{"id":2931,"date":"2015-06-25T19:29:42","date_gmt":"2015-06-25T19:29:42","guid":{"rendered":"http:\/\/pipi-stop.version-demo.ch\/?page_id=2931"},"modified":"2020-03-17T14:13:35","modified_gmt":"2020-03-17T14:13:35","slug":"history-refund-insurance","status":"publish","type":"page","link":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/","title":{"rendered":"History LAMal"},"content":{"rendered":"<p>[et_pb_section bb_built=&#8221;1&#8243; transparent_background=&#8221;off&#8221; background_color=&#8221;#ffffff&#8221; allow_player_pause=&#8221;off&#8221; inner_shadow=&#8221;off&#8221; parallax=&#8221;off&#8221; parallax_method=&#8221;off&#8221; module_class=&#8221;main-h1-title&#8221;][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text _builder_version=&#8221;3.11.1&#8243;]<\/p>\n<h1 style=\"text-align: center;\"><b>Drastic reduction of health insurance reimbursement per April 1, 2019<\/b><\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text _builder_version=&#8221;3.11.1&#8243;]<\/p>\n<p><b>Following a decision by the Swiss Federal Office of Public Health (SFOPH), the reimbursement rate under the Federal Health Insurance act (KVG\/LAMal) was reduced to a standard rate of CHF 0.30 per day for the entire treatment from April 1, 2019.<\/b><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;1_2&#8243;][et_pb_text _builder_version=&#8221;3.11.1&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">As part of the revision of the List of Means and Devices (MiGeL\/LiMa) to reduce health care costs, the Federal Office of Public Health (SFOPH) has decided to drastically reduce the mandatory benefits paid by health insurance companies for the rental of alarm systems for the treatment of enuresis (MiGeL 15.20). <\/span><b>The new uniform rate of 30 centimes per day came into force on April 1, 2019.<\/b><\/p>\n<p><b>As a result of this decision by the SFOPH<\/b><span style=\"font-weight: 400;\">, behavioural therapy by alarm system is now only marginally reimbursed by the KVG\/LAMal, <\/span><b>which disadvantages families<\/b><span style=\"font-weight: 400;\">, particularly those with limited financial resources, who no longer have access to the most effective treatment against bedwetting.<\/span><\/p>\n<p>[\/et_pb_text][\/et_pb_column][et_pb_column type=&#8221;1_2&#8243;][et_pb_text _builder_version=&#8221;3.11.1&#8243;]<\/p>\n<p><span style=\"font-weight: 400;\">Moreover, this reduction in the coverage of the costs of therapy using an alarm-device <\/span><b>will lead, in the medium to long term, to a considerable increase in costs for health insurers<\/b><span style=\"font-weight: 400;\">, as this measure will force families to resort to pharmaceutical products that are more expensive, less effective and not without side effects.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">For these reasons, <\/span><b>we submitted a new application to the SFOPH on October 3, 2019<\/b><span style=\"font-weight: 400;\">, in order to quickly achieve a significant increase in the reimbursement rate for the rental of the alarm device. The procedure is in progress.<\/span><\/p>\n<p><strong><a href=\"https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2020\/02\/Lettre-couverture-dossier-pour-OFSP_demande-revision-tarif-LiMA.pdf\" target=\"_blank\" rel=\"noopener\">See our letter to the SFOPH<\/a><\/strong><\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_image _builder_version=&#8221;3.11.1&#8243; src=&#8221;https:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2020\/02\/tableau-historique-prise-en-charge-LAMal.png&#8221; \/][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_divider _builder_version=&#8221;3.11.1&#8243; \/][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;h1&#8243; background_layout=&#8221;light&#8221; text_orientation=&#8221;center&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221; module_alignment=&#8221;center&#8221;]<\/p>\n<h1>Increase of the Refund by the Basic Health Insurance since 2008<\/h1>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;4_4&#8243;][et_pb_text admin_label=&#8221;Texte&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<h2>Our request to the Federal Office of Public Health (BAG\/OFSP) was successful<\/h2>\n<p>[\/et_pb_text][et_pb_text admin_label=&#8221;Texte&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<h3>Since the 1st\u00a0of August 2008\u00a0the obligatory refunds, which the basic health insurances (HI) pay for the treatment with the Pipi-Stop\u00ae alarm-system, have been definitely increased as a result of our request\u00a0of February 2006 to the BAG\/OFSP<\/h3>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][et_pb_row][et_pb_column type=&#8221;1_3&#8243;][et_pb_image src=&#8221;http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/05\/batiment-confederation-300&#215;200.jpg&#8221; animation_style=&#8221;slide&#8221; animation_duration=&#8221;500ms&#8221; animation_intensity_slide=&#8221;10%&#8221; animation_direction=&#8221;left&#8221; _builder_version=&#8221;3.11.1&#8243; \/][\/et_pb_column][et_pb_column type=&#8221;2_3&#8243;][et_pb_text admin_label=&#8221;Texte&#8221; background_layout=&#8221;light&#8221; text_orientation=&#8221;left&#8221; background_position=&#8221;top_left&#8221; background_repeat=&#8221;repeat&#8221; background_size=&#8221;initial&#8221;]<\/p>\n<p class=\"align-justify\">Since then, the refund raised from CHF 2.35 to 3.40 per day during the first 70 days of rental and from CHF 1.90 to 2.40 per day starting from the 71st\u00a0day. Now only a small part of the treatment costs are to be paid by the families.<\/p>\n<p class=\"align-justify\">In reaction to the Federal Council introducing an economy measure on the 1st of January 2006 (i.e. 10% reduction on the analysis and the list of means and devices [MiGeL\/LiMA] which includes the Pipi-Stop), we requested the BAG\/OFSP an extended compulsory coverage by the HI.\u00a0<strong>Our aim was to give all families access to the behavioural therapy with the Pipi-Stop\u00ae, which is the most efficient way to treat bedwetting and to have the less relapses.<\/strong><\/p>\n<p class=\"align-justify\">Answer the BAG\/OFSP to our request : <a href=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/BAG-MiGeL-uebernahme_couleur.pdf\" target=\"_blank\" rel=\"noopener\">German version<\/a> \/ <a href=\"http:\/\/www.pipi-stop.ch\/wp-content\/uploads\/2015\/04\/OFSP_LiMA-Prise-en-charge_couleur.pdf\" target=\"_blank\" rel=\"noopener\">French version<\/a><\/p>\n<p>&nbsp;<\/p>\n<p>[\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"<p><div class=\"et_pb_row et_pb_row_0 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Drastic reduction of health insurance reimbursement per April 1, 2019 <div class=\"et_pb_row et_pb_row_1 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> Following a decision by the Swiss Federal Office of Public Health (SFOPH), the reimbursement rate under the Federal Health Insurance act (KVG\/LAMal) was reduced to a standard rate of CHF 0.30 per day for the entire treatment from April 1, 2019. <div class=\"et_pb_row et_pb_row_2 et_pb_row_empty\">\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t\t\n\t\t\t<\/div> As [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":2923,"menu_order":10,"comment_status":"open","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"","_et_gb_content_width":"","inline_featured_image":false,"footnotes":""},"class_list":["post-2931","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.3 (Yoast SEO v27.3) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>History LAMal | Pipi Stop<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"History LAMal\" \/>\n<meta property=\"og:description\" content=\"Drastic reduction of health insurance reimbursement per April 1, 2019 Following a decision by the Swiss Federal Office of Public Health (SFOPH), the reimbursement rate under the Federal Health Insurance act (KVG\/LAMal) was reduced to a standard rate of CHF 0.30 per day for the entire treatment from April 1, 2019. As [&hellip;]\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/\" \/>\n<meta property=\"og:site_name\" content=\"Pipi Stop\" \/>\n<meta property=\"article:modified_time\" content=\"2020-03-17T14:13:35+00:00\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"4 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/melebi-sa\\\/history-refund-insurance\\\/\",\"url\":\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/melebi-sa\\\/history-refund-insurance\\\/\",\"name\":\"History LAMal | Pipi Stop\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/www.pipi-stop.ch\\\/fr\\\/#website\"},\"datePublished\":\"2015-06-25T19:29:42+00:00\",\"dateModified\":\"2020-03-17T14:13:35+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/melebi-sa\\\/history-refund-insurance\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/melebi-sa\\\/history-refund-insurance\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/melebi-sa\\\/history-refund-insurance\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Business profile\",\"item\":\"https:\\\/\\\/www.pipi-stop.ch\\\/en\\\/melebi-sa\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"History LAMal\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/www.pipi-stop.ch\\\/fr\\\/#website\",\"url\":\"https:\\\/\\\/www.pipi-stop.ch\\\/fr\\\/\",\"name\":\"Pipi Stop\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/www.pipi-stop.ch\\\/fr\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO Premium plugin. -->","yoast_head_json":{"title":"History LAMal | Pipi Stop","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/","og_locale":"en_US","og_type":"article","og_title":"History LAMal","og_description":"Drastic reduction of health insurance reimbursement per April 1, 2019 Following a decision by the Swiss Federal Office of Public Health (SFOPH), the reimbursement rate under the Federal Health Insurance act (KVG\/LAMal) was reduced to a standard rate of CHF 0.30 per day for the entire treatment from April 1, 2019. As [&hellip;]","og_url":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/","og_site_name":"Pipi Stop","article_modified_time":"2020-03-17T14:13:35+00:00","twitter_card":"summary_large_image","twitter_misc":{"Est. reading time":"4 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/","url":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/","name":"History LAMal | Pipi Stop","isPartOf":{"@id":"https:\/\/www.pipi-stop.ch\/fr\/#website"},"datePublished":"2015-06-25T19:29:42+00:00","dateModified":"2020-03-17T14:13:35+00:00","breadcrumb":{"@id":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/history-refund-insurance\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/www.pipi-stop.ch\/en\/"},{"@type":"ListItem","position":2,"name":"Business profile","item":"https:\/\/www.pipi-stop.ch\/en\/melebi-sa\/"},{"@type":"ListItem","position":3,"name":"History LAMal"}]},{"@type":"WebSite","@id":"https:\/\/www.pipi-stop.ch\/fr\/#website","url":"https:\/\/www.pipi-stop.ch\/fr\/","name":"Pipi Stop","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/www.pipi-stop.ch\/fr\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/pages\/2931","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/comments?post=2931"}],"version-history":[{"count":17,"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/pages\/2931\/revisions"}],"predecessor-version":[{"id":11632,"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/pages\/2931\/revisions\/11632"}],"up":[{"embeddable":true,"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/pages\/2923"}],"wp:attachment":[{"href":"https:\/\/www.pipi-stop.ch\/en\/wp-json\/wp\/v2\/media?parent=2931"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}