{"id":374916,"date":"2026-05-11T08:42:37","date_gmt":"2026-05-11T07:42:37","guid":{"rendered":"https:\/\/zakrasnejsivimperk.cz\/?p=374916"},"modified":"2026-05-11T08:42:37","modified_gmt":"2026-05-11T07:42:37","slug":"vseobecna-zdravotni-pojistovna-zpusob-vyplaceni-zapocitatelnych-doplatku-v-lekarnach","status":"publish","type":"post","link":"https:\/\/zakrasnejsivimperk.cz\/?p=374916","title":{"rendered":"V\u0160EOBECN\u00c1 ZDRAVOTN\u00cd POJI\u0160\u0164OVNA: Zp\u016fsob vypl\u00e1cen\u00ed zapo\u010ditateln\u00fdch doplatk\u016f v l\u00e9k\u00e1rn\u00e1ch"},"content":{"rendered":"

\"\"<\/p>\n

OT\u00c1ZKA:<\/h6>\n
Kdo nyn\u00ed vrac\u00ed vznikl\u00e9 p\u0159eplatky za doplatky na l\u00e9ky,\u00a0<\/b>kdy\u017e u\u017e je zdravotn\u00ed poji\u0161\u0165ovna sv\u00fdm poji\u0161t\u011bnc\u016fm nezas\u00edl\u00e1?<\/b><\/h6>\n
ODPOV\u011a\u010e:<\/h6>\n

U\u017e od roku 2025 zdravotn\u00ed poji\u0161\u0165ovny sv\u00fdm poji\u0161t\u011bnc\u016fm zp\u011btn\u011b nezas\u00edlaj\u00ed vznikl\u00e9 p\u0159eplatky za doplatky na l\u00e9ky.<\/b>\u00a0Jakmile poji\u0161t\u011bnec v\u00a0pr\u016fb\u011bhu roku p\u0159ekro\u010d\u00ed sv\u016fj ro\u010dn\u00ed ochrann\u00fd limit, p\u0159est\u00e1v\u00e1 v\u00a0l\u00e9k\u00e1rn\u011b hradit zapo\u010ditateln\u00e9 doplatky za l\u00e9ky.\u00a0L\u00e9k\u00e1rna automaticky vyk\u00e1\u017ee \u010d\u00e1stku zapo\u010ditateln\u00e9ho doplatku nad ochrann\u00fd limit k \u00fahrad\u011b zdravotn\u00ed poji\u0161\u0165ovn\u011b.<\/b>\u00a0T\u00edm je nahrazena 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.\u00a0Poji\u0161t\u011bnci tak u\u017e nemus\u00ed \u010dekat na zp\u011btn\u00e9 vr\u00e1cen\u00ed\u00a0p\u0159eplatk\u016f od zdravotn\u00ed poji\u0161\u0165ovny.\u00a0<\/b>Zm\u011bna se t\u00fdk\u00e1 pouze zapo\u010ditateln\u00fdch doplatk\u016f, ostatn\u00ed doplatky poji\u0161t\u011bnec nad\u00e1le hrad\u00ed.<\/b><\/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 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\u0159\u00edpadn\u011b dosa\u017een\u00e9ho stupn\u011b invalidity.\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>.<\/b>\u00a0Pro dosp\u011bl\u00e9ho \u010dlov\u011bka<\/strong>\u00a0je limit nastaven\u00a0na 5\u00a0000 K\u010d<\/strong>.<\/b>\u00a0U\u00a0poji\u0161t\u011bnc\u016f nad 70 let a invalidn\u00edch poji\u0161t\u011bnc\u016f<\/strong>\u00a0je\u00a0<\/strong>limit stanoven na\u00a0500 K\u010d<\/strong>.\u00a0<\/b>Ten se\u00a0<\/b>vztahuje na invalidy 3. stupn\u011b s p\u0159iznan\u00fdm invalidn\u00edm d\u016fchodem a na invalidy 2. nebo 3. stupn\u011b bez n\u00e1roku na invalidn\u00ed d\u016fchod.\u00a0Od 1. ledna ka\u017ed\u00e9ho roku se limit zapo\u010ditateln\u00fdch doplatk\u016f po\u010d\u00edt\u00e1 od nuly.<\/b>\u00a0V\u00fd\u0161i ochrann\u00e9ho limitu a zda nedo\u0161lo k\u00a0jeho vy\u010derp\u00e1n\u00ed si ka\u017ed\u00fd<\/b>\u00a0m\u016f\u017ee zkontrolovat v\u00a0aplikaci Moje VZP nebo tak\u00e9 v aplikaci eRecept, p\u0159\u00edpadn\u011b m\u016f\u017ee po\u017e\u00e1dat l\u00e9k\u00e1rn\u00edka o vystaven\u00ed dokladu s\u00a0uveden\u00fdm zapo\u010ditateln\u00fdm doplatkem.<\/b><\/p>\n

Jak syst\u00e9m nyn\u00ed funguje?<\/strong><\/p>\n

Kontrola dosa\u017een\u00ed ochrann\u00e9ho limitu poji\u0161t\u011bnce je evidov\u00e1na v syst\u00e9mu\u00a0eRecept<\/b><\/a>, kter\u00fd je propojen s Centr\u00e1ln\u00edm registrem poji\u0161t\u011bnc\u016f a eviden\u010dn\u00edm syst\u00e9mem \u010cesk\u00e9 spr\u00e1vy soci\u00e1ln\u00edho zabezpe\u010den\u00ed.\u00a0P\u0159i v\u00fddeji l\u00e9ku syst\u00e9m\u00a0eRecept<\/strong>\u00a0p\u0159ed\u00e1v\u00e1 l\u00e9k\u00e1rn\u00edkovi aktu\u00e1ln\u00ed informaci o stavu ochrann\u00e9ho limitu poji\u0161t\u011bnce. L\u00e9k\u00e1rn\u00edk tak v\u00ed, zda poji\u0161t\u011bnci zb\u00fdv\u00e1 je\u0161t\u011b n\u011bjak\u00e1 \u010d\u00e1stka do limitu nebo zda ji\u017e sv\u00e9ho ochrann\u00e9ho limitu dos\u00e1hl.<\/b>\u00a0V\u00a0p\u0159\u00edpad\u011b, \u017ee poji\u0161t\u011bnec ochrann\u00e9ho limitu dos\u00e1hl, l\u00e9k\u00e1rn\u00edk po n\u011bm\u00a0nebude po\u017eadovat \u017e\u00e1dn\u00fd zapo\u010ditateln\u00fd doplatek<\/strong>.\u00a0Syst\u00e9m funguje jednotn\u011b ve v\u0161ech l\u00e9k\u00e1rn\u00e1ch, tak\u017ee na spr\u00e1vn\u00e9 zapo\u010d\u00edt\u00e1n\u00ed limitu nem\u00e1 vliv, \u010derp\u00e1-li poji\u0161t\u011bnec l\u00e9ky v\u017edy ve stejn\u00e9 l\u00e9k\u00e1rn\u011b nebo v\u00a0r\u016fzn\u00fdch.<\/b><\/p>\n

Co je zapo\u010ditateln\u00fd doplatek?<\/strong><\/p>\n

Zapo\u010ditateln\u00fd doplatek je doplatek na nejlevn\u011bj\u0161\u00ed dostupn\u00fd l\u00e9\u010div\u00fd p\u0159\u00edpravek nebo potravinu pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely se stejnou l\u00e9\u010divou l\u00e1tkou a stejnou cestou pod\u00e1n\u00ed. Pokud existuje v\u00edce l\u00e9\u010div se stejnou \u00fa\u010dinnou l\u00e1tkou, do limitu se nezapo\u010d\u00edt\u00e1 skute\u010dn\u00fd doplatek, ale doplatek na nejlevn\u011bj\u0161\u00ed p\u0159\u00edpravek.<\/strong><\/p>\n

Kter\u00e9 doplatky uhrazen\u00e9 poji\u0161t\u011bncem v l\u00e9k\u00e1rn\u011b jsou zapo\u010ditateln\u00e9 do limitu?<\/strong><\/p>\n

Do limitu se\u00a0zapo\u010d\u00edt\u00e1vaj\u00ed pouze \u010d\u00e1stky<\/strong><\/b>\u00a0zapo\u010ditateln\u00fdch doplatk\u016f<\/b><\/a>\u00a0za l\u00e9\u010div\u00e9 p\u0159\u00edpravky a potraviny pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely \u010d\u00e1ste\u010dn\u011b hrazen\u00e9 z\u00a0ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed<\/strong>.\u00a0T\u00edm se rozum\u00ed \u010d\u00e1stka stanoven\u00e1 podle pr\u00e1vn\u00edch p\u0159edpis\u016f, kter\u00e1 odpov\u00edd\u00e1 doplatku na l\u00e9\u010div\u00fd p\u0159\u00edpravek nebo potravinu pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely se stejnou l\u00e9\u010divou l\u00e1tkou a stejnou cestou pod\u00e1n\u00ed, u nich\u017e je doplatek na jednotku \u00fa\u010dinn\u00e9 l\u00e1tky nejni\u017e\u0161\u00ed a u kter\u00fdch nebylo zji\u0161t\u011bno p\u0159eru\u0161en\u00ed nebo ukon\u010den\u00ed dod\u00e1v\u00e1n\u00ed.\u00a0Poji\u0161t\u011bnec p\u0159i v\u00fddeji plat\u00ed rozd\u00edl mezi cenou l\u00e9\u010div\u00e9ho p\u0159\u00edpravku v konkr\u00e9tn\u00ed l\u00e9k\u00e1rn\u011b a stanovenou \u00fahradou ze zdravotn\u00edho poji\u0161t\u011bn\u00ed.<\/b>\u00a0V\u00a0p\u0159\u00edpad\u011b p\u0159ekro\u010den\u00ed limitu je \u00fahrada ze zdravotn\u00edho poji\u0161t\u011bn\u00ed nav\u00fd\u0161ena o hodnotu zapo\u010ditateln\u00e9ho doplatku. Naopak syst\u00e9m se nevztahuje na pln\u011b hrazen\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky a potraviny pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely, na nehrazen\u00e9 l\u00e9\u010div\u00e9 p\u0159\u00edpravky a potraviny pro zvl\u00e1\u0161tn\u00ed l\u00e9ka\u0159sk\u00e9 \u00fa\u010dely ani na zdravotnick\u00e9 prost\u0159edky.\u00a0Nezapo\u010d\u00edt\u00e1vaj\u00ed se tedy ve\u0161ker\u00e9 poji\u0161t\u011bncem uhrazen\u00e9 doplatky.<\/p>\n

P\u0159\u00edklad:<\/u><\/p>\n

Poji\u0161t\u011bnec m\u00e1 stanoven\u00fd ochrann\u00fd limit ve v\u00fd\u0161i 500 K\u010d, kter\u00e9ho u\u017e v\u00a0minulosti dos\u00e1hl. P\u0159i v\u00fddeji \u010d\u00e1ste\u010dn\u011b hrazen\u00e9ho l\u00e9ku \u010din\u00ed doplatek 175 K\u010d, z toho 150 K\u010d je zapo\u010ditateln\u00fd doplatek na \u010d\u00e1ste\u010dn\u011b hrazen\u00fd l\u00e9k, kter\u00fd l\u00e9k\u00e1rna vyk\u00e1\u017ee zdravotn\u00ed poji\u0161\u0165ovn\u011b. Poji\u0161t\u011bnec tedy zaplat\u00ed pouze \u010d\u00e1stku 25 K\u010d (\u010d\u00e1stku, kter\u00e1 p\u0159esahuje zapo\u010ditateln\u00fd doplatek).<\/p>\n

Kde si m\u016f\u017eu ov\u011b\u0159it v\u00fd\u0161i doplatku a dal\u0161\u00ed informace o l\u00e9ku?<\/b><\/p>\n

Informace o tom, zda je l\u00e9k hrazen z ve\u0159ejn\u00e9ho zdravotn\u00edho poji\u0161t\u011bn\u00ed, jak\u00fd m\u00e1 zapo\u010ditateln\u00fd doplatek nebo jakou maxim\u00e1ln\u00ed \u010d\u00e1stku mohou l\u00e9k\u00e1rny \u00fa\u010dtovat, jsou dostupn\u00e9 na webu S\u00daKL (https:\/\/sukl.gov.cz<\/b><\/a>). Tento web je ve\u0159ejn\u011b p\u0159\u00edstupn\u00fd a umo\u017e\u0148uje ov\u011b\u0159it si v\u00fd\u0161i doplatku i orienta\u010dn\u00ed cenu l\u00e9k\u016f v l\u00e9k\u00e1rn\u00e1ch.\u00a0Pokud by poji\u0161t\u011bnec narazil na jak\u00e9koliv probl\u00e9my nebo nesrovnalosti ohledn\u011b doplatk\u016f, m\u00e1 mo\u017enost obr\u00e1tit se na St\u00e1tn\u00ed \u00fastav pro kontrolu l\u00e9\u010div nebo p\u0159\u00edpadn\u011b na svou zdravotn\u00ed poji\u0161\u0165ovnu.<\/b><\/p>\n

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

\n

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

OT\u00c1ZKA: Kdo <\/p>\n","protected":false},"author":2,"featured_media":374917,"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\/05\/11\/ram-vzp.jpg","_links":{"self":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/374916"}],"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=374916"}],"version-history":[{"count":1,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/374916\/revisions"}],"predecessor-version":[{"id":374918,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/posts\/374916\/revisions\/374918"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=\/wp\/v2\/media\/374917"}],"wp:attachment":[{"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=374916"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=374916"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/zakrasnejsivimperk.cz\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=374916"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}