Federal Administrative Court, Decision C-5914/2016 of 30.01.2019

18 marzo 2020 – In a recent decision the Federal Administrative Court stated that each application for settlement with the health insurance fund must be accompanied by detailed examination by the competent authority of the available resources. In the absence of a cantonal ordinance extending or limiting the number of service providers, the figures in Annexes 1 and 2 VEZL are applicable. Otherwise a violation of federal law occurs. In the present case, the Federal Administrative Court held that the decision to deny the applicant authorization was contrary to federal law and based on an incomplete assessment of the relevant facts. The complaint was therefore approved and rejected to the relevant administration.