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Art. 64 Legge federale del 6 ottobre 2000 sulla parte generale del diritto delle assicurazioni sociali (LPGA) - Cura medica
LPGA; Capitolo 5: Regole di coordinamento
Art. 64 LPGA · Cura medica
La cura medica è assunta esclusivamente da un’unica assicurazione sociale nella misura in cui le prestazioni sono prescritte dalla legge.
Se le condizioni della singola legge sono soddisfatte, la cura medica, nei limiti legali e nel seguente ordine è a carico: a. dell’assicurazione militare; b. dell’assicurazione contro gli infortuni; c. dell’assicurazione per l’invalidità; d. dell’assicurazione contro le malattie.
L’assicuratore sociale tenuto a versare prestazioni assume da solo e illimitatamente i costi della cura ospedaliera anche se il danno alla salute è solo parzialmente riconducibile a un evento assicurato di cui è tenuto ad assumere la copertura.
L’assicuratore sociale tenuto a versare prestazioni prende inoltre a carico i danni alla salute per i quali in generale non deve rispondere se essi insorgono nel corso di una cura medica ospedaliera e non possono essere curati separatamente.
Decisioni giudiziarie che applicano questa disposizione (116)
200 2024 261 · be (Art. 64 ATSG)
Applicant v. IV Office (Psychological Impairment and Expert Opinion)
This article determines the costs, specifically used in the reasoning section (6.1) to define the basis for setting the costs (Art. 108 Abs. 1 VRPG is then cited in the dispositive for imposition).
36.2023.32 · ti (Art. 64 LPGA)
Insured's Appeal of Disability Termination Based on Procedural Due Process Claim
This provision regarding costs is not cited in the dispositive orders.
200 2022 693 · be (Art. 64 ATSG)
Unemployment Insurance Benefits Repayment Following Wage Settlement Under Article 29 AVIG
This provision is related to legal aid, but the dispositive explicitly cites Art. 61 lit. fbis ATSG for the cost waiver and Art. 61 lit. g ATSG for party costs.
200 2023 608 · be (Art. 64 ATSG)
In re Health Insurance Premium Debt Settlement via Promissory Note
Mentioned in the introductory section as a potential basis for legal aid (not explicitly in the dispositive, thus excluded based on strict rules).
UV.2023.00107 · zh (Art. 64 Abs. 2 ATSG)
Substitute Accident Insurance Fund Liability Appeal Dismissed for Untimely Objection
Cited in the context of referring the claimant to their health insurer for treatment costs.
A/319/2023 · ge (Art. 64 LPGA)
COVID-19 Loss of Earnings Compensation Opposition Timeliness Appeal
Though cited in the reasoning regarding appeal deadlines, it is not explicitly cited in the dispositive orders (1-3) as a basis for costs or legal aid, and is therefore excluded based on the strict rule for inclusion.
UV.2022.00145 · zh (Art. 64 ATSG)
Health Insurer Reimbursement for Accident-Related Psychological Treatment Costs
Cited in reasoning as the rule governing the coordination of health care benefits, establishing the primary liability of the accident insurance.
IV.2020.1 · sg (Art. 64 ATSG)
Disability Pension Denial Affirmed Based on Court Psychiatric Opinion
The court granted the appellant exemption from court costs due to their approved legal aid ('unentgeltliche Rechtspflege').
605 2021 194 · fr (Art. 64 LPGA)
Disability Benefits Denial Reconsideration Denied Based on Post-Decision Expert Report
This provision governs costs, which are imposed on the appellant in order II.
UV.2022.8 · bs (Art. 64 ATSG)
Appeal of Order for Polydisciplinary Medical Examination in CRPS Case
This provision was applied when granting the appellant free legal aid and representation, as stated in section III of the facts, although the operative part only mentions that the procedure is free of charge (which often covers costs, but Art. 64 deals specifically with free legal aid when mentioned in the reasoning or context leading to the final cost disposition).
IV.2021.162 · bs (Art. 64 ATSG)
Claimant v. Disability Pension Review Board
This article governed the granting of free legal aid/assistance, which was explicitly granted in the dispositive.
35.2021.87 · ti (art. 64 LPGA)
Worker Disability Pension Appeal Over Contradictory Medical Assessments
Mentioned in the reasoning regarding the application of procedural law for the appeal, but not explicitly cited in the final orders.
200 2021 797 · be (Art. 64 ATSG)
Health Insurer v. Accident Insurer (COVID-19 Occupational Disease Causation)
Mentioned in the reasoning (section 1.1) regarding inter-system coordination, although not explicitly cited in the dispositive orders.
IV.2021.95 · sg (Art. 64 ATSG)
Disability Benefits Appeal Dismissed Due to Residual Work Capacity
This article was cited in the reasoning concerning where a supervisory complaint regarding case file management could be filed.
S 2020 77 · gr (Art. 64 cpv. 1 LPGA)
Insurance Coverage Denial for Pre-existing Condition Aggravation
Cited in the reasoning to discuss the allocation of medical care costs between different social insurances, relevant to the claimant's argument regarding the health insurance.