Go Back   English Forum Switzerland > Help & tips > Insurance  
 
Thread Tools Display Modes
Prev Previous Post   Next Post Next
  #1  
Old 20.01.2020, 15:52
Newbie 1st class
 
Join Date: Nov 2013
Location: Zurich
Posts: 11
Groaned at 0 Times in 0 Posts
Thanked 3 Times in 2 Posts
reza_p_o has no particular reputation at present
Rejection of accident insurance coverage after a year

I had an accident in July 2018, and the accident insurance (through my employer) agreed to cover the incident. During this time, they have continuously paid for my doctor visits, medication, physiotherapy, chiropractic, etc with no problem.

This week however, they sent me a letter saying that they have reevaluated my case by external doctors, and concluded that they should have stopped the coverage 3 months after the incident (Oct. 2018). They also mention that they will not reclaim the paid bills, but will not pay the outstanding ones (those before they notified me) or any new ones.

Assuming that I am covered by the accident insurance, I have not followed the protocol of my health insurance over this time (I had a pharmed plan with Assura). For example, I didn't get the medication from Assura designated pharmacies, I went to a specialist without a referral from a family doctor and also visited an Osteopath.

Now here is my question:
Can the accident insurance stop paying the bills retrospectively? Is there a clause in the law that allows them to do so?
Do I have any grounds in asking them to pay the previous bills that are not covered by my health insurance?
Reply With Quote
 

Tags
accident inssurance, claim, health insurance




Currently Active Users Viewing This Thread: 1 (0 members and 1 guests)
 
Thread Tools
Display Modes

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is On
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off


Similar Threads
Thread Thread Starter Forum Replies Last Post
Accident on maternity leave /accident insurance question swissviking Insurance 14 09.01.2020 22:05
New insurance coverage, need to cancel old coverage ChocolateSoyMilk Insurance 5 19.05.2019 21:53
Rejection of Supplementary Insurance is1107 Insurance 15 14.02.2015 08:19
Accident insurance coverage when unemployed Corbets Insurance 9 16.06.2014 14:11
Question about extent of SUVA accident coverage, specifically damaged possessions Spellbound Daily life 16 13.06.2013 09:34


All times are GMT +2. The time now is 00:12.


Powered by vBulletin® Version 3.8.4
Copyright ©2000 - 2021, Jelsoft Enterprises Ltd.
LinkBacks Enabled by vBSEO 3.1.0