832.10
KVGLAMAL
CH
CH
Art. 35 Bundesgesetz vom 18. März 1994 über die Krankenversicherung (KVG) - Arten von Leistungserbringern
KVG; 2. Titel: Obligatorische Krankenpflegeversicherung; 4. Kapitel: Leistungserbringer
Art. 35 KVG · Arten von Leistungserbringern
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Leistungserbringer sind: a. Ärzte und Ärztinnen; b. Apotheker und Apothekerinnen; c. Chiropraktoren und Chiropraktorinnen; d. Hebammen; dbis. Pflegefachpersonen und Organisationen, die Pflegefachpersonen beschäftigen; e. Personen, die auf Anordnung oder im Auftrag eines Arztes oder einer Ärztin Leistungen erbringen, und Organisationen, die solche Personen beschäftigen; f. Laboratorien; g. Abgabestellen für Mittel und Gegenstände, die der Untersuchung oder Behandlung dienen; h. Spitäler; i. Geburtshäuser; k. Pflegeheime; l. Heilbäder; m. Transport- und Rettungsunternehmen; n. Einrichtungen, die der ambulanten Krankenpflege durch Ärzte und Ärztinnen dienen.
Gerichtsentscheide zu dieser Bestimmung (58)
5V 24 102 · lu (Art. 35 KVG)
WEKO Appeal on Mandatory Health Insurance Authorization Fees Upheld
Cited extensively in the reasoning as the core provision establishing the new cantonal admission requirement for OKP providers, forming a lex specialis.
KSCHG.2023.2 · sg (Art. 35 f. KVG)
Physician Jurisdiction and Reimbursement for Unlicensed Treatment
Cited in the introductory summary regarding the legal basis for the subject matter of the dispute, concerning the requirements for activity covered by mandatory health insurance.
C-224/2020 (Art. 35 LAMal)
Hospital Exclusion from Cantonal Health Plan Upheld, But Application of Criteria Overturned
Works in conjunction with Art. 39 LAMal to establish the cumulative conditions that hospitals must meet to be admitted for care covered by compulsory health insurance.
SVR 2022 1 · gr (Art. 35 KVG)
Home Care Provider v. Insurer: Insufficient Supervision Voids Compensation Claim
The court considered the requirements for service providers under this article in relation to the claim.
KV.2022.6 · sg (Art. 35 Abs. 2 lit. h i.V.m. Art. 39 KVG)
Insurer v. Insured (Hospital Contribution Levy)
This provision was cited to justify classifying the rehabilitation clinic's services as those of a hospital company (Spitalunternehmen) for insurance law purposes.
KV.2022.6 · sg (Art. 35 Abs. 2 lit. h i.V.m. Art. 39 KVG)
Insured Liable for Hospital Co-payment in Rehabilitation Clinic
Used to establish that the Rehabilitation Clinic C.___ rendered its services in a legally relevant sense as a hospital.
C-1550/2019 (Art. 35 al. 1 LAMal)
Physician's Authorization to Bill Insurance Upheld Pending Re-evaluation of Need
Cited as the general principle for the admission of healthcare providers to practice at the expense of mandatory health insurance.
Jug.2022.208 · vd (Art. 35 al. 1 LAMal)
Insurance Companies v. Psychiatrist over Excessive and Unauthorized Billing
This provision establishes the requirements for service providers to practice under mandatory health insurance, relevant to assessing the legality of billing by employed physicians.
36.2021.50 · ti (Art. 35 LAMal)
Hydrocele Surgery Inpatient Coverage Appeal Denial
Cited in the reasoning section regarding authorized service providers.
VSBES.2020.223 · so (Art. 35 Abs. 2 lit. m KVG)
Insurer Coverage Dispute for Specialized Transport Costs
This article was used in the reasoning to establish which entities qualify as transport providers eligible for coverage under KVG, a point discussed extensively regarding the B.__-Fahrdienst.
KSCHG.2016.4 · sg (Art. 35 Abs. 2 KVG)
Gynecologist Sanctioned for Excessive Billing and Exclusion from Insurance Coverage
Cited in the reasoning to define 'Leistungserbringer', but not in the dispositive orders.
36.2020.30 · ti (Art. 35 cpv. 2 lett. m LAMal)
Insured Transport Reimbursement for Return from Medical Treatment
Cited to define transport and rescue companies as service providers, relevant context for the substantive analysis.
TVR.2019.Nr.31 · tg (Art. 35 Abs. 2 lit. m KVG)
Insured Transport Coverage for Dialysis Despite Provider's Lack of Cantonal Rescue Company Approval
Cited as part of the legal basis for the cost coverage of medically indicated transport costs.
A/2547/2017 · ge (Art. 35 LAMal)
Therapy Association v. Health Insurers (Reimbursement Dispute)
Cited in the reasoning defining the conditions for healthcare providers to practice under mandatory health insurance, which is part of the substantive discussion leading to the final orders.
BVGE-2019-V-7 (Art. 35 cpv. 2 LAMal)
Care Facility's Authorization for CAT Services Annulled Due to Improper Canton Planning
This provision enumerates exhaustively the list of healthcare providers authorized to practice at the expense of mandatory insurance, and its violation by the canton in creating new categories of providers led to the annulment of the cantonal decree.