{"id":252864,"date":"2022-04-26T19:31:42","date_gmt":"2022-04-26T18:31:42","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=252864"},"modified":"2022-04-26T19:35:15","modified_gmt":"2022-04-26T18:35:15","slug":"vseobecna-zdravotni-pojistovna-zdravotnicke-prostredky-pro-inkontinencni-pacienty","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=252864","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Zdravotnick\u00e9 prost\u0159edky pro inkontinen\u010dn\u00ed pacienty"},"content":{"rendered":"<p><img loading=\"lazy\" decoding=\"async\" class=\"aligncenter wp-image-201756 size-full\" src=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\" alt=\"\" width=\"646\" height=\"223\" srcset=\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png 646w, https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo-300x104.png 300w\" sizes=\"(max-width: 646px) 100vw, 646px\" \/><\/p>\n<h6 style=\"text-align: center;\">OT\u00c1ZKA T\u00ddDNE:<\/h6>\n<h6 style=\"text-align: center;\">Pot\u0159ebuji pro \u010dlena rodiny zajistit inkontinen\u010dn\u00ed pom\u016fcky. P\u0159isp\u00edv\u00e1 na n\u011b VZP? A kdo je m\u016f\u017ee p\u0159edepsat?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-MsoNormal\"><b>Inkontinentn\u00ed pacienti maj\u00ed n\u00e1rok na \u00fahradu absorp\u010dn\u00edch zdravotnick\u00fdch prost\u0159edk\u016f<\/b>\u00a0z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Jedn\u00e1 se o jednor\u00e1zov\u00e9 pom\u016fcky vyroben\u00e9 tak, aby rychle absorbovaly unikaj\u00edc\u00ed mo\u010d, pohlcovaly nep\u0159\u00edjemn\u00fd z\u00e1pach a\u00a0z\u00e1rove\u0148 byly nen\u00e1padn\u00e9 a\u00a0prody\u0161n\u00e9. Inkontinence m\u016f\u017ee toti\u017e nep\u0159\u00edjemn\u011b ovliv\u0148ovat kvalitu \u017eivota.<\/p>\n<p class=\"-wm-MsoNormal\"><b>Z\u00e1kladn\u00ed podm\u00ednkou pro vystaven\u00ed poukazu<\/b>\u00a0(tzv. Poukaz na l\u00e9\u010debnou a ortopedickou pom\u016fcku)\u00a0<b>je prok\u00e1zan\u00e1 inkontinence a stanoven\u00ed stupn\u011b jej\u00ed z\u00e1va\u017enosti<\/b>.\u00a0<b>N\u00e1rok na p\u0159edpis<\/b>\u00a0<b>vznik\u00e1<\/b>\u00a0od 3 let v\u011bku poji\u0161t\u011bnce\u00a0<b>p\u0159i spln\u011bn\u00ed indikac\u00ed \u2013 tzn. p\u0159i prok\u00e1zan\u00e9 patologick\u00e9 inkontinenci<\/b>.\u00a0<b>\u00dahradu z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a pravidla preskripce<\/b>\u00a0absorp\u010dn\u00edch zdravotnick\u00fdch prost\u0159edk\u016f\u00a0<b>stanovuje z\u00e1kon<\/b>\u00a0\u010d. 48\/1997 Sb.,\u00a0<b>o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed<\/b>\u00a0(p\u0159\u00edloha \u010d. 3).<b><\/b><\/p>\n<p class=\"-wm-MsoNormal\">Inkontinentn\u00edmu pacientovi m\u016f\u017ee absorp\u010dn\u00ed zdravotnick\u00e9 pom\u016fcky\u00a0<b>p\u0159edepsat l\u00e9ka\u0159<\/b>\u00a0n\u00e1sleduj\u00edc\u00edch specializac\u00ed:\u00a0<b>geriatrie, gynekologie, chirurgie, nefrologie, neurologie, pediatrie, v\u0161eobecn\u00fd praktick\u00fd l\u00e9ka\u0159\u00a0<\/b>nebo<b>\u00a0urolog<\/b>. Od 1. 1. 2022 tak\u00e9 nov\u011b\u00a0<b>sestra v\u00a0dom\u00e1c\u00ed p\u00e9\u010di<\/b>\u00a0a\u00a0<b>sestra v\u00a0l\u00e9ka\u0159sk\u00fdch oborech<\/b>. V\u00a0p\u0159\u00edpad\u011b\u00a0<b>d\u011btsk\u00e9ho pacienta<\/b>\u00a0m\u016f\u017ee poukaz vystavit\u00a0<b>praktick\u00fd l\u00e9ka\u0159 pro d\u011bti a dorost<\/b>.<\/p>\n<p class=\"-wm-MsoNormal\">Odborn\u00fd l\u00e9ka\u0159 je povinen p\u00edsemn\u011b informovat v\u0161eobecn\u00e9ho praktick\u00e9ho l\u00e9ka\u0159e, v\u00a0jeho\u017e p\u00e9\u010di je inkontinentn\u00ed poji\u0161t\u011bnec, o proveden\u00e9m vy\u0161et\u0159en\u00ed a jeho v\u00fdsledc\u00edch. V\u00a0p\u0159\u00edpad\u011b preskripce i o zdravotnick\u00fdch pom\u016fck\u00e1ch a jejich mno\u017estv\u00ed, kter\u00e9 poji\u0161t\u011bnci p\u0159edepsal.<\/p>\n<p class=\"-wm-MsoNormal\"><b>Inkontinence je d\u011blena do t\u0159\u00ed stup\u0148\u016f<\/b>\u00a0dle z\u00e1va\u017enosti posti\u017een\u00ed \u2013\u00a0<b>lehk\u00e1 (I), st\u0159edn\u00ed (II) a t\u011b\u017ek\u00e1 (III)<\/b>. Stupe\u0148 z\u00e1va\u017enosti je stanovov\u00e1n\u00a0<b>na z\u00e1klad\u011b \u00faniku mo\u010di v\u00a0mililitrech v pr\u016fb\u011bhu 24 hodin<\/b>. Odborn\u00fd l\u00e9ka\u0159 tedy na z\u00e1klad\u011b objektivizovan\u00e9ho vy\u0161et\u0159en\u00ed diagnostikuje, jak\u00fdm stupn\u011bm inkontinence pacient trp\u00ed a jak\u00e9 pom\u016fcky jsou pro n\u011bj vhodn\u00e9.<\/p>\n<p class=\"-wm-MsoNormal\">Rozd\u011blen\u00ed inkontinence do t\u0159\u00ed stup\u0148\u016f dle z\u00e1va\u017enosti posti\u017een\u00ed:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\"><b>I. stupe\u0148<\/b>\u00a0\u2013 mimovoln\u00fd \u00fanik mo\u010di nad 50 ml do 100 ml (v\u010detn\u011b) v\u00a0pr\u016fb\u011bhu 24 hodin<\/li>\n<li class=\"-wm-MsoListParagraphCxSpMiddle\"><b>II. stupe\u0148<\/b>\u00a0\u2013 mimovoln\u00fd \u00fanik mo\u010di nad 100 ml do 200 ml (v\u010detn\u011b) v pr\u016fb\u011bhu 24 hodin + fek\u00e1ln\u00ed inkontinence<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\"><b>III. stupe\u0148<\/b>\u00a0\u2013 mimovoln\u00fd \u00fanik mo\u010di nad 200 ml v pr\u016fb\u011bhu 24 hodin + sm\u00ed\u0161en\u00e1 inkontinence<u><\/u><\/li>\n<\/ul>\n<p class=\"-wm-MsoNoSpacing\">Dle domluvy s\u00a0l\u00e9ka\u0159em mohou b\u00fdt\u00a0<b>inkontinen\u010dn\u00ed pom\u016fcky pacientovi p\u0159edeps\u00e1ny na jeden, dva \u010di t\u0159i m\u011bs\u00edce<\/b>. Tzv. maxim\u00e1ln\u00ed preskripce na 3 m\u011bs\u00edce je v\u0161ak mo\u017en\u00e1 pouze u pacient\u016f se stabilizovanou inkontinenc\u00ed, u\u00a0kter\u00fdch je p\u0159edpoklad \u00fa\u010deln\u00e9ho vyu\u017eit\u00ed cel\u00e9ho mno\u017estv\u00ed p\u0159edepsan\u00fdch zdravotnick\u00fdch pom\u016fcek.\u00a0<b>Na jeden poukaz m\u016f\u017ee b\u00fdt p\u0159edeps\u00e1n<\/b>\u00a0<b>pouze jeden druh inkontinen\u010dn\u00ed pom\u016fcky, poukaz\u016f v\u0161ak m\u016f\u017ee b\u00fdt p\u0159edeps\u00e1no v\u00edce.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\">Pacientovi je zdravotn\u00ed poji\u0161\u0165ovnou hrazeno\u00a0<b>maxim\u00e1ln\u011b 150 kus\u016f inkontinen\u010dn\u00edch pom\u016fcek za m\u011bs\u00edc<\/b>. Stanoven je tak\u00e9\u00a0<b>maxim\u00e1ln\u00ed finan\u010dn\u00ed limit<\/b>\u00a0\u2013 tedy\u00a0<b>\u010d\u00e1stka, kterou hrad\u00ed poji\u0161\u0165ovna: u I. stupn\u011b nejv\u00fd\u0161e 449,65 K\u010d\/m\u011bs\u00edc, u II. stupn\u011b do celkov\u00e9 v\u00fd\u0161e 900,45 K\u010d\/m\u011bs\u00edc a III. stupn\u011b do celkov\u00e9 v\u00fd\u0161e 1\u00a0699,70 K\u010d\/m\u011bs\u00edc<\/b>. Kusov\u00fd i finan\u010dn\u00ed limit u ka\u017ed\u00e9ho stupn\u011b inkontinence je nutn\u00e9 dodr\u017eovat a nelze ho p\u0159ekro\u010dit. Plat\u00ed ten limit, jeho\u017e pacient dos\u00e1hne p\u0159i \u010derp\u00e1n\u00ed t\u011bchto pom\u016fcek d\u0159\u00edve \u2013 bu\u010fto finan\u010dn\u00ed, nebo kusov\u00fd.<\/p>\n<p class=\"-wm-MsoNoSpacing\">Z\u00e1kon tak\u00e9 u jednotliv\u00fdch stup\u0148\u016f inkontinence stanovuje spolu\u00fa\u010dast pacienta na cen\u011b inkontinen\u010dn\u00edch pom\u016fcek.\u00a0<b>Pro I. stupe\u0148 plat\u00ed spolu\u00fa\u010dast pacienta ve v\u00fd\u0161i 15 %, v II. stupni \u010din\u00ed v\u00fd\u0161e spolu\u00fa\u010dasti pacienta 5 % a ve III. stupni inkontinence tvo\u0159\u00ed spolu\u00fa\u010dast pacienta 2 % z\u00a0ceny absorp\u010dn\u00edho zdravotnick\u00e9ho prost\u0159edku<\/b>\u00a0(pacient s\u00a0III. stupn\u011bm inkontinence m\u016f\u017ee na z\u00e1klad\u011b indikace \u010derpat tak\u00e9 inkontinen\u010dn\u00ed podlo\u017eky, kde je spolu\u00fa\u010dast stanovena na 25 % z\u00a0ceny).<\/p>\n<p class=\"-wm-MsoNoSpacing\">Spolu\u00fa\u010dast poji\u0161t\u011bnce, tj. doplatky stanoven\u00e9 z\u00e1konem, se vyb\u00edraj\u00ed ji\u017e od prvn\u00edho vydan\u00e9ho kusu. Nen\u00ed tedy v\u00a0\u017e\u00e1dn\u00e9m p\u0159\u00edpad\u011b mo\u017en\u00e9 nap\u0159. vydat poji\u0161t\u011bnci men\u0161\u00ed mno\u017estv\u00ed kus\u016f, ne\u017e bylo l\u00e9ka\u0159em p\u0159edeps\u00e1no, a kompenzovat t\u00edm v\u00fd\u0161i doplatku.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Na kone\u010dnou cenu se poji\u0161t\u011bnec a poji\u0161\u0165ovna skl\u00e1daj\u00ed ve stanov\u00e9m pom\u011bru<\/b>\u00a0a\u017e do vy\u010derp\u00e1n\u00ed limitu, kdy z\u00a0re\u00e1ln\u00e9 ceny poji\u0161t\u011bnec zaplat\u00ed svou spolu\u00fa\u010dast a poji\u0161\u0165ovna zaplat\u00ed zbytek. Jde tedy o pom\u011br, v\u00a0jak\u00e9m si mezi sebe rozpo\u010d\u00edtaj\u00ed re\u00e1lnou cenu.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>O\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 m\u00e1 pacienta o\u00a0mo\u017enostech l\u00e9\u010dby komplexn\u011b informovat, v\u010detn\u011b v\u00fd\u0161e \u00fahrady z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, resp. jeho spolu\u00fa\u010dasti.<\/b>\u00a0Z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed jsou pacient\u016fm hrazeny ty absorp\u010dn\u00ed zdravotnick\u00e9 pom\u016fcky, kter\u00e9 jsou uvedeny v\u00a0\u00dahradov\u00e9m katalogu VZP \u2013 ZP. Ve\u0161ker\u00e9 pot\u0159ebn\u00e9 informace o typech, finan\u010dn\u00edch a mno\u017estevn\u00edch limitech t\u011bchto pom\u016fcek jsou k\u00a0dispozici na webu VZP v\u00a0sekci\u00a0<strong><a href=\"https:\/\/www.vzp.cz\/poskytovatele\/ciselniky\/zdravotnicke-prostredky\" target=\"_blank\" rel=\"noopener\">Poskytovatel\u00e9 \u2013 Zdravotnick\u00e9 prost\u0159edky<\/a>.<\/strong><\/p>\n<p class=\"-wm-MsoNormal\"><strong>(tzvzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":252867,"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\/04\/26\/Desktop253.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/252864"}],"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=252864"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/252864\/revisions"}],"predecessor-version":[{"id":252866,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/252864\/revisions\/252866"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/252867"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=252864"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=252864"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=252864"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}