Federal Supreme Court, Decision 9C_253/2020 of 2 June 2020

19 June 2020 – In a recent decision, the Federal Supreme Court held that it is not sufficient for a stay in a rehabilitation clinic to have been beneficial to the well-being of the insured person in order to be eligible for hospitalisation as a condition for the assumption of costs for a stay in a specialised rehabilitation clinic. In each case, there is only a need for hospitalisation if the necessary diagnostic and therapeutic measures can only be carried out in a hospital because they require the appropriate equipment and medical personnel, or if the possibilities of ambulant treatment have been exhausted and there is only a chance of successful treatment during a hospital stay. The Federal Supreme Court dismissed the appeal, thereby supporting the decision of the lower instance which denied the claim asserted. For the full decision, see here.