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As an insured person, you are entitled to hospital treatment. The treatment is carried out in a fully inpatient manner 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, healing 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, dressings, healing aids and home nursing care, as well as determine the inability to work.

If there is no emergency, you need a hospital admission from your treating doctor (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 fully inpatient treatment in an approved hospital if the treatment goal 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 for a further 28 days per calendar day within a calendar year from the beginning of the fully inpatient hospital treatment. If insured persons choose a hospital other than a hospital mentioned in the medical admission without a compelling reason, the additional costs can also be imposed on them in whole or in part.

Whether hospital treatment is necessary, discuss with your attending physician. This can be both the family doctor and a specialist. If there is no emergency, you need a hospital admission from your treating doctor (general practitioner or specialist) in order to be admitted to a hospital. In order 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 against it. If the objection is not remedied, you can appeal against it before the Social Court.

• The hospital treatment is provided fully inpatient, ward equivalent, semi-inpatient, pre- and post-inpatient as well as outpatient
• Insured persons are entitled to fully inpatient or ward-equivalent treatment if the treatment goal cannot be achieved by semi-inpatient, pre- and post-inpatient or outpatient treatment, including home nursing.
• Hospital treatment includes all services that are necessary in individual cases for the medical care of the insured in the hospital according to the type and severity of the disease, in particular
  • medical treatment
  • nursing
  • supply of medicinal, healing and auxiliary 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.
• The ward-equivalent treatment includes psychiatric treatment in the home environment by mobile medically led multiprofessional 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 ventilation patients.
• Hospital treatment also includes discharge management.
  

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