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Fahrkosten für Krankenversicherte Übernahme

Hamburg 99134032068000 Typ 2/3

Inhalt

Leistungsschlüssel

99134032068000

Leistungsbezeichnung

<div lang="en-x-mtfrom-de">Travel expenses for health-insured takeover</div>

Leistungsbezeichnung II

<div lang="en-x-mtfrom-de">Receive reimbursement of travel expenses for medically necessary services</div>

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

<div lang="en-x-mtfrom-de">Emergency rescue</div> (Synonym), <div lang="en-x-mtfrom-de">health</div> (Synonym), <div lang="en-x-mtfrom-de">checkout service</div> (Synonym), <div lang="en-x-mtfrom-de">health insurance benefit</div> (Synonym)

Leistungstyp

nicht vorhanden

SDG Informationsbereiche

nicht vorhanden

Lagen Portalverbund

nicht vorhanden

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

21.01.2025

Fachlich freigegeben durch

nicht vorhanden

Handlungsgrundlage

Teaser

Your health insurance company can cover travel costs that you incur in connection with a medically necessary health insurance service.

Volltext

Your health insurance usually covers your costs for
  • trips to inpatient hospital treatment,
  • rescue missions and
  • medical transports.
You may also be entitled to reimbursement of travel costs to
  • outpatient treatments and
  • pre- and post-hospital treatments
  • outpatient surgeries
if this avoids or shortens inpatient treatment or if this is not possible.

In addition, your health insurance will usually cover your travel costs for outpatient treatment in special exceptional cases determined by the Federal Joint Committee. These include, for example:
  • dialysis treatments,
  • Chemotherapy,
  • mobility impairment
  • certain level of care.

Erforderliche Unterlagen

  • Medical prescription for medical transport
  • Trips in connection with outpatient treatment sometimes require approval from the health insurance company
Which documents you have to submit depends on the individual case. Please ask your health insurance provider.

Voraussetzungen

  • The journey is related to a service provided by the statutory health insurance and is medically necessary.

Kosten

As a rule, you have to pay 10% of the fare yourself as a statutory co-payment. The co-payment is capped and amounts to
  • at least 5.00 euros and
  • maximum of 10.00 euros
  • never more than the actual costs incurred.
If you have little or no income, you can apply to be exempted from the co-payment. Please contact your health insurance provider for this.

Verfahrensablauf

The procedure depends on the individual case. Please ask your health insurance provider.

Bearbeitungsdauer

The processing time depends on the individual case. Please check with your health insurance provider.

If you need approval from your health insurance company, your health insurance company must usually decide within 3 weeks of receiving your application.

Frist

Whether and which deadlines apply depends on the individual case. Please check with your health insurance provider.

Weiterführende Informationen

nicht vorhanden

Hinweise

Trips in connection with outpatient treatment can be prescribed – partly subject to the approval of the health insurance company – in the following exceptional cases:

  • Medical transport of people in need of care and severely disabled people, namely people with a recognised severe disability (symbol “aG”, “Bl” or “H”) or people in need of care with care level 3 in the case of permanent mobility impairment and with care level 4 or 5.
    • Approval by the health insurance company is not required if a medical journey is prescribed, for example, by taxi or rental car.
    • However, approval is required if the transport must be carried out by ambulance due to the required medical care or professional positioning of the patient.
  • If there is an illness that requires high-frequency treatment over a longer period of time, and this treatment or the course of the illness leading to this treatment affects the patient in such a way that transport is essential to avoid harm to life and limb. This applies, for example, to journeys to dialysis or to radiotherapy or chemotherapy for cancer patients.
  • Patients whose treatment does not correspond to the above-mentioned case examples can apply for approval and review of their individual case by the health insurance company.

Rechtsbehelf

  • If the health insurance company refuses the service, you can appeal against it.
  • If the objection is not remedied, you can appeal to the social court

Kurztext

  • Health insurance usually covers your costs for
    • trips to inpatient hospital treatment,
    • rescue missions and
    • medical transports.
  • If applicable, you may also be entitled to reimbursement of the costs of subsequent journeys if this avoids or shortens inpatient treatment or if this is not possible
    • outpatient treatments and
    • pre- and post-hospital treatments
    • outpatient surgeries
  • Further reimbursement of travel expenses for outpatient treatment in special exceptional cases, which are determined by the Federal Joint Committee.
    • dialysis treatments,
    • Chemotherapy,
    • mobility impairment
    • certain level of care.

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

Authority for Labor, Health, Social Affairs, Family and Integration

Formulare

nicht vorhanden