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Ärztliche Erstversorgung für gesetzlich Unfallversicherte Erbringung

Bund 99111006148000 Typ 1

Inhalt

Leistungsschlüssel

99111006148000

Leistungsbezeichnung

Ärztliche Erstversorgung für gesetzlich Unfallversicherte Erbringung

Leistungsbezeichnung II

Medical first aid in case of occupational accident or disease

Leistungstypisierung

Typ 1

Begriffe im Kontext

nicht vorhanden

Leistungstyp

Leistungsobjekt mit Verrichtung

Leistungsgruppierung

-

Verrichtungskennung

Erbringung (148)

SDG Informationsbereiche

  • nicht SDG-relevant

Lagen Portalverbund

  • Krankheit (1130200)
  • Behinderung (1130300)

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

06.01.2023

Fachlich freigegeben durch

Federal Ministry of Labor and Social Affairs (BMAS)

Handlungsgrundlage

Teaser

Do you need initial medical treatment for an occupational or commuting accident or a recognized occupational disease? Then the statutory accident insurance will cover the costs.

Volltext

If you have suffered a health impairment as a result of an accident at work or on the way to work or a recognized occupational disease, you are eligible for primary medical care. This is provided by physicians.
If, due to the nature or severity of the occupational or commuting accident or a recognized occupational disease, accident medical treatment is necessary, this will be provided following the initial treatment. The free choice of physician may be restricted with regard to the accident physician.
The costs of initial medical treatment are covered directly by your employers' liability insurance association or accident insurance fund.

Erforderliche Unterlagen

  • no
  • If required, your employers' liability insurance association or accident insurance fund will request the necessary documents directly from you

Voraussetzungen

  • Health impairment requiring treatment as a result of an accident at work or on the way to work or an occupational disease
  • Implementation of the initial treatment by a physician

Kosten

There are no costs involved.

Verfahrensablauf

The official investigation principle applies in statutory accident insurance. This means that your employers' liability insurance association or accident insurance fund automatically ("ex officio") carries out all the necessary investigations as soon as it learns of your occupational or commuting accident or occupational disease.

  • Seek out a suitable doctor, depending on the damage to your health.
  • In principle, there is free choice of doctor. In the case of occupational accidents, it is advisable to visit a doctor who is involved in the transit doctor procedure of the statutory accident insurance. Alternatively, your employers' liability insurance association or accident insurance fund can help you find a suitable doctor.
  • Please inform your doctor that the reason for your visit is an occupational accident, commuting accident or occupational disease.
  • You can find out which employers' liability insurance association or accident insurance fund is responsible for you on the website of the German Social Accident Insurance (DGUV).

You can also contact your Berufsgenossenschaft or Unfallkasse online or by mail.

Online service:

  • Call up the online service.
  • You will be guided through the process on the accident insurance service portal.
  • You can log in.
    • If you would like to receive the response from your employers' liability insurance association or accident insurance fund in the mailbox of your BundID account or My Company Account, you must have an account and authenticate yourself.
    • If you would like to receive the response by mail, you can also proceed without logging in.
  • Select your responsible employers' liability insurance association or accident insurance fund or determine it using the industry search.
  • Upload the required documents.
  • Fill out the online form and submit it.
  • Your report will automatically be forwarded to your employers' liability insurance association or accident insurance fund.
  • You will receive a response via the requested channel.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you can also submit the notification electronically there, if necessary.

Message by mail:

  • Contact your employers' liability insurance association or accident insurance fund with an informal letter.
  • Make sure you provide the required information and enclose the necessary documents.

Bearbeitungsdauer

Immediate treatment by the physician

Frist

There is no deadline.

Weiterführende Informationen

Hinweise

nicht vorhanden

Rechtsbehelf

  • Appeal
  • Detailed information on how to lodge an appeal can be found in the notification from your employers' liability insurance association or accident insurance fund.

Kurztext

  • Initial medical care for persons insured under the statutory accident insurance scheme
  • The employers' liability insurance association or the accident insurance fund cover the costs of initial medical treatment following an accident at work or on the way to work, or as a result of an occupational disease.
  • Costs: none
  • Processing time: immediate treatment by doctor
  • Notification online or by mail
  • responsible:
    • for insurance cases in commercial enterprises: Employer's Liability Insurance Associations (classified by industry)
    • for insured events in public companies and educational institutions: Accident insurance funds (regionally structured)

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

nicht vorhanden

Formulare

Forms available: No
Written form required: No
Informal application possible: Yes
Personal appearance required: No
Online services available: Yes