{"id":371085,"date":"2026-03-23T12:49:16","date_gmt":"2026-03-23T11:49:16","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=371085"},"modified":"2026-03-23T12:50:37","modified_gmt":"2026-03-23T11:50:37","slug":"vseobecna-zdravotni-pojistovna-uhrada-zubnich-vyplni-a-endodoncie","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=371085","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: \u00dahrada zubn\u00edch v\u00fdpln\u00ed a endodoncie"},"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:<\/h6>\n<h6 style=\"text-align: center;\"><b>V\u00a0jak\u00e9m rozsahu nyn\u00ed hrad\u00ed zdravotn\u00ed poji\u0161\u0165ovna b\u00edl\u00e9 v\u00fdpln\u011b a o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f u zuba\u0159e? A opravdu postupn\u011b kon\u010d\u00ed pou\u017e\u00edv\u00e1n\u00ed amalg\u00e1mu?<\/b><\/h6>\n<h6 style=\"text-align: center;\">ODPOV\u011a\u010e:<\/h6>\n<p class=\"-wm-Normlnmini\">Od 1.\u202f1.\u202f2026 do\u0161lo ke zm\u011bn\u00e1m v \u00fahrad\u00e1ch stomatologick\u00e9 p\u00e9\u010de.\u00a0O\u0161et\u0159en\u00ed zubu definitivn\u00ed v\u00fdpln\u00ed a o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f 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\u00a0(p\u0159\u00edloha \u010d. 1 z\u00e1kona \u010d.\u00a048\/1997 Sb.,\u00a0novelizovan\u00e1 z\u00e1konem \u010d.\u202f289\/2025\u202fSb.).\u00a0<b>Podm\u00ednky \u00fahrady jsou jednotn\u00e9 pro v\u0161echny zdravotn\u00ed poji\u0161\u0165ovny.<\/b>\u00a0N\u00ed\u017ee uv\u00e1d\u00edme \u00fahrady dle typu chrupu a v\u011bkov\u00fdch kategori\u00ed.<\/p>\n<p class=\"-wm-Normlnmini\"><b><u>Do\u010dasn\u00fd (ml\u00e9\u010dn\u00fd) chrup<\/u><\/b><\/p>\n<p class=\"-wm-Normlnmini\"><b>V\u00fdpln\u011b:<\/b><\/p>\n<p class=\"-wm-Normlnmini\">V\u00fdpln\u011b do\u010dasn\u00fdch (ml\u00e9\u010dn\u00fdch) zub\u016f jsou pln\u011b hrazeny v\u00a0rozsahu cel\u00e9ho chrupu bez ohledu na pou\u017eit\u00fd materi\u00e1l. Jsou tedy pln\u011b hrazeny:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-Normlnmini\">fotokompozitn\u00ed (b\u00edl\u00e9) v\u00fdpln\u011b \u2013 v rozsahu cel\u00e9ho chrupu,<\/li>\n<li class=\"-wm-Normlnmini\">v\u00fdpln\u011b z chemicky nebo du\u00e1ln\u011b tuhnouc\u00edho materi\u00e1lu \u2013 v rozsahu cel\u00e9ho chrupu,<\/li>\n<li class=\"-wm-Normlnmini\">v\u00fdpl\u0148 z\u00a0amalg\u00e1mu\u00a0\u2013\u00a0v\u00a0rozsahu cel\u00e9ho chrupu,\u00a0<b>od 1. 7. 2026 ji sm\u00ed zubn\u00ed l\u00e9ka\u0159 zhotovit jen zcela v\u00fdjime\u010dn\u011b, pokud zdravotn\u00ed stav vylu\u010duje pou\u017eit\u00ed jin\u00e9ho materi\u00e1lu.<\/b><\/li>\n<\/ul>\n<p class=\"-wm-MsoListParagraph\">\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0<b>Rozhodnut\u00ed o tom, kterou v\u00fdpl\u0148 (materi\u00e1l) pou\u017e\u00edt, z\u00e1vis\u00ed na zdravotn\u00edm stavu poji\u0161t\u011bnce.<\/b><\/p>\n<p class=\"-wm-MsoNormal\"><b>O\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f (endodoncie)<\/b><\/p>\n<p class=\"-wm-MsoListParagraph\">\u00a0\u00a0\u00a0\u00a0 O\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f (endodoncie) do\u010dasn\u00fdch zub\u016f je pln\u011b hrazeno v rozsahu cel\u00e9ho chrupu\u00a0bez ohledu na zvolen\u00fd materi\u00e1l \u010di postup. Rozhodnut\u00ed o tom, kter\u00fd materi\u00e1l a postup o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f pou\u017e\u00edt, z\u00e1vis\u00ed na zdravotn\u00edm stavu poji\u0161t\u011bnce.<\/p>\n<p class=\"-wm-Normlnmini\"><b><u>St\u00e1l\u00fd chrup\u00a0<\/u><\/b><b><u>\u2013\u00a0<\/u><\/b><b><u>poji\u0161t\u011bnci do dne dosa\u017een\u00ed 18 let<\/u><\/b><\/p>\n<p class=\"-wm-Normlnmini\"><b>V\u00fdpln\u011b:<\/b><\/p>\n<p class=\"-wm-Normlnmini\">V\u00fdpln\u011b st\u00e1l\u00fdch zub\u016f jsou u poji\u0161t\u011bnc\u016f do dne dosa\u017een\u00ed 18 let pln\u011b hrazeny v\u00a0rozsahu cel\u00e9ho chrupu bez ohledu na pou\u017eit\u00fd materi\u00e1l. Jsou tedy pln\u011b hrazeny:<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\">fotokompozitn\u00ed (b\u00edl\u00e9) v\u00fdpln\u011b \u2013 v rozsahu cel\u00e9ho chrupu,<\/li>\n<li class=\"-wm-MsoListParagraphCxSpMiddle\">vrstven\u00e9 fotokompozitn\u00ed v\u00fdpln\u011b \u2013 v rozsahu cel\u00e9ho chrupu,<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\"><a name=\"-wm-_Hlk219733571\"><\/a>v\u00fdpln\u011b z chemicky nebo du\u00e1ln\u011b tuhnouc\u00edho materi\u00e1lu \u2013 v rozsahu cel\u00e9ho chrupu,<\/li>\n<li class=\"-wm-Normlnmini\">v\u00fdpl\u0148 z\u00a0amalg\u00e1mu\u00a0\u2013\u00a0v\u00a0rozsahu cel\u00e9ho chrupu,\u00a0<b>od 1. 7. 2026 ji sm\u00ed zubn\u00ed l\u00e9ka\u0159 u poji\u0161t\u011bnc\u016f do 18 let zhotovit jen zcela v\u00fdjime\u010dn\u011b, pokud zdravotn\u00ed stav vylu\u010duje pou\u017eit\u00ed jin\u00e9ho materi\u00e1lu.<\/b><\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\"><b>O\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f (endodoncie)<\/b><\/p>\n<p class=\"-wm-MsoListParagraphCxSpFirst\">\u00a0\u00a0\u00a0\u00a0 O\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f (endodoncie) st\u00e1l\u00fdch zub\u016f u poji\u0161t\u011bnc\u016f do dne dosa\u017een\u00ed 18 let je pln\u011b hrazeno v rozsahu cel\u00e9ho chrupu\u00a0bez ohledu na zvolen\u00fd materi\u00e1l \u010di postup.<\/p>\n<p class=\"-wm-Normlnmini\"><b>Rozhodnut\u00ed o tom, kter\u00fd materi\u00e1l a postup o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f pou\u017e\u00edt, z\u00e1vis\u00ed na zdravotn\u00edm stavu poji\u0161t\u011bnce.<\/b><b><\/b><\/p>\n<p class=\"-wm-Normlnmini\"><b><u>St\u00e1l\u00fd chrup\u00a0<\/u><\/b><b><u>\u2013\u00a0<\/u><\/b><b><u>poji\u0161t\u011bnci od 18 let<\/u><\/b><\/p>\n<p class=\"-wm-Normlnmini\"><b>V\u00fdpln\u011b:<\/b><\/p>\n<p class=\"-wm-Normlnmini\">U poji\u0161t\u011bnc\u016f od 18 let jsou v\u00fdpln\u011b na st\u00e1l\u00fdch zubech hrazeny pln\u011b nebo \u010d\u00e1ste\u010dn\u011b.<\/p>\n<p class=\"-wm-MsoNormal\"><u>\u010c\u00e1ste\u010dn\u011b hrazen\u00e1 v\u00fdpl\u0148:<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\">vrstven\u00e1 fotokompozitn\u00ed v\u00fdpl\u0148 \u2013 \u010d\u00e1ste\u010dn\u011b hrazen\u00e1 v rozsahu cel\u00e9ho chrupu. Jedn\u00e1 se o kvalitn\u00ed a vysoce estetickou \u201eb\u00edlou\u201c v\u00fdpl\u0148, kter\u00e1 se hod\u00ed pro o\u0161et\u0159en\u00ed v\u011bt\u0161iny kaz\u016f. Cena v\u00fdpln\u011b se li\u0161\u00ed podle rozsahu a zpracov\u00e1n\u00ed v\u00fdpln\u011b a m\u016f\u017ee b\u00fdt r\u016fzn\u00e1 u r\u016fzn\u00fdch zubn\u00edch l\u00e9ka\u0159\u016f. Cena v\u00fdpln\u011b mus\u00ed b\u00fdt uvedena v cen\u00edku ka\u017ed\u00e9ho zubn\u00edho l\u00e9ka\u0159e. Zdravotn\u00ed poji\u0161\u0165ovna uhrad\u00ed zubn\u00edmu l\u00e9ka\u0159i \u010d\u00e1st ceny v\u00fdpln\u011b (v roce 2026 je v\u00fd\u0161e \u00fahrady 900 K\u010d), zbytek ceny hrad\u00ed pacient.<\/li>\n<\/ul>\n<p class=\"-wm-Normlnmini\"><u>Pln\u011b hrazen\u00e9 v\u00fdpln\u011b:<\/u><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\">Nevrstven\u00e1 fotokompozitn\u00ed v\u00fdpl\u0148 \u2013 pln\u011b hrazen\u00e1 (\u00fahrada zdravotn\u00ed poji\u0161\u0165ovnou je v\u00a0roce 2026 ve v\u00fd\u0161i 900\u202fK\u010d) v rozsahu cel\u00e9ho chrupu. Jedn\u00e1 se o kvalitn\u00ed v\u00fdpl\u0148, kterou lze pou\u017e\u00edt jen na o\u0161et\u0159en\u00ed mal\u00fdch a dob\u0159e dostupn\u00fdch kaz\u016f.<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\">V\u00fdpl\u0148 z chemicky nebo du\u00e1ln\u011b tuhnouc\u00edho materi\u00e1lu \u2013 pln\u011b hrazen\u00e1 v rozsahu cel\u00e9ho chrupu, nemus\u00ed se hodit na o\u0161et\u0159en\u00ed v\u0161ech zubn\u00edch kaz\u016f.<\/li>\n<li class=\"-wm-Normlnmini\">V\u00fdpl\u0148 z\u00a0amalg\u00e1mu\u00a0\u2013\u00a0pln\u011b hrazen\u00e1 v\u00a0rozsahu cel\u00e9ho chrupu,<b>\u00a0od 1. 7. 2026 ji sm\u00ed zubn\u00ed l\u00e9ka\u0159 i u poji\u0161t\u011bnc\u016f od 18 let zhotovit jen zcela v\u00fdjime\u010dn\u011b, pokud zdravotn\u00ed stav vylu\u010duje pou\u017eit\u00ed jin\u00e9ho materi\u00e1lu.<\/b><\/li>\n<\/ul>\n<p class=\"-wm-MsoNormal\">Zdravotn\u00ed poji\u0161\u0165ovna uhrad\u00ed zubn\u00edmu l\u00e9ka\u0159i celou cenu pln\u011b hrazen\u00e9 v\u00fdpln\u011b, a to na ka\u017ed\u00e9m st\u00e1l\u00e9m zubu 1kr\u00e1t za 2 roky. Pokud by poji\u0161t\u011bnec pot\u0159eboval na stejn\u00e9m zubu zhotovit dal\u0161\u00ed v\u00fdpl\u0148 (pln\u011b i \u010d\u00e1ste\u010dn\u011b hrazenou) d\u0159\u00edve ne\u017e za 2 roky, mus\u00ed si ji celou uhradit ze sv\u00fdch prost\u0159edk\u016f. Omezen\u00ed \u00fahrady v\u00fdpln\u00ed 1kr\u00e1t za 2 roky neplat\u00ed,\u00a0jde-li o\u00a0<b>v\u00fdpl\u0148 zhotovenou v n\u00e1vaznosti na pln\u011b hrazen\u00e9 endodontick\u00e9 o\u0161et\u0159en\u00ed nebo o v\u00fdpl\u0148 zhotovenou u poji\u0161t\u011bnce s vysokou kazivost\u00ed p\u0159i z\u00e1va\u017en\u00fdch celkov\u00fdch onemocn\u011bn\u00edch nebo p\u0159i profesion\u00e1ln\u00edch po\u0161kozen\u00edch chrupu<\/b>. V\u00a0t\u011bchto p\u0159\u00edpadech proto bude o\u0161et\u0159en\u00ed st\u00e1l\u00e9ho zubu v\u00fdpln\u00ed hrazeno ze zdravotn\u00edho poji\u0161t\u011bn\u00ed bez ohledu na to, kolik \u010dasu ub\u011bhlo od p\u0159edchoz\u00edho zhotoven\u00ed v\u00fdpln\u011b pln\u011b hrazen\u00e9 ze zdravotn\u00edho poji\u0161t\u011bn\u00ed na stejn\u00e9m zubu.<\/p>\n<p class=\"-wm-MsoNormal\"><b>O\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f (endodoncie):<\/b><\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpFirst\">O\u0161et\u0159en\u00ed metodou centr\u00e1ln\u00edho \u010depu \u2013 pln\u011b hrazen\u00e9 v rozsahu\u00a0\u0159ez\u00e1k\u016f, \u0161pi\u010d\u00e1k\u016f a premol\u00e1r\u016f,<\/li>\n<\/ul>\n<p class=\"-wm-MsoListParagraphCxSpMiddle\">tj. tzv. jedni\u010dek, dvojek, trojek, \u010dty\u0159ek a p\u011btek (\u00fahrada zdravotn\u00ed poji\u0161\u0165ovnou je v roce 2026 ve v\u00fd\u0161i 900\u202fK\u010d).<\/p>\n<ul type=\"disc\">\n<li class=\"-wm-MsoListParagraphCxSpMiddle\">O\u0161et\u0159en\u00ed jin\u00fdmi metodami ne\u017e metodou centr\u00e1ln\u00edho \u010depu \u2013 \u010d\u00e1ste\u010dn\u011b hrazen\u00e9 v rozsahu \u0159ez\u00e1k\u016f, \u0161pi\u010d\u00e1k\u016f a premol\u00e1r\u016f. Zdravotn\u00ed poji\u0161\u0165ovna uhrad\u00ed zubn\u00edmu l\u00e9ka\u0159i \u010d\u00e1st ceny o\u0161et\u0159en\u00ed kan\u00e1lku (v roce 2026 je v\u00fd\u0161e \u00fahrady 1300 K\u010d za jeden o\u0161et\u0159en\u00fd ko\u0159enov\u00fd kan\u00e1lek), zbytek ceny hrad\u00ed pacient.<\/li>\n<li class=\"-wm-MsoListParagraphCxSpLast\">Cena o\u0161et\u0159en\u00ed se li\u0161\u00ed podle zvolen\u00e9 metody a m\u016f\u017ee b\u00fdt r\u016fzn\u00e1 u r\u016fzn\u00fdch zubn\u00edch l\u00e9ka\u0159\u016f. Cena o\u0161et\u0159en\u00ed ko\u0159enov\u00e9ho kan\u00e1lku mus\u00ed b\u00fdt uvedena v cen\u00edku ka\u017ed\u00e9ho zubn\u00edho l\u00e9ka\u0159e.<\/li>\n<\/ul>\n<p class=\"-wm-Normlnmini\"><b>Ze zdravotn\u00edho poji\u0161t\u011bn\u00ed je hrazeno pouze prvn\u00ed (prim\u00e1rn\u00ed) o\u0161et\u0159en\u00ed ko\u0159enov\u00e9ho kan\u00e1lku.<\/b>\u00a0Pokud by poji\u0161t\u011bnec pot\u0159eboval opakovan\u00e9 o\u0161et\u0159en\u00ed ko\u0159enov\u00e9ho kan\u00e1lku, mus\u00ed si jej uhradit ze sv\u00fdch prost\u0159edk\u016f. O\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f st\u00e1l\u00fdch mol\u00e1r\u016f (stoli\u010dek, tzv. \u0161estek, sedmi\u010dek, osmi\u010dek) u poji\u0161t\u011bnc\u016f od 18 let zdravotn\u00ed poji\u0161\u0165ovny\u00a0<b>nehrad\u00ed,<\/b>\u00a0poji\u0161t\u011bnec si mus\u00ed uhradit celou cenu o\u0161et\u0159en\u00ed.<\/p>\n<p class=\"-wm-Normlnmini\"><b>Povinnosti stomatologa<\/b><\/p>\n<p class=\"-wm-Normlnmini\"><b>Stomatolog m\u00e1 povinnost p\u0159edem informovat poji\u0161t\u011bnce o zp\u016fsobu l\u00e9\u010dby, navrhovan\u00e9m postupu a cen\u011b v\u00fdpln\u00ed \u010di cen\u011b o\u0161et\u0159en\u00ed ko\u0159enov\u00fdch kan\u00e1lk\u016f.<\/b>\u00a0Tyto informace mus\u00ed pacient obdr\u017eet je\u0161t\u011b p\u0159ed poskytnut\u00edm stomatologick\u00fdch slu\u017eeb. L\u00e9ka\u0159 je d\u00e1le povinen vystavit \u00fa\u010det za uhrazen\u00e9 zdravotn\u00ed slu\u017eby, pokud pr\u00e1vn\u00ed p\u0159edpis nestanov\u00ed jinak, a zpracovat cen\u00edk v\u00fdkon\u016f tak, aby byl snadno p\u0159\u00edstupn\u00fd pacient\u016fm.<\/p>\n<p><strong>(vzp)<\/strong><\/p>\n<hr \/>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>OT\u00c1ZKA: V\u00a0jak\u00e9m <\/p>\n","protected":false},"author":2,"featured_media":371086,"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\/2026\/03\/23\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/371085"}],"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=371085"}],"version-history":[{"count":2,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/371085\/revisions"}],"predecessor-version":[{"id":371088,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/371085\/revisions\/371088"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/371086"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=371085"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=371085"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=371085"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}