p\u0159\u00edpady, kdy l\u00e9ka\u0159i ne zcela spr\u00e1vn\u011b vy\u017eaduj\u00ed od pacientek […]<\/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":[18],"tags":[],"class_list":["post-8192","post","type-post","status-publish","format-standard","hentry","category-poradna"],"_links":{"self":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/8192","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=8192"}],"version-history":[{"count":0,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=\/wp\/v2\/posts\/8192\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=8192"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=8192"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.invarena.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=8192"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}