Travel expenses Unfortunately this specification of service has not yet been completely translated.

The health insurance companies cover travel costs that are medically necessary in connection with a health insurance service.

The health insurance companies cover the costs for trips to inpatient hospital treatment, rescue trips and patient transports.

There is also a right to journeys for outpatient treatment as well as pre- and post-inpatient hospital treatment, including outpatient surgery, if inpatient treatments are avoided or shortened or these are not feasible.

Otherwise, the health insurance funds only cover the travel costs for outpatient treatment in exceptional cases, which are determined by the Federal Joint Committee (for example, dialysis treatments, chemotherapy, mobility restriction, certain degree of care).

  • Medical prescription of a patient transport
  • Journeys in connection with outpatient treatment require partial approval by the health insurance company

Please check with your health insurance company or your treating doctor.


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,
  • trips to a pre- or post-inpatient treatment in the hospital,
  • Trips to an outpatient operation replacing an inpatient treatment,
  • Rescue trips.

Journeys in connection with outpatient treatment can be prescribed partly subject to the approval of the health insurance in the following exceptional cases:

  • Health transport of persons in need of care and severely disabled persons, namely 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.
    • A permit from the health insurance company is not required if a sick trip is prescribed, for example, by taxi or rental car.
    • However, a permit is required if the transport must be carried out due to the required medical-technical care or professional storage of the patient with an ambulance.
  • 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 in cancer patients.
  • Patients whose treatment does not correspond to the mentioned case studies can apply for approval and examination of their individual case by the health insurance company.

Related Links

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

Please check with your health insurance company.

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