Expert opinion of ORL for private accident insurance

The provisions and the aims of private accident insurance are not comparable to those of the statutory accident insurance. The ear nose throat- (ENT-)specialist is often consulted on the question of a possible causality between an accident and sequelae. Loss of smell, taste disorder and loss of hear...

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Veröffentlicht in:HNO 2010-02, Vol.58 (2), p.117
Hauptverfasser: Michel, O, Brusis, T
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description The provisions and the aims of private accident insurance are not comparable to those of the statutory accident insurance. The ear nose throat- (ENT-)specialist is often consulted on the question of a possible causality between an accident and sequelae. Loss of smell, taste disorder and loss of hearing are specified in a table with a fixed percentage for compensation. The individual invalidity for ear ringing, vertigo and other disorders have to be determined separately from this table. In private accident insurance a probability bordering on absolute certainty must be given when establishing a possible causal connection whereby mental reactions are excluded from compensation and all sequelae have to have continued for at least 3 years. The occupation or specific skills of the injured person are not essential for the judgement. The current jurisdiction and conditions of private accident insurance for tinnitus and vertigo have to be taken into consideration.
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subjects Ageusia - classification
Ageusia - diagnosis
Causality
Compensation and Redress - legislation & jurisprudence
Disability Evaluation
Eligibility Determination - legislation & jurisprudence
Expert Testimony - legislation & jurisprudence
Germany
Hearing Loss - classification
Hearing Loss - diagnosis
Humans
Insurance, Accident - legislation & jurisprudence
Insurance, Health - legislation & jurisprudence
National Health Programs - legislation & jurisprudence
Olfaction Disorders - classification
Olfaction Disorders - diagnosis
Otolaryngology - legislation & jurisprudence
Tinnitus - classification
Tinnitus - diagnosis
Vertigo - classification
Vertigo - diagnosis
title Expert opinion of ORL for private accident insurance
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