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Source: BUS Sachsen-Anhalt (Linie6PLus)

Apply for sociotherapy for the insured

Description

Are you seriously mentally ill and unable to claim medical or medically prescribed services on your own? Then you are entitled to sociotherapy as a legally insured person.

Sociotherapy includes practical life-like instructions that enable you to take advantage of outpatient medical and psychotherapeutic services. The aim is to strengthen your own responsibility in such a way that you can do without sociotherapeutic care in the long term.

Sociotherapy can be prescribed if it prevents or shortens hospital treatment or if it is offered but not executable.

For each case of illness, you are entitled to 120 hours of sociotherapy within three years. The health insurance funds conclude contracts with suitable persons or institutions for the provision of sociotherapy.

Insured persons who are seriously mentally ill and are unable to access medical or medically prescribed services independently are entitled to sociotherapy.

Contact your health insurance.

  • You are insured by law
  • Due to severe mental illness, you are not in a position to take medical or medically prescribed services independently.
  • The benefit must be approved by the health insurance company
  • medical prescription
  • If you are at least 18 years old and are not exempt from the statutory co-payments, you will pay an additional payment of 10 percent for each calendar day.
  • However, the own share is at least five and a maximum of ten euros per day of treatment

You can appeal against the decision of the health insurance company. If the objection is not remedied, you can appeal to the competent social court.

The text was automatically translated based on the German content.

Lower Saxony Ministry of Social Affairs, Health and Gender Equality

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