Questão jurídica principal
Whether hospital treatment that overlaps compulsory and supplementary benefits is covered under compulsory insurance when the insured lacks supplementary coverage.
Decisão extraída
Coverage depends on the predominant purpose of the hospitalization; the stay was not shown to have a predominant accident-related therapeutic purpose separable from treatment of depression as a disease.
Fundamentação extraída
When measures during hospitalization fall partly within mandatory benefits and partly within supplementary benefits not held by the insured, the decisive criterion is the predominant purpose of the disputed hospitalization. Here, nothing showed that treatment of the depressive disorder could not be undertaken separately from treatment of the accident consequences and that the therapeutic measures related to the accident were predominant.