According to a judgement of upper court Karlsruhe, a private health insurance must also Unverheiraten costs of artificial fertilization. After decision, limitation of reimbursement of benefits to married is ineffective.
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A woman who had been sued before her marriage made an attempt to künstlichenBefruchtung with in vitro fertilization and a treatment of zumAusschluss genetic damage. The treatment costs amounted to more than 11,700 euros.
A Mannheim insurance company had rejected DieKostenerstattung. It referred to rules that apply in similar cases to Fürgesetzlich insured. These can be reimbursed by health Insurance fund part of costs, but must work toger with cashier to develop a plan before start of treatment.
In case of private health insurance companies, however, regulations vary greatly. The Karlsruhe Higher Regional court now decided in specific case that insurer was pursuing economic interests. Therefore, distinction between married UndUnverheirateten and children’s desire is arbitrary.
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The decision is not valid (AZ: 12 u 107/17). DasGericht approved audit ZumBundesgerichtshof for defendant’s insurance. The question of wher performance of artificial insemination is exclusively for married Höchstrichterlichnoch is not clarified – nor is question of WelchenVoraussetzungen private health insurers taking measures derVorimplantationsdiagnostik reimbursement Must.
