Health card for refugees

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The health card for refugees is an electronic health card (eGK) that is issued to refugees and asylum seekers in some federal states of Germany .

background

Such a card has existed in Bremen since 2006 (the so-called "Bremen model" ), in Hamburg since 2012, in North Rhine-Westphalia since August 2015 and in Berlin , Schleswig-Holstein and Rhineland-Palatinate since January 2016. Such a card is in other federal states has been partially introduced or is still in preparation or testing (as of April 2016). The state of Thuringia introduced the health card for refugees on January 1, 2017. Within the federal states that have introduced the card, it remains up to the municipalities to decide whether to enter into a contract with a health insurance company to introduce the health card.

A legal regulation dated October 24, 2015 (amendment of Section 264 (1) SGB V) made it easier for the federal states to introduce a health card for this group of people. The regulation obliges the health insurances to cover the costs of the treatment of recipients of health services according to the Asylum Seekers Benefits Act and to issue a corresponding health card if they are requested to do so by the competent authority. The federal states or municipalities reimburse the health insurers for treatment and administrative costs.

An asylum seeker who does not have an eGK must - with the exception of initial examinations and urgent cases - contact the social worker responsible for him before each visit to the doctor, who may issue him with a request form for a health insurance certificate. The doctor who assigns an appointment for treatment must request a health insurance certificate from the responsible district office. There, other doctors check whether a proposed medical treatment, if it goes beyond the acute basic care, is necessary and inform the doctor of the result, who in turn forwards his invoice to the Association of Statutory Health Insurance Physicians after the treatment. Asylum seekers have to expect long lead times and the decision-making criteria vary from federal office to federal office. The President of the German Medical Association Frank Ulrich Montgomery criticized that doctors would indirectly become social judges for patients.

At times, a mandatory nationwide introduction of the card was planned, but this was not carried out.

It is controversial to what extent the restriction of access to medical care should be noted electronically.

Other states

In Austria , registered refugees receive an e-card in most federal states , exceptions are the federal states of Salzburg, Tyrol and Vorarlberg (as of September 2015).

Web links

See also

Individual evidence

  1. ↑ a b c Gisela Klinkhammer: Medical care for asylum seekers in Germany. Federal Agency for Civic Education, April 21, 2016, accessed on May 7, 2016 .
  2. ↑ Tamara Anthony: Medical care for refugees: health card - "a fiasco". In: Tagesschau. ARD, January 14, 2016, accessed on May 7, 2016 .
  3. ↑ Implementation of the health card in Thuringia. In: Gesundheit-gefluechtete.info. Retrieved December 28, 2018 .
  4. ↑ Health card, section “The patchwork: How does it come about?” In: Gesundheit-gefluechtete.info. Retrieved December 28, 2018 .
  5. ↑ Amendment to Section 264 of the German Social Code on October 24, 2015. buzer.de, accessed on May 7, 2016 .
  6. ↑ Transition Guide: Health Insurance for Refugees. In: www.financescout24.de. June 27, 2019, accessed July 5, 2019 .
  7. ↑ Irene Berres: Bureaucracy madness: This is how refugees are given medical care. In: Spiegel online. March 22, 2016, accessed July 5, 2019 .
  8. ↑ No improvement in health care for refugees in Baden-Württemberg. Medinetz Freiburg, November 23, 2015, accessed on May 7, 2016 .
  9. ↑ Focus on refugees. Medizin Medien Austria GmbH, September 2015, accessed on May 8, 2016 .