translated a part of an article that describes it with deepl:
The case: Actually, it was about the reimbursement of costs for the mastectomy of a non-binary person. The first instance in Mannheim had ruled in favor of Robin Nobicht, the Regional Social Court in Stuttgart had passed a pretty terrible judgment in favor of the health insurance company. So it went to Kassel to the BSG and actually everything went pretty well, thanks to the good preparation of the lawyers Katrhin Niedenthal and Friederike Boll.
In the course of the hearing, the current state of knowledge and the treatment guidelines were presented, and they were competently linked to the previous case law of the courts.
In the end, the court decided that in the future no distinction should be made between the treatment wishes of binary and non-binary trans* persons. However, the BSG lacked the basis to assess the effectiveness and benefits of medical treatment. This comprehensive, evidence-based guideline would now have to be evaluated by the Federal Joint Committee (G-BA), like any "new treatment method", and fed into the health care system, including billing modalities.
Thus, the Federal Social Court made a far-reaching decision:
All medical treatments of trans* persons based on the S3 guideline do not have to be paid by health insurers until the G-BA has done its work. But, according to the judges, there must of course be protection of confidence for treatments that have already begun
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