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I 2018 111 • VG SZ I 2018 111 Generato dall'IA

Insurance Coverage Dispute Over Massage Costs

Numero d'incarto I 2018 111
Autorità giudiziaria
Giurisdizione Svizzera · Canton Svitto (CH-SZ)
Data della decisione
Apri la fonte ufficiale Archivio Entscheidsuche Versione Markdown leggibile dalle macchine (.md)

Sintesi Legislator

Generato dall'IA

The case involved a dispute over coverage for massage costs under a supplementary health insurance policy, where the claimant sought reimbursement from the insurer. The court reasoned that the insurer was not obligated to cover the massage costs because the provided medical certificate, while confirming the necessity of treatment, failed to sufficiently specify the type, frequency, and duration of the prescribed massages, which were required under the specific terms of the supplementary insurance policy for reimbursement.

Regesto Legislator

Generato dall'IA

Insurance Coverage Dispute Over Massage Costs: The court reasoned that the insurer was not obligated to cover the massage costs because the provided medical certificate, while confirming the necessity of treatment, failed to sufficiently specify the type, frequency, and duration of the prescribed massages, which were required under the specific terms of the supplementary insurance policy for reimbursement.

Parole chiave

Generato dall'IA
copertura dell'assicurazione malattie certificato d'assicurazione rimborso delle spese necessità medica certificato sanitario vertenza di assicurazione sociale
Generato dall'IA
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Testo completo

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\n\n| | | |\n I 2018 111 |\n |\n \n\n

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\n\n| | | |\n |\n Urteil vom 10. April 2019 |\n \n\n

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\n\n| | | |\n Besetzung |\n Dr.iur. Vital Zehnder, Vizepräsident |\n \n|\n |\n Dr.med. Bernhard Zumsteg, Richter Dr.med. Pierre Lichtenhahn, Richter |\n \n|\n |\n MLaw Manuel Gamma, Gerichtsschreiber |\n \n\n

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\n\n| | | |\n Parteien |\n A.________, \n Kläger, \n vertreten durch Rechtsanwalt lic.iur. B.________, |\n \n|\n |\n gegen |\n \n|\n |\n C.________ AG, \n Beklagte, |\n \n\n

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\n\n| | | |\n Gegenstand |\n Krankenversicherung (Forderung aus Zusatzversicherung zum KVG; Massage-Kosten) |\n \n\n

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Sachverhalt: