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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.