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Hospital treatment


Insured persons are entitled to treatment in an approved hospital. The benefit includes, in particular, medical treatment, nursing, supply of medicines, remedies and aids, as well as accommodation and meals. Hospital treatment also includes discharge management to help you ensure continued care after hospital discharge. To this end, hospital doctors can prescribe medication and, for a period of up to seven days, bandages, remedies and aids, home care, among other things, as well as determine the inability to work.

Process flow

You should discuss whether hospital treatment is necessary with your attending physician. This can be the family doctor as well as a specialist. If there is no emergency, you need to be admitted to hospital by your treating physician (general practitioner or specialist) in order to be admitted to hospital. In order to visit a hospital, you usually do not have to contact your health insurance company beforehand.

Who should I contact?

Statutory health insurance companies

Competent authority

The responsibility lies with your health insurance company.

Requirements

In the case of inpatient hospital treatment, the principle of "outpatient before inpatient" applies. Insured persons are therefore only entitled to full inpatient treatment in an approved hospital if the treatment objective cannot be achieved by semi-patient, pre- or post-inpatient or outpatient treatment, including home nursing.

Which documents are required?

If there is no emergency, you need to be admitted to hospital by your treating physician (general practitioner or specialist) in order to be admitted to hospital.

What are the fees?

Insured persons who have reached the age of 18 pay 10 euros to the hospital for a maximum of 28 days per calendar day from the start of full inpatient hospital treatment within a calendar year. If, without a compelling reason, insured persons choose a hospital other than the one named in the medical admission, they may also be required to pay all or part of the additional costs.

What deadlines do I have to pay attention to?

none

Applications / forms

If there is no emergency, you need to be admitted to hospital by your treating physician (general practitioner or specialist) in order to be admitted to hospital.

Appeal

If the health insurance company rejects the benefit, an objection can be lodged. If the objection is not remedied, you can take legal action against it before the Social Court.

Technically approved by

Lower Saxony Ministry of Social Affairs, Health and Gender Equality

Professionally released on

12.01.2021

Author

The text was automatically translated based on the German content.

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