The health insurance companies cover travel costs that are medically necessary in connection with a health insurance benefit.
The health insurance companies cover the costs for trips to inpatient hospital treatment, rescue trips and patient transport.
There is also a right to travel to outpatient treatment as well as pre- and post-inpatient hospital treatment, including outpatient surgery, if this avoids or shortens inpatient treatment or if it cannot be carried out.
Otherwise, the health insurance companies cover the travel costs for outpatient treatment only in exceptional cases determined by the Federal Joint Committee (for example, dialysis treatments, chemotherapy, mobility restrictions, certain degrees of care).
- Medical prescription for patient transport
- Journeys in connection with outpatient treatment sometimes require the approval of the health insurance company
Please inquire with your health insurance company or your attending physician.
A patient transport can be prescribed if it is absolutely medically necessary in connection with a service of the statutory health insurance. This includes:
- Trips to the hospital for inpatient treatment,
- journeys to pre- or post-hospital treatment,
- Trips to an outpatient operation that replaces inpatient treatment,
- Rescue trips.
Journeys in connection with outpatient treatment can be prescribed in some cases subject to the approval of the health insurance company in the following exceptional cases:
Transport of persons in need of care and severely disabled persons, in particular persons with recognised severe disabilities (mark "aG", "Bl" or "H") or persons in need of care with care level 3 in the event of permanent mobility impairment and with care level 4 or 5.
- An approval by the health insurance company is not required if an ambulance ride is prescribed, for example, with a taxi or rental car.
- However, a permit is required if the transport must be carried out with an ambulance due to the required medical-professional care or professional storage of the patient.
- If there is a disease that requires high-frequency treatment over a longer period of time and this treatment or the course of the disease leading to this treatment affects the patient in such a way that transport is essential to avoid harm to life and limb. This applies, for example, to trips to dialysis or to radiation or chemotherapy for cancer patients.
- Patients whose treatment does not correspond to the above-mentioned case studies can apply for approval and examination of their individual case by the health insurance company.
§ 60 Fifth Book of the Social Code (SGB V)
Please check with your health insurance company.
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Lower Saxony Ministry of Social Affairs, Health and Equality
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