Medical treatment for persons with health insurance

Persons with statutory health insurance are entitled to medical treatment.

Persons with statutory health insurance are entitled to medical treatment if necessary. Medical treatment should be appropriate and necessary. It may:

• the prevention of diseases

or

• the early detection and treatment of diseases

serve.

Medical treatment also includes the assistance of other persons if this is prescribed by a doctor.

Legally insured persons can visit any doctor who is licensed to provide contract medical care. These can be, for example, family doctors or specialists in medical care centres, practices or outpatient facilities. In most cases, it makes sense to contact the family doctor first.

The responsibility lies with the health insurance companies.

Please contact your family doctor and, if you have any questions about the assumption of costs, your statutory health insurance company.

• You must be a member of a statutory health insurance company.
• A medical prescription is required for the use of services initiated by a panel doctor, which may have to be approved by the health insurance fund before the use of services.
  • Health insurance card or treatment certificate

In order to use contract medical and panel medical services, you must be a member of a statutory health insurance fund.

The benefits of statutory health insurance are benefits in kind. If your health insurance company refuses to cover costs in individual cases, you can lodge an objection with your health insurance company.

As a rule, there are no costs for medical treatment. Your health insurance company will inform you about the statutory co-payments for therapies or medication