833.1
MVGLAM
CH
CH
Art. 16 Bundesgesetz vom 19. Juni 1992 über die Militärversicherung (MVG) - Heilbehandlung
MVG; 2. Kapitel: Versicherungsleistungen
Art. 16 MVG · Heilbehandlung
Der Versicherte hat Anspruch auf eine zweckmässige und wirtschaftliche Heilbehandlung, die geeignet ist, seinen Zustand oder seine Erwerbsfähigkeit zu verbessern oder vor weiterer Beeinträchtigung zu bewahren.
Die Heilbehandlung umfasst namentlich die medizinische Untersuchung und Behandlung sowie die Pflege, die ambulant, zu Hause oder stationär durchgeführt werden können, mit Einschluss der Analysen, der Arzneimittel und der weitern zur Therapie erforderlichen Mittel und Gegenstände. Untersuchung und Behandlung haben mit Mitteln und nach Methoden zu erfolgen, für die der Wirkungsnachweis erbracht ist.
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Die Militärversicherung sorgt für die Heilbehandlung. Sie ordnet deren Wiederaufnahme an, wenn diese medizinisch angezeigt ist oder wenn davon eine erhebliche Verbesserung der Erwerbsfähigkeit des Versicherten erwartet werden kann.
Gerichtsentscheide zu dieser Bestimmung (16)
BGE 123 V 53 (Art. 16 Abs. 2 MVG)
Military insurance coverage of amalgam removal and mercury elimination under Art. 16(2) MVG: whether auriculomedicine-based diagnostic effectiveness must be proven generally, not case-by-case.
Main ground for the verdict: the court held that the effectiveness requirement applies generally, not case-by-case, and remanded for expert opinion because the cantonal court improperly relied on individual therapeutic success.
200 2023 423 · be (Art. 16 Abs. 1 MVG)
Military Insurance Coverage Denial for Nursing Home Costs Due to Service-Related Ankle Injury and Parkinson's Disease
Cited in reasoning 2.5 to define the right to appropriate and economical treatment.
200 2023 423 · be (Art. 16 Abs. 2 Satz 1 MVG)
Military Insurance Coverage Denial for Nursing Home Costs Due to Service-Related Ankle Injury and Parkinson's Disease
Cited in reasoning 2.5 to define the scope of treatment covered by military insurance (including home care or hospital care).
605 2018 122 · fr (art. 16ss LAM)
Insurance Coverage for Psychological Disorders Following Military Vehicle Accident
Cited in the reasoning preceding the dispositive as the legal basis for the medical treatment coverage that was ultimately denied.
MV.2016.2 · sg (Art. 16 MVG)
Claimant Denied Coverage for Continued Medical Training Therapy for Chronic Back Issues
The main ground for the decision is the application of this article concerning the requirements for a claim to appropriate and economical medical treatment.
MV.2016.2 · sg (Art. 16 MVG)
Military Insurance Reimbursement for Medical Training Therapy Denial
This provision governs the right to expedient and economical medical treatment, forming the substantive basis for assessing the claim for continued medical training therapy.
MV.2015.1 · sg (Art. 16 Abs. 1 MVG)
Military Insurance Coverage Appeal for Subsequent Health Issues Post-Service Accident
This provision was used to affirm the denial of coverage for physiotherapy expenses after mid-June 2013 because the treatment was deemed not expedient/necessary.
MV.2015.1 · sg (Art. 16 Abs. 1 MVG)
Military Insurance Benefits Appeal for Accident-Related and Subsequent Medical Conditions
This article was cited to determine the right to necessary and economical medical treatment, which was used to assess the lawfulness of denying cost reimbursement for physiotherapy.
TA.2006.233 · ne (Art. 16 al.1 LAM)
Insured v. Insurer: Service-Related Knee Injury Aggravation and Continued Benefit Liability
Cited in the reasoning to establish the right to appropriate and economical treatment necessary due to the aggravation caused by the insured event.
A/712/2006 · ge (Art. 16 LAM)
Obesity Treatment Reimbursement and Prescription Period Appeal
The court rejected the claim regarding the drug EXCIPIAL because its prescription did not correspond to an 'appropriate and economical treatment' under this article.
41.2001.1 · ti (Art. 16 cpv. 1 LAM)
Military Insurance Benefits Appeals: Home Care, Medical Aids, and Therapy Coverage
Underpins the analysis regarding physiotherapy sessions, even though the final order concerns the determination of the number of sessions based on other findings.
41.2001.1 · ti (Art. 16 cpv. 1 LAM)
Cantonal Court Overturns FOMI Decisions on Home Care and Auxiliary Device Coverage for Injured Veteran
Cited as the legal basis concerning the right to appropriate and economical medical care (Fisioterapia and Agopuntura).
41.2001.1 · ti (Art. 16 cpv. 1 LAM)
Cantonal Court Overturns FOMI Decisions on Home Care and Auxiliary Device Coverage for Injured Veteran
Cited regarding the prerequisites for medical care (appropriateness and economy).
41.2001.1 · ti (Art. 16 cpv. 2 LAM)
Cantonal Court Overturns FOMI Decisions on Home Care and Auxiliary Device Coverage for Injured Veteran
Cited regarding the demonstration of efficacy required for medical treatment.
41.2001.1 · ti (Art. 16 cpv. 2 LAM)
Cantonal Court Overturns FOMI Decisions on Home Care and Auxiliary Device Coverage for Injured Veteran
Cited regarding the requirement for demonstrated efficacy in medical treatment.