{"id":247820,"date":"2022-02-22T19:37:24","date_gmt":"2022-02-22T18:37:24","guid":{"rendered":"http:\/\/zakrasnejsivimperk.cz\/?p=247820"},"modified":"2022-02-22T19:37:24","modified_gmt":"2022-02-22T18:37:24","slug":"vseobecna-zdravotni-pojistovna-uhrada-rovnatek-od-roku-2022","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=247820","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: \u00dahrada rovn\u00e1tek od roku 2022"},"content":{"rendered":"

\"\"<\/p>\n

 <\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
M\u00e1m dotaz k rovn\u00e1tk\u016fm \u2013 jak je to s jejich \u00fahradou a komu jsou hrazena?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Od 1. 1. 2022 plat\u00ed, \u017ee ortodontick\u00e1 p\u00e9\u010de je<\/b>\u00a0(v\u00a0souladu s novelou z\u00e1kona \u010d. 48\/1997 Sb., o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed)\u00a0pln\u011b hrazena ze zdravotn\u00edho poji\u0161t\u011bn\u00ed jen u poji\u0161t\u011bnc\u016f do dosa\u017een\u00ed 22 let v\u011bku<\/b>.<\/p>\n

U poji\u0161t\u011bnc\u016f star\u0161\u00edch 22 let jsou hrazeny z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed ortodontick\u00e9 v\u00fdkony a v\u00fdrobky jen za p\u0159edpokladu, \u017ee jde o poji\u0161t\u011bnce s\u00a0t\u011b\u017ek\u00fdmi vadami chrupu<\/b>\u00a0\u2013 roz\u0161t\u011bpy rtu, \u010delisti a patra, s vrozen\u00fdmi celkov\u00fdmi vadami a syst\u00e9mov\u00fdm onemocn\u011bn\u00edm s ortodontick\u00fdmi projevy, mnoho\u010detnou hypodonci\u00ed (6 a v\u00edce chyb\u011bj\u00edc\u00edch zub\u016f v jedn\u00e9 \u010delisti, nezapo\u010d\u00edt\u00e1vaj\u00ed se t\u0159et\u00ed mol\u00e1ry).<\/p>\n

Pokud je zvolena\u00a0l\u00e9\u010dba pomoc\u00ed fixn\u00edho ortodontick\u00e9ho apar\u00e1tu<\/b>\u00a0(tzv. pevn\u00e1 rovn\u00e1tka),\u00a0<\/b>jsou zdravotn\u00edmi poji\u0161\u0165ovnami\u00a0hrazeny v\u00fdkony souvisej\u00edc\u00ed s\u00a0poskytovanou ortodontickou p\u00e9\u010d\u00ed u poji\u0161t\u011bnc\u016f do dne dosa\u017een\u00ed 22 let<\/b>, omezen\u00ed v\u011bkem se net\u00fdk\u00e1 poji\u0161t\u011bnc\u016f se z\u00e1va\u017en\u00fdmi onemocn\u011bn\u00edmi. Materi\u00e1l fixn\u00edho\u00a0ortodontick\u00e9ho apar\u00e1tu\u00a0<\/b>(nap\u0159. z\u00e1mky, krou\u017eky, intraor\u00e1ln\u00ed oblouk)\u00a0je nov\u011b hrazen<\/b>\u00a0poji\u0161t\u011bnc\u016fm\u00a0se z\u00e1va\u017en\u00fdmi\u00a0onemocn\u011bn\u00edmi<\/b>,\u00a0u ostatn\u00edch poji\u0161t\u011bnc\u016f je nezbytn\u00e1 spolu\u00fa\u010dast poji\u0161t\u011bnce na \u00fahrad\u011b pou\u017eit\u00e9ho materi\u00e1lu<\/b>.<\/p>\n

V\u00a0p\u0159\u00edpad\u011b, \u017ee je zvolena\u00a0l\u00e9\u010dba pomoc\u00ed<\/b>\u00a0sn\u00edmac\u00edho ortodontick\u00e9ho apar\u00e1tu\u00a0<\/b>(sn\u00edmac\u00ed rovn\u00e1tka), jsou z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed\u00a0hrazeny ve\u0161ker\u00e9\u00a0<\/b>v\u00fdkony souvisej\u00edc\u00ed s\u00a0poskytovanou ortodontickou p\u00e9\u010d\u00ed u poji\u0161t\u011bnc\u016f do dne dosa\u017een\u00ed 22 let<\/b>, omezen\u00ed v\u011bkem se net\u00fdk\u00e1 poji\u0161t\u011bnc\u016f se\u00a0z\u00e1va\u017en\u00fdmi onemocn\u011bn\u00edmi.\u00a0Nov\u011b se v\u00fd\u0161e \u00fahrady samotn\u00fdch sn\u00edmac\u00edch rovn\u00e1tek<\/b>\u00a0(ortodontick\u00fdch v\u00fdrobk\u016f, kter\u00e9 jsou zhotovov\u00e1ny v\u00a0zubn\u00edch laborato\u0159\u00edch)\u00a0omezuje v\u011bkem 22 let<\/b>. Toto omezen\u00ed se v\u0161ak net\u00fdk\u00e1 pacient\u016f se\u00a0z\u00e1va\u017en\u00fdmi onemocn\u011bn\u00edmi, u kter\u00fdch je nad\u00e1le pln\u00e1 \u00fahrada bez omezen\u00ed v\u011bkem.\u00a0U ostatn\u00edch poji\u0161t\u011bnc\u016f jsou ortodontick\u00e9 v\u00fdrobky hrazeny \u010d\u00e1ste\u010dn\u011b, tj. se spolu\u00fa\u010dast\u00ed poji\u0161t\u011bnce.<\/b><\/p>\n

V\u00a0souvislosti s\u00a0l\u00e9\u010dbou fixn\u00edm a sn\u00edmac\u00edm apar\u00e1tem pat\u0159\u00ed mezi v\u00fdkony hrazen\u00e9 zdravotn\u00edmi poji\u0161\u0165ovnami v\u00a0souladu s\u00a0v\u00fd\u0161e uveden\u00fdm mimo jin\u00e9: vstupn\u00ed vy\u0161et\u0159en\u00ed v\u010detn\u011b pot\u0159ebn\u00fdch RTG sn\u00edmk\u016f (rentgenu) \u010di anal\u00fdzy ortodontick\u00fdch model\u016f, nasazen\u00ed sou\u010d\u00e1st\u00ed fixn\u00edho apar\u00e1tu (z\u00e1mky, krou\u017eky, intraor\u00e1ln\u00ed oblouk), kontroly l\u00e9\u010dby, sejmut\u00ed fixn\u00edho apar\u00e1tu aj. V\u00fd\u0161e \u00fahrad jednotliv\u00fdch v\u00fdkon\u016f se \u0159\u00edd\u00ed platnou \u00fahradovou vyhl\u00e1\u0161kou vyd\u00e1vanou MZ \u010cR.<\/p>\n

Sou\u010d\u00e1st\u00ed novely<\/b>\u00a0z\u00e1kona \u010d. 48\/1997 Sb., o\u00a0ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed,\u00a0je i tzv. p\u0159echodn\u00e9 obdob\u00ed, kter\u00e9 trv\u00e1 do 31. prosince 2022<\/b>. V\u00a0praxi to znamen\u00e1, \u017ee u rozl\u00e9\u010den\u00fdch pacient\u016f (tedy poji\u0161t\u011bnc\u016f star\u0161\u00edch 22 let), jejich\u017e l\u00e9\u010dba byla zah\u00e1jena p\u0159ed 1. 1. 2022, je mo\u017eno je\u0161t\u011b i v roce 2022 v\u00a0l\u00e9\u010db\u011b pokra\u010dovat \u010di l\u00e9\u010dbu dokon\u010dit za stejn\u00fdch podm\u00ednek, za jak\u00fdch byla zah\u00e1jena.<\/p>\n

O mo\u017enostech l\u00e9\u010dby ortodontick\u00e9 vady a\u00a0v\u00fd\u0161i spolu\u00fa\u010dasti pacienta v\u00a0dan\u00e9m konkr\u00e9tn\u00edm p\u0159\u00edpad\u011b mus\u00ed pacienta informovat jeho stomatolog<\/b>, a\u00a0to je\u0161t\u011b p\u0159ed zah\u00e1jen\u00edm l\u00e9\u010dby. Pacient mus\u00ed s\u00a0navr\u017eenou variantou a\u00a0stanovenou cenou souhlasit.<\/p>\n

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

 <\/p>\n

\"\"
Ilustra\u010dn\u00ed foto: pixabay<\/figcaption><\/figure>\n
\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

 <\/p>\n

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

  OT\u00c1ZKA <\/p>\n","protected":false},"author":2,"featured_media":247823,"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\/2022\/02\/22\/r\u00e1me\u010dek-rovn\u00e1tka.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/247820"}],"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=247820"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/247820\/revisions"}],"predecessor-version":[{"id":247822,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/247820\/revisions\/247822"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/247823"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=247820"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=247820"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=247820"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}