Sociotherapy for health insurance financing Unfortunately this specification of service has not yet been completely translated.

Insured persons who are severely mentally ill and are unable to take advantage of medical or medically prescribed services independently are entitled to sociotherapy.

Are you seriously mentally ill and unable to take advantage of medical or medically prescribed services independently? Then, as a person with statutory health insurance, you are entitled to sociotherapy.

Sociotherapy includes practical instructions that enable you to take advantage of outpatient medical and psychotherapeutic services. The aim is to strengthen your personal responsibility in such a way that you can manage without sociotherapeutic care in the long term.

Sociotherapy can be prescribed if it avoids or shortens hospital treatment or if it is necessary but not feasible.

For each case of illness, you are entitled to 120 hours of sociotherapy within three years. The health insurance companies conclude contracts with suitable persons or institutions for the supply of sociotherapy.

  • medical prescription

Preconditions

  • You are legally insured
  • Due to serious mental illness, they are not in a position to make use of medical or medically prescribed services independently.
  • The benefit must be approved by the health insurance company

Related Links

  • § 37a Fifth Book of the Social Code (SGB V)

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Last update or date of publication
27.11.2020