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Mutter- und Vater-Kind Maßnahmen beantragen

Rheinland-Pfalz 99134024017000, 99134024017000 Typ 2/3

Inhalt

Leistungsschlüssel

99134024017000, 99134024017000

Leistungsbezeichnung

Apply for measures for mother and father-child

Leistungsbezeichnung II

nicht vorhanden

Leistungstypisierung

Typ 2/3

Begriffe im Kontext

nicht vorhanden

Leistungstyp

Leistungsobjekt mit Verrichtung

Leistungsgruppierung

Krankenversicherung (134)

Verrichtungskennung

Bewilligung (017)

SDG Informationsbereiche

  • Medizinische Behandlung in einem anderen Mitgliedstaat
  • Medizinische Versorgung

Lagen Portalverbund

  • Krankheit (1130200)

Einheitlicher Ansprechpartner

Nein

Fachlich freigegeben am

07.05.2021

Fachlich freigegeben durch

Lower Saxony Ministry of Social Affairs, Health and Equality

Teaser

Under certain conditions, mothers and fathers are entitled to a mother/father-child measure from their health insurance company.

Volltext

A mother/father-child measure is inpatient medical treatment for mothers and fathers who are burdened or endangered due to their family situation. The measure can also be used by mothers or fathers alone.

The measure is carried out in an institution of the Müttergenesungswerk or a similar institution. You will also live there during the treatment, which is geared to the needs of the mothers and fathers due to their individual stress situation.

The institution is selected by your health insurance company, which has to take your wishes into account as far as possible.

The mother/father-child measures usually last three weeks, for children under 14 years four to six weeks. They can be repeated at the earliest after four years. If there is a justified medical need, an extension or a new benefit can be requested.

Erforderliche Unterlagen

The mother/father-child measure must be prescribed by a doctor. Application and prescription go to the health insurance company for examination and approval and are examined by the medical service if necessary.

Voraussetzungen

The mother/father-child measure must be prescribed by a doctor. Application and prescription go to the health insurance company for examination and approval and are examined by the medical service if necessary.

Kosten

Insured persons who have reached the age of eighteen and take advantage of a mother/father-child measure pay 10.00 euros per calendar day to the institution that forwards the payments to the health insurance company.

If you have little or no income, you can be exempted from the additional payment on request. Please contact your health insurance company.

Verfahrensablauf

Check with your health insurance company.

Bearbeitungsdauer

The health insurance company has to decide quickly on an application for benefits:

  • at the latest by the expiry of three weeks after receipt of the application, or
  • if an expert opinion, in particular from the Medical Service, is obtained, within five weeks of receipt of the application

Frist

Mother/father-child measures can be repeated after four years at the earliest, unless medically necessary.

Weiterführende Informationen

nicht vorhanden

Hinweise

nicht vorhanden

Rechtsbehelf

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

Kurztext

  • Insured persons are entitled to rehabilitation benefits in an institution of the Müttergenesungswerk or a similar institution if they are necessary to detect, cure, prevent its exacerbation or alleviate disease complaints.
  • The benefit can also be provided in the form of a mother-or-father cure, a mother-child measure or in suitable institutions as a father-child measure.
  • The health insurance fund determines the type, duration, scope, start and implementation of the measures as well as the rehabilitation facility according to the medical requirements of the individual case, taking into account the right of choice and choice of the insured person. In its decision, it takes into account the special needs of caring relatives.
  • The services should be provided for a total of three weeks, for children under 14 years for four to six weeks; an extension is possible for urgently needed medical reasons.
  • A new benefit is possible for insured persons who have reached the age of 18, at the earliest four years after implementation, unless for urgently necessary medical reasons.

Ansprechpunkt

nicht vorhanden

Zuständige Stelle

nicht vorhanden

Formulare

Please inquire with your health insurance company or your attending physician.