{"id":11064,"date":"2023-01-09T16:50:45","date_gmt":"2023-01-09T14:50:45","guid":{"rendered":"https:\/\/manojoniskis.lt\/?p=11064"},"modified":"2023-01-09T16:50:45","modified_gmt":"2023-01-09T14:50:45","slug":"ligoniu-kasos-reikalavimai-papildomai-susimoketi-netoleruotini","status":"publish","type":"post","link":"https:\/\/ww1.rina.lt\/index.php\/2023\/01\/09\/ligoniu-kasos-reikalavimai-papildomai-susimoketi-netoleruotini\/","title":{"rendered":"Ligoni\u0173 kasos: reikalavimai papildomai susimok\u0117ti \u2013 netoleruotini"},"content":{"rendered":"

Privalomuoju sveikatos draudimu (PSD) apsidraudusiems \u017emon\u0117ms, norintiems gauti Privalomojo sveikatos draudimo fondo (PSDF) l\u0117\u0161omis apmokamas \u0161eimos gydytojo paslaugas keliama vienintel\u0117 s\u0105lyga \u2013 prisira\u0161yti pasirinktoje gydymo \u012fstaigoje<\/a>, d\u0117l \u0161eimos medicinos paslaug\u0173 sudariusioje sutart\u012f su teritorine ligoni\u0173 kasa (TLK). Rekomenduojama gydymo \u012fstaig\u0105 rinktis ar\u010diau nam\u0173.<\/p>\n

\u201eI\u0161 prisira\u0161iusi\u0173 PSD apdraust\u0173 pacient\u0173 u\u017e \u0161eimos gydytojo paslaugas jokie mokes\u010diai negali b\u016bti imami nei valstybin\u0117je, nei priva\u010dioje gydymo \u012fstaigoje, jei ji turi sutart\u012f su ligoni\u0173 kasa. Taigi koks beb\u016bt\u0173 tokios \u012fstaigos teisinis statusas, \u0161ie pacientai neturi mok\u0117ti ne tik u\u017e apsilankymus pas \u0161eimos gydytoj\u0105, bet ir joki\u0173 metini\u0173 ar kit\u0173 pana\u0161i\u0173 mokes\u010di\u0173\u201c, \u2013 pabr\u0117\u017eia Valstybin\u0117s ligoni\u0173 kasos direktorius Gintaras Kacevi\u010dius.<\/p>\n

Taip pat ir prisira\u0161yti gydymo \u012fstaigose apdraustiesiems bema\u017e nieko nekainuoja \u2013 \u0161iuo metu dalyje gydymo \u012fstaig\u0173 gali b\u016bti imamas 0,29 euro mokestis u\u017e dokument\u0173 tvarkym\u0105, o 2,90 euro mokestis taikomas tik tuomet, kai gydymo \u012fstaig\u0105 \u017emogus kei\u010dia anks\u010diau nei po pusme\u010dio.<\/p>\n

Gyventoj\u0173 pateiktais duomenimis, pavyzd\u017eiui, viena gydymo \u012fstaiga i\u0161 prisira\u0161iusi\u0173 pacient\u0173 reikalauja sumok\u0117ti metin\u012f 300 eur\u0173 arba vienkartin\u012f 30 eur\u0173 mokest\u012f u\u017e apsilankym\u0105. To neturi b\u016bti: papildomai nemok\u0117dami prisira\u0161\u0119 apdraustieji savo poliklinikoje, klinikoje ar medicinos centre turi gauti ne tik b\u016btin\u0105sias paslaugas, kuri\u0173 nesuteikus kyla gr\u0117sm\u0117 \u017emogus gyvybei ar sveikatai, bet visas tiriam\u0105sias, gydom\u0105sias, profilaktines \u0161eimos gydytojo kompetencijai priskiriamas paslaugas<\/a>. J\u0173 spektras i\u0161ties platus \u2013 \u0161eimos gydytojai atlieka pacient\u0173 ap\u017ei\u016br\u0105, skiria reikalingus tyrimus ir proced\u016bras, i\u0161ra\u0161o vaistus, prireikus siun\u010dia papildom\u0173 tyrim\u0173, pas gydytoj\u0105 specialist\u0105 ar \u012f ligonin\u0119.<\/p>\n

Ypa\u010d svarbi yra lig\u0173 profilaktika, tod\u0117l be papildom\u0173 mokes\u010di\u0173 kart\u0105 per metus \u0161eimos gydytojai savo pacientams turi suteikti kompleksines paslaugas: pamatuoti kraujosp\u016bd\u012f, svor\u012f, \u016bg\u012f, skirti elektrokardiogram\u0105, patikrinti cholesterolio kiek\u012f kraujyje, moterims skirti ginekologin\u0119 ap\u017ei\u016br\u0105, atlikti kr\u016bt\u0173 ap\u010diuop\u0105 ir kt. Kart\u0105 per dvejus metus profilakti\u0161kai suaugusiems pacientams gali b\u016bti atliekamas bendras kraujo ir bendras \u0161lapimo tyrimas, nustatomas gliukoz\u0117s kiekis kraujyje, patikrinama rega.<\/p>\n

 <\/span><\/p>\n

\u0160eimos gydytojai ar \u0161ias paslaugas teikianti gydymo \u012fstaiga tam tikro am\u017eiaus prisira\u0161iusius pacientus informuoja apie poreik\u012f pasitikrinti pagal gimdos kaklelio, kr\u016bties, storosios \u017earnos, prostatos v\u0117\u017eio bei \u0161irdies ir kraujagysli\u0173 lig\u0173 prevencines programas<\/a>.<\/p>\n

\u017dmon\u0117s da\u017enai teiraujasi d\u0117l tyrim\u0173 skyrimo, j\u0173 skai\u010diaus ir apmok\u0117jimo. Ligoni\u0173 kas\u0173 specialistai pabr\u0117\u017eia, kad d\u0117l tyrim\u0173 ar paslaug\u0173 reikalingumo sprend\u017eia \u0161eimos gydytojai, atsi\u017evelgdami \u012f pacient\u0173 sveikatos b\u016bkl\u0119, nusiskundimus, simptomus. Pavyzd\u017eiui, jei \u0161eimos gydytojas, matydamas \u0161irdies lig\u0173 rizik\u0105, skiria atlikti lipidogram\u0105, gydymo \u012fstaigoje, kurioje \u017emogus prisira\u0161\u0119s, ji atliekama nemokamai tiek kart\u0173 per metus, kiek reikia.<\/p>\n

I\u0161 apdraust\u0173 ir gydymo \u012fstaigoje prisira\u0161iusi\u0173 pacient\u0173 gali b\u016bti papra\u0161yta susimok\u0117ti tik tada, kai pacientas pats pageidauja PSDF l\u0117\u0161omis nekompensuojam\u0173 tyrim\u0173 ar paslaug\u0173, nori paslaugas gauti grei\u010diau ar renkasi tas paslaugas, kurios \u012ftrauktos \u012f sveikatos apsaugos ministro patvirtint\u0105 mokam\u0173 paslaug\u0173 s\u0105ra\u0161\u0105<\/a>. Ta\u010diau net ir prie\u0161 teikiant mokam\u0105 paslaug\u0105, apdraustas privalomuoju sveikatos draudimu pacientas turi b\u016bti supa\u017eindinamas su galimybe gauti toki\u0105 paslaug\u0105 nemokamai.<\/p>\n

\u0160iuo metu sutartis d\u0117l \u0161eimos gydytojo paslaug\u0173 teikimo su ligoni\u0173 kasomis sudariusios 375 gydymo \u012fstaigos, i\u0161 j\u0173 126 \u2013 vie\u0161osios, 249 \u2013 priva\u010dios. Visose jose prisira\u0161\u0119 apdraustieji \u0161ias paslaugas turi gauti nemokamai. \u0160i\u0173 \u012fstaig\u0173 s\u0105ra\u0161\u0105 rasite \u010dia<\/a>.<\/p>\n

 
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Pacientai piktinasi, kad kai kuriose gydymo \u012fstaigose, teikian\u010diose \u0161eimos medicinos paslaugas, jas pasirinkusi\u0173 pacient\u0173 pra\u0161oma mok\u0117ti metin\u012f mokest\u012f arba u\u017e atskirus apsilankymus pas \u0161eimos gydytoj\u0105. Ligoni\u0173 kasos primena, kad pacientai turi teis\u0119 net ir priva\u010diose gydymo \u012fstaigose \u0161eimos medicinos paslaugas gauti nemokamai ir atsisakyti mok\u0117ti papildomai.<\/p>\n","protected":false},"author":2,"featured_media":11065,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"jnews-multi-image_gallery":[],"jnews_single_post":{"source_name":"Valstybin\u0117 ligoni\u0173 kasa","source_url":"","via_name":"","via_url":"","override_template":"0","override":[{"template":"custom","single_blog_custom":"11643","parallax":"1","fullscreen":"1","layout":"no-sidebar","sidebar":"default-sidebar","second_sidebar":"default-sidebar","sticky_sidebar":"1","share_position":"bottom","share_float_style":"share-monocrhome","show_share_counter":"1","show_view_counter":"1","show_featured":"1","show_post_meta":"1","show_post_author":"1","show_post_author_image":"1","show_post_date":"1","post_date_format":"default","post_date_format_custom":"Y\/m\/d","show_post_category":"0","show_post_reading_time":"1","post_reading_time_wpm":"300","show_zoom_button":"0","zoom_button_out_step":"2","zoom_button_in_step":"3","show_post_tag":"1","show_prev_next_post":"0","show_popup_post":"1","number_popup_post":"2","show_author_box":"1","show_post_related":"1","show_inline_post_related":"1"}],"override_image_size":"0","image_override":[{"single_post_thumbnail_size":"crop-715","single_post_gallery_size":"crop-500"}],"trending_post":"0","trending_post_position":"meta","trending_post_label":"Trending","sponsored_post":"0","sponsored_post_label":"Sponsored by","sponsored_post_name":"","sponsored_post_url":"","sponsored_post_logo_enable":"0","sponsored_post_logo":"","sponsored_post_desc":"","disable_ad":"0"},"jnews_primary_category":{"id":"86","hide":""},"jnews_social_meta":{"fb_title":"","fb_description":"","fb_image":"","twitter_title":"","twitter_description":"","twitter_image":""},"jnews_override_counter":{"override_view_counter":"0","view_counter_number":"0","override_share_counter":"0","share_counter_number":"0","override_like_counter":"0","like_counter_number":"0","override_dislike_counter":"0","dislike_counter_number":"0"},"footnotes":""},"categories":[10,18,35],"tags":[102],"class_list":["post-11064","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-aktualijos","category-lietuvoje","category-sveikata","tag-vaiku-teises"],"_links":{"self":[{"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/posts\/11064","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/comments?post=11064"}],"version-history":[{"count":0,"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/posts\/11064\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/media\/11065"}],"wp:attachment":[{"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/media?parent=11064"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/categories?post=11064"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ww1.rina.lt\/index.php\/wp-json\/wp\/v2\/tags?post=11064"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}