{"id":256769,"date":"2022-06-15T17:57:07","date_gmt":"2022-06-15T16:57:07","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=256769"},"modified":"2022-06-15T17:57:07","modified_gmt":"2022-06-15T16:57:07","slug":"vseobecna-zdravotni-pojistovna-plasticka-operace-prsou","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=256769","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Plastick\u00e1 operace prsou"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Ve kter\u00fdch p\u0159\u00edpadech zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed plastickou operaci prsou? Existuje i mo\u017enost t\u00e9to operace \u201ena poji\u0161\u0165ovnu\u201c nap\u0159\u00edklad z d\u016fvodu psychick\u00fdch probl\u00e9m\u016f?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Proveden\u00ed plastick\u00e9 operace z\u00a0psychick\u00fdch d\u016fvod\u016f, tedy kv\u016fli psychick\u00fdm pot\u00ed\u017e\u00edm, kter\u00e9 mohou nastat z\u00a0d\u016fvodu nespokojenosti s\u00a0velikost\u00ed \u010di tvarem prs\u016f, nen\u00ed hrazeno z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed.\u00a0Zdravotn\u00ed poji\u0161\u0165ovny mohou hradit pouze operace prsou ze zdravotn\u00edch d\u016fvod\u016f.<\/b><\/p>\n

Tzn. kosmetickou plastickou operaci prsou si v\u017edy pln\u011b hrad\u00ed \u017eadatelka<\/b>, nikdy nen\u00ed hrazena zdravotn\u00ed poji\u0161\u0165ovnou. Na p\u0159\u00e1n\u00ed \u017eeny se m\u016f\u017ee jednat nap\u0159. o augmentaci (zv\u011bt\u0161en\u00ed), redukci (zmen\u0161en\u00ed) nebo modelaci tvaru prsou z estetick\u00fdch d\u016fvod\u016f.<\/p>\n

Operace proveden\u00e9 ze zdravotn\u00ed indikace jsou pln\u011b hrazeny zdravotn\u00ed poji\u0161\u0165ovnou<\/b>. Za zdravotn\u00ed d\u016fvody jsou pova\u017eov\u00e1ny nap\u0159. p\u0159\u00edpady, kdy pro pacientku p\u0159edstavuje velikost jej\u00edch prsou prokazateln\u00e9 zdravotn\u00ed riziko. Jedn\u00e1 se nap\u0159. o recidivuj\u00edc\u00ed, \u00faporn\u00e9 bolesti zad, kter\u00e9 jsou fyzioterapi\u00ed a cvi\u010den\u00edm nezvladateln\u00e9 z\u00a0d\u016fvodu p\u0159et\u00ed\u017een\u00ed kr\u010dn\u00ed a hrudn\u00ed p\u00e1te\u0159e vlivem nadm\u011brn\u00e9 hmotnosti prsou. Hrazena je tak\u00e9 rekonstrukce prsu\/prs\u016f po jeho\/jejich \u00fapln\u00e9m nebo \u010d\u00e1ste\u010dn\u00e9m odstran\u011bn\u00ed kv\u016fli n\u00e1doru nebo z\u00a0d\u016fvodu geneticky (vrozen\u011b) vysok\u00e9ho rizika onkologick\u00e9ho onemocn\u011bn\u00ed.<\/p>\n

K\u00a0operaci mus\u00ed b\u00fdt pacientka indikov\u00e1na l\u00e9ka\u0159em specialistou a mus\u00ed spl\u0148ovat stanoven\u00e1 indika\u010dn\u00ed krit\u00e9ria<\/b>.\u00a0\u00dahrada podl\u00e9h\u00e1 p\u0159edchoz\u00edmu souhlasu revizn\u00edho l\u00e9ka\u0159e zdravotn\u00ed poji\u0161\u0165ovny, a to na z\u00e1klad\u011b po\u017eadavku odborn\u00e9ho l\u00e9ka\u0159e.<\/b>\u00a0P\u0159ed samotnou operac\u00ed podstupuje pacientka p\u0159edopera\u010dn\u00ed vy\u0161et\u0159en\u00ed, jako jsou laboratorn\u00ed vy\u0161et\u0159en\u00ed krve a mo\u010di, EKG a vy\u0161et\u0159en\u00ed praktick\u00fdm l\u00e9ka\u0159em, vhodn\u00e9 je tak\u00e9 mamologick\u00e9 vy\u0161et\u0159en\u00ed.<\/p>\n

Jedn\u00edm z t\u011bchto hrazen\u00fdch v\u00fdkon\u016f je \u201erekonstrukce prsu syntetickou vlo\u017ekou\u201c. Tato operace se prov\u00e1d\u00ed u onkologick\u00fdch pacientek, anebo u pacientek s\u00a0vrozenou vadou prsu a hrudn\u00edku. K\u00a0operaci m\u016f\u017ee pacientku indikovat onkolog \u010di plastick\u00fd chirurg (v odbornosti 631 \u2013 skupina 3). V\u00a0p\u0159\u00edpad\u011b vrozen\u00fdch vad a deformit m\u016f\u017ee b\u00fdt pacientce provedena autotransplantace tukov\u00e9 tk\u00e1n\u011b do 100 ml.<\/p>\n

Dal\u0161\u00edm hrazen\u00fdm zdravotn\u00edm v\u00fdkonem je, jak u\u017e jsme zm\u00ednili, indikovan\u00e1 reduk\u010dn\u00ed (zmen\u0161ovac\u00ed) operace v\u00a0p\u0159\u00edpad\u011b gigantomastie (extr\u00e9mn\u00ed velikosti prs\u016f). Pacientku m\u016f\u017ee indikovat l\u00e9ka\u0159 odbornosti neurologie, ortopedie nebo mamologie.<\/p>\n

(tz-vzp)<\/strong><\/p>\n

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OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":256770,"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\/06\/15\/r\u00e1me\u010dek-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/256769"}],"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=256769"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/256769\/revisions"}],"predecessor-version":[{"id":256771,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/256769\/revisions\/256771"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/256770"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=256769"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=256769"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=256769"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}