Federal Supreme Court, Decision 9C_815/2019 of 15 June 2020

8 July 2020 – In a recent decision, the Federal Supreme Court held that even in the case of insured persons with a birth defect, the compulsory health insurer must in principle provide benefits only within the framework of the compulsory benefits catalogue of social health insurance. The Hippotherapy-K in dispute, even as a consequence of a birth defect, is not a therapeutic measure in the sense of the exceptional provisions of article 52 para. 2 of the Swiss Federal Law on Health Insurance (KVG) and article 35 of the Health Insurance Ordinance (KVV), as it is not listed in the catalogue of compulsory benefits. The complaint is upheld. For the full decision, see: https://www.bger.ch/ext/eurospider/live/de/php/aza/http/index.php?lang=de&type=show_document&highlight_docid=aza://aza://15-06-2020-9C_815-2019&print=yes.