What does the KKH intend to regulate with auxiliary means? The KKH intends to contractually reorganize the supply of the following aids to KKH insureds: single-channel peroneal stimulators (product type according to the list of aids: 09.37.04.0) and/or multi-channel sensor-controlled stimulation devices (product type according to the list of aids 09.37.04.1).
What is the co-payment for an assistive device?
The co-payment for the aid is usually as high as the cost that a comparable utility item would cost. KKH has concluded contracts for supplies that are free of co-payment. This means that you will only incur the costs of the statutory co-payment or a co-payment for all medical aids.
What aids are required in medical treatment? Aids include rollators and wheelchairs; as well as hearing aids, incontinence items, body replacements (such as prosthetic legs) and other items. These must be medically necessary in individual cases to ensure the success of your medical treatment, to compensate for your disability or to prevent an impending disability.
What aids are available in small aids?
A division into "small" and "large" aids is also frequently made. Small aids include, for example, orthopedic inserts, visual aids or bandages. Large aids, on the other hand, are prostheses, home dialysis machines or certain reading devices.
Which nursing aids are covered by health insurance?
If the Medical Service of the Health Insurance Funds (MDK) determines that someone has a care degree, the care insurance fund pays for the care aids that serve to facilitate the care of the person in need of care, alleviate his or her complaints or enable him or her to lead an independent life.
Which health insurance company is responsible for nursing aids? The health insurance fund is responsible for this. Nursing aids, on the other hand, are nothing more than aids that alleviate the discomfort of people in need of care, make care easier and give the patient back a bit of independence. The nursing care insurance fund is responsible for this.
How much does an aid from the medical supply store cost?
For remedies and aids from the medical supply store, you must pay ten percent of these costs yourself, but no more than ten euros and no less than five euros. However, if the aid costs less than five euros, you will of course only pay the regular price.
What are the cost components for assistive devices? There are different cost components: Co-payment, additional costs, additional payment and co-payment. Co-payments must also be made for medical aids. Insured persons are always entitled to an aid that is financed by the health insurance fund without a co-payment.
How does the medical supply store cover the costs? Since the medical supply store often acts as an intermediary between the doctor, patient and health insurance company, it also handles communication with the payer. When a patient goes to a medical supply store with a doctor's prescription, the first step is to coordinate cost coverage with the respective health or long-term care insurance company.
What are aids in the medical supply store? Co-payment for medical aids at the medical supply store: We explain. Anyone who is ill or in need of care, or has a disability, not only needs medication but often also aids. Aids include rollators, care beds, bathtub lifts and height-adjustable toilet seats.
How do you get nursing aids at medical supply stores? Medical supply stores sell a wide range of care aids that have been prescribed in advance by a doctor or diagnostic facility, stating the diagnosis. Medical supply stores can be independent business premises or integrated into pharmacies.
What is the open aid catalog?
The so-called open catalog of medical aids, on the other hand, reimburses all medically necessary medical aids. While the paid aids are listed in a closed aids catalog, no specific aids are named in the open aids catalog.
Why is an "open assistive technology catalog" important? In contrast, an "open catalog of medical aids" reimburses all medically necessary medical aids. Here you will find some examples of why a so-called "open catalog of aids" (in general and especially in the area of life-sustaining aids) is extremely important for a good private health insurance.
What aids does the patient reimburse? More importantly, for newly developed, often very complex and cost-intensive aids, the conditions do not provide for reimbursement, i.e. the patient must bear these costs himself (unless exceptionally reimbursed as a gesture of goodwill)! In contrast, a so-called "open aid catalog" reimburses all medically necessary aids.
Which aids are mentioned in the open aids catalog? The open catalog of medical aids does not name any specific medical aids that are exclusively reimbursed, and thus does not exclude them. An open catalog of medical aids could, for example, state:
How do open and open aid catalogs differ? What is the difference between an "open" and a "closed" catalog of therapeutic appliances? Specialists differentiate between closed and open formulations in the catalogs of medical aids. The open formulation is initially considered the more powerful formulation, although there are differences here as well.
What are discharge management tools?
Discharge management; Discharge management prescriptions/applications; Auxiliary aids; Auxiliary aids are items that are required in individual cases to ensure the success of medical treatment or a rehabilitation stay, to prevent an impending disability or to compensate for a disability.
When does a tool lose its validity?
If an aid is prescribed as part of discharge management, the prescription loses its validity seven calendar days after it is issued. Generally applicable formalities for the prescription of aids must still be observed.
How is the hospital used for discharge management?
For discharge management, the hospital receives a care-specific facility number (75-er BSNR) upon request from the responsible Association of Statutory Health Insurance Physicians; this number is used when prescribing services and drugs.
Which drugs may be prescribed in discharge management?
Drug prescriptions within the scope of discharge management are valid for three working days (Monday to Saturday) including the date of issue. Narcotics (BtM) and the active ingredients lenalidomide, pomalidomide and thalidomide may also be prescribed as part of discharge management.
What are the rules of the Auxiliary Device Directive?
The Medical Devices Directive regulates the prescription of medical devices as part of discharge management. According to these guidelines, aids intended for consumption, such as absorbent bed protection pads, can be prescribed for a period of up to seven calendar days after discharge.
What does the statutory health insurance have for aids?
Consumers with statutory health insurance are entitled to the provision of aids by the health insurance fund. This means that the statutory health insurance either buys the aid, pays the costs or provides it on loan.
What is the difference between an assistive device and a long-term care device?
What is the difference between an aid and a care aid? It's very easy to remember: Aids are paid for by the health insurance, care aids are paid for by the care insurance. In plain language, this means that only those who have a care degree / care level are entitled to care aids.
What are aids for those in need of care? It is not always clear to patients and care recipients what distinguishes assistive devices from nursing aids. Roughly speaking, assistive devices are intended to compensate for the success of a treatment. A simple example: a rollator allows a certain degree of mobility if you are still wobbly on your feet after an operation or even remain so.
What is a long-term care resource directory? The list of care aids provides guidance on which care aids can be provided or loaned under the care insurance scheme. The list of aids is divided into aids (product groups 01 to 33) and nursing aids (from product group 50).
How much do insured persons pay for medical aids?
All insured persons aged 18 and over pay ten percent of the dispensing price, with a minimum of five euros and a maximum of ten euros for each aid. All insured persons aged 18 and over pay ten percent of the dispensing price, a minimum of five euros and a maximum of ten euros for each aid.
How much do you have to pay for an aid? If you need an assistive device and it has been approved by your health insurance/care insurance fund, you do not have to pay for it completely yourself. For people with statutory health insurance, there is only a co-payment or a minimum co-payment of 5 euros per aid.
Why are insured persons entitled to aids? While insured persons in case 1 are entitled to the aid that allows them to compensate for their disability as far as possible, in case 2 only aids that are necessary to enable the satisfaction of so-called general basic needs of daily life are granted.
How do insured persons pay for aids for consumption? Insured persons pay 10 percent per package of the pharmacy dispensing price for aids for consumption, such as needles, lancets or catheters. Photo: APOTHEKE ADHOC