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Medical rehabilitation benefits for health insurers Granted

Rehabilitation can help you to avoid the permanent onset of a disability or need for care or to cope better with the consequences.

In order for your health insurance company to bear the costs of a rehabilitation measure, you must have statutory health insurance. Your health insurance company first checks whether another service provider is primarily responsible.

For employed persons, for example, the pension insurance finances necessary rehabilitation services. Rehabilitation benefits for pensioners, mothers or fathers with children as well as for those in need of care are usually the responsibility of the statutory health insurance.

Rehabilitation services must be requested by you. In most cases, the application is made after an acute treatment in the hospital by the social service together with you (follow-up rehabilitation).

Your treating physicians can also encourage medical rehabilitation and issue a doctor's prescription for the application.

Competent authority

The responsibility lies with the respective health insurance company.

Requirements

  • Need for rehabilitation: Your performance is impaired and cannot be restored with individual measures, such as physiotherapy and occupational therapy.
  • Rehabilitation ability: You are capable of rehabilitation, i.e. They are resilient to such an extent that necessary treatments can be carried out.
  • Positive rehabilitation prognosis: You can probably achieve individual rehabilitation goals according to a doctor's assessment.

Which documents are required?

  • You must submit an informal application to your health insurance company.
  • Your health insurance company checks whether the requirements for medical rehabilitation are met

What are the fees?

  • Insured persons who have reached the age of 18 pay a co-payment: 10 euros per day of treatment in outpatient rehabilitation and 10 euros per calendar day in inpatient rehabilitation.
  • The co-payment is calculated for a maximum of 42 calendar days per year. It is paid directly to the rehabilitation facility.
  • In the case of a follow-up rehabilitation immediately after hospital treatment, you must pay for a maximum of 28 days. Co-payments that you have already made within a calendar year for another rehabilitation or inpatient hospital treatment will be credited
  • If you have little or no income, you can be exempted from the co-payment on request. Please contact your health insurance company.

What deadlines do I have to pay attention to?

In principle, you are only entitled to medical rehabilitation again after 4 years. Exception: Rehabilitation can be granted within the four-year period if it is urgently needed for medical reasons.

Processing duration

The health insurance company must decide on applications for rehabilitation services within 2 months.

Appeal

You can appeal against the decision of the health insurance company. If the objection is not remedied, you can file a complaint with the competent social court.

Author

The text was automatically translated based on the German content.

Technically approved by

Lower Saxony Ministry of Social Affairs, Health and Equality

Professionally released on

27.11.2020

competent Bodies

GKV-Spitzenverband

Address: Reinhardtstraße 28, 10117 Berlin, Stadt

Building Access:
elevator available : unknown
wheelchair-accessible : unknown

Data protection information

Gemeinde Rhede (Ems) - Ordnungsamt/Gewerbe/Feuerwehrwesen

Postal address: Post Office Box 1134

Address: Gerhardyweg 1, 26899 Rhede (Ems)

Telephone: 04964 9182-19
Fax: 04964 9182-40
Transport Connection:
Parking:
Handicapped Parking Place: Number: 2, Fees: no
Parking Place: Number: 60, Fees: no
Building Access:
elevator available : yes
wheelchair-accessible : yes
bank account:
recipients: Gemeinde Rhede (Ems)
bank: Emsländische Volksbank
IBAN: DE08266614940000164300
recipients: Gemeinde Rhede (Ems)
bank: Sparkasse Emsland
IBAN: DE06266500010017000019
payment methods:
Sepa Credit Transfer, Bank Transfer, Cash Payment, Sepa Direct Debit, Paypal

Ansprechpartner

Point of contact:
Herr Holger Knak
Address: Gerhardyweg 1, 26899 Rhede (Ems)
Telephone: 04964 9182-19
Fax: 04964 9182-40
Department:
Ordnungsamt, Sozialamt, Bürgeramt, Standesamt, Gewerbeamt
Room:
19
responsible for:

Landkreis Emsland

Address: Ordeniederung 1 , 49716 Meppen

Postal address: Post Office Box 15 62

Telephone: 05931 44-0
Fax: 05931 44-3621
Transport Connection:
Building Access:
elevator available : yes
wheelchair-accessible : yes
bank account:
recipients: Landkreis Emsland
bank: Emsländische Volksbank
BIC: GENODEF1LIG
IBAN: DE26266600600120050000
recipients: Landkreis Emsland
bank: Sparkasse Emsland
BIC: NOLADE21EMS
IBAN: DE39266500010000001339
recipients: Landkreis Emsland
bank: Postbank Hannover
BIC: PBNKDEFF250
IBAN: DE36250100300012132306

Ansprechpartner

Point of contact:
Marc-André Burgdorf
responsible for:
Bernd Otten (Datenschutzbeauftragter)
Telephone: 05931 44-1605
Fax: 05931 44-391605
Room:
605
responsible for:

Landesbeauftragte für den Datenschutz Niedersachsen

Address: Prinzenstraße 5, 30159 Hannover

Telephone: +49 511 12045-00
Fax: +49 511 12045-99
Building Access:
elevator available : unknown
wheelchair-accessible : unknown

Source: Serviceportal Niedersachsen (Portalverbund des Bundes und der Länder)

Further Links

Single points of contact of the state of Lower Saxony, Single points of contact of the countries of Europe, advice and assistance for EU citizens and their families.