832.202
UVVOLAAOAINF
CH
CH
Art. 67 Verordnung vom 20. Dezember 1982 über die Unfallversicherung (UVV)
UVV; Vierter Titel: Medizinalrecht und Tarifwesen ; 1. Kapitel: Grundsätze der Versorgung
Art. 67 UVV
Die Versicherer gewährleisten eine ausreichende, qualitativ hochstehende und zweckmässige Versorgung der Versicherten zu möglichst günstigen Kosten.
Heilbehandlungen und Hilfsmittel sind zweckmässig, wenn sie aufgrund der konkreten Umstände des Einzelfalls geeignet und notwendig sind, um das gesetzliche Ziel in einem vernünftigen Verhältnis zwischen Kosten und Nutzen zu erreichen.
Gerichtsentscheide zu dieser Bestimmung (12)
UV.2024.00204 · zh (Art. 67 der Verordnung über die Unfallversicherung (UVV))
Dental Implant vs. Removable Prosthesis Coverage Dispute
Cited in the reasoning section regarding the insurer's duty to ensure adequate, high-quality, and appropriate provision.
UV.2023.25 · sg (Art. 67 Abs. 2 UVV)
Insurance Benefits Reinstated Pending Clarification of Surgery Necessity and Medical Endpoint
Cited in the reasoning to define the appropriateness of medical treatment (WZW criteria), which influences the overall determination of benefits.
UV.2023.25 · sg (Art. 67 Abs. 2 UVV)
Insurance Benefits Overturned Due to Unsubstantiated Medical End-State Finding
The necessity of treatment is implicitly part of the further investigation ordered, as it relates to the qualification of 'zweckmässige Behandlung' (Art. 10 UVG).
UV.2023.27 · sg (Art. 67 Abs. 1 UVV)
Insurer Reimbursement for Electrostimulation Device and Ancillary Services
Cited in the title as context for evaluating the expediency (Zweckmässigkeit) of treatment under Art. 10 Abs. 1 UVG.
UV.2023.27 · sg (Art. 67 Abs. 1 und 2 UVV)
Insured Denied Coverage for Non-Catalogued Electrostimulation Device
These provisions, detailing the criteria for expedient treatment (WZW - efficacy, expediency, and economy), were used as the standard to assess the necessity of the Compex device.
UV.2002.00095 · zh (Art. 67 Abs. 1 UVV)
Insurer Overpayment Demand Annulled Due to Full Salary Continuation
Mentioned in the reasoning regarding the duty of reimbursement for unduly received benefits.
UV.2002.00095 · zh (Art. 67 Abs. 1 UVV)
Insurer's Repayment Demand for Accident Insurance Over-Indemnification Annulled Due to Flawed Calculation
While discussed in the reasoning regarding restitution obligation, it is not explicitly cited in the operative orders (1-5).
UV.2003.00092 · zh (Art. 67 Abs. 3 UVV)
Disability Benefits Voided Due to Gross Income Discrepancy
Provides for exemption from repayment if it causes great hardship and the beneficiary acted in good faith.
UV.2003.00092 · zh (Art. 67 Abs. 1 UVV)
Insurer justified in denying benefits due to significant income discrepancy.
Specifies who is liable for the refund of unlawfully obtained benefits.
UV.2003.00092 · zh (Art. 67 Abs. 3 Satz 1 UVV)
Insurer justified in denying benefits due to significant income discrepancy.
Provides for the waiver of refund if it would cause great hardship and the recipient acted in good faith.
UV.2003.00092 · zh (Art. 67 Abs. 4 UVV)
Insurer justified in denying benefits due to significant income discrepancy.
Outlines the procedure for requesting a waiver of refund.
UV.2003.00092 · zh (Art. 67 Abs. 5 UVV)
Insurer justified in denying benefits due to significant income discrepancy.
Allows the insurer to waive the refund on its own initiative under certain conditions.