832.10
EGKVGLILAMAL
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Art. 26 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)
8. Santé, travail, sécurité sociale » 83. Assurances sociales » 832. Assurance en cas de maladie et d'accidents
Art. 26 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)
1 La Chambre des assurances connaît des litiges opposant un assureur à un autre assureur, à un assuré ou à un tiers.
2 La composition et l'organisation de la Chambre des assurances sont déterminées par la loi d'organisation judiciaire du 26 octobre 1978.
Décisions judiciaires appliquant cette disposition (25)
ZZ.2000.38 · so (Art. 26 Abs. 2 KVG)
Insured Person v. Insurer: Denial of Reimbursement for Private Hospital Transfer Costs
Mentioned as part of the legal framework governing the issue, although not directly cited in the final orders for the judgment itself.
36.2024.35 · ti (Art. 26 LAMal)
Insured Liable for Premiums and Daughter's Copay, Insurer Penalized for Defective Collection Procedures and Wife's Claim Denial
Cited in the reasoning regarding the assumption of costs for preventive measures, but not explicitly cited in the dispositive.
C-2586/2021 (Art. 26 KVG)
Federal Office of Public Health v. Medication Price and Indication Limitation
Cited for the scope of mandatory health insurance coverage for preventive measures and early disease detection.
36.2021.50 · ti (Art. 26 LAMal)
Hydrocele Surgery Inpatient Coverage Appeal Denial
Cited in the reasoning section regarding the scope of covered services.
A/1693/2019 · ge (art. 26 LAMal)
Insured Denied BRCA1 MRI Coverage After Age 60
Cited as the basis for covering certain preventive examinations or measures for particularly threatened insured persons.
AM.7.18.29.2019 · vd (Art. 26 LAMal)
Insured vs. Insurer: Denial of Reimbursement for Genetic Carrier Testing
This provision, concerning preventive measures, was used in the reasoning that led to the decision to reject the appeal, as the analyses were deemed not to be included in the exhaustive list of preventive measures under this article.
36.2015.22 · ti (art. 26 LAMAl)
Insured v. Health Insurance Carrier Regarding Preventive Laser Treatment Coverage
The requested laser therapy was not recognized as a covered preventive measure because it is not included in the catalog of measures specified under this article and OPre.
36.2015.22 · ti (art. 26 LAMal)
Insured v. Health Insurance Carrier Regarding Preventive Laser Treatment Coverage
Cited in relation to preventive measures, confirming that the scope of covered preventive measures is limited by the Ordinance (OPre).
CDP.2014.222 · ne (Art. 26 LAMal)
Insured vs. Health Insurer: BRCA1 Genetic Testing Coverage
The court implicitly relies on this article concerning the coverage of preventive examinations, as the case revolves around determining whether the genetic test falls under this category.
36.2013.12 · ti (Art. 26 LAMal)
Insurer Not Required to Reimburse Genetic Testing Without Direct Therapeutic Consequence
The court found that the claim for coverage as a preventive measure under this article was not applicable.
TVR.2013.Nr.40 · tg (Art. 26 KVG)
Health Insurance Coverage for Laboratory Examination: Diagnostic vs. Early Detection
The court classified the ordered laboratory examination as a screening for diseases based on this provision, as there was no concrete suspicion of illness.
C-7720/2009 (Art. 26 KVG)
Tariff Setting for HPV Vaccinations Preempted by Existing Contract
Cited as the basis for coverage of preventive measures.
AM.45.10.11.2011 · vd (Art. 26 LAMal)
Insured Person v. Health Insurance Provider (Prostate Cancer Test Coverage)
Cited as the legal basis concerning the coverage of costs for certain examinations intended to detect diseases early and for preventive measures.
36.2003.55 · ti (art. 26 LAMal)
Mandatory Health Insurance Dental Coverage Dispute
This article regarding preventive measures was examined but ultimately dismissed as the concrete interventions were not listed in the implementing ordinance (Art. 12 OPre).
36.2008.23 · ti (art. 26 LAMal)
Insured v. Health Insurer (DEXA Scan Coverage)
This provision concerning preventive measures was examined and rejected as a basis for cost coverage.