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Z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed je l\u00e1ze\u0148sk\u00e1 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de hrazena pln\u011b (komplexn\u00ed) nebo \u010d\u00e1ste\u010dn\u011b (p\u0159\u00edsp\u011bvkov\u00e1).<\/b>\u00a0Na oba typy l\u00e1ze\u0148sk\u00e9 p\u00e9\u010de mus\u00ed b\u00fdt vystaven\u00fd n\u00e1vrh na\u00a0l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di schv\u00e1len zdravotn\u00ed poji\u0161\u0165ovnou. Podm\u00ednky \u00fahrady l\u00e1zn\u00ed pro d\u011bti a dosp\u011bl\u00e9 jsou stejn\u00e9 pro v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny.<\/p>\n
Komplexn\u00ed l\u00e1ze\u0148sk\u00e1 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de<\/b><\/p>\n
U komplexn\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de jsou zdravotn\u00ed poji\u0161\u0165ovnou hrazeny n\u00e1klady za\u00a0vy\u0161et\u0159en\u00ed\u00a0<\/b>(vstupn\u00ed, kontroln\u00ed, v\u00fdstupn\u00ed), l\u00e9\u010debn\u00e9 procedury, ubytov\u00e1n\u00ed a stravov\u00e1n\u00ed ve\u00a0standardn\u00ed \u00farovni.<\/b>\u00a0Ubytov\u00e1n\u00ed je v\u017edy poskytov\u00e1no dle mo\u017enost\u00ed a kapacity l\u00e1zn\u00ed. Za nadstandard je u tohoto typu l\u00e1zn\u00ed pova\u017eov\u00e1n nap\u0159. jednol\u016f\u017ekov\u00fd pokoj a\u00a0dal\u0161\u00ed vybaven\u00ed pokoj\u016f (nap\u0159. televize, lednice, Wi-Fi atd.).<\/p>\n
P\u0159\u00edsp\u011bvkov\u00e1 l\u00e1ze\u0148sk\u00e1 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de<\/b><\/p>\n
U p\u0159\u00edsp\u011bvkov\u00e9 l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de jsou zdravotn\u00ed poji\u0161\u0165ovnou hrazeny n\u00e1klady za vy\u0161et\u0159en\u00ed\u00a0<\/b>(vstupn\u00ed, kontroln\u00ed, v\u00fdstupn\u00ed)\u00a0a za l\u00e9\u010debn\u00e9 procedury. Ostatn\u00ed v\u00fddaje za\u00a0l\u00e1ze\u0148sk\u00fd pobyt\u00a0<\/b>(ubytov\u00e1n\u00ed, stravov\u00e1n\u00ed a dopravu)\u00a0si plat\u00ed poji\u0161t\u011bnec jako samopl\u00e1tce.<\/b><\/p>\n
M\u016f\u017eu si vybrat do jak\u00fdch l\u00e1zn\u00ed pojedu?<\/b><\/p>\n
Dle preferenc\u00ed poji\u0161t\u011bnce m\u016f\u017ee navrhuj\u00edc\u00ed o\u0161et\u0159uj\u00edc\u00ed l\u00e9ka\u0159 uv\u00e9st na n\u00e1vrh l\u00e1ze\u0148sk\u00e9 m\u00edsto v\u00a0souladu s\u00a0indikac\u00ed (dle onemocn\u011bn\u00ed) a Vyhl\u00e1\u0161kou \u010d. 2\/2015 Sb., o stanoven\u00ed odborn\u00fdch krit\u00e9ri\u00ed a\u00a0dal\u0161\u00edch n\u00e1le\u017eitost\u00ed pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de.<\/p>\n
M\u016f\u017eu absolvovat p\u0159\u00edsp\u011bvkov\u00e9 l\u00e1zn\u011b tak, \u017ee budu chodit na l\u00e9\u010den\u00ed a budu bydlet doma?<\/b><\/p>\n
U obou typ\u016f l\u00e1ze\u0148sk\u00fdch pobyt\u016f se jedn\u00e1 v\u017edy v\u00fdhradn\u011b o\u00a0n\u00e1slednou l\u016f\u017ekovou p\u00e9\u010di, tzn. podm\u00ednkou je ubytov\u00e1n\u00ed v\u00a0dan\u00e9m l\u00e1ze\u0148sk\u00e9m za\u0159\u00edzen\u00ed.<\/b>\u00a0Z\u00a0tohoto d\u016fvodu nen\u00ed mo\u017en\u00e9 absolvovat l\u00e9\u010debnou p\u00e9\u010di v\u00a0l\u00e1zn\u00edch a m\u00edt zaji\u0161t\u011bn\u00e9 ubytov\u00e1n\u00ed mimo l\u00e1ze\u0148sk\u00e9 zdravotnick\u00e9 za\u0159\u00edzen\u00ed (nap\u0159. v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed).<\/p>\n
V\u00a0p\u0159\u00edpad\u011b ubytov\u00e1n\u00ed v\u00a0dom\u00e1c\u00edm prost\u0159ed\u00ed se jedn\u00e1 o p\u00e9\u010di ambulantn\u00ed<\/b>. Z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed m\u016f\u017ee b\u00fdt tato zdravotn\u00ed p\u00e9\u010de hrazena na z\u00e1klad\u011b indikace o\u0161et\u0159uj\u00edc\u00edho l\u00e9ka\u0159e, kter\u00fd pacientovi p\u0159edep\u00ed\u0161e poukaz FT nebo K (poukaz na vy\u0161et\u0159en\u00ed\/o\u0161et\u0159en\u00ed FT).<\/p>\n
Hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna dopravu do l\u00e1zn\u00ed?<\/b><\/p>\n
Dopravu poji\u0161t\u011bnce do l\u00e1ze\u0148sk\u00e9ho za\u0159\u00edzen\u00ed hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna u komplexn\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de tam i zp\u011bt pouze na z\u00e1klad\u011b indikace o\u0161et\u0159uj\u00edc\u00edm l\u00e9ka\u0159em.<\/b>\u00a0Podm\u00ednkou indikace je,\u00a0\u017ee\u00a0se poji\u0161t\u011bnec do l\u00e1zn\u00ed nem\u016f\u017ee dopravit b\u011b\u017en\u00fdm zp\u016fsobem bez pou\u017eit\u00ed dopravn\u00ed zdravotn\u00ed slu\u017eby (nap\u0159. p\u0159\u00edm\u00fd p\u0159eklad do l\u00e1zn\u00ed z akutn\u00ed l\u016f\u017ekov\u00e9 p\u00e9\u010de \u2013 po operaci tot\u00e1ln\u00ed endoprot\u00e9zy).<\/p>\n
Zaplat\u00ed zdravotn\u00ed poji\u0161\u0165ovna pobyt i m\u00e9mu doprovodu?<\/b><\/p>\n
Pobyt pr\u016fvodce (strava a ubytov\u00e1n\u00ed) je u l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de hrazen zdravotn\u00ed poji\u0161\u0165ovnou, pokud jeho nezbytnost potvrd\u00ed zdravotn\u00ed poji\u0161\u0165ovna.<\/b><\/p>\n
Kdo ur\u010duje podm\u00ednky \u00fahrady l\u00e1zn\u00ed?<\/b><\/p>\n
Podm\u00ednky poskytnut\u00ed a \u00fahrady l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de (komplexn\u00ed a p\u0159\u00edsp\u011bvkov\u00e9) pro d\u011bti a dosp\u011bl\u00e9 jsou stanoveny z\u00e1konem \u010d. 48\/1997 Sb., o ve\u0159ejn\u00e9m zdravotn\u00edm poji\u0161t\u011bn\u00ed, v\u010detn\u011b P\u0159\u00edlohy \u010d.\u00a05 (Indika\u010dn\u00ed seznam pro l\u00e1ze\u0148skou l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010di). Tyto podm\u00ednky dopl\u0148uj\u00ed Odborn\u00e1 krit\u00e9ria pro poskytov\u00e1n\u00ed l\u00e1ze\u0148sk\u00e9 l\u00e9\u010debn\u011b rehabilita\u010dn\u00ed p\u00e9\u010de (Vyhl\u00e1\u0161ka \u010d. 2\/2015 Sb.).<\/p>\n
Ve\u0161ker\u00e1 vy\u0161et\u0159en\u00ed, kter\u00e1 jsou poji\u0161t\u011bnci indikov\u00e1na, jsou hrazena z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. V\u0161echna vy\u0161et\u0159en\u00ed je nutn\u00e9 prov\u00e9st ve\u00a0smluvn\u00edch zdravotnick\u00fdch za\u0159\u00edzen\u00edch<\/b>\u00a0(tedy u\u00a0poskytovatele zdravotn\u00edch slu\u017eeb, kter\u00fd m\u00e1 smlouvu se\u00a0zdravotn\u00ed poji\u0161\u0165ovnou poji\u0161t\u011bnce).<\/p>\n P\u0159\u00edsp\u011bvek z\u00a0fondu prevence<\/b><\/p>\n Poji\u0161t\u011bnci VZP star\u0161\u00ed 18 let, kte\u0159\u00ed absolvovali v posledn\u00edch 2 letech preventivn\u00ed screeningov\u00e9 vy\u0161et\u0159en\u00ed, mohou z\u00edskat p\u0159\u00edsp\u011bvek\u00a02 000 K\u010d na rehabilita\u010dn\u00ed a rekondi\u010dn\u00ed aktivity l\u00e1ze\u0148sk\u00e9ho typu<\/a><\/strong>\u00a0nehrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed. Na rehabilita\u010dn\u00ed\/rekondi\u010dn\u00ed aktivity l\u00e1ze\u0148sk\u00e9ho typu VZP p\u0159isp\u00edv\u00e1\u00a03\u00a0000 K\u010d tak\u00e9 aktivn\u00edm d\u00e1rc\u016fm krve<\/a><\/strong>, kte\u0159\u00ed maj\u00ed potvrzen\u00ed alespo\u0148 jednoho odb\u011bru v\u00a0kalend\u00e1\u0159n\u00edm roce.<\/p>\n Podm\u00ednky \u010derp\u00e1n\u00ed p\u0159\u00edsp\u011bvku z fondu prevence jsou zve\u0159ejn\u011bny na\u00a0webu VZP \u2013 V\u00fdhody a p\u0159\u00edsp\u011bvky<\/a>.<\/span><\/strong><\/p>\n<\/div>\n\n