responsibility finder
Schleswig-Holstein

Reimbursement of costs for treatment in hospitals and rehabilitation facilities for people with statutory accident insurance

Source: Zuständigkeitsfinder Schleswig-Holstein (Linie6PLus)

Service Description

If you have an accident or illness in connection with your work, the statutory accident insurance pays for medical treatment.

The statutory accident insurance pays both hospital costs and the costs of rehabilitation facilities.

The hospital or rehabilitation facility settles the costs for your treatment directly with your relevant employers' liability insurance association or accident insurance fund. This applies to both outpatient and inpatient treatment.

Employer's liability insurance associations and accident insurance funds will pay for your inpatient treatment if it is medically necessary. Your treatment can be full or partial inpatient treatment. It includes all services that are necessary for medical care in your case. This may include the following in particular:

  • Treatment,
  • nursing care,
  • provision of medicines, dressings, remedies and aids as well as
  • accommodation and meals.

You may suffer damage to your health which, due to its nature or severity, requires special accident medical inpatient treatment. In such cases, you will be treated in special facilities.
Unlike with statutory health insurance, you do not have to pay a co-payment for your treatment.


Process flow

The hospital or rehabilitation facility settles the treatment costs directly with your employer's liability insurance association or accident insurance fund.
If you have incurred costs in connection with the treatment (personal contribution), you can claim these back from the employers' liability insurance association or accident insurance fund responsible for you.

To do this, submit the receipts to your relevant employers' liability insurance association or accident insurance fund online or informally by post.

Online service:

  • Call up the online service.
  • You will be guided through the process on the accident insurance service portal.
  • You can log in.
    • If you would like to receive a reply from your Berufsgenossenschaft or accident insurance fund in the mailbox of your BundID account or My Company Account, you must have an account and authenticate yourself.
    • If you would like to receive the reply by post, you can continue without registering.
  • Select your responsible employers' liability insurance association or accident insurance fund or find them using the industry search.
  • Upload the required documents.
  • Complete the online form and send it off.
  • Your notification will be automatically forwarded to your employers' liability insurance association or accident insurance fund.
  • You will receive feedback via the desired channel.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you can also submit the notification electronically there if necessary.

Message by post:

  • Send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Make sure you provide the required information and enclose the necessary documents.
Requirements

- You had a recognized work, school or commuting accident.
- You suffer from a recognized occupational disease.

Which documents are required?

You do not have to submit any documents. An exception to this may be proof of payment of the personal contribution.

What are the fees?

There are no costs for you.

What deadlines do I have to pay attention to?

There is no deadline.

Legal basis
Appeal
  • Contradiction
    • Detailed information on how to lodge an appeal can be found in the notification from your employer's liability insurance association or accident insurance fund.
Applications / forms

Forms: No

Written form required: No

Informal application possible: Yes

Personal appearance necessary: No

Online service available: Yes

Author
Forwarding service: Deep link to the original portal

German Social Accident Insurance (DGUV)

The text was automatically translated based on the German content.

Technically approved by

Federal Ministry of Labor and Social Affairs (BMAS)

Professionally released on

06.01.2023

Teaser

If you have an accident or illness in connection with your work, the statutory accident insurance pays for medical treatment.

Process flow

The hospital or rehabilitation facility settles the treatment costs directly with your employer's liability insurance association or accident insurance fund.
If you have incurred costs in connection with the treatment (personal contribution), you can claim these back from the employers' liability insurance association or accident insurance fund responsible for you.

To do this, submit the receipts to your relevant employers' liability insurance association or accident insurance fund online or informally by post.

Online service:

  • Call up the online service.
  • You will be guided through the process on the accident insurance service portal.
  • You can log in.
    • If you would like to receive a reply from your Berufsgenossenschaft or accident insurance fund in the mailbox of your BundID account or My Company Account, you must have an account and authenticate yourself.
    • If you would like to receive the reply by post, you can continue without registering.
  • Select your responsible employers' liability insurance association or accident insurance fund or find them using the industry search.
  • Upload the required documents.
  • Complete the online form and send it off.
  • Your notification will be automatically forwarded to your employers' liability insurance association or accident insurance fund.
  • You will receive feedback via the desired channel.

Online service of your employers' liability insurance association or accident insurance fund:

  • If you have access to the portal of your employers' liability insurance association or accident insurance fund, you can also submit the notification electronically there if necessary.

Message by post:

  • Send an informal letter to your employers' liability insurance association or accident insurance fund.
  • Make sure you provide the required information and enclose the necessary documents.

Requirements

- You had a recognized work, school or commuting accident.
- You suffer from a recognized occupational disease.

Which documents are required?

You do not have to submit any documents. An exception to this may be proof of payment of the personal contribution.

What are the fees?

There are no costs for you.

What deadlines do I have to pay attention to?

There is no deadline.

Legal basis

Appeal

  • Contradiction
    • Detailed information on how to lodge an appeal can be found in the notification from your employer's liability insurance association or accident insurance fund.

Applications / forms

Forms: No

Written form required: No

Informal application possible: Yes

Personal appearance necessary: No

Online service available: Yes

Author

Forwarding service: Deep link to the original portal

German Social Accident Insurance (DGUV)

The text was automatically translated based on the German content.

Technically approved by

Federal Ministry of Labor and Social Affairs (BMAS)

Professionally released on

06.01.2023

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