Applying for co-payments and/or co-payments from health insurance for nursing child/children
Children and young people under the age of 18 who have statutory health insurance are exempt from co-payments for prescription medicines, bandages and aids (with the exception of travel costs).
Any additional co-payments and co-payments for health care services or health insurance for foster children in full-time care are generally covered by the public youth welfare organization.
However, not all medical services can be covered. Certain services are not covered by statutory health insurance. This applies in particular to measures that are not medically necessary or are more cosmetic in nature. Such measures are not covered by health insurance.
Check with your local youth welfare office. In some cases, cost coverage must be applied for before the planned measure begins. There are also medical measures for which the youth welfare office cannot cover the costs. This can be clarified during the consultation.
Certain medical services are not covered by statutory health insurance. As a rule, they must be paid for by the insured person themselves.
Such services are not considered co-payments within the meaning of SGB V. They are also not covered within the scope of health assistance in accordance with § 40 SGB VIII.
The youth welfare office will therefore first check whether and to what extent it is allowed to cover the costs of a co-payment or a personal contribution as part of health assistance.
The local youth welfare office
Proof of the nature and extent of the costs
There is no deadline.
The processing of applications by the Youth Welfare Office may take some time.
Lower Saxony Ministry for Social Affairs, Labor, Health and Equality
The text was automatically translated based on the German content.
