General information regarding reimbursement of costs for statutory or private health insurance and patients who are entitled to receive allowance

Statutory health insurances

STATIONARY MEASURE FOR REHABILITATION AND PREVENTION*

The Malteser Klinik von Weckbecker is a specialist hospital for prevention and rehabilitation and has a care contract according to § 111 SGB V. People with a statutory health insurance are able to make use of a therapy after obtained approval – if the statutory health insurance is responsible for the rehab measure. In case of approved therapy, the health insurance will be invoiced directly for the necessary medical therapies. The legally defined own share of 10,- € per day will be charged to your debit. The hospital and nursing charges include the room category of House I. If you wish to book a stay in House II, we will charge the surcharge to your debit.

AMBULANT PREVENTIVE CHECKUP*

Usually, you are entitled to an ambulant spa therapy every 3 years. Costs for the medical treatment by the spa physician are fully reimbursed by the health insurance according to § 23 Abs. 2 SGB V. The health insurance does not pay for surcharges of the inpatient treatment at our clinic (mandatory initial examination, follow-up / interim and exit examination). These surcharges will be charged to your debit. Up to 90 % of cure remedies and chargeable treatments can be reimbursed. Further costs such as accommodation, board or transfer can be reimbursed with up to 13,-€ per day. Statutory copayments have to be paid at the clinic.

BENEFITS

The Malteser Klinik von Weckbecker is entitled to receive allowance according to the regulations of the ordinance for financial assistance, and meets the requirements in accord with § 107 par. 2 SGB V. The granting stations of the different states share costs in different amounts. The clinic is approved according to § 30 of the trade regulation act and is amenable to supervision of the local health authority. Application for permit must be agreed with the responsible aid office and the confirmation of cost coverage must have arrived in written form 14 days prior to your arrival.

PRIVATE HEALTH INSURANCES

Due to the fact that private health insurances consider the Malteser Klinik von Weckbecker as a sanatorium, they only reimburse costs if you have concluded a special tariff with your provider. Medical and diagnostic services are often partly paid. Please also take note of the restrictions of your contract, resp. exclusions of spa towns / therapeutic baths (spa town clause, § 5 (1e) MB / KK). Please make sure that the written confirmation of cost coverage has arrived prior to your arrival.

INFORMATION REGARDING THE REIMBURSEMENT OF COSTS (BENEFIT FOR PRIVATE HEALTH INSURANCES) 

It is possible that treatment costs are not fully covered by the aid office or your private health insurance since not all payers have to accept the agreed prices. Please talk to your payer prior to your stay.

These regulations apply to the German health system.

TAX DEDUCTIBILITY 

Costs for a stationary or ambulant therapy can be approved as extraordinary expenses in your payroll tax or personal income tax. For further information, you can ask the responsible tax authority.

 

Should you require more information regarding costs and

accounting, feel free to give us a call: +49 (0) 9741 83 825.