Patients are right to participation with choice of the Reha hospital
The problem is well-known: who requests a cure with a legal health insurance company, this gets often only once rejected. The reasons for the refusal are however simply too expensive variously, in most cases a cure the cashes. In a court decision it was now decided that the patient has quite a say with the selection of his Reha hospital.
Darmstadt - legally has requirement on a clinical rehablitation patient-insured, if their state of health requires this. With the selection of the hospital the cash must consider the special needs and desires of the insured one, how the Hessian national social court decided in Darmstadt.
The plaintiff obstructed to 80 per cent had requested a cure in a specialized clinic for naturopathy and holistic medicine in the year 2000. The cash rejected the request, although the insured one had been already treated some years before in the same hospital with good success. Thereupon the insured one decided to a Reha treatment at the own expense and complained at the same time against the negative reply.
Cash must pay cure also retroactively
While the social court rejected the complaint, the national social court gave right to the plaintiff. Like that the stationary treatment was also promising in the case of the insured one necessarily and after statement of the treating physicians. The cash must the cure in addition also retroactively pay, since the plaintiff waited for first the decision of the insurance and only afterwards for treatment at the own expense decided. Up to a final judicial decision the insured one did not have to postpone the cure treatment, how the national social court judged.
