Apply for reimbursement of travel expenses for those with health insurance
If you need a transport service in connection with a health insurance benefit for compelling medical reasons, then your health insurance company will cover the travel costs in many cases.
The statutory health insurance companies cover travel costs if they are medically necessary in connection with a health insurance benefit. This includes trips to inpatient hospital treatment, rescue trips and patient transports.Rescue trips are carried out in the event of life-threatening or other serious illnesses requiring first aid.
Ambulance transports include journeys for other illnesses that require the accompaniment of medical personnel or the special equipment of an ambulance, for example, horizontal transports.
Ambulance rides include any other trip of a sick person, such as by taxi.
HINT: Do not confuse ambulance transport with "alert ambulance", which you order in an acute emergency.
Ordinance on the Carriage of The Sick
If you or a relative need a transport service in connection with a health insurance benefit for compelling medical reasons, the health insurance company will cover the travel costs for
- services provided on an inpatient basis,
- Rescue trips to the hospital even if inpatient treatment is not required,
- other journeys by insured persons who require professional care or the special facilities of an ambulance during the journey or for whom this is to be expected due to their condition, and
- Journeys by insured persons to outpatient treatment, to pre- or post-hospital treatment or to outpatient surgery in hospitals, if this avoids or shortens full or partial inpatient hospital treatment or if this is not feasible.
Please note that travel costs to outpatient treatment are only to be covered by the health insurance company with prior approval. Regulations requiring approval must be submitted to the health insurance fund at an early stage. The duration and scope (e.g. means of transport, round trip) of the permit are determined by the health insurance company. In case of doubt, you must also pay for transport services that you arrange without coordination with your health insurance company.
A right to travel to outpatient treatment as well as pre- and post-inpatient hospital treatment, including outpatient surgery, may be granted if this avoids or shortens inpatient treatment or if it cannot be carried out. Otherwise, travel costs for outpatient treatment can only be covered in special exceptional cases (for example, dialysis treatments, chemotherapy).
§ 60 Fifth Social Code (SGB V)
§ 61 Fifth Social Code (SGB V)
- Obtain the "Prescription for The Carriage of the Sick" from the attending physician and carry it with you on every journey in order to be able to show it to the driver
- In the case of outpatient treatment: Prescription approved by the responsible health insurance company. This is absolutely necessary in order to be reimbursed for the costs.
- In the case of outpatient treatment: Travel expenses reimbursed by health insurance
- After the corresponding journey, submit the medical prescriptions to your health insurance company for billing
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