Medizinische Rehabilitationsleistungen für krankenversicherte Mütter und Väter Bewilligung

Under certain conditions, mothers and fathers are entitled to a mother/father-child measure from their health insurance fund.

A mother/father-child measure is an inpatient medical treatment for mothers and fathers who are under health strain or at risk due to their family situation. The measure can also be taken up by mothers or fathers alone.

The measure is carried out in a facility of the Müttergenesungswerk or a similar facility. You will also stay there during the treatment, which is geared to the needs of mothers and fathers based on their individual stress situation.

The facility is selected by your health insurance company, which must, however, take your wishes into account as far as possible.

The mother/father-child measures usually last three weeks, for children under 14 years four to six weeks. They can be repeated after four years at the earliest. If there is a justified medical need, an extension or a renewed benefit can be applied for.

The mother/father-child measure must be prescribed by a doctor. The application and prescription go to the health insurance company for review and approval and are reviewed by the medical service if necessary.

The mother/father-child measure must be prescribed by a doctor. The application and prescription go to the health insurance company for review and approval and are reviewed by the medical service if necessary.

Insured persons who have reached the age of eighteen and are taking advantage of a mother/father-child measure pay 10.00 euros per calendar day to the institution, which forwards the payments to the health insurance fund.

If you have little or no income, you can be exempted from the co-payment upon application. Please contact your health insurance company for this.

Check with your health insurance provider.

The health insurance fund must decide on an application for benefits promptly:

• at the latest within three weeks of receipt of the application, or
• if an expert opinion, in particular from the medical service, is obtained, within five weeks of receipt of the application.

Mother/father-child measures can be repeated at the earliest after four years, unless this is medically necessary.

If the health insurance company refuses to pay the benefit, you can lodge an objection. If the objection is not upheld, you can take legal action against it before the social court.

• Insured persons are entitled to rehabilitation benefits in a facility of the Müttergenesungswerk or a similar facility if they are necessary to recognise or cure an illness, to prevent its aggravation or to alleviate symptoms of the illness.
• The benefit can be provided in the form of a mother's or father's cure, a mother-child measure or, in suitable facilities, also as a father-child measure.
• The health insurance fund determines the type, duration, scope, start and implementation of the measures as well as the rehabilitation facility in accordance with the medical requirements of the individual case, taking into account the wishes and choices of the insured person. In making its decision, it will take into account the special needs of family members providing care.
• The benefits are to be provided for a maximum of three weeks, for children under 14 years for four to six weeks; an extension is possible for urgently required medical reasons.
• A renewed benefit is possible for insured persons who have reached the age of 18 at the earliest four years after implementation, unless for urgently required medical reasons.
  
  

The responsibility lies with your health insurance company.

Please enquire with your health insurance company or your attending physician.