{"id":277665,"date":"2023-04-24T12:32:48","date_gmt":"2023-04-24T11:32:48","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=277665"},"modified":"2023-04-24T12:38:33","modified_gmt":"2023-04-24T11:38:33","slug":"vseobecna-zdravotni-pojistovna-uhrada-zubnich-vyplni-ze-zdravotniho-pojisteni","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=277665","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: \u00dahrada zubn\u00edch v\u00fdpln\u00ed ze zdravotn\u00edho poji\u0161t\u011bn\u00ed"},"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;\">Kter\u00e9 zubn\u00ed v\u00fdpln\u011b jsou hrazeny z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed?<\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e<\/h6>\n<p class=\"-wm-MsoNoSpacing\"><b>O\u0161et\u0159en\u00ed zubu definitivn\u00ed v\u00fdpln\u00ed je hrazeno z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed v\u00a0rozsahu a\u00a0za\u00a0podm\u00ednek stanoven\u00fdch v\u00a0z\u00e1kon\u011b o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed<\/b>\u00a0(P\u0159\u00edloha \u010d. 1 z\u00e1kona \u010d.\u00a048\/1997 Sb.). Podm\u00ednky \u00fahrady jsou stejn\u00e9 pro v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny.<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>\u00dahrada v\u00fdpln\u011b zubu z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je mo\u017en\u00e1 jak v\u00a0r\u00e1mci preventivn\u00ed pravideln\u00e9 prohl\u00eddky, tak i p\u0159i samostatn\u00e9 n\u00e1v\u0161t\u011bv\u011b<\/b>, kdy se poji\u0161t\u011bnec ke stomatologovi dostav\u00ed s\u00a0kazem \u010di jin\u00fdm stomatologick\u00fdm probl\u00e9mem.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNoSpacing\"><strong>N\u00ed\u017ee naleznete rozd\u011blen\u00ed dle typu chrupu a v\u011bkov\u00fdch kategori\u00ed:<\/strong><\/p>\n<h6 class=\"-wm-MsoNoSpacing\"><b>Do\u010dasn\u00fd (ml\u00e9\u010dn\u00fd) chrup<\/b><\/h6>\n<p class=\"-wm-MsoNoSpacing\"><u>U poji\u0161t\u011bnc\u016f s\u00a0ml\u00e9\u010dn\u00fdmi zuby jsou hrazeny v\u00fdpln\u011b:<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ze skloionomern\u00edho cementu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu cel\u00e9ho chrupu<\/li>\n<li class=\"-wm-MsoNoSpacing\">ze samopolymeruj\u00edc\u00edho kompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a\u00a0\u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z\u00a0dozovan\u00e9ho amalg\u00e1mu* \u2013 v\u00a0rozsahu cel\u00e9ho chrupu<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<h6 class=\"-wm-MsoNoSpacing\"><b>St\u00e1l\u00fd chrup<\/b><\/h6>\n<p class=\"-wm-MsoNoSpacing\"><u>U poji\u0161t\u011bnc\u016f ve v\u011bku do 15 let jsou hrazeny v\u00fdpln\u011b<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ze skloionomern\u00edho cementu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu cel\u00e9ho chrupu<\/li>\n<li class=\"-wm-MsoNoSpacing\">ze samopolymeruj\u00edc\u00edho kompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a \u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z fotokompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a \u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z\u00a0dozovan\u00e9ho amalg\u00e1mu* \u2013 v\u00a0rozsahu cel\u00e9ho chrupu<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNormal\"><u>U poji\u0161t\u011bnc\u016f ve v\u011bku od 15 do 18 let jsou hrazeny v\u00fdpln\u011b<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ze samopolymeruj\u00edc\u00edho kompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a \u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z\u00a0fotokompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a \u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z d\u00f3zovan\u00e9ho amalg\u00e1mu \u2013 v\u00a0rozsahu cel\u00e9ho chrupu.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNormal\"><u>U poji\u0161t\u011bnc\u016f nad 18 let jsou hrazeny v\u00fdpln\u011b<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\">ze samopolymeruj\u00edc\u00edho kompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a \u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z d\u00f3zovan\u00e9ho amalg\u00e1mu \u2013 v\u00a0rozsahu cel\u00e9ho chrupu<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNormal\"><u>U t\u011bhotn\u00fdch a koj\u00edc\u00edch \u017een jsou hrazeny v\u00fdpln\u011b<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\">ze\u00a0skloionomern\u00edho cementu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v rozsahu cel\u00e9ho chrupu<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\">ze samopolymeruj\u00edc\u00edho kompozitu (b\u00edl\u00e1 v\u00fdpl\u0148) \u2013 v\u00a0rozsahu \u0159ez\u00e1k\u016f a \u0161pi\u010d\u00e1k\u016f<\/li>\n<li class=\"-wm-MsoNoSpacing\">z\u00a0dozovan\u00e9ho amalg\u00e1mu* \u2013 v\u00a0rozsahu cel\u00e9ho chrupu<\/li>\n<\/ul>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>* D\u016fle\u017eit\u00e9 informace k d\u00f3zovan\u00e9mu amalg\u00e1mu: <\/b>Nen\u00ed-li mo\u017en\u00e9 pou\u017e\u00edt skloionomern\u00ed cement z\u00a0d\u016fvodu zdravotn\u00edho stavu poji\u0161t\u011bnce, lze pou\u017e\u00edt d\u00f3zovan\u00fd amalg\u00e1m (u do\u010dasn\u00e9ho chrupu, u poji\u0161t\u011bnc\u016f do 15 let, u t\u011bhotn\u00fdch a koj\u00edc\u00edch). Pou\u017eit\u00ed dozovan\u00e9ho amalg\u00e1mu mus\u00ed vypl\u00fdvat ze zdravotnick\u00e9 dokumentace poji\u0161t\u011bnce.<\/p>\n<p class=\"-wm-MsoNoSpacing\">D\u00f3zovan\u00fdm amalg\u00e1mem se rozum\u00ed zubn\u00ed amalg\u00e1m v kapslov\u00e9 form\u011b v p\u0159edem ur\u010den\u00fdch d\u00e1vk\u00e1ch. P\u0159i\u00a0pou\u017eit\u00ed dozovan\u00e9ho amalg\u00e1mu je ze zdravotn\u00edho poji\u0161t\u011bn\u00ed hrazena pouze v\u00fdpl\u0148 v\u00a0z\u00e1kladn\u00edm proveden\u00ed. Pou\u017eit\u00ed nedozovan\u00e9ho amalg\u00e1mu je zak\u00e1z\u00e1no.<\/p>\n<p>&nbsp;<\/p>\n<p class=\"-wm-MsoNormal\"><b>Frekvence \u00fahrady zubn\u00edch v\u00fdpln\u00ed ze zdravotn\u00edho poji\u0161t\u011bn\u00ed:\u00a0<\/b>\u00dahradov\u00e1 vyhl\u00e1\u0161ka, kterou vyd\u00e1v\u00e1 ka\u017edoro\u010dn\u011b Ministerstvo zdravotnictv\u00ed, stanovuje\u00a0frekven\u010dn\u00ed omezen\u00ed \u2013<b>\u00a0frekvence \u00fahrady zubn\u00ed v\u00fdpln\u011b je stanovena u jednoho zubu na 1x za 365 dn\u00ed.<\/b><\/p>\n<p class=\"-wm-MsoNoSpacing\"><b>Omezen\u00ed frekvenc\u00ed se net\u00fdk\u00e1 p\u0159\u00edpad\u016f, kdy opakovan\u00e1 v\u00fdpl\u0148 byla zhotovena z d\u016fvodu komplikac\u00ed o\u0161et\u0159en\u00e9ho zubn\u00edho kazu nebo \u00farazu dan\u00e9ho zubu. D\u0159\u00edv\u011bj\u0161\u00ed \u00fahrada ze zdravotn\u00edho poji\u0161t\u011bn\u00ed je\u00a0u\u00a0poji\u0161t\u011bnce mo\u017en\u00e1 v p\u0159\u00edpad\u011b zv\u00fd\u0161en\u00e9 kazivosti zubu v d\u016fsledku z\u00e1va\u017en\u00e9ho celkov\u00e9ho onemocn\u011bn\u00ed.<\/b><\/p>\n<p>&nbsp;<\/p>\n<h6 class=\"-wm-MsoNoSpacing\">Stomatolog m\u00e1 povinnost:<\/h6>\n<ul type=\"disc\">\n<li class=\"-wm-MsoNoSpacing\"><b>informovat<\/b>\u00a0<b>poji\u0161t\u011bnce o zp\u016fsobu l\u00e9\u010dby a l\u00e9\u010debn\u00e9m postupu<\/b><\/li>\n<li class=\"-wm-MsoNoSpacing\"><b>informovat pacienta o cen\u011b v\u00fdpln\u00ed<\/b>\u00a0nehrazen\u00fdch z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, a to p\u0159ed jejich poskytnut\u00edm,<\/li>\n<li class=\"-wm-MsoNoSpacing\"><b>vystavit<\/b>\u00a0<b>\u00fa\u010det za uhrazen\u00e9<\/b>\u00a0zdravotn\u00ed slu\u017eby, nestanov\u00ed-li jin\u00fd pr\u00e1vn\u00ed p\u0159edpis jinak,<\/li>\n<li class=\"-wm-MsoNoSpacing\">zpracovat\u00a0<b>cen\u00edk<\/b>\u00a0v\u00fdpln\u00ed nehrazen\u00fdch z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed a\u00a0<b>um\u00edstit ho tak, aby byl p\u0159\u00edstupn\u00fd pacient\u016fm<\/b><\/li>\n<\/ul>\n<p class=\"-wm-MsoNoSpacing\"><b>V\u00a0p\u0159\u00edpad\u011b, \u017ee se poji\u0161t\u011bnec rozhodne a souhlas\u00ed s\u00a0metodou l\u00e9\u010dby nehrazenou z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, hrad\u00ed ji jako samopl\u00e1tce<\/b>\u00a0(nen\u00ed n\u00e1rokovateln\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00ed poji\u0161t\u011bn\u00ed).<\/p>\n<p>&nbsp;<\/p>\n<p><strong>(tz-vzp)<\/strong><\/p>\n<hr \/>\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":277667,"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\/2023\/04\/24\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/277665"}],"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=277665"}],"version-history":[{"count":4,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/277665\/revisions"}],"predecessor-version":[{"id":277671,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/277665\/revisions\/277671"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/277667"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=277665"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=277665"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=277665"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}