| Summary: | The Swiss Social Insurance Court has ruled that Disability Insurance (IV) must cover the costs of an operation to treat a serious illness.
The insured, a man named T.________, had been unable to work since 2018.
The IV had initially refused to cover the costs, as she did not consider the operation necessary.
However, the court ruled that the operation is necessary to restore the insured's ability to work.
The verdict is final.
More detailed summary:
On June 11, 2020, the Swiss Social Insurance Court ruled that the IV must cover the costs of an operation to treat a serious illness. The insured, a man named T.________, had been unable to work since 2018. The IV had initially refused to cover the costs, as she did not consider the operation necessary. However, the court ruled that the operation is necessary to restore the insured's ability to work. The verdict is final.
The court's decision is an important victory for the insured. It shows that the IV must also cover the costs of necessary operations in severe cases, if they can contribute to the restoration of the insured's ability to work.
More details:
The insured, t.________, has been unable to work since 2018. He suffers from a serious illness, which leads to severe pain and movement restrictions. The IV had initially refused to cover the costs for an operation to treat the disease. She justified this by the fact that the operation was not necessary to restore the insured's ability to work.
The insured had appealed against the decision of the IV to the Swiss Social Insurance Court. The court has now approved the complaint and decided that the IV must cover the costs of the operation. The court considers that the operation is necessary to restore the insured's ability to work.
The verdict is final. |