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(영문) 서울중앙지방법원 2018.06.08 2017나13907

치료비지급 청구

Text

1. Of the judgment of the court of first instance, KRW 11,487,298 against the Plaintiff and its related thereto, from April 14, 2015 to June 8, 2018.

Reasons

Basic Facts

The Plaintiff’s mother C entered into an insurance contract with the Defendant, an insurance company, the insured C and the Plaintiff’s insurance period from April 16, 2010 to October 18, 2030; the subscription amount was KRW 250,000 per day per disease, loss, medical care expenses (hereinafter “injury, medical expenses”); and the comprehensive hospitalization, medical expenses (hereinafter “injury, medical expenses”); and KRW 50,000 per year and KRW 1,50,000,000 per each E insurance contract (hereinafter “instant insurance”).

On June 22, 2014, the Plaintiff received hospitalized treatment at G Hospital located in Gangnam-gu Seoul, Gangnam-gu, by suffering images from the two parts, the body part, the body part, the body part, the body part, the body part, the body part, the body part, the body part, the bridge, the bridge, the bridge, etc., as an accident that occurred at a specializedF shopping store located in Songpa-gu Seoul (hereinafter “instant accident”), and thereafter received outpatient treatment at the G Hospital located in Yeongdeungpo-gu and Yeongdeungpo-gu, Seoul.

[Ground of recognition] The plaintiff's assertion of the purport of the whole arguments and arguments by the parties concerned as to the facts without dispute, Gap evidence Nos. 1, 2-1 through 3, and 3 of the evidence Nos. 2, and the purport of the whole pleadings is as follows: according to the insurance contract of this case, the plaintiff's defendant is obligated to pay to the plaintiff the plaintiff the plaintiff 1 the total expenses for purchasing supplementary agents calculated as stated in the attached Table Nos. 1 through 4, 10,594,90, total expenses for purchasing supplementary medicine, totaling KRW 4,005,60, total expenses for treating general hospitals, totaling KRW 3,432,350, total expenses for rehabilitation procedures of G Hospital hospitals, totaling KRW 6,595,220, total expenses for treating general hospital hospitals, deducting insurance money already paid to the plaintiff from totaling KRW 356,682,278,388, and delay damages.

The insurance clauses of this case, which are covered by the defendant, are limited to the costs of medical care benefits or non-medical care benefits under the National Health Insurance Act. Of the plaintiff's claims, the costs of purchasing supplementary cares are not for treatment, but for cosmetic purposes, but for G Hospital.