Reimburse the costs of treatment in hospitals and rehabilitation facilities for those with statutory accident insurance
The statutory accident insurance pays 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 semi-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, dressings, 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 in accident medicine. In such cases, you will be treated in special institutions.
Unlike statutory health insurance, you do not have to pay a co-payment for your treatment.
Process flow
The hospital or rehabilitation facility will settle the treatment costs directly with your employers' liability insurance association or accident insurance fund.
If you have incurred costs in connection with the treatment (own contribution), you can reclaim them from the employers' liability insurance association or accident insurance fund responsible for you.
To do this, submit the receipts to your responsible employers' liability insurance association or accident insurance fund 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 also continue without registering.
- Select your local employers' liability insurance association or accident insurance company or use the industry search to find out what you are looking for.
- Upload the required documents.
- Fill out the online form and submit it.
- Your report will be automatically forwarded to your employers' liability insurance association or accident insurance fund.
- You will receive feedback on the desired path.
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 can also submit the report electronically there if necessary.
Message by post:
- Contact your employers' liability insurance association or accident insurance fund with an informal letter.
- Pay attention to the required information and enclose the necessary documents.
Requirements
- You have had a recognized work, school or commuting accident.
- You suffer from a recognized occupational disease.
Which documents are required?
You do not need to submit any documents. An exception may be 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 notification of 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.
