[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 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.
Michel
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O
Dienst KNO, Universitair Ziekenhuis - Vrije Universiteit Brussel UZ-VUB, Brüssel, Belgien. OMichel@uzbrussel.be
Brusis
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T
D000370:Ageusia / Q000145:classification / Q000175:diagnosis; D015984:Causality; D035881:Compensation and Redress / Q000331:legislation & jurisprudence; D004185:Disability Evaluation; D004608:Eligibility Determination / Q000331:legislation & jurisprudence; D005104:Expert Testimony / Q000331:legislation & jurisprudence*; D005858:Germany; D034381:Hearing Loss / Q000145:classification / Q000175:diagnosis; D006801:Humans; D007346:Insurance, Accident / Q000331:legislation & jurisprudence*; D007348:Insurance, Health / Q000331:legislation & jurisprudence*; D009313:National Health Programs / Q000331:legislation & jurisprudence*; D000857:Olfaction Disorders / Q000145:classification / Q000175:diagnosis; D010036:Otolaryngology / Q000331:legislation & jurisprudence*; D014012:Tinnitus / Q000145:classification / Q000175:diagnosis; D014717:Vertigo / Q000145:classification / Q000175:diagnosis