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As an insured person, you are entitled to hospital treatment. The treatment is carried out fully inpatient 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 food. Hospital treatment also includes discharge management to support you in ensuring further care after hospital discharge. For this purpose, hospital doctors can prescribe medicines and, for a period of up to seven days, among other things, bandages, remedies and aids and home nursing care, as well as determine the inability to work.

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

In the case of 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 goal cannot be achieved by partial, pre- or post-hospital or outpatient treatment, including home nursing.

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

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

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If the health insurance company rejects the benefit, an objection can be lodged. If the objection is not remedied, you can take legal action against it before the Social Court.

• Hospital treatment is provided as a full inpatient, ward equivalent, semi-inpatient, pre- and post-inpatient as well as outpatient
• Insured persons are entitled to full inpatient or ward-equivalent treatment if the treatment goal cannot be achieved through semi-inpatient, pre- and post-inpatient or outpatient treatment, including home nursing.
• Hospital treatment includes all services that are necessary in individual cases according to the type and severity of the illness for the medical care of the insured persons in the hospital, in particular
  • medical treatment
  • Nursing
  • supply of medicines, remedies and aids,
  • Accommodation and meals.
• Acute inpatient treatment also includes the services required in individual cases and starting at the earliest possible time for early rehabilitation.
• 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 ventilation status during treatment and prior to the transfer or discharge of ventilator patients.
• Hospital treatment also includes discharge management.
   

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