Změny k 1.1.2019 – Číselník PZT
V současné době se často zajímáte, jak to bude s úhradou senzorů k 1.1.2019 a i když vám ještě nesdělím přesné úhrady, tak zatím alespoň fakta, která vyplývají z novely zákona o PZT :
– k 1.1.2019 musí všechny zdravotní pojišťovny postupovat v úhradách PZT stejně. Tedy ceny všech pomůcek pro diabetiky budou sjednoceny. Novela říká, že by to mělo být v zájmu té nejlepší varianty pro pacienta, zde ale nedošlo ke shodě zdravotních pojišťoven právě u senzorů, protože VZP zde měla proklientský přístup a ostatní ZP to nejsou ochotny tolerovat, probíhaly diskuse, a cenu pro pacienta stanoví SUKL k 1.1.2019 v Číselníku PZT, který dosud není vydán.
– Novela PZT vzejde v platnost k 1.12.2019 – tzn. že vyšší úhrada proužků do glukometrů, budget pro senzory aj. pomůcky bude platit až od 1.12.2019.
– Nové pomůcky v roce 2019 (např. Dexcom G6 aj.) – firmy musí nejpozději do 30.6.2019 přihlásit nové výrobky, které chtějí zařadit do Číselníku a pokud budou schváleny, budou už v Číselníku k 1.7.2019 nebo k 1.10.2019 Další pak až od 1.12.2019.
– Kódy jednotlivých PZT zůstávají zachovány.
autor: Simona Procházková, VZP
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