![\"\"](\"https:\/\/zakrasnejsivimperk.cz\/wp-content\/uploads\/2020\/08\/31\/vzp-logo.png\"){kind=logo}
<\/p>\n<\/p>\n
Novela z\u00e1kona o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, spolu se z\u00e1konem o l\u00e9\u010divech a z\u00e1konem o pojistn\u00e9m na ve\u0159ejn\u00e9 zdravotn\u00ed poji\u0161t\u011bn\u00ed, p\u0159inesla z\u00e1sadn\u00ed zm\u011bnu v\u00a0evidenci zapo\u010ditateln\u00fdch doplatk\u016f v\u00a0l\u00e9k\u00e1rn\u00e1ch.\u00a0Od roku 2025 plat\u00ed, \u017ee pokud poji\u0161t\u011bnec dos\u00e1hl ochrann\u00e9ho limitu, p\u0159est\u00e1v\u00e1 zapo\u010ditateln\u00e9 doplatky v\u00a0l\u00e9k\u00e1rn\u011b platit.<\/b>\u00a0L\u00e9k\u00e1rna automaticky vyk\u00e1\u017ee \u010d\u00e1stku nad ochrann\u00fd limit k \u00fahrad\u011b zdravotn\u00ed poji\u0161\u0165ovn\u011b. T\u00edmto se nahradila d\u0159\u00edv\u011bj\u0161\u00ed praxe, kdy poji\u0161\u0165ovny vracely poji\u0161t\u011bnc\u016fm p\u0159eplatky nad ochrann\u00fd limit zp\u011btn\u011b na bankovn\u00ed \u00fa\u010det nebo po\u0161tovn\u00ed pouk\u00e1zkou.<\/b><\/p>\n
Sou\u010d\u00e1st\u00ed novely je tak\u00e9 dopln\u011bn\u00ed p\u0159echodn\u00fdch ustanoven\u00ed z\u00e1kona, kter\u00e1 se t\u00fdkaj\u00ed p\u0159ed\u00e1v\u00e1n\u00ed \u00fadaj\u016f do<\/b>\u00a0syst\u00e9mu eRecept o poji\u0161t\u011bnc\u00edch pob\u00edraj\u00edc\u00edch invalidn\u00ed d\u016fchod\u00a0<\/b>pro invaliditu III. stupn\u011b nebo o poji\u0161t\u011bnc\u00edch, kte\u0159\u00ed byli uzn\u00e1ni invalidn\u00edmi ve II. nebo III. stupni bez n\u00e1roku na invalidn\u00ed d\u016fchod.\u00a0M\u016f\u017ee se st\u00e1t, \u017ee ochrann\u00fd limit nen\u00ed automaticky nastaven na spr\u00e1vnou v\u00fd\u0161i, nap\u0159\u00edklad poji\u0161t\u011bnec m\u00e1 n\u00e1rok na sn\u00ed\u017een\u00fd limit 500 K\u010d, ale syst\u00e9m eviduje limit 5 000 K\u010d.<\/b>\u00a0Tento probl\u00e9m je \u010dast\u011bj\u0161\u00ed u invalidn\u00edch poji\u0161t\u011bnc\u016f, nebo\u0165 \u010cesk\u00e1 spr\u00e1va soci\u00e1ln\u00edho zabezpe\u010den\u00ed (\u010cSSZ) nemus\u00ed m\u00edt v evidenci v\u0161echny pot\u0159ebn\u00e9 informace.\u00a0Poji\u0161t\u011bnec by m\u011bl proto VZP dolo\u017eit dokumenty, je\u017e potvrzuj\u00ed stupe\u0148 jeho invalidity. VZP n\u00e1sledn\u011b \u00fadaje do syst\u00e9mu eRecept zaeviduje.<\/b><\/p>\n
Co je to ochrann\u00fd limit?<\/strong><\/p>\n Ochrann\u00fdm limitem se rozum\u00ed maxim\u00e1ln\u00ed mo\u017en\u00e1 \u010d\u00e1stka, kterou poji\u0161t\u011bnec 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 poji\u0161t\u011bnc\u016f.\u00a0U d\u011bt\u00ed mlad\u0161\u00edch 18 let a u poji\u0161t\u011bnc\u016f star\u0161\u00edch 65 let<\/strong>\u00a0je hranice ro\u010dn\u00edho limitu na zapo\u010ditateln\u00e9 doplatky stanovena na\u00a01\u00a0000 K\u010d<\/strong>.\u00a0Pro dosp\u011bl\u00e9ho \u010dlov\u011bka<\/strong>\u00a0je limit nastaven\u00a0na 5\u00a0000 K\u010d<\/strong>.\u00a0U\u00a0poji\u0161t\u011bnc\u016f nad 70 let\u00a0<\/strong>(v\u010detn\u011b kalend\u00e1\u0159n\u00edho roku, ve kter\u00e9m dovr\u0161ili 70. rok v\u011bku)\u00a0a invalidn\u00edch poji\u0161t\u011bnc\u016f<\/strong>, tedy osob ve III. stupni invalidity s p\u0159iznan\u00fdm d\u016fchodem a osob ve II. nebo III. stupni bez p\u0159iznan\u00e9ho d\u016fchodu,\u00a0je limit stanoven na\u00a0500 K\u010d<\/strong>.<\/p>\n Kdo m\u00e1 n\u00e1rok na sn\u00ed\u017een\u00fd ochrann\u00fd limit z\u00a0d\u016fvodu invalidity?<\/b><\/p>\n N\u00e1rok na sn\u00ed\u017een\u00fd ochrann\u00fd limit z\u00a0d\u016fvodu invalidity maj\u00ed tyto skupiny poji\u0161t\u011bnc\u016f:<\/p>\n Jak\u00e9 dokumenty je t\u0159eba dolo\u017eit?<\/strong><\/p>\n Aby poji\u0161t\u011bnec mohl uplatnit sv\u016fj n\u00e1rok na sn\u00ed\u017een\u00fd ochrann\u00fd limit, mus\u00ed zdravotn\u00ed poji\u0161\u0165ovn\u011b p\u0159edlo\u017eit n\u011bkter\u00fd z\u00a0t\u011bchto dokument\u016f, kter\u00fd potvrzuje stupe\u0148 invalidity:<\/p>\n Jak nahl\u00e1\u0161en\u00ed prov\u00e9st?<\/b><\/p>\n Nahl\u00e1\u0161en\u00ed je mo\u017en\u00e9 prost\u0159ednictv\u00edm formul\u00e1\u0159e\u00a0\u201e<\/b>Ozn\u00e1men\u00ed o p\u0159iznan\u00e9m stupni invalidity<\/b><\/a>\u201c.\u00a0<\/b>Kopie dokumentu nemus\u00ed b\u00fdt \u00fa\u0159edn\u011b ov\u011b\u0159en\u00e1.<\/b><\/p>\n Dokumenty lze zaslat e-mailem na\u00a0podatelna@vzp.cz<\/b><\/a>,<\/b>\u00a0po\u0161tou na adresu\u00a0<\/b>pobo\u010dky<\/b><\/a>, datovou schr\u00e1nkou (i48ae3q),\u00a0<\/b>p\u0159\u00edpadn\u011b m\u016f\u017ee poji\u0161t\u011bnec informaci\u00a0nahl\u00e1sit i osobn\u011b na<\/b>\u00a0kter\u00e9koliv pobo\u010dce VZP<\/b><\/a>.<\/b>\u00a0 Pro rychlej\u0161\u00ed vy\u0159\u00edzen\u00ed z\u00e1le\u017eitosti je vhodn\u00e9 se p\u0159edem\u00a0objednat\u00a0<\/b>online<\/b><\/a>\u00a0na konkr\u00e9tn\u00ed den a \u010das.<\/p>\n Pokud se poji\u0161t\u011bnec nem\u016f\u017ee dostavit osobn\u011b, m\u016f\u017ee za n\u011bj vypln\u011bn\u00fd a podepsan\u00fd formul\u00e1\u0159 a p\u0159ilo\u017eenou kopii dan\u00e9ho dokumentu doru\u010dit jak\u00e1koliv jin\u00e1 osoba. Za osobu s\u00a0p\u0159iznanou invaliditou s\u00a0omezenou sv\u00e9pr\u00e1vnost\u00ed v\u010detn\u011b d\u011bt\u00ed do 18 let m\u016f\u017ee dokumenty doru\u010dit z\u00e1konn\u00fd z\u00e1stupce.<\/p>\n Odkdy bude ochrann\u00fd limit sn\u00ed\u017een?<\/b><\/p>\n Ochrann\u00fd limit bude poji\u0161t\u011bnci sn\u00ed\u017een\u00a0<\/b>na z\u00e1klad\u011b dolo\u017een\u00ed zdravotn\u00ed poji\u0161\u0165ovn\u011b.<\/b>\u00a0Rozhodn\u00e9 je datum p\u0159evzet\u00ed na pobo\u010dce VZP, datum po\u0161tovn\u00edho raz\u00edtka \u010di\u00a0odesl\u00e1n\u00ed e-mailu atd.<\/b>\u00a0Limit se v\u0161ak nesn\u00ed\u017e\u00ed okam\u017eit\u011b, ale a\u017e od 1. dne kalend\u00e1\u0159n\u00edho m\u011bs\u00edce n\u00e1sleduj\u00edc\u00edho po m\u011bs\u00edci, ve kter\u00e9m byl \u00fadaj o invalidit\u011b nebo invalidn\u00edm d\u016fchodu zaevidov\u00e1n v informa\u010dn\u00edm syst\u00e9mu eRecept.\u00a0V\u00a0p\u0159\u00edpad\u011b, \u017ee by poji\u0161t\u011bnec sv\u016fj n\u00e1rok nenahl\u00e1sil, zdravotn\u00ed poji\u0161\u0165ovna mu nem\u016f\u017ee limit sn\u00ed\u017eit a\u00a0na\u00a0poji\u0161t\u011bnce se tak i nad\u00e1le bude vztahovat ochrann\u00fd limit dle v\u011bkov\u00e9 kategorie.<\/b><\/p>\n Jak je to v\u00a0p\u0159\u00edpad\u011b zastupov\u00e1n\u00ed osoby s\u00a0p\u0159iznanou invaliditou s\u00a0omezenou sv\u00e9pr\u00e1vnost\u00ed?<\/b><\/p>\n Za osoby\u00a0s\u00a0p\u0159iznanou invaliditou s omezenou sv\u00e9pr\u00e1vnost\u00ed\u00a0(v\u010detn\u011b d\u011bt\u00ed do 18 let) z\u00e1le\u017eitost vy\u0159izuje<\/b>\u00a0(podepisuje formul\u00e1\u0159 a dokl\u00e1d\u00e1 pot\u0159ebn\u00e9 dokumenty)\u00a0zastupuj\u00edc\u00ed osoba<\/b>. Tak\u00e9\u00a0instituce, j\u00ed\u017e byl poji\u0161t\u011bnec s\u00a0p\u0159iznanou invaliditou sv\u011b\u0159en do p\u00e9\u010de (d\u011btsk\u00fd domov, za\u0159\u00edzen\u00ed soci\u00e1ln\u00edch slu\u017eeb apod.), mus\u00ed dolo\u017eit sv\u011b\u0159en\u00ed dan\u00e9ho poji\u0161t\u011bnce do p\u00e9\u010de.<\/p>\n Zastupuj\u00edc\u00ed osoba mus\u00ed dolo\u017eit dokument dokl\u00e1daj\u00edc\u00ed vazbu k\u00a0zastupovan\u00e9 osob\u011b:<\/p>\n Je nutn\u00e9 \u017e\u00e1dat o sn\u00ed\u017een\u00ed opakovan\u011b?<\/b><\/p>\n O sn\u00ed\u017een\u00fd ochrann\u00fd limit nen\u00ed nutn\u00e9 \u017e\u00e1dat ka\u017edoro\u010dn\u011b. Jin\u00e1 situace v\u0161ak nast\u00e1v\u00e1 v\u00a0p\u0159\u00edpad\u011b zm\u011bny zdravotn\u00ed poji\u0161\u0165ovny \u2013 poji\u0161t\u011bnec mus\u00ed p\u0159i ka\u017ed\u00e9 zm\u011bn\u011b zdravotn\u00ed poji\u0161\u0165ovny hl\u00e1sit invaliditu nov\u00e9 zdravotn\u00ed poji\u0161\u0165ovn\u011b.<\/p>\n P\u0159estal jsem podm\u00ednky spl\u0148ovat, mus\u00edm to hl\u00e1sit?<\/strong><\/b><\/p>\n\n
\n
\n