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Apply for co-payments and/or co-payments for health care for foster child(ren)


Children and adolescents under the age of 18 with statutory health insurance are exempt from co-payments for prescription medicines, bandages and aids (with the exception of travel expenses).

Additional co-payments and co-payments for health assistance or health insurance benefits for foster children in full-time care are generally covered by the public youth welfare agency.

However, not all medical services can be covered. Certain services are not included in the scope of benefits of statutory health insurance. This applies above all to measures that are not medically necessary or that are more cosmetic. Such measures are not covered by sickness assistance.

Process flow

Inquire at your local youth welfare office. In some cases, it is necessary to apply for cost coverage before the start of the planned measure. There are also medical measures for which the Youth Welfare Office cannot cover the costs. This can be clarified during the consultation.

Certain medical services are not covered by statutory health insurance. As a rule, they are to be borne by the insured persons themselves.

Such benefits are not considered to be co-payments within the meaning of SGB V. They are also not covered in the context of sickness assistance according to § 40 SGB VIII.

The Youth Welfare Office therefore first examines whether and to what extent it may cover the costs of a co-payment or a personal contribution within the framework of health assistance.

Who should I contact?

The local youth welfare office

Which documents are required?

Proof of the nature and extent of the costs

What deadlines do I have to pay attention to?

There is no deadline.

Processing duration

The processing of applications by the Youth Welfare Office may take some time.

Technically approved by

Lower Saxony Ministry of Social Affairs, Labour, Health and Equality

Author

The text was automatically translated based on the German content.

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