Remedies for health insurance financing

Insured persons of the statutory health insurance are entitled to medically necessary remedies.

As a legally insured person, you are entitled to medically necessary remedies. These are services of physiotherapy, podiatry, voice, speech and speech therapy, occupational therapy and nutritional therapy. The services are provided on medical prescription by approved service providers. An approval by your health insurance company is not required.

A doctor's prescription is required.

Preconditions

  • The supply of therapeutic products at the expense of the statutory health insurance companies requires a doctor's prescription.
  • Remedies can only be prescribed at the expense of health insurance companies if they are necessary to
    • to cure a disease, to prevent its exacerbation or to alleviate disease complaints,
    • eliminate a weakening of health that is likely to lead to a disease in the foreseeable future,
    • counteract a risk to the health development of a child, or
    • To avoid or reduce the need for care.
  • Therapeutic products may only be provided by approved providers of therapeutic products such as physiotherapists, occupational therapists, speech therapists or speech therapists or nutritional therapists.
     

Related Links

  • § 32 Fifth Book of the Social Code (SGB V)
  • Therapeutic Products Directive of the Federal Joint Committee pursuant to § 92 (1) sentence 2 no. 6 SGB V

Check with your health insurance company.

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

Last update or date of publication
12.01.2021