Source: Zuständigkeitsfinder Schleswig-Holstein (Linie6Plus)
Service Description
As an impaired person (so-called injured party), you can apply for medical treatment for health impairments that are recognized as the result of an injury or have been caused by a recognized consequence of an injury.
As an injured person, you are entitled to medical treatment for recognized health disorders. If you are severely disabled, benefits will also be granted for ailments not related to your benefits, if and insofar as they are not covered elsewhere (e.g. by membership of the statutory health insurance scheme); under the same conditions, family members and carers of severely disabled persons and all surviving dependants can claim medical treatment.
The type and scope of benefits generally correspond to those of statutory health insurance.
Medical treatment includes
- Outpatient medical and dental treatment,
- Provision of medicines and dressings,
- provision of remedies including physiotherapy, exercise therapy, speech therapy and occupational therapy as well as spectacles and contact lenses
- Provision of dentures,
- Treatment in a hospital (hospital treatment),
- treatment in a rehabilitation facility,
- home nursing care,
- Provision of aids,
- stress testing and occupational therapy,
- non-medical socio-pediatric services,
- Psychotherapy as medical and psychotherapeutic treatment and sociotherapy.
Teaser
As an impaired person (so-called injured party), you can apply for medical treatment for health impairments that are recognized as the result of an injury or have been caused by a recognized consequence of an injury.
Process flow
Health and medical treatment benefits are generally provided on application. The following benefits are provided directly by the responsible pension office and must be applied for there:
- Dentures
- medical aids
- Movement therapy
- speech therapy
- Occupational therapy
- Stress testing
- Occupational therapy
- Bathing cures,
- substitute services,
- physical exercises for the disabled,
- Lump sum for clothing and laundry wear
- All other benefits are provided by the health insurance fund for the pension administration.
- If an entitled person is not a member of a health insurance fund, they can apply to a statutory health insurance fund of their choice.
Requirements
- Health disorders that are recognized as a consequence of an injury or have been caused by a recognized consequence of an injury (causality)
Which documents are required?
- Application (informal application possible)
- Notice of recognition as a disabled person or severely disabled person
- Insurance card from the health insurance company
- Certificate of the consequences of injury from the pension authority
What are the fees?
If only the consequences of injury are treated, no co-payments or deductibles may be charged.
What deadlines do I have to pay attention to?
Benefits are only provided on application.
Processing duration
Medical treatment is usually provided immediately. Certain benefits (e.g. orthopaedic treatment, dental prostheses) are subject to an approval procedure and should therefore be applied for in good time.
Legal basis
Applications / forms
- Informal application is possible
- Forms can be requested from the competent authority according to the respective state law or are already available on the homepage.
Author
The text was automatically translated based on the German content.
