Financing hospital treatment for people with health insurance

Whether hospital treatment is necessary, discuss with your attending physician. This can be both the family doctor and a specialist. If there is no emergency, you need a hospital admission from your treating doctor (general practitioner or specialist) in order to be admitted to a hospital. In order to visit a hospital, you usually do not have to contact your health insurance company beforehand.

In the case of inpatient hospital treatment, the principle of "outpatient before inpatient" applies. Insured persons are therefore only entitled to fully inpatient treatment in an approved hospital if the treatment goal cannot be achieved by partial, pre- or post-inpatient or outpatient treatment, including home nursing.

If there is no emergency, you need a hospital admission from your treating doctor (general practitioner or specialist) in order to be admitted to a hospital.

Insured persons who have reached the age of 18 pay 10 euros to the hospital for a further 28 days per calendar day within a calendar year from the beginning of the fully inpatient hospital treatment. If insured persons choose a hospital other than a hospital mentioned in the medical admission without a compelling reason, the additional costs can also be imposed on them in whole or in part.

none

• § 39 Fifth Book of the Social Code (SGB V)

If the health insurance company rejects the benefit, an objection can be lodged against it. If the objection is not remedied, you can appeal against it before the Social Court.

If there is no emergency, you need a hospital admission from your treating doctor (general practitioner or specialist) in order to be admitted to a hospital.

12.01.2021