Provide rehabilitation measures for insured persons

• Need for rehabilitation: Your performance is impaired and cannot be restored with individual measures, such as physiotherapy and occupational therapy.
• Rehabilitation capacity: They are capable of rehabilitation, i.e. They are resilient to the point where necessary treatments can be carried out.
• Positive rehabilitation prognosis: You can probably achieve individual rehabilitation goals according to medical assessment.

• You must submit an informal application to your health insurance company.
• Your health insurance company checks whether the conditions for medical rehabilitation are met

• Insured persons who have reached the age of 18 pay an additional payment: 10 euros per day of treatment in outpatient rehab and 10 euros in inpatient rehab per calendar day.
• The additional payment is calculated for a no more than 42 calendar days per year. It is paid directly to the rehabilitation facility.
• In the case of follow-up rehabilitation immediately after hospital treatment, you must pay for a longer 28 days. Additional payments that you have already made within a calendar year for another rehabilitation or inpatient hospital treatment will be credited
• If you have little or no income, you can be exempted from the co-payment upon request. Please contact your health insurance company.

In principle, you are only entitled to medical rehabilitation after 4 years. Exception: Rehabilitation may be granted within the four-year period if it is urgently needed for medical reasons.

The health insurance fund must decide on applications for rehabilitation benefits within 2 months.

• Section 40 Fifth Book social code (SGB V)

27.11.2020