{"id":332032,"date":"2024-12-19T09:38:58","date_gmt":"2024-12-19T08:38:58","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=332032"},"modified":"2024-12-19T09:38:58","modified_gmt":"2024-12-19T08:38:58","slug":"vseobecna-zdravotni-pojistovna-po-dosazeni-ochranneho-limitu-jiz-v-lekarne-nebudeme-platit-zapocitatelne-doplatky","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=332032","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Po dosa\u017een\u00ed ochrann\u00e9ho limitu ji\u017e v l\u00e9k\u00e1rn\u011b nebudeme platit zapo\u010ditateln\u00e9 doplatky"},"content":{"rendered":"

\"\"<\/p>\n

Od Nov\u00e9ho roku n\u00e1s \u010dekaj\u00ed zm\u011bny v\u00a0\u00fahrad\u011b doplatk\u016f za l\u00e9ky na recept. Lid\u00e9 u\u017e nebudou dost\u00e1vat vznikl\u00e9 p\u0159eplatky zp\u011btn\u011b od sv\u00fdch zdravotn\u00edch poji\u0161\u0165oven (po\u0161tou \u010di na \u00fa\u010det). Po dosa\u017een\u00ed ochrann\u00e9ho limitu prost\u011b p\u0159estanou zapo\u010ditateln\u00e9 doplatky v\u00a0l\u00e9k\u00e1rn\u011b platit. Rozd\u00edl v\u00a0cen\u011b uhrad\u00ed l\u00e9k\u00e1rn\u011b p\u0159\u00edmo zdravotn\u00ed poji\u0161\u0165ovna. O tom, jak\u00e1 je v\u00fd\u0161e \u00fahrady za l\u00e9\u010div\u00fd p\u0159\u00edpravek z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, rozhoduje St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div (S\u00daKL). \u010c\u00e1stku zaplacenou na doplatc\u00edch si tak lid\u00e9 budou moci zkontrolovat pr\u00e1v\u011b v\u00a0jeho v\u00a0aplikaci eRecept. Zdravotn\u00ed poji\u0161\u0165ovna m\u00e1 v\u00a0tomto p\u0159\u00edpad\u011b pouze roli administr\u00e1tora.<\/b><\/h6>\n

V\u00fd\u0161i uhrazen\u00fdch zapo\u010ditateln\u00fdch doplatk\u016f za p\u0159edepsan\u00e9 \u010d\u00e1ste\u010dn\u011b hrazen\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky a potraviny pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely bude sledovat automaticky syst\u00e9m, kter\u00fd l\u00e9k\u00e1rn\u00edka na dosa\u017een\u00ed ochrann\u00e9ho limitu upozorn\u00ed. V\u00a0okam\u017eiku jeho dosa\u017een\u00ed p\u0159est\u00e1v\u00e1 klient zapo\u010ditateln\u00e9 doplatky v\u00a0dan\u00e9m kalend\u00e1\u0159n\u00edm roce platit. Ne\u010dek\u00e1 na konec m\u011bs\u00edce, \u010dtvrtlet\u00ed apod. Zm\u011bna nast\u00e1v\u00e1 okam\u017eit\u011b. Z\u00e1rove\u0148 p\u0159echodem na nov\u00fd syst\u00e9m ji\u017e nebude dost\u00e1vat p\u0159eplatky za l\u00e9ky od zdravotn\u00ed poji\u0161\u0165ovny, \u017e\u00e1dn\u00e9 ji\u017e nav\u00edc nebude platit.<\/p>\n

Pro klienta to ale neznamen\u00e1, \u017ee u\u017e od dan\u00e9 chv\u00edle nebude platit v\u00a0l\u00e9k\u00e1rn\u011b nic. Ceny l\u00e9\u010div se mohou v\u00a0jednotliv\u00fdch l\u00e9k\u00e1rn\u00e1ch li\u0161it, l\u00e9k\u00e1rny si mohou toti\u017e do ceny l\u00e9ku zahrnout sv\u016fj p\u0159\u00edplatek, kter\u00fd se do ochrann\u00e9ho limitu nezapo\u010d\u00edt\u00e1v\u00e1. N\u011bkter\u00e1 l\u00e9\u010diva nejsou hrazen\u00e1 z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed v\u016fbec, jedn\u00e1 se nap\u0159\u00edklad o voln\u011b prodejn\u00e9 l\u00e9ky typu paralen, imodium, lioton gel atd.<\/p>\n

Informace o tom, zda l\u00e9\u010divo je, \u010di nen\u00ed hrazen\u00e9 z\u00a0prost\u0159edk\u016f ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, jak\u00fd je pro n\u011bho stanoven zapo\u010ditateln\u00fd doplatek \u010di jak\u00fd si mohou l\u00e9k\u00e1rny na\u00fa\u010dtovat maxim\u00e1ln\u00ed p\u0159\u00edplatek, jsou k\u00a0dispozici na webu S\u00daKL na adrese\u00a0https:\/\/sukl.gov.cz<\/a><\/strong>. Ten je ve\u0159ejn\u011b p\u0159\u00edstupn\u00fd v\u0161em, kdo si cht\u011bj\u00ed zjistit v\u00fd\u0161i zapo\u010ditateln\u00e9ho doplatku a ov\u011b\u0159it si pr\u016fm\u011brnou cenu, za kterou mohou l\u00e9k v\u00a0l\u00e9k\u00e1rn\u011b po\u0159\u00eddit.<\/p>\n

Co to je ochrann\u00fd limit<\/b><\/h6>\n

Ochrann\u00fdm limitem se rozum\u00ed maxim\u00e1ln\u00ed mo\u017en\u00e1 \u010d\u00e1stka, kterou klient v\u00a0dan\u00e9m kalend\u00e1\u0159n\u00edm roce za zapo\u010ditateln\u00e9 doplatky m\u016f\u017ee uhradit. Jeho v\u00fd\u0161e je dan\u00e1 z\u00e1konem o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed a li\u0161\u00ed se podle v\u011bku klient\u016f.<\/p>\n\n\n\n\n\n\n\n\n
\n

V\u011bk klienta<\/b><\/p>\n<\/td>\n

\n

Ochrann\u00fd limit<\/b><\/p>\n<\/td>\n<\/tr>\n

\n

D\u011bti do 18 let v\u010detn\u011b<\/p>\n<\/td>\n

\n

1\u00a0000 K\u010d<\/p>\n<\/td>\n<\/tr>\n

\n

Dosp\u011bl\u00ed ve v\u011bku 19-64 let<\/p>\n<\/td>\n

\n

5\u00a0000 K\u010d<\/p>\n<\/td>\n<\/tr>\n

\n

Dosp\u011bl\u00ed ve v\u011bku 65-69 let<\/p>\n<\/td>\n

\n

1\u00a0000 K\u010d<\/p>\n<\/td>\n<\/tr>\n

\n

Dosp\u011bl\u00ed star\u0161\u00ed 70 let<\/p>\n<\/td>\n

\n

500 K\u010d<\/p>\n<\/td>\n<\/tr>\n

\n

Invalidita 2. a 3. stupn\u011b*<\/p>\n<\/td>\n

\n

500 K\u010d<\/p>\n<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

*) Klienti, kte\u0159\u00ed jsou po\u017eivateli invalidn\u00edho d\u016fchodu pro invaliditu 3. stupn\u011b \u010di byli uzn\u00e1ni invalidn\u00edmi ve 2. nebo 3. stupni, maj\u00ed n\u00e1rok na ni\u017e\u0161\u00ed ochrann\u00fd limit ve v\u00fd\u0161i 500 K\u010d, a to bez ohledu na v\u011bk. Od Nov\u00e9ho roku nav\u00edc nebudou muset tuto skute\u010dnost sami\u00a0<\/b>zdravotn\u00ed poji\u0161\u0165ovn\u011b hl\u00e1sit a dokl\u00e1dat, tato informace budu sou\u010d\u00e1st\u00ed syst\u00e9mu.<\/p>\n

Uhrazen\u00e9 zapo\u010ditateln\u00e9 doplatky za rok 2024<\/b><\/h6>\n

Co se t\u00fdk\u00e1 p\u0159eplatk\u016f za l\u00e9ky za rok 2024, V\u0161eobecn\u00e1 zdravotn\u00ed poji\u0161\u0165ovna je bude vypl\u00e1cet sv\u00fdm klient\u016fm standardn\u00ed cestou, a to nejpozd\u011bji do 1. b\u0159ezna 2025. P\u0159eplatky jsou zas\u00edl\u00e1ny automaticky, klienti si o n\u011b \u017e\u00e1dat nemus\u00ed. \u010c\u00e1stka je zasl\u00e1na bu\u010f p\u0159evodem na bankovn\u00ed \u00fa\u010det klienta, nebo po\u0161tovn\u00ed pouk\u00e1zkou na adresu poji\u0161t\u011bnce evidovanou u VZP. V\u00fd\u0161e minim\u00e1ln\u011b vypl\u00e1cen\u00e9 \u010d\u00e1stky p\u0159ekra\u010duj\u00edc\u00ed ochrann\u00fd limit je stanovena na 200\u00a0K\u010d.<\/p>\n

V\u00a0tomto p\u0159\u00edpad\u011b se bude jednat o posledn\u00ed platbu zdravotn\u00ed poji\u0161\u0165ovny klient\u016fm v\u00a0souvislosti s\u00a0p\u0159eplatky za l\u00e9ky. Od Nov\u00e9ho roku zapo\u010ditateln\u00fd doplatek ji\u017e v\u00a0l\u00e9k\u00e1rn\u011b p\u0159i dosa\u017een\u00ed ochrann\u00e9ho limitu platit nebudou.<\/p>\n

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

\n

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

Od Nov\u00e9ho <\/p>\n","protected":false},"author":2,"featured_media":332034,"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\/2024\/12\/17\/ram-doplatky.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/332032"}],"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=332032"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/332032\/revisions"}],"predecessor-version":[{"id":332033,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/332032\/revisions\/332033"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/332034"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=332032"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=332032"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=332032"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}