| Summary: | A. O., born in 1977, underwent right-sided surgery in 1997 for bilateral chronic otitis media with perforation and recurrent infections.
The operation was successful and the insured's complaints have since subsided.
The IV unit had not covered the costs of the operation, as it did not consider it necessary.
The ECG approved the insured person's complaint and obliged the IV unit to cover the costs of the operation.
The ECG found that the operation was necessary to maintain and improve the health of the insured.
Explaination:
The insured person suffered from bilateral chronic otitis media with perforation. Perforation is a hole in the eardrum caused by inflammation.
Chronic otitis media can lead to a number of complaints, including hearing loss, pain and dizziness.
The operation that the insured received was called tympanoplasty. With tympanoplasty, the eardrum is repaired or replaced.
The ECG came to the conclusion that the operation was necessary to maintain and improve the health of the insured. The operation successfully eliminated the complaints of the insured. |
| Comment: | Schweizer, Eugster, Basler Kommentar Schweizerische Strafprozessordnung, Art. 398 StPO, 2014 |