Art. 86 Bundesgesetz vom 18. März 1994 über die Krankenversicherung (KVG) - Beschwerde (Art. 56 ATSG )

VVGE.1997.98.Nr.47 · ow (Art. 86 KVG)

Cantonal Cost Coverage for Out-of-Canton Hospitalizations

This provision allows for an appeal against objection decisions to the administrative court.

VVGE.1997.98.Nr.48 · ow (Art. 86 Abs. 1 KVG)

Out-of-Canton Treatment Cost Coverage: Procedural Errors and Scope of Reimbursement

This provision is cited as the basis for the admissibility of an administrative court appeal against an objection decision.

A/64/2003 · ge (Art. 86 al. premier et 3 LAMal)

Insurer Notification Timeliness and Premium Calculation Upheld

Cited as part of the basis for accepting the admissibility of the appeal under the law applicable at the time.

A/1027/2003 · ge (art. 86 de la loi fédérale sur l'assurance maladie du 18 mars 1994 (LAMal))

Insured Individual v. Disability Insurer Regarding Cessation of Benefits for Somatoform Pain and Depression

Cited for declaring the appeal admissible (procedural basis for reception).

ZB 2005 40 · gr (Art. 86 KVG)

Insurer Payment Dispute Over Private Health Coverage Jurisdiction

Cited in the reasoning to delineate the scope of social insurance courts jurisdiction, contrasting it with the civil court jurisdiction applicable here.

A/1199/2001 · ge (art. 86 de la loi fédérale sur l'assurance maladie du 18 mars 1994 - LAMal - RS 832.10)

Accident Benefits Appeal Regarding Pre-existing Conditions vs. Post-Accident Injury Causality

Cited to declare the appeal admissible.

KV.2004.00019 · zh (Art. 86 KVG)

Physician's Practice Freeze Appeal Denied

Mentioned in relation to appeals under the ATSG procedure.

A/2214/2003 · ge (art. 86 LAMal)

Insured v. Compulsory Health Insurer Regarding Live-Donor Liver Transplant Coverage

Used to determine the admissibility of the appeal regarding the sickness insurance law.

A/1013/2002 · ge (art. 86 de la loi fédérale sur l'assurance-maladie du 18 mars 1994 -LAMal- RS 832.10)

Insured Denied Coverage for Experimental Radioactive Stent Treatment Abroad

Cited in connection with the admissibility of the appeal.

A/1662/2003 · ge (art. 86 al. 1 LAMal)

Insurer's Arbitrary Denial of Full Hospital Coverage for Dementia Patient

Cited as a procedural basis for the admissibility of the appeal (recours) regarding the Health Insurance Law.

KV.2001.00056 · zh (Art. 86 KVG)

Refusal to Rule Complaint Dismissed Due to Mootness and Procedural Defects

Although discussed in the reasoning (2.1), it is not explicitly cited in the dispositive orders 1-4.

36.2004.21 · ti (art. 86 LAMal)

Claimants v. Sickness Fund: Unreasonable Delay in Issuing Decision on Insurance Premiums

The old law provision concerning the right to appeal in case of failure to issue a decision (ricorso per denegata giustizia), which frames the accepted appeal against inaction (order 1).

36.2003.101 · ti (art. 86 LAMal)

Insured Party v. Health Insurer Regarding Denial of Justice for Unprocessed Reimbursement Claim

The reasoning mentions the procedure applicable under the old LAMal, which includes the right to appeal to the TCA, though the core issue here relates to denegata giustizia.

A/827/2002 · ge (art. 86 de la loi fédérale sur l'assurance-maladie - LAMal)

Insurer Recovery of Mandatory Health Insurance Premiums Based on Administrative Assignment

Cited to confirm the admissibility of the appeal before the competent jurisdiction.

36.2003.92 · ti (Art. 86 cpv. 2 LAMal)

Insured v. Insurer: Denial of Justice and Erroneous Execution Proceedings

This provision states that an insurer cannot make an insured's right to appeal to the cantonal court of insurance conditional on the exhaustion of internal appeal procedures. It was also cited in relation to the possibility of appealing when the insurer fails to issue a decision on opposition.