A public health insurance must be insured supply only such aids

Posted by Aeasuds Janse
4
Jan 27, 2016
246 Views
A public health insurance must be insured supply only such aids that are required in each case to ensure the success of a medical treatment to prevent an impending disability or compensate for a disability. General commodities of daily life are not covered by the obligation. This was decided by the Social Court of Rhineland-Palatinate.
An insured person demanded from its statutory health insurance, the reimbursement of the cost of a wig. Since his childhood, he suffers from utter hair loss. The insurance company had the power rejected on the grounds that a "long-term hair replacement Verso narrowing" come just for women, children and young people into consideration. The applicant made, inter alia, a breach of the constitutional principle of the prohibition of discrimination claims. Next, he presented a doctor's certificate, after which discount human hair wigs, if the application had been rejected, was to be expected with the entry of a mental illness. The Social Court had dismissed the action. The different treatment of men and women is justified.
The appeal against that judgment was unsuccessful before the Landessozialgericht. As far as head hairs serve to protect against sun and cold, this can also be achieved with a cap or a hat. Such commodities must not pay the health insurance company. The wig is also not necessary to remove a disfiguring hair loss. Unlike women is not considered baldness in men in society as a particularly conspicuous condition because it occurs more often biologically determined. This biological difference justifies the different treatment of men and women and causes no breach of the principle of equality of the Basic Law is present. If it comes to the future of a mental disorder, is at best a psychiatric or psychotherapeutic treatment claim, no entitlement to grant an aid.

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