The Health Insurance Benefits Division is responsible for defining the catalogue of benefits paid under compulsory health insurance, in particular the specialities list, the lists of analyses, aids and equipment, and for the health technology assessment.
As part of the Health and Accident Insurance Directorate, the division works with three specialist committees to draft and oversee the principles for the licensing of medical services, therapeutic products, analyses, aids and articles in the catalogue of benefits paid under compulsory health insurance. It also acts as a specialist arbiter in appeal proceedings before the Federal Administrative Court relating to rulings in the context of benefits. In addition, the division shapes the health insurance system by way of amendments to the law and ordinances governing the area of benefits outlined above.
Karin Schatzmann and Marc Schneider
Heads of Health Insurance Benefits Division
Last modification 02.08.2021