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Travel expenses are only paid by the statutory health insurance funds in Germany if the journeys are undertaken for reasons which are medically vital. Travel expenses to attend out-patient treatment are therefore only paid if they have been pre-authorised by a German health insurance fund. Persons with statutory insurance are obliged to make co-payments of up to 10.00 Euro per journey towards the travel expenses in Germany.
As persons who have health insurance in other EU countries receive exactly the same status via their European Health Insurance Card (EHIC) or Provisional Replacement Certificate (PRC) as if they had statutory health insurance in Germany, these co-payments also apply to them. If they need to be taken to hospital in Germany by ambulance during their stay, as a rule the transport company will approach the hospital and be informed by the latter of the assisting German health insurance fund to which they can address their invoice. It may sometimes happen that you personally receive the invoice from the patient transport company asking you to pay the transport costs. If the patient transport took place for reasons which are medically vital, you do not have to pay the bill, apart from the co-payments. In the case of hospital treatment ask the patient transport company to send the invoice to the assisting German health insurance fund which you selected in the "Patient’s Declaration European Health Insurance". If you no longer know which German health insurance fund you entered in the "Patient’s Declaration European Health Insurance", please contact the hospital’s accounting department, who can tell you which assisting German health insurance fund it was.
If you have already been released from hospital and need a patient transport for out-patient medical treatment, you need to obtain the prior authorisation of the assisting German health insurance fund before undergoing this treatment. You may otherwise find that the costs incurred as a result of these journeys cannot be billed via the EHIC.