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Old 10.12.2018, 11:48
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SUVA appeal?

Hi all,

Has anyone successfully appealed with SUVA regarding an accident for them to pay for the medical costs?

About 2 years ago I had a car accident while on a business trip abroad (we were hit from behind on the highway), which resulted in myself and the driver having whiplash injuries (car was quite badly damaged, police involved, but perhaps stupidly no ambulance and therefore no hospital).

Since then I've had some pretty bad neck and shoulder pain which as been treated, so some success, with physio and medication. SUVA initially paid for everything, but I recently found out that around 1 year ago they stopped paying and the bills were being directed to my insurance instead. I only found out a few months back when I went to the pharmacy and was told that the SUVA number wasn't valid and they that had been charging my insurance instead, per the instructions from SUVA. Now SUVA never communicated to me that they were stopping paying, and I somehow missed it with the insurance company bills (I know, bit silly - but we're a family so there's always something being charged, and another family member was also having physio).

Anyway, long story short, been going back and forth with SUVA and my doctor for months now (Doctor on my side, SUVA not), finally SUVA ordered an MRI. I received a very short summary of the MRI which basically said that there was nothing wrong, then a letter from SUVA saying that there is no connection between the car accident and the last 2 years of neck issues which started within hours of the car accident (which I immediately reported to my company who even offered an emergency medical evacuation back to CH).

Which is utter rubbish. I even had one of the SUVA people on the phone say that because there were no broken bones (in my neck!) there is no problem.

But SUVA is refusing to look at the case any more and won't talk about it any more. Does anyone know what to do next in terms of an appeal, or have any experience with a similar situation?

Thanks in advance!
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Old 10.12.2018, 12:04
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Re: SUVA appeal?

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recently found out that around 1 year ago they stopped paying and the bills were being directed to my insurance instead.
To be clear are you saying that the invoices are now being paid by your health insurance, instead of by SUVA?
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Old 10.12.2018, 14:22
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Re: SUVA appeal?

Correct, yes. The invoices are being paid by the insurance, not by SUVA.
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Old 10.12.2018, 14:33
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Re: SUVA appeal?

If MRI and medical advice says it is not linked, currently, to your accident- then it will be difficult to go against it.

Unfortunately, whiplash is one of the biggest insurance scam, and they are tightening on it hard. Unfortunate for those who have genuine injuries.
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Old 10.12.2018, 15:38
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Re: SUVA appeal?

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whiplash is one of the biggest insurance scam
Indeed, it is. But usually for compensation claims, not for reimbursing actual incurred medical costs.
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Old 10.12.2018, 18:00
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Re: SUVA appeal?

Yes, this is for medical costs (prescribed by my doctor) - there's no compensation claim here, although in retrospect perhaps I should have to cover my actual medical costs!!
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Old 11.12.2018, 11:05
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Re: SUVA appeal?

I can recommend Christian Haag from Häfliger/Haag/Häfliger (https://www.anwaltluzern.ch/en/) for insurance/liaibility claims if you need legal advice.
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