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II 2021 114 • VG SZ II 2021 114 Généré par l'IA

Claimant v. Equalisation Office: Denial of Supplementary Dental Benefits

Numéro de cause II 2021 114
Autorité / Tribunal
Juridiction Suisse · Canton de Schwytz (CH-SZ)
Date de la décision
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Synthèse Legislator

Généré par l'IA

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.

Regeste Legislator

Généré par l'IA

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.

Mots-clés

Généré par l'IA
prestations complémentaires traitement médical assurance pour soins dentaires demande de prestation d'assurance soulte inégalité de traitement Ergänzungsleistungen (Zahnbehandlungskosten) | Ergänzungsleistungen
Généré par l'IA
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Supplementary Benefits Recipient's Appeal for Dental Cost Coverage Dismissed Due to Procedural Non-Compliance
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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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Texte complet

\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

\n \n

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