832.10
EGKVGLILAMAL
CH-JU
CH-JU
Art. 29 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. 29 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)
1 Les litiges entre assureurs et fournisseurs de prestations sont jugés par le tribunal arbitral.
2 Le tribunal arbitral se compose d'un président, d'un vice-président et d'un nombre égal de représentants des assureurs et des fournisseurs de prestations. Le président et le vice-président sont choisis parmi les juges permanents du Tribunal cantonal.
3 Le Gouvernement désigne le président et le vice-président du tribunal arbitral; il en nomme les membres sur proposition des associations des assureurs et des fournisseurs de prestations. Ils font la promesse solennelle devant le chef du Département de la Justice.
Décisions judiciaires appliquant cette disposition (42)
608 2023 83 · fr (Art. 29 LAMal)
Swissmedic Drug Reimbursement Appeal Rejected Due to High Cost and Insufficient General Therapeutic Benefit
Cited in the reasoning when listing positive lists of services.
VSBES.2022.237 · so (Art. 29 KVG)
Insured vs. Insurer Regarding Foreign Treatment Coverage Denial
Cited in the reasoning as a provision whose covered services may be subject to cost coverage abroad under specific conditions.
36.2021.50 · ti (Art. 29 LAMal)
Hydrocele Surgery Inpatient Coverage Appeal Denial
Cited in the reasoning section regarding the scope of covered services (specifically childbirth coverage).
KV.2021.5 · bs (Art. 29 Abs. 2 KVG)
Insurer Reimbursement for Virtual Childbirth Preparation Course
This article defines the scope of special benefits covered by mandatory health insurance for maternity, contextualizing the application of Art. 14 KLV.
A/2912/2019 · ge (Art. 29 LAMal)
Insurer Upheld in Applying Sickness Deductible to Pre-13-Week General Consultation
This provision defines specific maternity benefits which were central to determining whether the costs should be exempt from cost-sharing.
CDP.2019.205 · ne (Art. 29 LAMal)
Insured Woman's Urgent Foreign Childbirth Coverage Denial Overturned
This article concerns benefits in case of maternity, relevant to the cost coverage claim for childbirth.
KSCHG.2017.5 · sg (Art. 29 Abs. 1 KVG)
Insured Blacklisted for Non-Payment Entitled to Childbirth Coverage, Default Interest Claim Denied
Cited to confirm that maternity benefits, including costs for a healthy newborn staying with the mother in the hospital, are covered by mandatory health insurance.
KV.2017.5 · bs (Art. 29 Abs. 2 lit. a KVG)
Cost Reimbursement for Miscarriage Treatment and Post-Pregnancy Examination
The court ordered the respondent to fully cover the cost of a post-pregnancy check-up based on this provision, as it constitutes a maternity benefit exempt from cost-sharing.
KV.2015.6 · sg (Art. 29 Abs. 2 lit. a KVG)
Insured Coverage Denial for Prenatal Diagnostic Test Upheld
This article defines the scope of maternity benefits, which is the legal framework under which the specific tests analyzed via Art. 13 KLV (which references Art. 29 Abs. 2 lit. a KVG) are considered.
A/354/2014 · ge (Art. 29 LAMal)
Insured Persons v. Insurer: Maternity and Newborn Hospitalization Costs Abroad
Cited in the reasoning to define maternity benefits, though not explicitly in the dispositive orders 1-7.
BVGE-2014-17 (Art. 29 Abs. 1 KVG)
Birth Centers' Infrastructure Fee Upheld by Court
Cited as a basis for the obligation of health insurance to cover special maternity services, including childbirth in maternity homes.
C-4287/2011 (Art. 29 Abs. 1 KVG)
Birthing Center Tariff Dispute and Adjustment
Used to establish the scope of benefits covered by mandatory health insurance, specifically for maternity-related services.
KV.2013.5 · sg (Art. 29 KVG)
Insured vs. Insurer: Coverage for Prenatal Amniocentesis Costs
The court confirmed the lack of coverage by reviewing the conditions for special maternity benefits, even though the decision ultimately rests on Art. 13 lit. d KLV.
KV.2013.5 · sg (Art. 29 KVG)
Insurer Upheld in Denying Amniocentesis Coverage Due to Failed Statutory Prerequisites
Cited in the summary as a basis for affirming that the requirements for an amniocentesis were not met.
36.2012.84 · ti (art. 29 LAMal)
Insured Reimbursement for Foreign Rehabilitation Treatment Denial
Cited in the reasoning (considered 5) discussing the scope of coverage for benefits performed abroad, although the final orders did not explicitly rely on it for the rejection.