Fahrkosten für Krankenversicherte Übernahme
Inhalt
<div lang="en-x-mtfrom-de">Receive reimbursement of travel expenses for medically necessary services</div>
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)
Fachlich freigegeben am
21.01.2025
Fachlich freigegeben durch
nicht vorhanden
Social Code (SGB) Fifth Book (V)
https://www.gesetze-im-internet.de/sgb_5/__60.html
https://www.gesetze-im-internet.de/sgb_5/__60.html
Your health insurance company can cover travel costs that you incur in connection with a medically necessary health insurance service.
Your health insurance usually covers your costs for
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:
- trips to inpatient hospital treatment,
- rescue missions and
- medical transports.
- outpatient treatments and
- pre- and post-hospital treatments
- outpatient surgeries
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.
- Medical prescription for medical transport
- Trips in connection with outpatient treatment sometimes require approval from the health insurance company
- The journey is related to a service provided by the statutory health insurance and is medically necessary.
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.
The procedure depends on the individual case. Please ask your health insurance provider.
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.
If you need approval from your health insurance company, your health insurance company must usually decide within 3 weeks of receiving your application.
Whether and which deadlines apply depends on the individual case. Please check with your health insurance provider.
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.
- 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
- 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.