Remedies for health insurers Financing

Check with your health insurance company.

Statutory health insurance companies

The responsibility lies with your health insurance company.

• The dispensing of remedies at the expense of the statutory health insurance funds requires a doctor's 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,
  • to eliminate a weakening of health that is likely to lead to a disease in the foreseeable future,
  • to counteract a threat to the health development of a child, or
  • Avoid or reduce the need for long-term care.
• Therapeutic products may only be provided by licensed providers of therapeutic products such as physiotherapists, occupational therapists, speech therapists or speech therapists or nutritional therapists.
   

A doctor's prescription is required.

Insured persons who have reached the age of 18 must pay 10% of the selling price for therapeutic products as a co-payment, but at least 5 euros and a maximum of 10 euros; however, in each case 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 application. Please contact your health insurance company for this.

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 therapeutic products cannot be started during the specified period, the prescription loses its validity.

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.

Lower Saxony Ministry of Social Affairs, Health and Equality

12.01.2021

The text was automatically translated based on the German content.