Midwifery Assistance Grant
Women insured with statutory health insurance are entitled to midwifery assistance during pregnancy, during and after childbirth in addition to the right to medical care. Midwifery assistance includes the provision of services during pregnancy and childbirth by a state-certified and recognised midwife or maternity nurse. The provision of services is regulated by the midwifery assistance contract
Midwifery assistance includes:
- maternity care and prenatal care services;
- Obstetrics
- Postpartum benefits up to 12 weeks after birth, and
- other services, such as counselling the mother for breastfeeding difficulties or postnatal gymnastics for group instruction.
Midwifery assistance can be used during pregnancy and up to 12 weeks after delivery (exception: counselling of the mother in case of breastfeeding difficulties or feeding problems of the infant).
Midwifery assistance is made available to insured persons as a benefit in kind, i.e. the midwives settle directly with the health insurance companies. Only services that are regulated in the midwifery remuneration schedule can be billed.
The insured children are also entitled to midwifery assistance if they cannot be cared for by the insured person, e.g. in the event of adoption, death or absence of the mother due to illness.
Note: If you have private health insurance, you should clarify the assumption of costs with your insurance company before claiming the service.
Contact point
- Your health insurance company
Process flow
- Contact the midwife of your choice directly.
- If you are a member of a statutory health insurance company, you must present your health insurance card.
- The midwife settles accounts with your health insurance company.
- If you are a member of a private health insurance company, you should clarify with them beforehand whether the costs will be covered.
Competent authority
The responsibility lies with your health insurance company.
Requirements
Existing insurance relationship
Which documents are required?
None
What are the fees?
Refund: free of charge
Processing duration
- Not known
Legal basis
- Joint Circular of the Social Security Institutions (GR of 6.12.2017-II)
§ 15 Maternity Protection Act (Maternity Protection Act) – Other benefits
§ 24c Social Code Fifth Book (SGB V) – Benefits in the event of pregnancy and maternity
§ 24d Social Code Fifth Book (SGB V) – Medical care and midwifery assistance
§ 24f of the Fifth Book of the Social Code (SGB V) – Childbirth
Section 134a of the Fifth Book of the Social Code (SGB V) – Provision of midwifery assistance
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.
What else should I know?
Further information can be obtained from your statutory or private health insurance company and from the German Midwifery Association.
Further information for the state of Bremen:
Technically approved by
Lower Saxony Ministry of Social Affairs, Health and Equality
Professionally released on
04.02.2021
Author
The text was automatically translated based on the German content.