(Private) Surgery without insurance authorization: right of reimbursement? Federal Social Court, judgement of 27.10.2020 – B 1 KR 3/20 R What happens if a person insured under the statutory health insurance scheme decide to proceed with a requested service herself before the decision period of the health insurance fund has expired? In this real case, […]
Outpatients and Inpatients in need of patience
The priority of outpatient treatment over inpatient treatment, which is regulated for statutory health insurance companies in § 39 (1) sentence 2 SGB V, is always a topic of discussion in Germany… moreover If this applies to private health insurance companies! It is no news that insurance companies often have problems with the assumption of […]