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I 2018 23 • VG SZ I 2018 23 KI-generiert

Insurance Coverage Dispute Over Orthopedic Shoe Inserts

Geschäftsnummer I 2018 23
Gericht / Behörde
Rechtsordnung Schweiz · Kanton Schwyz (CH-SZ)
Entscheiddatum
Originalquelle öffnen Entscheidsuche-Spiegel Maschinenlesbares Markdown (.md)

Legislator-Zusammenfassung

KI-generiert

An appellant sought coverage under disability insurance for orthopedic shoe inserts, which the administrative office initially denied. The court, reviewing the appeal concerning disability insurance benefits for orthopedic aids, reasoned that the inserts were only covered if medically necessary to treat a condition affecting the insured's physical functioning or ability to work, and found that the inserts provided were not sufficiently proven to meet the required threshold for mandatory insurance coverage as a necessary medical aid.

Legislator-Regeste

KI-generiert

Insurance Coverage Dispute Over Orthopedic Shoe Inserts: The court, reviewing the appeal concerning disability insurance benefits for orthopedic aids, reasoned that the inserts were only covered if medically necessary to treat a condition affecting the insured's physical functioning or ability to work, and found that the inserts provided were not sufficiently proven to meet the required threshold for mandatory insurance coverage as a necessary medical aid.

Schlagwörter

KI-generiert
Deckung der Invalidenversicherung medizinische Gründe Überversicherung Pflichtleistung Fussverletzung Versicherungsfranchise
KI-generiert
I 2020 35
Disability Insurance Coverage for Custom Orthopedic Shoes Overturning Administrative Refusal
I 2021 17
Disability Insurance Reimbursement for Specialized Orthoses and Shoes
I 2019 21
Applicant v. Decision on Orthopedic Insoles Cost Coverage
I 2022 52
Insurance Coverage Denial for Corrective Surgery
I 2024 20
Claimant v. Disability Insurance Agency: Leg Length Discrepancy and Disability Benefits Denial Upheld

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Volltext

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\n\n| | | |\n I 2018 23 |\n |\n \n\n

\n \n \n \n \n

\n\n| | | |\n |\n Entscheid vom 16. Mai 2018 |\n \n\n

\n \n \n \n \n \n

\n\n| | | |\n Besetzung |\n lic.iur. Gion Tomaschett, Vizepräsident |\n \n|\n |\n Dr.med. Bernhard Zumsteg, Richter Dr.med. Urs Gössi, Richter |\n \n|\n |\n lic.iur. Josef Mathis, Gerichtsschreiber |\n \n\n

\n \n \n \n \n \n

\n\n| | | |\n Parteien |\n A.________, \n Beschwerdeführerin, |\n \n|\n |\n gegen |\n \n|\n |\n IV-Stelle Schwyz, Rechtsdienst, Postfach 53, 6431 Schwyz, \n Vorinstanz, |\n \n\n

\n \n \n \n \n \n

\n\n| | | |\n Gegenstand |\n Invalidenversicherung (Hilfsmittel / orthopädische Masseinlagen) |\n \n\n

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Sachverhalt: