{"id":106156,"date":"2017-08-25T11:23:28","date_gmt":"2017-08-25T10:23:28","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=106156"},"modified":"2017-08-25T11:37:15","modified_gmt":"2017-08-25T10:37:15","slug":"zdravi-a-vyziva-odpoved-na-otazku-jak-hradi-vseobecna-zdravotni-pojistovna-operaci-krecovych-zil","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=106156","title":{"rendered":"ZDRAV\u00cd A V\u00dd\u017dIVA: Odpov\u011b\u010f na ot\u00e1zku Jak\u00e9 operace k\u0159e\u010dov\u00fdch \u017eil (varix\u016f) VZP sv\u00fdm poji\u0161t\u011bnc\u016fm uhrad\u00ed?"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-106158 size-full\" src=\"http:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace.jpg\" alt=\"\" width=\"800\" height=\"502\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace.jpg 800w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace-300x188.jpg 300w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace-768x482.jpg 768w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace-569x357.jpg 569w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace-770x483.jpg 770w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/p>\n<p>&nbsp;<\/p>\n<h6><strong><em>OT\u00c1ZKA: M\u011bla bych podstoupit operaci k\u0159e\u010dov\u00fdch \u017eil. L\u00e9ka\u0159 mi navrhuje jako v\u00fdhodn\u011bj\u0161\u00ed variantu operaci laserem, ale musela bych si ji sama zaplatit. Pro\u010d nen\u00ed tato operace hrazena poji\u0161\u0165ovnou?<\/em><\/strong><\/h6>\n<p>Poji\u0161\u0165ovna hrad\u00ed sv\u00fdm poji\u0161t\u011bnc\u016fm z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed operace k\u0159e\u010dov\u00fdch \u017eil (varix\u016f) proveden\u00e9 ve smluvn\u00edm zdravotnick\u00e9m za\u0159\u00edzen\u00ed\u00a0<strong>podle platn\u00e9ho Seznamu zdravotn\u00edch v\u00fdkon\u016f s\u00a0bodov\u00fdmi hodnotami,<\/strong>\u00a0tj.\u00a0na z\u00e1klad\u011b vyk\u00e1z\u00e1n\u00ed k\u00f3d\u016f existuj\u00edc\u00edch v\u00fdkon\u016f. Hrad\u00ed tedy proveden\u00ed klasick\u00e9ho chirurgick\u00e9ho z\u00e1kroku, co\u017e je\u00a0<strong>radik\u00e1ln\u00ed chirurgick\u00e9 odstran\u011bn\u00ed k\u0159e\u010dov\u00fdch \u017eil.<\/strong>\u00a0V r\u00e1mci odbornosti dermatologie pak poji\u0161\u0165ovna pln\u011b hrad\u00ed tak\u00e9 tzv.\u00a0<strong>skleroterapii,<\/strong>\u00a0pou\u017e\u00edvanou u\u00a0metli\u010dkovit\u00fdch varix\u016f nebo u\u00a0\u017eiln\u00edch spojek a\u00a0zbytk\u016f po operaci varix\u016f. Zde se jedn\u00e1 o\u00a0uzav\u0159en\u00ed posti\u017een\u00e9 \u017e\u00edly v\u00a0d\u016fsledku aplikace l\u00e1tky, kter\u00e1 zp\u016fsob\u00ed jej\u00ed m\u00edstn\u00ed zjizven\u00ed a\u00a0uz\u00e1v\u011br.<\/p>\n<p>Jin\u00fd zp\u016fsob proveden\u00ed z\u00e1kroku, nap\u0159. odstran\u011bn\u00ed k\u0159e\u010dov\u00fdch \u017eil laserovou nebo radiofrekven\u010dn\u00ed metodou, kdy je do povrchov\u00e9ho \u017eiln\u00edho kmene zavedena speci\u00e1ln\u00ed sonda vys\u00edlaj\u00edc\u00ed laserov\u00e9 z\u00e1\u0159en\u00ed nebo bipol\u00e1rn\u00ed radiofrekven\u010dn\u00ed proud, poji\u0161\u0165ovny zat\u00edm hradit nemohou \u2013\u00a0<strong>laserov\u00e1 ani radiofrekven\u010dn\u00ed operace varix\u016f dosud nebyly za\u0159azeny mezi v\u00fdkony hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/strong>\u00a0Zdravotnick\u00e1 za\u0159\u00edzen\u00ed je sice mohou prov\u00e1d\u011bt, proto\u017ee je to metoda ofici\u00e1ln\u011b povolen\u00e1 ministerstvem zdravotnictv\u00ed, ale mus\u00ed si je hradit pacient.<\/p>\n<p>K\u00a0tomu, aby byl n\u011bjak\u00fd v\u00fdkon za\u0159azen do seznamu hrazen\u00fdch zdravotn\u00edch v\u00fdkon\u016f, je zapot\u0159eb\u00ed, aby o\u00a0mo\u017enost prov\u00e1d\u011bn\u00ed t\u00e9to metody a\u00a0jej\u00ed n\u00e1slednou \u00fahradu z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed po\u017e\u00e1dala p\u0159\u00edslu\u0161n\u00e1 odborn\u00e1 spole\u010dnost. Se sv\u00fdm po\u017eadavkem se mus\u00ed obr\u00e1tit na MZ \u010cR a p\u0159edlo\u017eit n\u00e1vrh zdravotn\u00edho v\u00fdkonu v\u010detn\u011b zd\u016fvodn\u011bn\u00ed nutnosti jeho za\u0159azen\u00ed mezi v\u00fdkony hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a\u00a0p\u0159edb\u011b\u017en\u00e9 ekonomick\u00e9 kalkulace. Teprve pot\u00e9, co je schv\u00e1leno za\u0159azen\u00ed v\u00fdkonu mezi hrazen\u00e9, je vytvo\u0159ena kone\u010dn\u00e1 podoba v\u00fdkonu v\u010detn\u011b jeho ekonomick\u00e9ho ohodnocen\u00ed a\u00a0v\u00fdkon je za\u0159azen vyhl\u00e1\u0161kou MZ\u00a0\u010cR do Seznamu zdravotn\u00edch v\u00fdkon\u016f s\u00a0bodov\u00fdmi hodnotami. Zdravotnick\u00e1 za\u0159\u00edzen\u00ed, kter\u00e1 spl\u0148uj\u00ed po\u017eadovan\u00e9 podm\u00ednky pro poskytov\u00e1n\u00ed t\u00e9to p\u00e9\u010de, pak mohou po\u017e\u00e1dat poji\u0161\u0165ovnu o\u00a0nasmlouv\u00e1n\u00ed p\u0159edm\u011btn\u00e9ho v\u00fdkonu. Pokud ho maj\u00ed ve sv\u00e9 smlouv\u011b, mohou ho vykazovat poji\u0161\u0165ovn\u011b k \u00fahrad\u011b ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n<p>&nbsp;<\/p>\n<p><strong>Old\u0159ich TICH\u00dd,\u00a0<\/strong>vedouc\u00ed tiskov\u00e9ho odd\u011blen\u00ed a tiskov\u00fd mluv\u010d\u00ed, <a href=\"https:\/\/www.vzp.cz\/\" target=\"_blank\" rel=\"noopener noreferrer\"><strong>V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna<\/strong><\/a><\/p>\n<p>Ilustra\u010dn\u00ed foto: archiv (red) &#8211; Za kr\u00e1sn\u011bj\u0161\u00ed Vimperk<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>&nbsp; OT\u00c1ZKA: <\/p>\n","protected":false},"author":2,"featured_media":106158,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[24],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2017\/08\/14\/operace.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/106156"}],"collection":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=106156"}],"version-history":[{"count":9,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/106156\/revisions"}],"predecessor-version":[{"id":107532,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/106156\/revisions\/107532"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/106158"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=106156"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=106156"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=106156"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}