Find out here what process you should follow so that the legal health insurer can process your request for assistance as smoothly as possible.
The essentials in summary:
- Help is usually prescribed by doctors. It may make sense for them to explain why help is needed.
- With this regulation you can apply for assistance from the legal health insurance company.
- The application for approval is submitted to the health insurer; in some cases, other payers may also be considered.
What should you pay attention to when visiting a doctor?
In order for the health insurance company to approve a benefit, a doctor’s order (prescription) is usually required. This prescription is always required for the initial treatment with benefits. Doctors decide which benefits are useful and necessary in your situation. There is a call for assessment and classification AIDS Policy it is a Resource Directory. Make sure the prescription is filled out as accurately as possible. Medical necessity should be clearly stated on the prescription.
If only a certain aid is suitable for you, the doctor should clearly state this. It is best to mention the specific aid number from the resource directory directly. It is also advisable to give a reason why only this specific aid is suitable. For example, because you have already tried others and/or there are special restrictions. In addition, the diagnosis, number, date, if necessary the method of production and, if necessary, the number of days or months of the quantities should be included in the regulation.
For the Prescription of hearing and visual aids Special features apply.