2023-12-01 11:08:03
– Health insurance companies pay for preventative breast and ovary removal
Starting next year, compulsory health insurance will cover preventative breast and ovary removal for women with certain high-risk genes.
Published today at 12:08 p.m
Preventative measures are now being supported for women with high-risk genes: View of an operating room in the new outpatient center of the Zurich City Hospital on Europaalle.
Photo: Michael Buholzer (Keystone)
Starting next year, compulsory health insurance will cover preventative breast and ovary removal for women with certain high-risk genes. The service catalog will be expanded accordingly.
This serves to prevent breast and ovarian cancer in people with a greatly increased risk of these diseases, the Federal Department of the Interior (EDI) announced on Friday. The surgical removal of the breast and/or ovaries and fallopian tubes are measures to prevent cancer.
At the same time, “genetic counseling is now an explicit prerequisite for remuneration,” the EDI continued in its statement.
Previously, both interventions were only reimbursed if two specific gene mutations were present. However, in recent years, the need for expansion to include additional high-risk genes has been reported, according to EDI. Therefore, from January 1, 2024, the indications will be expanded and the corresponding genes will be listed in a reference document.
Prevention of HIV infections
In addition, from July 1, 2024, HIV prophylaxis (HIV-PrEP) services for people with a significantly increased risk will also be covered by compulsory health insurance as part of the “SwissPrEPared” study. However, this takeover is limited until the end of 2026.
According to the EDI, HIV prophylaxis effectively prevents the risk of HIV infection through unprotected sexual intercourse. It includes medical advice, the necessary laboratory tests and the medication.
This is a measure of the new national program “Stop HIV, hepatitis B, hepatitis C virus and sexually transmitted infections,” the EDI continued. It is also intended to help answer open questions about the effects of HIV prophylaxis on the number of infections.
Further adjustments to the service catalog are taking place in the area of cardiology, for example. From April 1, 2024, the costs of care via telemedicine programs will be covered for patients with advanced chronic heart failure (heart failure).
SDA/sme
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