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Old 14.08.2015, 11:47
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Re: Krankenkasse denying sick leave payment

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A friend of mine had breasts reduced as it was affecting her posture and causing all sorts of real problems.
That would be paid under normal medical insurance...........
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Old 14.08.2015, 11:48
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Re: Krankenkasse denying sick leave payment

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There's some serious accidents that happen in bed as well....
with financial consequences that last some 16 years...
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Old 14.08.2015, 12:16
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Re: Krankenkasse denying sick leave payment

well I have forwarded all your moral lessons to my friend on the actual advice/practical end we have talked to the krankenkasse ombudsman who thought also that if the complications take a severe form it becomes an illness in its own right and should be covered.

the next step he said was prompting SWICA in writing for a Bericht or Stellungsnahme. It appears that the reason the employer booked all of July as unpaid leave is that the Krankenkasse never concluded (or finished?) their investigation. As they conducted that between 5-15th July and nothing heard until now (a month) we should prompt them to take stand.

thanks everyone but this thread can be closed or deleted.
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Old 14.08.2015, 12:28
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Re: Krankenkasse denying sick leave payment

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Plastic surgery is very rarely 'approved as necessary', I think we are talking about 'enhancements' here

What about your case ?

Maybe we could have an "Enhanced Fatman" for the next season
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Old 14.08.2015, 17:08
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Re: Krankenkasse denying sick leave payment

And another update: legal insurance officially prompted the employer to pay 10
days of krankentaggeld. According to regulations, they must pay this regardless of the Krankenkasse investigation.
They may or may not claim this back if the investigation concludes that this was no "proper" illness, but they are not allowed to withhold the money.
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Old 14.08.2015, 18:27
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Re: Krankenkasse denying sick leave payment

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with financial consequences that last some 16 years...
Not 18?
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Old 14.08.2015, 19:47
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Re: Krankenkasse denying sick leave payment

43 in our case - best mistake we have made (she knows)
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Old 14.08.2015, 21:29
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Re: Krankenkasse denying sick leave payment

May I please ask which is the legal insurance company? They sound rather competent and I am currently looking for a Rechtsschutzversicherung.

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... legal insurance officially prompted the employer...
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Old 14.09.2015, 07:01
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Re: Krankenkasse denying sick leave payment

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well I have forwarded all your moral lessons to my friend on the actual advice/practical end we have talked to the krankenkasse ombudsman who thought also that if the complications take a severe form it becomes an illness in its own right and should be covered.

the next step he said was prompting SWICA in writing for a Bericht or Stellungsnahme. It appears that the reason the employer booked all of July as unpaid leave is that the Krankenkasse never concluded (or finished?) their investigation. As they conducted that between 5-15th July and nothing heard until now (a month) we should prompt them to take stand.

thanks everyone but this thread can be closed or deleted.
Hello - I am writing in behalf of my friend. His last pay was withheld by his employer even though SWICA has not yet concluded their investigation. They wrote that tgey 'assume' he was capable of working thus unjustly paid his wages. He has now filed an official complaint and gas a mediation date for end if October. In the meantime, SWICA has written him again saying that he was capable if working as if June - and has no certificate from a doctor to say otherwise. He emailed his SWICA case worker and explained that he was in fact terminated in May and placed on garden leave until end up of August. He no longer required a medical leave certificate from a doctor. If he wasn't terminated, he would Have returned to work. We believe swica's decision to decline payment was based on their understanding that he 'chose' not to return to work after his certificate has run out. Any thoughts??
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Old 14.09.2015, 09:22
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Re: Krankenkasse denying sick leave payment

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Any thoughts??
There seems to be a sudden flurry of posts about 'friends' who are having ( remarkably similar) issues with SWICA and the salary payments.

Is this the same case as the OP or is this a different 'friend'? One seems to be male and the other female.
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