Kosten für Krankenbehandlung der sozialen Entschädigung bei vorübergehendem Auslandsaufenthalt Erstattung

If you have required medical treatment (curative treatment) during a temporary stay for a recognized consequence of injury, you can receive reimbursement of the costs.

A stay abroad is temporary if it lasts less than six months, or no longer than one year if you are attending school or studying.

You are entitled to reimbursement up to the amount that would have been paid by the health insurance funds in Germany. Under certain circumstances, the actual costs incurred may also be covered.

Other necessary costs incurred in connection with the medical treatment for you and any accompanying person may also be reimbursed in full or in part.

Please note that your regional association (LVR or LWL) will decide whether and to what extent you will receive support.

If necessary, you must provide evidence:

• Proof of the costs incurred for medical treatment abroad

• You have suffered one or more recognized consequences of injury.
• You have received medical treatment abroad and have covered the costs yourself.

When you apply for social compensation benefits, the Landschaftsverband responsible for you (Landschaftsverband Rheinland or Landschaftsverband Westfalen Lippe) will check whether you are entitled to reimbursement of costs for medical treatment during a temporary stay abroad. The regional association in whose district you are resident or habitually resident is responsible. You will receive a notification of the decision and, if applicable, information on the benefits granted as well as other necessary evidence.

You can apply for social compensation benefits online or in writing.

• If necessary, you can make an appointment with your contact person at the Landschaftsverband Rheinland (Social Compensation Department Tel: +49 221 809 5401; e-mail: SER@lvr.de) or Landschaftsverband Westfalen Lippe (Office for Social Compensation Law Tel: +49 251 591 01; e-mail: SER@lwl.org).
• We will then discuss with you whether you are entitled to social compensation benefits and what support services can be offered.
• If necessary, the case management team can discuss the further procedure and possible entitlements to benefits that go beyond the general duty to provide information and advice with you.
• If you are entitled to social compensation benefits, your contact person will discuss the next steps with you.
• The contact person will provide you with the relevant documents. If necessary, complete the documents, enclose the required evidence or supporting documents and send the documents back to the Landschaftsverband responsible for your application.
• Your entitlement will be determined ex officio on the basis of the documents. The authority will inform you of the result in the form of a decision, which is usually sent to you by letter.
• If entitlements to benefits have been determined, you will receive an approval notice. If no entitlements are determined, you will receive a rejection notice.
• However, you also have the option of submitting the application online. To do this, you must complete the online application and upload the necessary supporting documents
• The eligible costs and approved cash benefits will be transferred to the account you have specified.

The prerequisite for processing is that all mandatory information has been provided.

Appeal: An appeal can be lodged against a decision within one month of its notification. Further information on the procedure and the competent authority to which you can lodge an appeal can be found in the notification of your application. The appeal can be submitted in writing and electronically.

• Costs for medical treatment for social compensation during a temporary stay abroad Reimbursement
• Benefit requirements:
  • One or more recognized consequences of injury
  • Necessary medical treatment due to the consequences of the injury has taken place abroad and you have covered the costs yourself
• Costs: the application is free of charge
• Discretionary benefit, no legal entitlement
• Responsible in NRW: Landschaftsverband Rheinland (LVR) and Landschaftsverband Westfalen-Lippe (LWL)