Statutory Health Insurance
The Sanitatshaus Shrikes from Bochum informed medical tools are necessary for the treatment of a variety of diseases. The costs for them are taken over partially V according to the book by the statutory health insurance (GKV). What is to be considered in this context, explains the Bochum Sanitatshaus Shrike. Under Tools, law-makers and health insurance companies understand actual medical services. This can be for example prostheses but also incontinence and ostomy article. Whether and in what framework, the statutory funds of the crane take over their costs in a particular case, will decide from a regulated procedure. Basically, the statutory health insurance takes over the cost of a medical aid only if it was prescribed by a doctor.
The regulation comes into consideration if the specific aid is necessary in order to treat an illness, a disability to prevent or to compensate for. To speed up the bureaucratic approval procedures, necessary services in relation to the prescription be clearly described. Here, it is best to choose tools already referred to with a resource number in the catalog of the statutory health insurance. A reimbursement by the statutory health insurance comes SGB according to 12 V into consideration, provided that the respective aid in individual cases is sufficient, appropriate and economical. It should be no less costly or more appropriate performance available.
In addition, the prescribed tools must comply with the required quality standards of life and minimization of consequential damages. Selects the insurance against an assumption of costs, the medical services of the health insurance (MDK) assumes a detailed assessment of the case. Reimbursement by the statutory health insurance means a considerable relief for the patient. He’s still obliged to own co-payments. Normally, 10% of the costs are payable to. It is bordered surcharge obligation in a minimum contribution of 5 and a maximum contribution by 10 per month. Consumables beat limit with a 10% contribution to the 10 pro Pack of beech. Considered on a year, the patient must pay no more than 2% of his salary. Chronically ill patients are involved with up to 1%. The reimbursement applies, except for specific exceptions, only if the patient receives the necessary tools via an approved contractor of the statutory health insurance. Those affected usually lack a detailed insight into the tools market.
