Labels

National Contact Point for cross-border healthcare

Bedien-Leiste:
Content
You are here:

Checklist for out-patient treatment in Germany

You have health insurance in a Member State and would like to undergo out-patient treatment in the surgery of a doctor or dentist in Germany.

In this case you have three different possibilities to receive benefits.

First option: You are insured with statutory health insurance and need an out-patient treatment while temporarily staying in Germany. This treatment may then be covered by the European Health Insurance Card (EHIC) if you did not come to Germany in order to be treated. Second option: You have statutory health insurance and would like to undergo a planned out-patient treatment like a person insured with a German statutory health insurance fund. To this end, your healthcare insurer has to issue an entitlement document E112 or S2 for you. Third option: You have statutory or private health insurance and would like to undergo a planned out-patient treatment as if you had private health insurance. In this case, you will first be privately charged for the services provided. Please use our checklist given below.

If you have questions regarding your entitlements on the basis of your EHIC or an entitlement document E112 or S2, please contact your healthcare insurer.

If you would like to be treated in Germany as if you had private health insurance, you will also need a prior authorisation by your health insurance fund in a few cases. It depends on the laws of the Member State in which you are insured whether you need authorisation for an out-patient treatment. This means, that you will need authorisation for the treatment if it is also required for this treatment in the Member State of insurance. In principle, treatments including at least one night in hospital are always subject to a prior authorisation. If you would like to be treated like a person with private health insurance in Germany, the following checklist provides you with an overview of the aspects you should take into account before, during and after treatment.

Before treatment

  • You have contacted your healthcare insurer or the National Contact Point of the state in which you live in order to ascertain under what conditions you can have the cost of treatment in Germany reimbursed.
  • You have selected a doctor or dentist in Germany (for instance using the search engine that is available on our website).
  • You have made an appointment to see the doctor or dentist in Germany and ascertained whether he/she needs copies from your medical records, and if so what.
  • You have asked the doctor or dentist in Germany what the costs are likely to be.
  • You have agreed with the doctor or dentist in Germany when and how the treatment is to be paid for.

During treatment

  • You have made sure that the doctor or dentist in Germany has entered all the information, steps and results necessary for the treatment in the medical records.

After treatment

  • After treatment, you have kept all the itemised bills issued by the healthcare providers (such as pharmacists, medicine and medical aid suppliers). You can see from the bills precisely what medical benefits were provided by the healthcare provider in question.
  • You have made sure that any prescriptions your doctor or dentist has issued to you satisfy specific criteria. This is particularly important if you present the prescriptions not in Germany, but in another Member State.
  • You have submitted all the necessary bills to the healthcare insurer of the state in which you live for a refund.

Contact

Team EU-PATIENTEN.DE

Pennefeldsweg 12 c
53177 Bonn

Phone
+49 228 9530-802/800

Fax
+49 228 9530-801
Online contact form

Finding healthcare providers

You will find here a list of links to search engines available on the Internet, with explanations