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Remedies for people with health insurance Financing


As a person with statutory health insurance, you are entitled to medically necessary remedies. These include physiotherapy, podiatry, voice, speech and language therapy, occupational therapy and nutritional therapy. The services are provided by approved service providers on medical prescription. Approval from your health insurance company is not required.

Process flow

Check with your health insurance company.

Who should I contact?

Statutory health insurance companies

Competent authority

The responsibility lies with your health insurance company.

Requirements

  • The dispensing of remedies at the expense of the statutory health insurance companies requires a medical prescription.
  • Remedies can only be prescribed at the expense of the health insurance funds if they are necessary to:
    • to cure a disease, to prevent its aggravation or to alleviate the symptoms of the disease,
    • eliminate a deterioration in health that is likely to lead to illness in the foreseeable future,
    • counteract a risk to a child's health development, or
    • to avoid or reduce the need for long-term care.
  • Therapeutic services may only be provided by licensed providers of therapeutic products such as physiotherapists, occupational therapists, speech therapists or speech therapists or nutritional therapists.
     

Which documents are required?

A doctor's prescription is required.

What are the fees?

Insured persons who have reached the age of 18 must pay a co-payment of 10% of the sales price for remedies, with a minimum of 5 euros and a maximum of 10 euros; however, not more than the cost of the remedy and an additional 10 euros per prescription.

If you have little or no income, you can be exempted from the co-payment upon request. Please contact your health insurance company for this.

What deadlines do I have to pay attention to?

If the prescription does not specify the latest start of treatment, treatment should be started within 28 calendar days. An urgent start of treatment must be indicated on the prescription. If the treatment of medicinal products cannot be started within the specified period, the prescription loses its validity.

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 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)