832.10
KVGLAMAL
CH
CH
Art. 33 Bundesgesetz vom 18. März 1994 über die Krankenversicherung (KVG) - Bezeichnung der Leistungen
KVG; 2. Titel: Obligatorische Krankenpflegeversicherung; 3. Kapitel: Leistungen
Art. 33 KVG · Bezeichnung der Leistungen
Der Bundesrat kann die von Ärzten und Ärztinnen oder von Chiropraktoren und Chiropraktorinnen erbrachten Leistungen bezeichnen, deren Kosten von der obligatorischen Krankenpflegeversicherung nicht oder nur unter bestimmten Bedingungen übernommen werden.
Er bezeichnet die nicht von Ärzten und Ärztinnen oder von Chiropraktoren und Chiropraktorinnen erbrachten Leistungen nach Artikel 25 Absatz 2 sowie die Leistungen nach den Artikeln 26, 29 Absatz 2 Buchstaben a und c und 31 Absatz 1 näher.
Er bestimmt, in welchem Umfang die obligatorische Krankenpflegeversicherung die Kosten einer neuen oder umstrittenen Leistung übernimmt, deren Wirksamkeit, Zweckmässigkeit oder Wirtschaftlichkeit sich noch in Abklärung befindet.
Er setzt Kommissionen ein, die ihn bei der Bezeichnung der Leistungen beraten. Er sorgt für die Koordination der Arbeit der genannten Kommissionen.
Er kann die Aufgaben nach den Absätzen 1–3 dem EDI oder dem BAG übertragen.
Gerichtsentscheide zu dieser Bestimmung (278)
C-5606/2010 (Art. 33 KVG)
Hospital Tariff Appeal Partially Upheld, Daily Rate Adjusted
Cited as one of the articles defining the conditions under which the mandatory health insurance covers costs.
A/2449/2018 · ge (Art. 33 al. 1 LAMal)
Insurance Companies v. Psychiatrist (Statistical Billing Dispute)
Cited in connection with the maximum number of psychotherapy sessions covered by insurance.
KV.2024.5 · sg (Art. 33 Abs. 1 und 3 KVG i.V.m. Art. 33 lit. a und c KVV)
Appeal Dismissed: Refusal of Compulsory Health Insurance Coverage for Liposuction for Lipedema
Cited in the introductory summary as the basis for the regulation (KLV) governing the cost coverage in question.
S2 24 80 · vs (Art. 33 Abs. 2 KVG)
Insurance Coverage for Chronic Pain Physiotherapy
This article is cited to explain that the presumption of conformity with effectiveness, appropriateness, and economy only applies to physiotherapists within the limits of the positive list (Art. 5 Abs. 1 KLV).
A/3324/2022 · ge (Art. 33 al. 2 et 5 LAMal)
Insured Denied Coverage for Chemotherapy-Related Dental Damage
Cited in relation to the basis for the Ordinance on Benefits (OPAS) (used in reasoning, but not explicitly in dispositive orders 1-5).
C-2586/2021 (Art. 33 Abs. 2 KVG)
Federal Office of Public Health v. Medication Price and Indication Limitation
Cited for the Federal Council's authority to designate covered services, including preventive medicine, through a positive list.
C-2586/2021 (Art. 33 Abs. 5 KVG)
Federal Office of Public Health v. Medication Price and Indication Limitation
Cited for the delegation of authority to the Federal Department of Home Affairs (EDI) to issue regulations on covered preventive measures.
730.24.57 · bl (Art. 33 Abs. 2 KVG)
Health Insurance Coverage for Orthodontic Treatment of Facial Asymmetry
This provision mandates the Federal Council to specify benefits for dental treatments.
730.24.57 · bl (Art. 33 Abs. 5 KVG)
Health Insurance Coverage for Orthodontic Treatment of Facial Asymmetry
This provision mandates the Federal Council to specify benefits for dental treatments.
608 2023 83 · fr (Art. 33 LAMal)
Swissmedic Drug Reimbursement Appeal Rejected Due to High Cost and Insufficient General Therapeutic Benefit
Cited in the reasoning regarding the limits of coverage to services defined in Articles 25 to 33 LAMal.
KV.2022.4 · sg (Art. 33 KVG)
HIFU Prostate Cancer Treatment Coverage Dispute
Cited as part of the background legal framework regarding the delegation of power for listing services in the KLV, which the court ultimately found to be unconstitutionally applied in the specific case.
KV.2022.4 · sg (Art. 33 KVG)
Mandatory Health Insurance Coverage for HIFU Prostate Cancer Treatment
Cited in the reasoning section as the basis for the Federal Council's delegation power regarding the list of insured/excluded services, which was deemed exceeded by the KLV provision in place at the time of the treatment.
36.2023.38 · ti (Art. 33 cpv. 1 LAMal)
Insured v. Health Insurer: Blepharoplasty Coverage Denial Upheld
Cited concerning the Federal Council's power to designate services whose costs are not covered or only covered under certain conditions.
36.2023.38 · ti (Art. 33 cpv. 2 LAMal)
Insured v. Health Insurer: Blepharoplasty Coverage Denial Upheld
Cited concerning the periodic review of the effectiveness, appropriateness, and economy of services.
36.2023.38 · ti (Art. 33 cpv. 3 LAMal)
Insured v. Health Insurer: Blepharoplasty Coverage Denial Upheld
Cited concerning the Federal Council's power to determine the extent of cost assumption for new or contested services whose effectiveness is still under evaluation.