{"id":265715,"date":"2022-10-30T08:57:08","date_gmt":"2022-10-30T07:57:08","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=265715"},"modified":"2022-10-30T18:41:58","modified_gmt":"2022-10-30T17:41:58","slug":"vseobecna-zdravotni-pojistovna-plasticka-operace-nosu-a-usi","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=265715","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Plastick\u00e1 operace nosu a u\u0161\u00ed"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA T\u00ddDNE:<\/h6>\n
Hrad\u00ed poji\u0161\u0165ovna plastickou operaci nosu nebo u\u0161\u00ed?<\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

Zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed poji\u0161t\u011bnci plastickou operaci nosu nebo u\u0161\u00ed pouze ze zdravotn\u00edch d\u016fvod\u016f<\/b>. Jak uv\u00e1d\u00ed z\u00e1kon 48\/1997 Sb. (o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed) ze zdravotn\u00edho poji\u0161t\u011bn\u00ed jsou hrazeny zdravotn\u00ed slu\u017eby proveden\u00e9 s\u00a0c\u00edlem zlep\u0161it nebo zachovat pacient\u016fv zdravotn\u00ed stav nebo zm\u00edrnit jeho utrpen\u00ed. Podm\u00ednky \u00fahrady jsou stejn\u00e9 pro v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny.\u00a0V\u00a0p\u0159\u00edpad\u011b, \u017ee by pacient cht\u011bl podstoupit operaci z\u00a0kosmetick\u00fdch (estetick\u00fdch) d\u016fvod\u016f, hrad\u00ed si ji pln\u011b s\u00e1m<\/b>.<\/p>\n

Sou\u010d\u00e1st\u00ed z\u00e1kona je Seznam zdravotn\u00edch v\u00fdkon\u016f ze zdravotn\u00edho poji\u0161t\u011bn\u00ed nehrazen\u00fdch nebo hrazen\u00fdch jen za ur\u010dit\u00fdch podm\u00ednek (p\u0159\u00edloha \u010d. 1). V\u00a0tomto seznamu je uvedeno, za jak\u00fdch podm\u00ednek jsou hrazeny plastick\u00e9 operace u\u0161\u00ed a nosu.<\/p>\n

Plastick\u00e1 operace nosu ze zdravotn\u00edch d\u016fvod\u016f<\/b><\/p>\n

K\u00a0operaci nosu mus\u00ed b\u00fdt pacient indikov\u00e1n l\u00e9ka\u0159em ze zdravotn\u00edch d\u016fvod\u016f \u2013 funk\u010dn\u00ed porucha nebo opera\u010dn\u00ed \u00faprava tvaru nosu.\u00a0Na z\u00e1klad\u011b po\u017eadavku indikuj\u00edc\u00edho l\u00e9ka\u0159e mus\u00ed ud\u011blit souhlas revizn\u00ed l\u00e9ka\u0159 zdravotn\u00ed poji\u0161\u0165ovny<\/b>. Plastiku nosu z \u010dist\u011b estetick\u00fdch d\u016fvod\u016f poji\u0161\u0165ovna nehrad\u00ed.<\/p>\n

Tzn. zdravotn\u00ed poji\u0161\u0165ovna hrad\u00ed plastickou operaci nosu nap\u0159. v p\u0159\u00edpad\u011b, \u017ee do\u0161lo k\u00a0deformaci nosn\u00ed p\u0159ep\u00e1\u017eky\u00a0nebo k jej\u00edmu vych\u00fdlen\u00ed na stranu po \u00farazu a n\u00e1sledkem toho m\u00e1 pacient omezen\u00e9 d\u00fdch\u00e1n\u00ed<\/b>\u00a0(tj. funk\u010dn\u00ed porucha).\u00a0Hrazen\u00e1 plastick\u00e1 operace se prov\u00e1d\u00ed tak\u00e9 u pacient\u016f s tzv. sedlovit\u00fdm nosem nebo v p\u0159\u00edpad\u011b rinofymy<\/b>\u00a0(zbytn\u011bn\u00ed a z\u010derven\u00e1n\u00ed nosu \u2013 vyskytuje se jako sou\u010d\u00e1st onemocn\u011bn\u00ed rosacea).<\/p>\n

Operaci indikuj\u00ed a prov\u00e1d\u011bj\u00ed specialist\u00e9 se speci\u00e1ln\u00ed pr\u016fpravou a erudic\u00ed v\u00a0plastick\u00fdch operac\u00edch zevn\u00edho nosu a nosn\u00edho septa, kte\u0159\u00ed jsou z\u00e1kladn\u00ed specializac\u00ed v\u011bt\u0161inou plastick\u00fdmi chirurgy nebo otorinolaryngology.<\/s><\/p>\n

Plastick\u00e1 operace u\u0161\u00ed<\/b><\/p>\n

Pod pojmem plastick\u00e1 operace u\u0161\u00ed (tzv. otoplastika) se nej\u010dast\u011bji<\/b>\u00a0laickou ve\u0159ejnost\u00ed\u00a0rozum\u00ed operace<\/b>\u00a0odst\u00e1t\u00fdch, resp. vy\u010dn\u00edvaj\u00edc\u00edch boltc\u016f, kter\u00e9 mohou b\u00fdt spojeny\u00a0s nadm\u011brnou velikost\u00ed \u010di deformitou. Tato operace je z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena u d\u011bt\u00ed do 10 let<\/b>. Odst\u00e1vaj\u00edc\u00ed boltce mohou b\u00fdt p\u0159\u00ed\u010dinou psychick\u00fdch pot\u00ed\u017e\u00ed a traumatizace d\u00edt\u011bte, a\u010dkoli z funk\u010dn\u00edho hlediska operace nen\u00ed nutn\u00e1.\u00a0Schv\u00e1len\u00ed zdravotn\u00ed poji\u0161\u0165ovnou nen\u00ed nutn\u00e9. V\u00fdkon je hrazen 2x za \u017eivot, tedy ka\u017ed\u00e9 ucho m\u016f\u017ee b\u00fdt operov\u00e1no jen jednou<\/b>. U d\u011bt\u00ed nad 10 let a u dosp\u011bl\u00fdch zdravotn\u00ed poji\u0161\u0165ovna z\u00e1krok nehrad\u00ed.<\/p>\n

Dal\u0161\u00edm \u010dast\u00fdm v\u00fdkonem, kter\u00fd je hrazen zdravotn\u00ed poji\u0161\u0165ovnou, je korekce mal\u00e9 vrozen\u00e9 anom\u00e1lie boltce a okol\u00ed, v\u011bt\u0161inou jde o v\u00fdr\u016fstky p\u0159ed boltcem. V\u00a0tomto p\u0159\u00edpad\u011b je nutn\u00e9 schv\u00e1len\u00ed revizn\u00edm l\u00e9ka\u0159em zdravotn\u00ed poji\u0161\u0165ovny.<\/b><\/p>\n

Nejt\u011b\u017e\u0161\u00ed otoplastikou je\u00a0vytvo\u0159en\u00ed u\u0161n\u00edho boltce p\u0159i vrozen\u00e9 v\u00fdvojov\u00e9 vad\u011b nebo po traumatick\u00e9 ztr\u00e1t\u011b pomoc\u00ed chrupavky nebo syntetick\u00e9ho implant\u00e1tu<\/b>, kterou prov\u00e1d\u011bj\u00ed jen specializovan\u00e1 centra klinik plastick\u00e9 chirurgie.\u00a0Jde o v\u00fdkony hrazen\u00e9 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed, rekonstrukce prob\u00edh\u00e1 v\u011bt\u0161inou v\u00a0n\u011bkolika etap\u00e1ch<\/b>.<\/p>\n

Men\u0161\u00ed plastick\u00e9 rekonstrukce boltce, resp. zevn\u00edho ucha<\/b>, kter\u00e9 obvykle bezprost\u0159edn\u011b navazuj\u00ed na resek\u010dn\u00ed v\u00fdkony pro ko\u017en\u00ed l\u00e9ze nebo n\u00e1dory (nap\u0159. basaliom, melanom)\u00a0se prov\u00e1d\u011bj\u00ed v\u011bt\u0161inou na pracovi\u0161t\u00edch ORL<\/b>. Sd\u00edlenou odbornost\u00ed je plastick\u00e1 chirurgie.\u00a0Omezen\u00ed zde \u017e\u00e1dn\u00e1 nejsou, jde o hrazen\u00e9 v\u00fdkony<\/b>.<\/p>\n

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

\n

 <\/p>\n

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

OT\u00c1ZKA T\u00ddDNE: <\/p>\n","protected":false},"author":2,"featured_media":265716,"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\/10\/24\/r\u00e1m-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/265715"}],"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=265715"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/265715\/revisions"}],"predecessor-version":[{"id":265717,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/265715\/revisions\/265717"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/265716"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=265715"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=265715"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=265715"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}