Rejection of mandatory health insurance coverage for medication preparation and patient accompaniment outside their room

Facts

The company X. SA, a home care organization, invoiced Visana Insurances SA for care services provided to four of its insured residents with Visana. Visana contested having to pay the full invoiced services, particularly for medication preparation and patient accompaniment outside their room. The Arbitration Tribunal dismissed the company's conclusions. X. SA appealed against this judgment.

Considerations

The Federal Tribunal rejected the appeal. It considered that the preparation of medications by a head nurse in a dedicated room does not constitute "administration of medications" within the meaning of Art. 7 para. 2 let. b no. 7 HIBO, but a distinct action that is not included in the exhaustive catalogue of examinations and treatments covered by mandatory health insurance.

Regarding the accompaniment of patients from their room to the dining room, the Federal…