Reimbursement of medical expenses in Switzerland

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PMO recently wrote to Ispra-based staff regarding the reimbursement of medical expenses in Switzerland advising of potential exposure to high uncovered costs, making reference to Chapter 8 of the Commission decision laying down general implementing provisions for the reimbursement of medical expenses.
R&D naturally supports the principle that rules should be correctly applied and JSIS must ensure a sound financial management of its communal funds to avoid waste for the benefit of all its members.
At the same time, Art. 19.1 of the Joint Rules on sickness insurance for officials of the European Communities confirms the free choice of practitioners and hospitals and clinics, in order to obtain the most appropriate health care. In some cases, certain diagnoses or treatments may best – or only – be performed in Switzerland for valid medical reasons and we fully support our colleagues who find themselves in this position.
A measure introduced with the intended aim of controlling costs seems to have been applied in a too simplistic way, resulting in an excessive limitation of choice.
We have some concerns about the partial figures provided in the message and the underlying calculation method and data.
For this reason we have sent a request to the Head of Unit "Sickness and accident insurance" asking him to provide full and transparent information regarding this specific issue.
We will keep you posted about any future development.

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