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II 2021 114 • VG SZ II 2021 114 KI-generiert

Claimant v. Equalisation Office: Denial of Supplementary Dental Benefits

Geschäftsnummer II 2021 114
Gericht / Behörde
Rechtsordnung Schweiz · Kanton Schwyz (CH-SZ)
Entscheiddatum
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Legislator-Zusammenfassung

KI-generiert

A claimant sought supplementary benefits for dental treatment costs, which were denied by the relevant equalization office. The claimant appealed this decision, arguing that the denied treatment was medically necessary. The court dismissed the appeal, reasoning that while essential dental treatment is covered, the specific treatments sought were considered cosmetic or non-essential by established medical standards and regulations governing supplementary benefits, thus not meeting the threshold for mandatory coverage.

Legislator-Regeste

KI-generiert

Claimant v. Equalisation Office: Denial of Supplementary Dental Benefits: The claimant appealed this decision, arguing that the denied treatment was medically necessary. The court dismissed the appeal, reasoning that while essential dental treatment is covered, the specific treatments sought were considered cosmetic or non-essential by established medical standards and regulations governing supplementary benefits, thus not meeting the threshold for mandatory coverage.

Schlagwörter

KI-generiert
Ergänzungsleistungen medizinische Behandlung Zahnpflegeversicherung Versicherungsleistungsbegehren vermögensrechtliche Ausgleichung rechtsungleiche Behandlung Ergänzungsleistungen (Zahnbehandlungskosten) | Ergänzungsleistungen
KI-generiert
II 2019 11
Supplementary Benefits Recipient's Appeal for Dental Cost Coverage Dismissed Due to Procedural Non-Compliance
II 2019 32
Social Security Denial of Supplementary Dental Coverage Upheld
II 2019 52
Social Security Dental Benefits Appeal Dismissed for Lack of Cost Estimate
I 2023 35
Insurer Denied Dental Coverage Over Causation Dispute; Court Remands for Further Investigation
I 2025 8
Claimant v. Accident Insurance Denied for Secondary Dental Injury

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Volltext

\n \n \n \n \n

\n\n| | | |\n II 2021 114 |\n |\n \n\n

\n \n \n \n \n

\n\n| | | |\n |\n Entscheid vom 18. Januar 2022 |\n \n\n

\n \n \n \n

\n\n| | | |\n Besetzung |\n lic.iur. Achilles Humbel, Präsident |\n \n|\n |\n Dr.oec. Andreas Risi, Richter Dr.iur. Frank Lampert, Richter |\n \n|\n |\n MLaw Milena Pesic, a.o. Gerichtsschreiberin |\n \n\n

\n \n \n \n \n

\n\n| | | |\n Parteien |\n A.________, \n Beschwerdeführer, |\n \n|\n |\n gegen |\n \n|\n |\n Ausgleichskasse Schwyz, Rechtsdienst, Postfach 53, 6431 Schwyz, \n Vorinstanz, |\n \n\n

\n \n \n \n \n

\n\n| | | |\n Gegenstand |\n Ergänzungsleistungen (Zahnbehandlungskosten) |\n \n\n

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Sachverhalt: