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Cure (409,-666)

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Keywords: Cure
Total judgments found: 3

  • Judgment 1180


    73rd Session, 1992
    European Organisation for the Safety of Air Navigation
    Extracts: EN, FR
    Full Judgment Text: EN, FR

    Considerations 2-3

    Extract:

    The complainant received treatment in a clinic. He had an operation and on that account spent five days in the clinic's department of surgery. The organisation agreed to refund the costs of his operation and the five-day hospital stay which it entailed. However it refused to regard the remainder of his stay in the clinic as "hospitalisation" and treated it as "a cure at a watering place". The material issue is whether that decision was lawful. "The Tribunal is satisfied that the Director General was right to decide that the complainant's stay at the clinic did not warrant the refund of his costs at the 'hospitalisation' rate [...] and that to regard but five days of that stay as 'a cure at a watering place' rather than hospitalisation for medical treatment was in line with the material rules."

    Keywords:

    cure; health insurance; illness; medical expenses; refund;



  • Judgment 1139


    72nd Session, 1992
    World Health Organization
    Extracts: EN, FR
    Full Judgment Text: EN, FR

    Considerations 6-7

    Extract:

    The complainant was to undergo a course of sea-water therapy following an accident recognised as attributable to the performance of official duties. Although she had been told of the amount she was to get in compensation for her expenses, she spent considerably more. "It was not reasonable of her to assume that the expenses of a stay in a luxury hotel would be repaid when all indications [...] were to the contrary." There being other hotels to choose from, "it was not essential to the success of the treatment that the complainant should stay at the most luxurious".

    Keywords:

    cure; health insurance; medical expenses; refund;



  • Judgment 992


    68th Session, 1990
    European Organisation for the Safety of Air Navigation
    Extracts: EN, FR
    Full Judgment Text: EN, FR

    Summary

    Extract:

    The complainant's application for permission to take a cure prescribed by his doctor was rejected. The Agency's medical officer reported to the health fund that the doctor had given no clear evidence of the need for the prescribed treatment. In keeping with Article 20 of Rule No. 10 concerning sickness and accident insurance, expenses relating to a cure shall be refunded provided that the cure "is recognised as strictly necessary by the medical officer". The Tribunal sees nothing improper in the medical officer's assessment nor in the administration's ensuing denial of permission.

    Keywords:

    cure; health insurance; medical consultant; medical expenses; medical opinion; refund; refusal;


 
Last updated: 23.09.2021 ^ top