Patient receipt

from Wikipedia, the free encyclopedia

In Germany, a patient receipt documents the services provided for medical or psychotherapeutic treatment. At their request, doctors, psychotherapists and hospitals must inform their patients in a patient receipt about all services provided at the expense of the health insurance company and their provisional costs ( Section 305 of Book V of the Social Code [SGB V]).

The basis is the Statutory Health Insurance Modernization Act on German statutory health insurance .

The health insurance companies are obliged to provide a retrospective view of the billed services for at least 18 months ( Section 305 SGB ​​V). On request, the insured will be given a so-called insurance information. Some health insurance companies offer online viewing.

Optionally, the patient can either have a so-called daily receipt issued by the treating doctor or psychotherapist immediately after the visit , or he receives all services and costs in the respective quarter at a glance with the quarterly receipt . If you opt for a quarterly receipt, you will pay an expense allowance of one euro plus shipping costs, in accordance with Section 305 (2) SGB V.

The list of services is based on the applicable uniform assessment standard (EBM). Due to the budgeting of medical services in the period of four weeks required by law in clinics or even immediately after treatment by the contract doctor or contract psychotherapist, receipts containing the applicable euro amounts can generally not be issued. The health insurance doctor or psychotherapist only finds out about this months after the treatment. He can therefore only make an estimate of what he can expect in terms of payments for a service provided based on previous experience.

literature

  • Guido W. Weber: The patient receipt - an unused marketing tool in statutory health insurance? , in: Health and Social Policy, Volume 60 (2006), Issue 1/2, pp. 30–37.
  • Maria Rita Meye, Heinz Koch: Model experiment in Rheinhessen: “Patient receipt” shows what doctors can do , in: Deutsches Ärzteblatt, July 4, 2003, pp. 1846–1848 (PDF, 68 kB) .
  • Fritz Beske: The patient receipt in discussion , in: Health Care, 2003, 65, pp. 133-134.

Web links

Individual evidence

  1. ↑ Patient receipt via the Internet New overview of medical costs Rheinische Post , on August 18, 2012, accessed March 13, 2013