{"id":246868,"date":"2022-02-10T15:49:11","date_gmt":"2022-02-10T14:49:11","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=246868"},"modified":"2022-02-10T15:49:11","modified_gmt":"2022-02-10T14:49:11","slug":"vseobecna-zdravotni-pojistovna-podminky-pro-umele-oplodneni-od-roku-2022","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=246868","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Podm\u00ednky pro um\u011bl\u00e9 oplodn\u011bn\u00ed od roku 2022"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Zaznamenala jsem, \u017ee ve zdravotnictv\u00ed do\u0161lo od 1. 1. 2022 k\u00a0mnoha zm\u011bn\u00e1m. Pros\u00edm, jak\u00e9 jsou v sou\u010dasnosti podm\u00ednky a v\u011bkov\u00e9 limity um\u011bl\u00e9ho oplodn\u011bn\u00ed a co hrad\u00ed poji\u0161\u0165ovna?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Od 1. 1. 2022 do\u0161lo novelou z\u00e1kona (\u010d.\u00a048\/1997 Sb., o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed) k\u00a0nav\u00fd\u0161en\u00ed v\u011bkov\u00e9 hranice pro \u00fahradu slu\u017eeb poskytnut\u00fdch v souvislosti s um\u011bl\u00fdm oplodn\u011bn\u00edm z\u00a0 39 let na 40 let. Aktu\u00e1ln\u011b jsou tak hrazeny\u00a0<\/b>z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed\u00a0<\/b>zdravotn\u00ed slu\u017eby ve form\u011b mimot\u011bln\u00edho oplodn\u011bn\u00ed\u00a0<\/b>(tzv.\u00a0<\/b>IVF = in vitro fertilizace)\u00a0\u017een\u00e1m s\u00a0oboustrannou nepr\u016fchodnost\u00ed vejcovod\u016f ve v\u011bku od 18 let do dne dosa\u017een\u00ed 40 let<\/b>\u00a0(39 let + 364 dn\u00ed) a ostatn\u00edm\u00a0\u017een\u00e1m ve v\u011bku od 22 let do dne dovr\u0161en\u00ed 40 let<\/b>\u00a0(39\u00a0let\u00a0+\u00a0364\u00a0dn\u00ed).<\/p>\n

Zdravotn\u00ed slu\u017eby poskytnut\u00e9 v\u00a0souvislosti s\u00a0um\u011bl\u00fdm oplodn\u011bn\u00ed<\/b>\u00a0jsou hrazeny z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed\u00a0na z\u00e1klad\u011b indikace a doporu\u010den\u00ed registruj\u00edc\u00edho gynekologa<\/b>.<\/p>\n

Jsou-li spln\u011bny v\u00fd\u0161e uveden\u00e9 podm\u00ednky, hrad\u00ed\u00a0zdravotn\u00ed poji\u0161\u0165ovny z\u00e1kladn\u00ed v\u00fdkony u t\u0159\u00ed cykl\u016f IVF s\u00a0p\u0159enosem embry\u00ed<\/b>. Pokud bylo v prvn\u00edch dvou cyklech p\u0159eneseno pouze jedno embryo, je hrazen je\u0161t\u011b cyklus \u010dtvrt\u00fd.<\/p>\n

Mezi dal\u0161\u00ed metody um\u011bl\u00e9ho oplodn\u011bn\u00ed pat\u0159\u00ed tak\u00e9 zaveden\u00ed spermi\u00ed do pohlavn\u00edch org\u00e1n\u016f \u017eeny<\/b>\u00a0(tzv. intrauterinn\u00ed inseminace \u2013 IUI), p\u0159i\u010dem\u017e zdravotn\u00ed poji\u0161\u0165ovny hrad\u00ed slu\u017eby spojen\u00e9 s\u00a0t\u00edmto v\u00fdkonem 6kr\u00e1t za \u017eivot \u017eeny.\u00a0Pouh\u00e9 zaveden\u00ed spermi\u00ed do pohlav\u00edch org\u00e1n\u016f \u017eeny se nezapo\u010d\u00edt\u00e1v\u00e1 do v\u00fd\u0161e uveden\u00e9ho limitu cykl\u016f IVF 3kr\u00e1t, resp. 4kr\u00e1t za \u017eivot \u017eeny.<\/b>\u00a0IUI je metodou um\u011bl\u00e9ho oplodn\u011bn\u00ed, kter\u00e1 by zpravidla m\u011bla p\u0159edch\u00e1zet samotn\u00e9mu IVF.<\/p>\n

Zdravotn\u00ed poji\u0161\u0165ovny hrad\u00ed metody asistovan\u00e9 reprodukce IVF a IUI prost\u0159ednictv\u00edm bal\u00ed\u010dkov\u00fdch plateb, kter\u00e9 obsahuj\u00ed ve\u0161ker\u00e9 z\u00e1kladn\u00ed slu\u017eby spojen\u00e9 s\u00a0dan\u00fdm v\u00fdkonem. K\u00a0IVF jsou d\u00e1le hrazeny pou\u017eit\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky. Tyto\u00a0l\u00e9ky, kter\u00fdmi se mus\u00ed pacientka hormon\u00e1ln\u011b stimulovat, jsou poji\u0161\u0165ovnami hrazeny jen \u010d\u00e1ste\u010dn\u011b<\/b>, resp. do ur\u010dit\u00e9ho mno\u017estv\u00ed, tzn. \u017ee na n\u011b pacientka m\u016f\u017ee dopl\u00e1cet.\u00a0V\u00fd\u0161e \u00fahrady a spolu\u00fa\u010dasti pacientky d\u00e1le z\u00e1vis\u00ed na pou\u017eit\u00fdch metod\u00e1ch a l\u00e9\u010div\u00fdch p\u0159\u00edpravc\u00edch<\/b>.<\/p>\n

Standardn\u011b bal\u00ed\u010dkov\u00e1 platba obsahuje (dle typu bal\u00ed\u010dku) ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed gynekologem, ve\u0161ker\u00e9 konzultace gynekologa a embryologa s l\u00e9\u010den\u00fdm p\u00e1rem, v\u0161echna ultrazvukov\u00e1 vy\u0161et\u0159en\u00ed, punkci folikul\u016f za \u00fa\u010delem z\u00edsk\u00e1n\u00ed oocyt\u016f, zpracov\u00e1n\u00ed oocyt\u016f v embryologick\u00e9 laborato\u0159i a jejich kultivaci, oplozen\u00ed oocyt\u016f, p\u0159enos embrya do d\u011blohy, ve\u0161kerou anesteziologickou p\u00e9\u010di, vy\u0161et\u0159en\u00ed spermatu a v\u00fdb\u011br nejvhodn\u011bj\u0161\u00edch spermi\u00ed, kontroly r\u016fstu embry\u00ed embryologem, vy\u0161et\u0159en\u00ed chromozom\u016f z tk\u00e1n\u00ed dlouhodob\u011b kultivovan\u00fdch, punk\u010dn\u00ed soupravu pro odb\u011br oocyt\u016f a transferov\u00fd set pro p\u0159enos embry\u00ed, d\u00e1le tak\u00e9 ve\u0161ker\u00fd p\u0159\u00edmo spot\u0159ebovan\u00fd materi\u00e1l v r\u00e1mci cyklu.<\/p>\n

Pacientka si m\u016f\u017ee p\u0159ipl\u00e1cet u smluvn\u00edch poskytovatel\u016f za nadstandardn\u00ed metody a slu\u017eby. Cena se u jednotliv\u00fdch poskytovatel\u016f m\u016f\u017ee li\u0161it, av\u0161ak poji\u0161\u0165ovny nemaj\u00ed na jej\u00ed v\u00fd\u0161i \u017e\u00e1dn\u00fd vliv<\/b>. Pacientka m\u00e1 pr\u00e1vo p\u0159edem si vy\u017e\u00e1dat cen\u00edk v\u0161ech poskytovan\u00fdch nadstandardn\u00edch slu\u017eeb.\u00a0Tento cen\u00edk by v\u0161ak nem\u011bl obsahovat \u017e\u00e1dnou p\u00e9\u010di hrazenou z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/b>, nap\u0159. ultrazvukov\u00e9 vy\u0161et\u0159en\u00ed. Centrum by si nem\u011blo \u00fa\u010dtovat ani konzultace. Na v\u0161echny platby mus\u00ed pacientka dostat platebn\u00ed doklad.<\/p>\n

Poskytovatel m\u00e1<\/b>\u00a0(dle odst. 2 \u00a7 45 z\u00e1kona \u010d. 372\/2011 Sb., o zdravotn\u00edch slu\u017eb\u00e1ch)\u00a0tyto povinnosti<\/b>:<\/p>\n