Applying for sociotherapy for those with health insurance
Description
Are you seriously mentally ill and unable to make use of medical or medically prescribed services independently? Then you are entitled to sociotherapy as a person with statutory health insurance.
Sociotherapy includes practical life instructions that enable you to take advantage of outpatient medical and psychotherapeutic services. The aim is to strengthen your personal responsibility in such a way that you can do without sociotherapeutic care in the long term.
Sociotherapy may be prescribed if it avoids or shortens hospital treatment, or if it is necessary but not feasible.
Depending on the case of illness, you are entitled to 120 hours of sociotherapy within three years. The health insurance companies conclude contracts with suitable persons or institutions for the provision of sociotherapy.
- You are legally insured
- Due to severe mental illness, they are not able to make independent use of medical or medically prescribed services.
- The benefit must be approved by the health insurance company
- doctor's prescription
- If you are at least 18 years old and are not exempt from the statutory co-payments, you pay a co-payment of ten percent for each calendar day.
- However, the own contribution is at least five and a maximum of ten euros per treatment day
You can appeal against the decision of the health insurance company. If the objection is not remedied, you can file a complaint with the competent social court.
Contact your health insurance company.
Lower Saxony Ministry of Social Affairs, Health and Equality
27.11.2020
The text was automatically translated based on the German content.
10117 Berlin, Stadt
50968 Köln, Stadt
