Midwifery assistance
If you are pregnant or have just given birth, you can use the services of a midwife.
Description
During pregnancy, during and after childbirth, women insured under statutory health insurance are entitled to midwifery assistance in addition to the right to medical care. Midwifery includes the benefits provided during pregnancy and childbirth by a state-certified and recognised midwife or maternity nurse. The provision of services is regulated by the midwifery assistance contract
Midwifery includes:
- maternity care and maternity care services,
- Obstetrics
- benefits during the puerperium up to 12 weeks after birth and
- other services, such as counselling of the mother in case of breastfeeding difficulties or postnatal gymnastics during instruction in the group.
Midwifery can be used during pregnancy and up to 12 weeks after delivery (exception: advice to the mother in case of breastfeeding difficulties or nutritional problems of the infant).
Midwifery assistance is made available to insured persons as a benefit in kind, i.e. midwives settle accounts directly with the health insurance funds. Only services that are regulated in the midwifery remuneration list can be billed.
The insured children are also entitled to midwifery assistance if they cannot be cared for by the insured person, e.g. in the event of adoption, death or absence due to illness of the mother.
Note: If you have private health insurance, you should clarify the assumption of costs with your insurance company before you make use of the benefit.
Contact Point
- Your health insurance company
Contact point
Please contactthe relevant health insurance fund.
Contact person
Liste der Krankenkassen auf der Seite des GKV-Spitzenverbands (Spitzenverband Bund der Krankenkassen)
Keywords
gesetzliche Krankenkasse, zuständige Krankenkasse
Required documents
None
Prerequisites
existing insurance relationship
Basis for legal action
- Joint circular of the social security institutions (GR of 6.12.2017-II)
- § 15 Maternity Protection Act (MuSchG) – Other benefits
- § 24c Book V of the Social Code (SGB V) – Benefits for pregnancy and maternity
- § 24d Book V of the Social Code (SGB V) – Medical care and midwifery assistance
- § 24f Book V of the Social Code (SGB V) – Childbirth
- § 134a of the Fifth Book of the Social Code (SGB V) – Supply of midwifery assistance
- Midwifery remuneration agreement (Annex 1 to the contract according to § 134a SGB V), C. Services during the puerperium
Procedure
- Contact the midwife of your choice directly.
- If you are a member of a statutory health insurance fund, you must present your health insurance card.
- The midwife settles with your health insurance company.
- If you are a member of a private health insurance company, you should first clarify the assumption of costs with them.
Processing time
- Not known
Costs
There are no fees.
Notes (specifics)
Further information can be obtained from your statutory or private health insurance and from the German Midwifery Association.
Area of validity
Hesse
Official approval
Officially approved by Hessian Ministry of Social Affairs and Integration on 12.11.2021
Keywords
Rückbildungsgymnastik, Hebammenhilfe, Schwangerennachsorge, Schwangerenvorsorge