Foreign Medical Treatment Reimbursement Dispute

A party challenged an administrative order regarding health insurance payments, where the core dispute centered on whether the costs for specific medical services incurred abroad should be covered under the mandatory basic health insurance scheme. The court reasoned that because the services obtained abroad were equivalent to treatments available within the national system, and the underlying legal requirement for cost coverage based on the principle of equal treatment was met, the insurer was obligated to reimburse the costs according to the domestic tariff schedule, even if the insured individual paid higher foreign rates.