Swisscare - Does not reimburse payment for a cancer treatment.
In need of urgent help as Swisscare sent a note indicating that:
- the Swissmedic of permission does not cover Monotherapy of Mabthera.
Monotherapy of mabthera is cancer treatment recommended by our doctors in Unispital, ZH for lymphoma (cancer).
Does anyone know if there is a federal list of treatments covered within Basic insurance? I do not understand why the Basic insurance would not reimburse payment for treatment of cancer.
The insurance plan with Swisscare is the FSS plan.
The treatments were done from May last year, which we have paid for personally (as Swisscare only reimburses later). However, they never responded for months and now after much chasing, we have received a response indicating they will not pay for the treatment, due to reasons mentioned above..
Treatment costs until now are almost 30,000 CHF, hence, very disturbing to learn about this now and do not know why we would be paying for insurance coverage if they do not even cover such treatment..(far more serious than many other illnesses..)
I would appreciate any information you can provide to help us understand our rights to claim for this treatment:
- Is there a list of treatments (medical names) covered in Switzerland by law?
- Has anyone been in this situation and can you pls. share your experience/advise?
Thanks in advance