Leistungen für eine erforderliche Sterilisation beantragen
Inhalt
Begriffe im Kontext
nicht vorhanden
Fachlich freigegeben am
27.11.2020
Fachlich freigegeben durch
Lower Saxony Ministry of Social Affairs, Health and Equality
The statutory health insurance companies cover the costs of a medically necessary sterilization.
The statutory health insurance companies cover the costs of sterilization if the procedure is medically necessary.
For women: If
- pregnancy would endanger their health.
In healthy men:
- If a pregnancy is expected to cause serious damage to the woman and at the same time the intervention of sterilization would be life-threatening for the woman.
In other cases, you bear the costs yourself.
The attending physicians decide in which cases there is a medical indication for sterilization.
You can appeal against the decision of the health insurance company. If the objection is not remedied, you can file a complaint with the competent social court.
- Insured persons are entitled to benefits in the event of sterilisation required by illness.
- The claim exists for both women and men.
- Sterilization required by illness occurs when treatment is necessary to protect personal health. This is the case, for example, in women for whom pregnancy would be harmful to health and another form of contraception is not possible or not reliable.
- On the other hand, there is no medical indication if, due to the state of health of a parent in the event of pregnancy, a disease of the child would be to be feared, since in this case sterilization is not a curative, but a prophylactic measure.
- Sterilizations that are not due to illness and are to be carried out as part of individual life planning cannot be carried out at the expense of the statutory health insurance.