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Befreiung von Zuzahlungen in der gesetzlichen Krankenversicherung beantragen

Mecklenburg-Vorpommern 99134035128001, 99134035128001 Typ 2/3

Inhalt

Leistungsschlüssel

99134035128001, 99134035128001

Leistungsbezeichnung

Apply for exemption from co-payments in statutory health insurance

Leistungsbezeichnung II

Apply for exemption from co-payments in statutory health insurance

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

nicht vorhanden

Leistungstyp

Leistungsobjekt mit Verrichtung und Detail

Leistungsgruppierung

Krankenversicherung (134)

Verrichtungskennung

Ermittlung (128)

Verrichtungsdetail

the burden limit for co-payments in the statutory health insurance system

SDG Informationsbereiche

  • Haftungs- und Pflichtversicherungsbestimmungen im Zusammenhang mit der Niederlassung oder Beschäftigung in einem anderen Mitgliedstaat

Lagen Portalverbund

nicht vorhanden

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

24.07.2020

Fachlich freigegeben durch

Lower Saxony Ministry for Social Affairs, Health and Equality Ministry of Economy, Labor and Health M-V

Teaser

Copayments for medicines, remedies and treatments may not exceed two percent of annual gross income.

Volltext

Co-payments must be made for medications, remedies and treatments that are prescribed. However, people with health insurance do not have to pay more than two percent of their annual gross income.

For chronically ill people, the burden limit is one percent of annual gross income.

Gross income includes all income with which insured persons finance their living expenses - for example:

  • Salary
  • pensions or pension payments,
  • Capital interest
  • Rental income

The annual gross income of all dependents living in the household is taken into account when calculating the burden limit. These may be spouses, civil partners under the Civil Partnership Act or children covered by family insurance.

For families, the burden limit is reduced by the child allowance and, if applicable, the allowance for the spouse.

In the case of recipients of social assistance, the standard rate of the head of household is used as the basis for calculating the burden limit, which is why the allowances cannot be assessed.

Children and young people up to the age of 18 are generally exempt from co-payments. Exception: co-payment for travel expenses.

Erforderliche Unterlagen

nicht vorhanden

Voraussetzungen

nicht vorhanden

Kosten

Fees may apply. Please contact the responsible office.

Verfahrensablauf

  • Collect all co-payment receipts so that they can prove to the health insurance company that they have reached the burden limit.
  • They will be exempt from further co-payments for the current calendar year upon application from their health insurance company.
  • Children and adolescents are always exempt from co-payments.

Bearbeitungsdauer

nicht vorhanden

Frist

Deadlines may have to be observed. Please contact the responsible office.

Weiterführende Informationen

nicht vorhanden

Hinweise

nicht vorhanden

Rechtsbehelf

nicht vorhanden

Kurztext

  • Co-payments apply to prescribed medicines, remedies and treatments
  • Co-payments may not exceed two percent of annual gross income
  • For the chronically ill, the limit is one percent.
  • Children and adolescents up to the age of 18 are exempt from co-payments.
  • For recipients of social assistance, the standard rate of the head of household is used as the basis for calculation

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

The responsibility lies with the health insurance companies.

Formulare

nicht vorhanden