Sociotherapy for health insurance financing

Insured persons who are seriously mentally ill and are not able to independently use medical or medically prescribed services are entitled to sociotherapy.

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

Sociotherapy includes practical life 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 do without sociotherapeutic care in the long term.   

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

Depending on the 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 provision of sociotherapy.

  • doctor's prescription

Preconditions

  • You are legally insured
  • Due to severe mental illness, they are not able to make independent use of medical or medically prescribed services.
  • The benefit must be approved by the health insurance company

Related Links

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

Responsible for the content
Lower Saxony Ministry of Social Affairs, Health and Equality

Last update or date of publication
27.11.2020