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Benefits in the event of sterilisation required by illness

The statutory health insurance companies cover the costs of sterilization if the procedure is medically necessary.

In women: If

  • pregnancy would jeopardize their health.

In healthy men:

  • If a pregnancy is expected to cause serious damage to the woman and at the same time the procedure of sterilization would be life-threatening for the woman.

In other cases, you will bear the costs yourself.

Competent authority

The responsibility lies with the respective health insurance company.

Requirements

The attending physicians decide in which cases there is a medical indication for sterilization.

Which documents are required?

  • Electronic Health Card

What are the fees?

None

Legal basis

§ 24b Fifth Book of the Social Code (SGB V)

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.

Technically approved by

Lower Saxony Ministry of Social Affairs, Health and Equality

Professionally released on

27.11.2020

Author

The text was automatically translated based on the German content.

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

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