Hospital treatment
Insured persons are entitled to treatment in an approved hospital. The service 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. For this purpose, hospital doctors can prescribe medicines and, for a period of up to seven days, among other things, bandages, remedies and aids and home nursing, as well as determine incapacity for work.
Process flow
Discuss whether hospital treatment is necessary with your attending physician. This can be both the family doctor and a specialist. If there is no emergency, you will need to be admitted to hospital by your attending 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 partial, pre- or post-inpatient or outpatient treatment, including home nursing.
Which documents are required?
If there is no emergency, you will need to be admitted to hospital by your attending 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 one calendar year. If, without compelling reason, insured persons choose a hospital other than one named in the medical referral, they may also be charged with all or part of the additional costs.
What deadlines do I have to pay attention to?
none
Legal basis
Applications / forms
If there is no emergency, you will need to be admitted to hospital by your attending 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 against it. If the objection is not remedied, you can appeal against it to the Social Court.
Technically approved by
Lower Saxony Ministry of Social Affairs, Health and Equality
Professionally released on
12.01.2021
Author
The text was automatically translated based on the German content.
