Supreme Court allows appeal, ruling social assistance for medical costs is subject to judicial review.
Poland (PL)
Legislator summary
AI generatedThe Supreme Court dismissed the cassation appeal against a regional health fund's refusal to provide financial assistance for the cost of the drug Remicade. The applicant, suffering from rheumatoid arthritis, argued that her inability to pay for life-saving medication constituted a difficult living situation warranting aid under Article 46 of the Health Insurance Act. The court held that this provision is part of health insurance benefits and thus subject to judicial review, rejecting the argument that the decision rests solely on the insurer's discretion.
Legislator headnote
AI generatedArt. 46 ust. 1 ustawy z dnia 6 lutego 1997 r. o powszechnym ubezpieczeniu zdrowotnym; Art. 147 ustawy z dnia 6 lutego 1997 r. o powszechnym ubezpieczeniu zdrowotnym: Decyzja o odmowie przyznania pomocy finansowej na podstawie art. 46 podlega kontroli sądowej, a nie stanowi wyłącznie przedmiotu swobodnego uznania ubezpieczalni.