Medical Aids & Aids

2023 Author: Wallace Forman | [email protected]. Last modified: 2023-11-27 18:19

Medicinal aids serve to cure and alleviate an illness or should prevent this condition from worsening. These are, for example, elastic bandages, orthopedic shoe inserts, but also all consumables as single-use medical aids such as diapers, catheters, etc. In contrast, aids (e.g. wheelchairs or prostheses) are aids that take on or correct the task of missing limbs. They thus serve to compensate for a closed state that can largely no longer be influenced medically.

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Purchase of medical aids and aids
Medical aids / aids that require a permit and that do not require a permit
How are the costs going to be covered?

Purchase of medical aids and aids

Medical aids and aids are granted to the insured by the health insurance company or are made available on loan. These include, for example, a rollator, inhalation device, four-legged assistants, etc. In order to receive medical aids and aids, a prescription issued by a contract doctor or an elective doctor is required, which can be redeemed by contract suppliers of the health insurance company (e.g. bandage artists, opticians, orthopedic shoemakers) can.

Loan devices

Medical aids and aids that are only needed temporarily and can be used by several people without any health risk, such as elevators, inhalers, etc., are also made available on loan.

Medical aids / aids that require a permit and that do not require a permit

For therapeutic aids and aids that do not require a permit, a prescription issued by a contract doctor or doctor-elective doctor is required, which can be redeemed at social insurance contract partners. Medical aids / aids that do not require a permit include, for example, crutches, walking frames and blood glucose meters.

In some cases, approval from the health insurance company is required before a medical aid or aid can be obtained. Usually, the contract partner (e.g. the bandagist) arranges for the authorization to be obtained. You can find out which medical aids and aids require approval from your health insurance company or, if you purchase the medical aid, from the respective contractual partner.

Note You can find out which companies have a contractual relationship with the health insurance company on the website of your responsible health insurance company.

If you would like to obtain medical aids / aids from a company that is authorized to dispense and has no contractual relationship with the health insurance company, you must first pay for the aid yourself and then apply for reimbursement from your responsible health insurance company.

How are the costs going to be covered?

Medical aids and aids must be prescribed by the doctor and in some cases approved by the responsible health insurance company. For both medical aids and medical aids, the insured person / the insured person will contribute to the costs (deductible).

The health insurance provider will assume the costs up to an amount set out in the statutes. For more information on reimbursement of costs, please contact your social insurance agency.

Note If medical aids or aids are given in the context of medical rehabilitation, the social insurance agency will cover the entire costs, taking into account the extent of the necessary. There is therefore no cost sharing by the insured person.

Exemption from the share of costs

Insured or eligible relatives who have not yet reached the age of 15,
insured persons in need of social protection (relatives), persons who are entitled to increased family allowances, and
People who need medical aids and aids as part of medical rehabilitation.

You can find more information about permit requirements, medical requirements and co-payments on the social security website

Different rules for glasses and contact lenses

The costs for glasses and contact lenses are only covered by the health insurance if they are higher than 60 percent of the daily maximum contribution basis (currently 166 euros). This means that the deductible is ten percent of the costs, but at least EUR 99.60.

For visual aids for children over the age of 15 who are still relatives in terms of social security law, the minimum cost share of 33.20 euros applies. The costs for trifocal lenses (varifocals and trifocal lenses) are not covered.

Note The service life for glasses must not be less than three years.

You can find more information on co-payment, required documents, authorization requirements, prescription glasses, etc. on the website of the health insurance company responsible for you.