Krankenhausbehandlung für Krankenversicherte Finanzierung

As an insured person, you are entitled to hospital treatment. The treatment is carried out on a full inpatient basis if the treatment goal cannot be achieved by partial, pre- or post-inpatient or outpatient treatment, including home nursing.

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 meals. Hospital treatment also includes discharge management to help you ensure continued care after hospital discharge. For this purpose, hospital doctors can prescribe medicines and, for a period of up to seven days, bandages, remedies and aids and home nursing care, as well as determine the incapacity for work.

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

In 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 objective cannot be achieved by partial, pre- or post-inpatient or outpatient treatment, including home nursing.

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

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

There are no deadlines to be observed.

If the health insurance fund rejects the benefit, an objection can be lodged. If the objection is not remedied, you can appeal against it to the social court.

• Hospital treatment is provided on a fully inpatient, ward-equivalent, semi-inpatient, pre- and post-inpatient basis as well as on an outpatient basis
• Insured persons are entitled to full inpatient or ward-equivalent treatment if the treatment objective cannot be achieved by semi-inpatient, pre- and post-inpatient or outpatient treatment, including home nursing.
• Hospital treatment includes all services which, in individual cases, are necessary for the medical care of insured persons in hospital depending on the nature and severity of the illness, in particular:
  • medical treatment
  • Nursing
  • supply of medicines, remedies and aids,
  • Accommodation and meals.
• Acute inpatient treatment also includes the services for early rehabilitation required in individual cases and starting at the earliest possible time.
• The ward-equivalent treatment includes psychiatric treatment in the home environment by mobile medically led multi-professional treatment teams.
• Hospital treatment also includes a qualified medical assessment of the ventilation status during the course of treatment and before the transfer or discharge of ventilator patients.
• Hospital treatment also includes discharge management.
• Please contact your treating general practitioner or specialist or your treating general practitioner or specialist.

Please contact your treating general practitioner or specialist or your treating general practitioner or specialist.

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