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Medizinische Rehabilitationsleistungen für krankenversicherte Mütter und Väter Bewilligung

Hamburg 99134024017000 Typ 2/3

Inhalt

Leistungsschlüssel

99134024017000

Leistungsbezeichnung

<div lang="en-x-mtfrom-de">Medical rehabilitation benefits for mothers and fathers with health insurance</div>

Leistungsbezeichnung II

<div lang="en-x-mtfrom-de">Apply for cures for mothers and fathers</div>

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

<div lang="en-x-mtfrom-de">Treatment requests</div> (Synonym), <div lang="en-x-mtfrom-de">health insurance benefit</div> (Synonym), <div lang="en-x-mtfrom-de">Medical rehabilitation</div> (Synonym), <div lang="en-x-mtfrom-de">Mother Child cure</div> (Synonym), <div lang="en-x-mtfrom-de">mother-child measure</div> (Synonym), <div lang="en-x-mtfrom-de">Father-Child Cure</div> (Synonym), <div lang="en-x-mtfrom-de">father-child measure</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

§ 41 Fifth Social Security Code
www.gesetze-im-internet.de/sgb_5/__41.html

Teaser

As a mother or father, you can apply for a mother/father-child treatment from your health insurance provider.

Volltext

A mother/father-child measure is an inpatient medical treatment for you as a mother or father, which you can use if your health is at risk or under strain due to your family situation. You can also use the measure alone (without a child). You must apply for approval of the measure from your health insurance provider.

Your health insurance company selects the facility in which the measure takes place and tries to take your wishes into account. These are facilities that are geared to your individual needs and stress situations. You will live in this facility during the measure.

The mother/father-child measures usually last 3 weeks. If your children are under 14 years old, the measure can last 4 to 6 weeks. If there is a justified medical need, you can apply for an extension or a new benefit.

Erforderliche Unterlagen

Which documents are necessary depends on the individual case. Your health insurance company will inform you accordingly.

Voraussetzungen

  • A doctor has prescribed the mother/father-child measure for you.

Kosten

If you are already of legal age, you pay EUR 10.00 per calendar day to the institution. If you have little or no income, you can apply to be exempted from the additional payment.

Verfahrensablauf

The mother/father-child measure must be prescribed by a doctor. The application and prescription are sent to the health insurance company for review and approval and, if necessary, are checked by the medical service.

The procedure varies depending on the health insurance company responsible. Your health insurance company can provide you with more detailed information.

Bearbeitungsdauer

The health insurance company must decide on your application promptly:

  • no later than 3 weeks after receipt of your complete application or
  • if an expert opinion is obtained, in particular from the medical service, within 5 weeks of receipt of your complete application.

Frist

Depending on the individual case, deadlines may apply. Your health insurance company will inform you accordingly. Mother/father-child measures can be repeated after 4 years at the earliest, unless an earlier repetition is medically necessary.

Weiterführende Informationen

nicht vorhanden

Hinweise

No

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

  • A mother/father-child measure is an inpatient medical treatment for mothers and fathers who are under health strain or at risk due to their family situation.
  • The measure can also be used alone (without a child)
  • Approval of the measure must be requested from the health insurance company
  • The health insurance company selects the facility where the treatment takes place and tries to take wishes into account
  • Measures usually last 3 weeks.
  • If children are under 14 years old, the measure can take 4 to 6 weeks.
  • If there is a justified medical need, an extension or renewed benefit can be requested.

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

Department of Health, Social Affairs and Integration

Formulare

nicht vorhanden