CELEX: 62001TJ0313
Officials
Social security
Refusal of prior authorisation of a surgical procedure
Refusal on the ground of the exclusively cosmetic nature attributed by the administration to the operation
Infringement of the provisions of the Community rules

1.
Officials – Social security – Sickness insurance – Medical expenses – Treatment requiring prior authorisation – Grounds for
refusing reimbursement of costs incurred – No application for prior authorisation, or application not submitted properly
(Rules on sickness insurance, Art. 11(1)(c))
2.
Officials – Social security – Sickness insurance – Decision rejecting a request for prior authorisation for a surgical procedure
– Refusal on the ground of the exclusively cosmetic nature attributed to the operation – Incorrect appraisal by the competent
authority
(Rules on sickness insurance, Annex I, Section II(5))
3.
Officials – Actions – Subject-matter – Unlimited jurisdiction – Application for reimbursement of medical expenses under the
Joint Sickness Insurance Scheme – Admissibility
(Staff Regulations, Art. 91(1))
4.
Officials – Actions – Prior administrative complaint – Requirement that subject-matter and grounds be the same – Application
for reimbursement of medical expenses relating to a treatment adjoined to an action against the refusal to grant prior authorisation
for that treatment – Admissibility
(Staff Regulations, Arts 90 and 91)