A Cure (from Latin cura "cure", "treatment", "care", "care" ...) can at patients both to assist in the recovery from illness and suffering as well as the strengthening of a (weak) health, or healthy the Serve health care . Characteristic for this is the use of site-specific remedies with special properties and a scientifically proven healing effect (e.g. healing spring , healing peloids , healing climate, sea water, etc.) as part of a healing process or a stay in a health resort or spa .
Colloquially, there is often a confusion with the “ rehabilitation measure ”, in which the layperson uses both terms - factually incorrectly - as synonymous .
There were health resorts already in ancient times and in the Middle Ages , for example the Asklepieia . Healing springs and the like were supposed to free people from their suffering. Even in Jesus' time , the Dead Sea was a popular place for the wealthy, who appreciated the beneficial power of the salty water.
Current situation by country
The term “cure” is no longer used in the relevant laws; it can only be found in the insurance conditions of private health insurers and some other regulations.
In the health resort law of the state of North Rhine-Westphalia the following was defined until 2007: “A cure serves to maintain or recover people through repeated use of predominantly natural remedies according to a medical plan; It is usually associated with a change of location. ”Often, health resorts, which are usually also in scenic locations, have their own springs with thermal water and are equipped with a wide range of options to restore a patient to health.
The basis for rehabilitation measures for those with statutory health or pension insurance is SGB IX entitled “ Rehabilitation and participation for disabled people”. The individual rehabilitation providers can be found in § 6 SGB IX . The two largest rehabilitation providers for those with statutory health insurance are the German Pension Insurance ( SGB VI ) and the health insurance companies ( SGB V ).
In addition to the (rehabilitation) measures carried out or subsidized by the social agencies, privately financed spa stays are becoming increasingly important.
The statutory social insurance no longer covers the costs of spa treatments. Rehabilitation measures have taken their place, with a different focus.
In addition to rehabilitation, there is the mother / father-child activities according to § 24 Abs. 1 SGB V . “Preventive medical care and rehabilitation measures” often serve to restore the workforce. Therefore, the main service provider in this case is the statutory pension insurance .
For people who are not (no longer) in working life, the health insurance companies usually cover the respective costs of the measure, but other rehabilitation agencies (e.g. the labor administration ) can also be responsible.
A special form of medical rehabilitation is the so-called follow-up treatment (AHB) directly after a hospital stay. Follow-up treatment is very often prescribed after operations so that it is easier to restore work ability. It is customary for the health insurances - including the allowance for civil servants - to require that the AHB start within two weeks of discharge from the hospital. Since the health insurances on the other hand require that the treatment has to be approved in writing in order to be financed, this period often turns out to be very tight. The prerequisite for an AHB is the prescription of the attending physician in the previously visited hospital. The detailed written justification for this must be attached to the application to the health insurance company or the aid agency. Many hospitals have social workers who are responsible for this organizational processing of the application and approval of the AHB. The patient himself or his relatives can also turn to the social worker with the aim of getting a AHB.
Privately financed spa stays or measures with a subsidy from the health insurance fund as part of an outpatient preventive measure according to SGB V are becoming increasingly important. Even with subsidies, most of the measure must be financed from one's own resources. In the meantime, specialized tour operators have concentrated on the implementation of private cures, which organize a wide range of spa stays in Germany, Europe and the Dead Sea.
"Kurheilverfahren" means a stay with preventive health measures. For the majority of the 269,208 stays in 2016, a social security agency pays the costs, with a daily deductible of between € 8.20 and € 19.91 (2018 values) depending on income.
The aim of working people is to maintain productivity, while the need for care should be avoided or reduced for retirees. The pension insurance institution is responsible for employees and retirees, and for co-insured members of the health insurance institution, whereby stays at health resorts are voluntary benefits of the respective institution and therefore there is no legal entitlement.
A spa treatment has an indication as its focus . Since 2017, the PVA has been offering the “Active Health Care” (GVA) for diseases of the musculoskeletal system, which, depending on the need, includes additional modules such as “Mental Health”. The GVA will replace the previous spa treatment from 2019.
A cure can also be financed privately at any time and as a spa guest you can specifically strengthen your health or, for example, alleviate age-related complaints. The proportion of privately paying spa guests is - despite social security - very considerable today. All treatments in a cure must take place in a spa facility or at least a spa facility so that medical supervision and, if necessary, first aid is guaranteed.
- Wilhelm Ziebold: Experiences in health resorts and while traveling . In: Volksblatt . A weekly magazine with pictures. Year 1878, No. 4, pp. 28–31; No. 7, pp. 53-55; No. 11, pp. 84-86
- ^ Cure. In: Digital dictionary of the German language . Retrieved November 16, 2019
- ^ Cure . Gesundheit.de
- ^ The cure in the Social Security Code (including § 111 SGB V)
- ^ Law on health resorts in the state of North Rhine-Westphalia (Kurortegesetz - KOG), repealed by Art. I of the law of December 11, 2007; GV. NRW. 2008 p. 8, entered into force on January 8, 2008.
- ↑ Sozialversicherung.at
- ↑ Hauptverband.at
- ↑ pensionsversicherung.at
- ↑ pensionsversicherung.at
- ↑ pensionsversicherung.at