{"id":222279,"date":"2021-04-26T11:28:41","date_gmt":"2021-04-26T10:28:41","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=222279"},"modified":"2021-04-26T11:28:41","modified_gmt":"2021-04-26T10:28:41","slug":"vseobecna-zdravotni-pojistovna-platby-u-nesmluvniho-lekare","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=222279","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Platby u nesmluvn\u00edho l\u00e9ka\u0159e"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
L\u00e9ka\u0159, ke kter\u00e9mu bych cht\u011bl za\u010d\u00edt chodit, pr\u00fd pracuje bez smlouvy s poji\u0161\u0165ovnami. Co by to pro mne znamenalo? Proplat\u00ed mi VZP to, co bych mu musel zaplatit?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

\u010c\u00e1stky, kter\u00e9 byste zaplatil l\u00e9ka\u0159i, kter\u00fd nem\u00e1 smlouvu s VZP, v\u00e1m VZP v \u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b proplatit nem\u016f\u017ee. Stejn\u011b postupuj\u00ed i ostatn\u00ed zdravotn\u00ed poji\u0161\u0165ovny \u2013 smlouvy o poskytov\u00e1n\u00ed a \u00fahrad\u011b hrazen\u00fdch slu\u017eeb jsou v\u017edy uzav\u0159eny mezi zdravotn\u00ed poji\u0161\u0165ovnou a poskytovatelem zdravotn\u00edch slu\u017eeb (a\u0165 u\u017e jde o jednotliv\u00e9ho l\u00e9ka\u0159e nebo cel\u00e9 zdravotnick\u00e9 za\u0159\u00edzen\u00ed, nap\u0159. nemocnici) a pacient je mimo tento smluvn\u00ed vztah. Zdravotn\u00ed poji\u0161\u0165ovna nem\u00e1 \u017e\u00e1dn\u00fd pr\u00e1vn\u00ed d\u016fvod a tedy ani opr\u00e1vn\u011bn\u00ed proplatit sv\u00e9mu poji\u0161t\u011bnci \u201e\u00fa\u010det\u201c, s n\u00edm\u017e by p\u0159i\u0161el od l\u00e9ka\u0159e. Takov\u00e1 praxe funguje jen v zem\u00edch, kde existuje tzv. pokladensk\u00fd syst\u00e9m.<\/p>\n

Podle z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed m\u00e1 poji\u0161t\u011bnec pr\u00e1vo na v\u00fdb\u011br zdravotn\u00ed poji\u0161\u0165ovny a na v\u00fdb\u011br poskytovatele zdravotn\u00edch slu\u017eeb na \u00fazem\u00ed \u010cR, kter\u00fd je ve smluvn\u00edm vztahu k jeho zdravotn\u00ed poji\u0161\u0165ovn\u011b. Poskytovatelem zdravotn\u00edch slu\u017eeb se p\u0159itom rozum\u00ed fyzick\u00e1 nebo pr\u00e1vnick\u00e1 osoba, kter\u00e1 m\u00e1 opr\u00e1vn\u011bn\u00ed k poskytov\u00e1n\u00ed zdravotn\u00edch slu\u017eeb. U tohoto poskytovatele zdravotn\u00edch slu\u017eeb m\u00e1 pak poji\u0161t\u011bnec pr\u00e1vo na poskytnut\u00ed hrazen\u00fdch slu\u017eeb v rozsahu a za podm\u00ednek stanoven\u00fdch uveden\u00fdm z\u00e1konem, p\u0159i\u010dem\u017e poskytovatel nesm\u00ed za tyto hrazen\u00e9 slu\u017eby p\u0159ijmout od poji\u0161t\u011bnce \u017e\u00e1dnou \u00fahradu. V\u00fdjimkou pochopiteln\u011b je p\u00e9\u010de vyjmenovan\u00e1 v z\u00e1kon\u011b jako nehrazen\u00e1 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed nebo hrazen\u00e1 \u010d\u00e1ste\u010dn\u011b, kterou pacient plat\u00ed a\u0165 u\u017e pln\u011b, nebo \u010d\u00e1ste\u010dn\u011b.<\/p>\n

Poji\u0161t\u011bnci v\u0161ak sv\u00e9 pr\u00e1vo na v\u00fdb\u011br l\u00e9ka\u0159e, resp. zdravotnick\u00e9ho za\u0159\u00edzen\u00ed ve smluvn\u00edm vztahu k p\u0159\u00edslu\u0161n\u00e9 zdravotn\u00ed poji\u0161\u0165ovn\u011b nemus\u00ed uplatnit a mohou si pro v\u0161echny druhy zdravotn\u00ed p\u00e9\u010de vybrat nesmluvn\u00edho poskytovatele zdravotn\u00edch slu\u017eeb. T\u00edm se v\u0161ak vzd\u00e1vaj\u00ed pr\u00e1va na \u00fahradu p\u00e9\u010de z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a hrad\u00ed si sami ze sv\u00fdch prost\u0159edk\u016f ve\u0161kerou zdravotn\u00ed p\u00e9\u010di poskytnutou a p\u0159edepsanou t\u00edmto nesmluvn\u00edm poskytovatelem zdravotn\u00edch slu\u017eeb, v\u010detn\u011b l\u00e9k\u016f a doprovodn\u00fdch vy\u0161et\u0159en\u00ed.<\/p>\n

Nesmluvn\u00edmu poskytovateli zdravotn\u00edch slu\u017eeb hrad\u00ed poji\u0161\u0165ovna z prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed v\u017edy pouze nutnou a neodkladnou p\u00e9\u010di poskytnutou jej\u00edmu poji\u0161t\u011bnci. T\u00edm se rozum\u00ed poskytnut\u00ed zdravotn\u00ed p\u00e9\u010de p\u0159i \u00farazu, p\u0159i vzniku akutn\u00edho onemocn\u011bn\u00ed, p\u0159i akutn\u00edm zhor\u0161en\u00ed zdravotn\u00edho stavu a p\u0159i neodkladn\u00e9m porodu, kde by odklad zdravotn\u00ed p\u00e9\u010de mohl v\u00e9st k ohro\u017een\u00ed \u017eivota nebo k z\u00e1va\u017en\u00e9mu zhor\u0161en\u00ed zdravotn\u00edho stavu. Tato p\u00e9\u010de m\u016f\u017ee b\u00fdt poskytov\u00e1na nejd\u00e9le do doby, ne\u017e je mo\u017eno poji\u0161t\u011bnce bez ohro\u017een\u00ed jeho zdravotn\u00edho stavu p\u0159edat do p\u00e9\u010de smluvn\u00edho poskytovatele zdravotn\u00edch slu\u017eeb. Pokud by poji\u0161t\u011bnec cht\u011bl b\u00fdt d\u00e1le l\u00e9\u010den v nesmluvn\u00edm za\u0159\u00edzen\u00ed, mus\u00ed b\u00fdt informov\u00e1n, \u017ee dal\u0161\u00ed p\u00e9\u010di ji\u017e bude muset pln\u011b hradit s\u00e1m.<\/p>\n

VZP m\u00e1 ale tak \u0161irokou s\u00ed\u0165 smluvn\u00edch partner\u016f, \u017ee m\u00e1te mo\u017enost si zvolit n\u011bkter\u00e9ho jej\u00edho smluvn\u00edho l\u00e9ka\u0159e. Pokud byste trval na konkr\u00e9tn\u00edm l\u00e9ka\u0159i, kter\u00fd smlouvu nem\u00e1, mus\u00edte po\u010d\u00edtat s v\u00fd\u0161e uveden\u00fdmi d\u016fsledky.<\/p>\n

(tzvzp)<\/strong><\/p>\n

 <\/p>\n

 <\/p>\n

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

OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":222280,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"gallery","meta":{"footnotes":""},"categories":[88],"tags":[],"jetpack_featured_media_url":"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2021\/04\/26\/r\u00e1me\u010dek-ot\u00e1zka-t\u00fddne.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/222279"}],"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=222279"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/222279\/revisions"}],"predecessor-version":[{"id":222281,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/222279\/revisions\/222281"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/222280"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=222279"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=222279"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=222279"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}