832.10
EGKVGLILAMAL
CH-JU
CH-JU
Art. 34 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. 34 Loi portant introduction de la loi fédérale sur l’assurance-maladie (LiLAMal)
La présente loi entre en vigueur le 1er janvier 1997.
Décisions judiciaires appliquant cette disposition (229)
BGE 150 V 210 (Art. 34 Abs. 1 KVG)
Reimbursement of hospital pharmacy compounding tax for aseptically prepared cytostatic infusions under Swiss mandatory health insurance
Clarifies the principle of the binding nature of the lists of benefits, confirming the admissibility of the charge based on the relevant tariff.
5V 22 402 · lu (Art. 34 Abs. 2 KVG i.V.m. Art. 36 Abs. 1 KVV)
Denial of Mandatory Health Insurance Coverage for Foreign Gender Confirmation Surgery Upheld
This provision was used as the core legal basis to determine that no exception to the territoriality principle applied, leading to the rejection of cost coverage for the foreign treatment.
C-5606/2010 (Art. 34 KVG)
Hospital Tariff Appeal Partially Upheld, Daily Rate Adjusted
Cited as one of the articles defining the conditions under which the mandatory health insurance covers costs.
S2 23 2 · vs (art. 34 al. 1 LAMal)
Insurer Upheld in Denying Reimbursement for Weight-Loss Medication Post-Initial Period
Cited regarding the binding nature of the covered benefits defined in Articles 25 to 33 LAMal.
C-2586/2021 (Art. 34 Abs. 1 KVG)
Federal Office of Public Health v. Medication Price and Indication Limitation
Cited to establish that health insurers are generally not obligated to cover costs for services not listed in the relevant provisions of the KVG.
200 2024 160 · be (Art. 34 Abs. 1 KVG)
Petitioner Challenges Denial of Cost Coverage for Non-Approved Dupuytren's Contracture Drug (Xiaflex)
Cited in the reasoning (E. 2.2) regarding the list principle (Listenprinzip).
608 2023 83 · fr (Art. 34 LAMal)
Swissmedic Drug Reimbursement Appeal Rejected Due to High Cost and Insufficient General Therapeutic Benefit
Cited in the reasoning regarding the exhaustive nature of positive lists for mandatory health insurance coverage.
S2 24 8 · vs (Art. 34 Abs. 2 KVG)
Insured vs. Health Insurer: Foreign Treatment Coverage for Hip Resurfacing Arthroplasty
The appeal was dismissed because the court found no medical grounds for an exception to the territoriality principle established by this article.
VBE.2023.498 · ag (Art. 34 Abs. 2 KVG)
Mandatory Health Insurance Denies Coverage for Abroad Thyroid Cancer Surgery
The court used this provision to determine whether the costs of medical services provided abroad should be covered by mandatory health insurance.
730.2023.320.47 · bl (Art. 34 Abs. 1 KVG)
Health Insurance Coverage for Achilles Tendon Physiotherapy
Cited to state that insurers cannot cover costs beyond those specified for services under Articles 25-33 KVG.
VG.2023.00091 · gl (Art. 34 Abs. 1 KVG)
Nursing Care Benefits Dispute
Limits the costs covered by mandatory health insurance to services specified in Articles 25-33 KVG.
608 2022 183 · fr (Art. 34 al. 1 LAMal)
Denial of Reimbursement for Experimental Foreign Oncological Treatment Upheld
Cited in the reasoning to establish that insurers cannot cover costs other than those provided for in Articles 25 to 33.
608 2022 183 · fr (Art. 34 al. 2 LAMal)
Denial of Reimbursement for Experimental Foreign Oncological Treatment Upheld
Used to reject the appeal because the conditions for covering treatment abroad were not met, as appropriate standard treatments existed in Switzerland.
200 2023 538 · be (Art. 32-34 KVG)
Bern Cantonal Court Upholds Denial of Helicopter Evacuation Cost Coverage for Uninjured Mountaineers
Cited when defining the prerequisites for coverage.
VSBES.2022.237 · so (Art. 34 Abs. 1 KVG)
Insured vs. Insurer Regarding Foreign Treatment Coverage Denial
Cited in the reasoning concerning the legality principle binding insurers to only cover costs specified in Art. 25-33 KVG.