Medicines and dressings for persons with health insurance

Persons with health insurance are entitled to the supply of medicines subject to pharmacy and to the supply of dressings.

Insured persons in the statutory health insurance are entitled to the supply of pharmacy-only medicines and to the supply with bandages. The costs are covered by the health insurance companies.

Exception: For insured persons over the age of 18, the costs for so-called minor funds are not covered. These include:

• Medicines for use in colds and flu-like infections
• oral and pharyngeal therapeutics (except for fungal infections),
• Laxative
• Medicines for motion sickness.

The costs for funds that you can buy without prescription are generally not covered. Exception:

• Medicinal products that are standard therapy for serious illnesses and are prescribed by the doctor.

The choice of prescribed remedies may be limited by discount agreements between health insurance companies and manufacturers. However, these funds are then also free of co-payment.

Fixed amounts may also apply to medicines and bandages. Any additional costs must be borne by you.

If you have any questions about the prescribability of medicinal products at the expense of statutory health insurance, please contact your prescribing panel doctor and your health insurance fund.

For a prescription of medicines, please contact your general practitioner or specialist.

If you have any questions about the assumption of costs, please contact your statutory health insurance company.

• Contract medical prescription or prescription

Existence of a contract medical prescription.

If necessary, there are contracts for special care. For more details, please contact your statutory health insurance company.

In statutory health insurance, the entitlement to medicines exists as a right to benefits in kind. If your statutory health insurance does not cover the costs of medicines in individual cases, you can object.

Fees may apply (co-payment, amount above the possible fixed amount). Please contact your health insurance company.