Healthcare reform and health insurance: additional benefits in statutory health insurance



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You can choose between all statutory health insurance funds. A change of the cash register is actually possible at any time with a notice period of two months. Healthcare reform and health insurance: additional benefits in health insurance reform and health insurance: additional benefits in statutory health insurance

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This entry contains content and information that may be out of date, eg due to legal or statistical changes. Because it can still be helpful to get an overview of the topic, you can still find it here.

Conditions for the change

Overview

However, if you have just moved to a new fund, you will have to wait another 18 months for another change.

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If your health insurance increases the contributions, you can also change before the end of the 18 months, but again for only two months. Thereafter, this special notice period expires.

Which health insurance funds are available?

Overview

Basically, you have the free choice between regional general local health insurance funds (AOK), alternative health insurance funds (such as Barmer, DAK, technicians), company health insurance funds (BKK) and guild health insurance companies (IKK). But: not all company health insurance funds are open to all states. The guild health insurance companies are officially not open to all, but inquire: They sometimes also take on outsiders.

However, when selecting the checkout, pay attention not only to the most favorable tariff, but also to the services. Although 95 percent of the benefits of a health insurance are legally prescribed, there may be some important differences depending on the health insurance statutes. In the following, you will find an overview of the regular services and benefits of the statutory health insurance:

Checklist: Benefits of statutory health insurance

Overview

  • Medical treatment, cancer screening, cancer screening, health care
  • Driving and transport costs for treatment
  • Dentistry, orthodontic treatment, dentures
  • glasses
  • sociotherapy
  • Therapeutic, psychological and psychosocial measures for children
  • Inpatient hospital treatment, care in inpatient hospices
  • Parent's involvement in hospitalization of a child
  • Home nursing, home help, childcare costs
  • Medicines and dressings, remedies, aids
  • Pregnancy control, artificial insemination, pregnancy care, pregnancy and childbirth
  • Child and adolescent care, youth health examination, dental care in children and adolescents
  • vaccinations
  • Sick pay in case of incapacity for work;
  • Maternity allowance equal to the sickness benefit for pregnant women from the 4Tag before delivery up to a maximum of 14 weeks
  • family insurance
  • Health insurance abroad

Additional benefits of the statutory health insurance

Overview

Also the statutory health insurance offers a number of additional services. You should pay attention to this:

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  • Types of treatment: Before changing, check whether the cash office takes alternative healing procedures and homeopathic treatments, rehabilitation cures, outpatient care or additional vaccinations.
  • Grants: The amount of the subsidy for dentures can vary as well. In glasses some cash registers allow glasses and contact lenses to be parallel.
  • Prevention: Since 2004, the health insurance companies are allowed to reward health-conscious behavior with cheaper tariffs or reduced co-payments. The conditions are determined individually by each cashier. For voluntary insured persons, even contribution refunds and lower contributions with deductible are permitted. Look carefully!
  • Service: If you frequently need to communicate with health insurance and submit numerous documents, a health insurance company with a branch office is useful. Small business farms in particular can be problematic here: they have cheap contributions, but often only one office, some even a permanent telephone.
  • Health insurance: Self-employed persons can get 70 percent of their income during the last twelve months from their cash register (more to calculate the contributions in the relevant chapter below). The sick pay is paid for the same illness in a maximum of 78 weeks in three years. Anyone who is insured under the normal tariff is entitled to sick leave from the seventh week of illness. There is no claim for a reduced rate of contribution. However, anyone who wishes to receive sick leave from the third or fourth week of illness must pay an increased contribution of up to 18,8 percent. Contributions and services are very different and must be asked for individually.
  • There is a limitation of the scope of the health care reform in the treatment of secondary diseases due to unnecessary medical interventions - for example, complications as a result of cosmetic surgery or piercing.


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