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Source: BUS Sachsen-Anhalt (Linie6PLus)

Have the load limit for co-payments checked in the statutory health insurance

Description

For medications, remedies and applications that are prescribed, co-payments must be made. However, those with health insurance do not have to pay more than two percent of their annual gross income.

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

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

  • Salary
  • pensions or pensions,
  • Interest on capital
  • Rental income

When calculating the load limit, the annual gross income of all members living in the household is taken into account. These can be spouses, life partners under the Civil Partnership Act or children with family insurance.

 

For families, the burden limit is reduced by the child allowances and, if necessary, 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 load limit, which is why the allowances cannot be estimated.

 

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

 

Fees may apply. Please contact the competent authority. 

Deadlines may have to be observed. Please contact the competent authority.

Contact your health insurance company.

Lower Saxony Ministry of Social Affairs, Health and Gender Equality

The text was automatically translated based on the German content.

GKV-Spitzenverband
Reinhardtstraße 28
10117 Berlin, Stadt
Further Authorities
PKV-Verband
Gustav-Heinemann-Ufer 74 c
50968 Köln, Stadt