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General Legal Information — JusticePourtous provides general legal information based on applicable Swiss law. This service does not replace personalized legal advice from an attorney.

Practical Guide

Refusal of Health Insurance Subsidy: What to Do?

The individual premium reduction (subsidies) falls under the LAMal (art. 65) but its granting is regulated by each canton (determining income, assets, scale). Refusal or reduction can be challenged by complaint/opposition within the 30 days before the cantonal authority (SAM, OCAM according to…

Applicable law provisions

Critical time limits

  1. Analysis of the decision and the calculationimmediately upon receipt
  2. Request for reconsideration or opposition30 days from notification (cantonal opposition period) (LAMal 65 / LPGA 52 / cantonal laws)
  3. Decision on Oppositionvariable (30 to 90 days)
  4. Appeal to the cantonal insurance tribunal30 days from decision on opposition (LPGA 56 / LAMal 91)

Keywords

LAMal subsidies premiums refusal reduction canton

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