{"id":229844,"date":"2021-07-14T07:28:09","date_gmt":"2021-07-14T06:28:09","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=229844"},"modified":"2021-07-14T07:28:09","modified_gmt":"2021-07-14T06:28:09","slug":"vseobecna-zdravotni-pojistovna-uhrady-ambulantni-stomatologicke-pece","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=229844","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: \u00dahrady ambulantn\u00ed stomatologick\u00e9 p\u00e9\u010de"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Co je a co nen\u00ed u stomatologa hrazeno poji\u0161\u0165ovnou?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Stomatologick\u00e9 v\u00fdkony, kter\u00e9 nejsou hrazen\u00e9 poji\u0161\u0165ovnou, jsou vyjmenov\u00e1ny p\u0159\u00edmo v z\u00e1kon\u011b o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. D\u00e1le nejsou hrazen\u00e9 ty v\u00fdkony, kter\u00e9 nesleduj\u00ed l\u00e9\u010debn\u00fd \u00fa\u010del \u2013 nap\u0159\u00edklad lepen\u00ed r\u016fzn\u00fdch ozdob na zubn\u00ed korunku nebo b\u011blen\u00ed chrupu. Opa\u010dn\u00fd princip plat\u00ed u stomatologick\u00fdch v\u00fdrobk\u016f, kter\u00e9 jsou hrazeny jen tehdy, pokud jsou v z\u00e1kon\u011b vyjmenov\u00e1ny jako hrazen\u00e9.<\/p>\n

Obecn\u011b plat\u00ed, \u017ee stomatologick\u00e9 v\u00fdkony jsou bu\u010f pln\u011b hrazen\u00e9, anebo nehrazen\u00e9 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed. V sou\u010dasn\u00e9 dob\u011b neexistuje \u017e\u00e1dn\u00fd v\u00fdkon s \u010d\u00e1ste\u010dnou \u00fahradou, tj. na kter\u00fd by pacient n\u011bjakou \u010d\u00e1stku dopl\u00e1cel. I v tom se v\u00fdkony li\u0161\u00ed od stomatologick\u00fdch v\u00fdrobk\u016f, kter\u00e9 z\u00e1kon rozd\u011bluje na pln\u011b hrazen\u00e9, \u010d\u00e1ste\u010dn\u011b hrazen\u00e9 a nehrazen\u00e9 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/p>\n

Ze zdravotn\u00edho poji\u0161t\u011bn\u00ed se nehrad\u00ed<\/strong> pe\u010det\u011bn\u00ed fisury, nasazen\u00ed kofferdamu, trepanace alveolu, augmentace, \u0159\u00edzen\u00e1 tk\u00e1\u0148ov\u00e1 regenerace a implantace v zubn\u00edm l\u00e9ka\u0159stv\u00ed, provizorn\u00ed m\u016fstek zhotoven\u00fd v ordinaci, oprava fixn\u00ed n\u00e1hrady v ordinaci, odborn\u00e1 ortodontick\u00e1 konzultace na \u017e\u00e1dost pacienta a intraligament\u00e1rn\u00ed anest\u00e9zie (speci\u00e1ln\u00ed druh m\u00edstn\u00edho znecitliv\u011bn\u00ed jen jednotliv\u00fdch zub\u016f). Tyto v\u00fdkony v\u017edy hrad\u00ed pacient.<\/p>\n

N\u011bkter\u00e9 v\u00fdkony jsou hrazen\u00e9 jen za ur\u010dit\u00fdch podm\u00ednek<\/strong>, kter\u00e9 stanov\u00ed z\u00e1kon o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed. Nap\u0159\u00edklad v\u00fdpl\u0148 zubu<\/strong><\/a> (plomba) se ze zdravotn\u00edho poji\u0161t\u011bn\u00ed se hrad\u00ed v souladu s podm\u00ednkami uveden\u00fdmi v p\u0159\u00edloze \u010d. 1 z\u00e1kona, platn\u00fdmi pro obdob\u00ed, kdy byl v\u00fdkon proveden.<\/p>\n

Profylaktick\u00e1 kontrola \u00fastn\u00ed hygieny je hrazena nejv\u00fd\u0161e dvakr\u00e1t ro\u010dn\u011b a pokud by pacient po\u017eadoval dal\u0161\u00ed kontrolu v roce, mus\u00ed ji zaplatit s\u00e1m. Podobn\u011b profylaktick\u00e9 odstran\u011bn\u00ed zubn\u00edho kamene je hrazeno nejv\u00fd\u0161e jednou ro\u010dn\u011b, nikoli tedy p\u0159i ka\u017ed\u00e9m ze dvou preventivn\u00edch vy\u0161et\u0159en\u00ed, na kter\u00e1 m\u00e1 poji\u0161t\u011bnec bezplatn\u011b n\u00e1rok. Lok\u00e1ln\u00ed fluoridace se hrad\u00ed, jen pokud je pou\u017eit p\u0159\u00edpravek s aminfluoridem bez nosi\u010de. P\u0159i pou\u017eit\u00ed jin\u00e9ho p\u0159\u00edpravku plat\u00ed lok\u00e1ln\u00ed fluoridaci pacient.<\/p>\n

Endodontick\u00e9 o\u0161et\u0159en\u00ed je hrazeno jen tehdy, jde-li o prim\u00e1rn\u00ed o\u0161et\u0159en\u00ed, kter\u00e9 bylo provedeno metodou centr\u00e1ln\u00edho \u010depu; endodontick\u00e9 o\u0161et\u0159en\u00ed jinou metodou plat\u00ed pacient. Stejn\u011b tak si plat\u00ed p\u0159echodnou dlahu, pokud byl pou\u017eit jin\u00fd materi\u00e1l, ne\u017e samopolymerizuj\u00edc\u00ed kompozitn\u00ed prysky\u0159ice.<\/p>\n

P\u0159ipom\u00edn\u00e1me, \u017ee povinnost\u00ed l\u00e9ka\u0159e, kter\u00fd m\u00e1 smlouvu s pacientovou zdravotn\u00ed poji\u0161\u0165ovnou, je nab\u00eddnout pacientovi o\u0161et\u0159en\u00ed hrazen\u00e9 z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echny tyto v\u00fdkony jsou obsa\u017eeny v \u00fahradov\u00e9 vyhl\u00e1\u0161ce platn\u00e9 pro p\u0159\u00edslu\u0161n\u00e9 obdob\u00ed. Jedn\u00e1 se o seznam diagnostick\u00fdch a l\u00e9\u010debn\u00fdch postup\u016f za pou\u017eit\u00ed standardn\u00edch materi\u00e1l\u016f (viz tabulku V\u00fd\u0161e \u00fahrad ambulantn\u00edch stomatologick\u00fdch slu\u017eeb \u2013 stomatologick\u00fdch v\u00fdkon\u016f hrazen\u00fdch z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/strong><\/a>). U t\u011bchto v\u00fdkon\u016f je nep\u0159\u00edpustn\u00e1 jak\u00e1koliv \u00fahrada pacientem, tj. l\u00e9ka\u0159 nesm\u00ed po pacientovi po\u017eadovat \u017e\u00e1dn\u00fd doplatek.<\/p>\n

V\u00edce informac\u00ed najdete na www.vzp.cz\/stomatologie<\/strong><\/a>.<\/p>\n

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

 <\/p>\n

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

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