Medical benefits Unfortunately this specification of service has not yet been completely translated.
In order to prevent illnesses, you, as a legally insured person, are entitled to outpatient or inpatient preventive benefits if necessary.
Insured persons receive comprehensive pension benefits. The aim is to remedy a weakening of health, which would probably lead to a disease in the foreseeable future, to counteract the risk to the health development of a child and to avoid a need for care. Medical care includes, depending on the need, either benefits in individual cases
- outpatient treatment and care at the place of residence,
- outpatient treatment and care in a recognised spa or
- Treatment and care in an inpatient preventive care facility.
In the case of outpatient care at the place of residence or in a recognised spa, a local rehabilitation centre or rehabilitation clinic is visited daily and you receive medical, physiotherapeutic, psychotherapeutic and other services from doctors or therapists.
The health insurance company covers the costs of medical treatments, including the prescribed medicines, association, medical aids and aids. The health insurance fund may grant a financial subsidy for measures in anchored spas at the other costs. Benefits in approved spas cannot be repeated before the end of three years, unless medically necessary.
In the case of an inpatient preventive measure, you will be treated in the facility and will also live there.
Inpatient pension benefits usually last three weeks, for children under the age of 14 four to six weeks. They cannot be repeated before the end of four years. In the event of justified medical necessity, an extension or a new benefit may be requested.
You must apply for the medical preventive benefits with your health insurance company. You can also contact your attending physician.
Check with your health insurance company or your treating physician.
As an insured person, you will receive comprehensive preventive benefits if they are necessary to remedy a weakening of health that is likely to lead to a disease in the foreseeable future, to counteract the risk to a child's health development and to avoid a need for care. For further information, please contact your health insurance company.
Section 23 Fifth Book of the Social Code (SGB V)
Check with your health insurance company.
Responsible for the content
No information available
Last update or date of publication