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Ärztliche Behandlung für Krankenversicherte

Hessen 99134003174000, 99134003174000 Typ 2/3

Inhalt

Leistungsschlüssel

99134003174000, 99134003174000

Leistungsbezeichnung

Medical treatment for persons with health insurance

Leistungsbezeichnung II

Medical treatment for persons with health insurance

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

nicht vorhanden

Leistungstyp

Leistungsobjekt mit Verrichtung

Leistungsgruppierung

Krankenversicherung (134)

Verrichtungskennung

Finanzierung (174)

SDG Informationsbereiche

nicht vorhanden

Lagen Portalverbund

  • Krankheit (1130200)

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

07.12.2022

Fachlich freigegeben durch

Hessian Ministry of Social Affairs and Integration Lower Saxony Ministry of Social Affairs, Health and Equality

Teaser

Persons with statutory health insurance are entitled to medical treatment.

Volltext

Persons with statutory health insurance are entitled to medical treatment if necessary. Medical treatment should be appropriate and necessary. It may:

  • the prevention of diseases

or

  • the early detection and treatment of diseases

serve.

Medical treatment also includes the assistance of other persons if this is prescribed by a doctor.

Legally insured persons can visit any doctor who is licensed to provide contract medical care. These can be, for example, family doctors or specialists in medical care centres, practices or outpatient facilities. In most cases, it makes sense to contact the family doctor first.

Erforderliche Unterlagen

  • You must be a member of a statutory health insurance company.
  • A medical prescription is required for the use of services initiated by a panel doctor, which may have to be approved by the health insurance fund before the use of services.
    • Health insurance card or treatment certificate

Voraussetzungen

In order to use contract medical and panel medical services, you must be a member of a statutory health insurance fund.

Kosten

As a rule, there are no costs for medical treatment. Your health insurance company will inform you about the statutory co-payments for therapies or medication

Verfahrensablauf

nicht vorhanden

Bearbeitungsdauer

nicht vorhanden

Frist

nicht vorhanden

Weiterführende Informationen

nicht vorhanden

Hinweise

nicht vorhanden

Rechtsbehelf

The benefits of statutory health insurance are benefits in kind. If your health insurance company refuses to cover costs in individual cases, you can lodge an objection with your health insurance company.

Kurztext

  • Persons with health insurance are entitled to medical treatment for the prevention and treatment of diseases.
  • Medical treatment also includes the assistance of other persons
  • The treating physicians must be licensed for the contract medical care
  • Responsible: statutory health insurance.

Ansprechpunkt

Please contact your family doctor and, if you have any questions about the assumption of costs, your statutory health insurance company.

Zuständige Stelle

The responsibility lies with the health insurance companies.

Formulare

nicht vorhanden