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Reimburse the costs of treatment in hospitals and rehabilitation facilities for people with statutory accident insurance


The statutory accident insurance covers both hospital costs and the costs of rehabilitation facilities.

The hospital or rehabilitation facility will settle the costs of your treatment directly with your responsible employers' liability insurance association or accident insurance fund. This applies to both outpatient and inpatient treatment.

Employers' liability insurance associations and accident insurance funds will pay for your inpatient treatment if it is medically necessary. Your treatment can be full or partial inpatient. It includes all services that are necessary for medical care in your case. This may include, but is not limited to:

  • Treatment
  • Nursing
  • supply of medicines, bandages, remedies and aids as well as
  • Accommodation and meals.

They may suffer damage to their health for which, due to their nature or severity, special inpatient treatment is required by accident medicine. In such cases, you will be treated in special facilities.
Unlike statutory health insurance, you do not have to pay a co-payment for your treatment.

Process flow

The hospital or rehabilitation facility settles the treatment costs directly with your employers' liability insurance association or accident insurance fund.
If you have incurred costs in connection with the treatment (co-payment), you can claim them back from the employers' liability insurance association or accident insurance company responsible for you.

To do this, submit the supporting documents to your responsible employers' liability insurance association or accident insurance company online or informally by post.

Online Service:

  • Go to the online service.
  • You will be guided through the procedure on the accident insurance service portal.
  • You can sign up.
    • If you would like to receive the answer from your employers' liability insurance association or accident insurance fund in the mailbox of your BundID account or My company account, you must have an account and authenticate yourself.
    • If you would like to receive the answer by post, you can continue without registering.
  • Select your responsible employers' liability insurance association or accident insurance fund or find out more using the industry search.
  • Upload the required documents.
  • Fill out and submit the online form.
  • Your report will be automatically forwarded to your employers' liability insurance association or accident insurance fund.
  • You will receive feedback in the desired way.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you may also be able to submit the report there electronically.

Message by mail:

  • Please send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Pay attention to the required information and enclose the necessary documents.

Requirements

- You have had a recognised accident at work, at school or on your way to work.
- You suffer from a recognised occupational disease.

Which documents are required?

You don't need to submit any documents. An exception, if applicable, is proof of payment of the own contribution.

What are the fees?

There are no costs for you.

What deadlines do I have to pay attention to?

There is no deadline.

Applications / forms

Forms: No

Written form required: No

Informal application possible: Yes

Personal appearance required: No

Online service available: Yes

Appeal

  • Contradiction
    • Detailed information on how to file an objection can be found in the notice issued by your employers' liability insurance association or accident insurance fund.

Technically approved by

Federal Ministry of Labour and Social Affairs (BMAS)

Professionally released on

06.01.2023

Author

The text was automatically translated based on the German content.

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