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Source: BUS Sachsen-Anhalt (Linie6PLus)

Financing hospital treatment for those with health insurance

Description

Insured persons are entitled to treatment in an approved hospital. The service includes in particular medical treatment, nursing, supply of medicines, remedies and aids as well as accommodation and food. Hospital treatment also includes discharge management to support you in ensuring further care after hospital discharge. For this purpose, hospital doctors can prescribe medicines and, for a period of up to seven days, among other things, bandages, remedies and aids and home nursing care, as well as determine the inability to work.

Whether hospital treatment is necessary, discuss with your attending physician. This can be the family doctor as well as a specialist. If there is no emergency, you will need a hospital admission from your attending physician (general practitioner or specialist) in order to be admitted to a hospital. To visit a hospital, you usually do not have to contact your health insurance company beforehand.

In the case of inpatient hospital treatment, the principle of "outpatient before inpatient" applies. Insured persons are therefore only entitled to full inpatient treatment in an approved hospital if the treatment goal cannot be achieved by partial, pre- or post-hospital or outpatient treatment, including home nursing.

If there is no emergency, you will need a hospital admission from your attending physician (general practitioner or specialist) in order to be admitted to a hospital.

Insured persons who have reached the age of 18 pay 10 euros to the hospital for a maximum of 28 days per calendar day from the beginning of the full inpatient hospital treatment within a calendar year. If insured persons choose a hospital other than one mentioned in the medical admission without compelling reason, the additional costs may also be imposed on them in whole or in part.

If the health insurance company rejects the benefit, an objection can be lodged. If the objection is not remedied, you can take legal action against it before the Social Court.

If there is no emergency, you will need a hospital admission from your attending physician (general practitioner or specialist) in order to be admitted to a hospital.

The text was automatically translated based on the German content.

Lower Saxony Ministry of Social Affairs, Health and Equality

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