Insured status
The insurance status in Germany is a visible mark on the force until the end of 2014 health insurance card and is in the new electronic health card invisible. There is a similar classification in Austria, but this is not on the e-card .
Since October 1, 2014, a sequence of 1 to 3 digits has been specified in the status field for printing health insurance forms, which characterize the insurance status, the special social status and the DMP membership.
On some German cards (only KVK) there is a block of 3 with information on the risk structure compensation (RSA). The so-called insurance status supplement finalizes the information. The specification has the following structure:
.--------- Versichertenstatus | .------- Stichprobenzuordnung | |..----- Geburtsjahr | ||| .--- Versichertenstatus-Ergänzung | --- | 1 9 3 000 1 5 651 9
| status | RSA | Erg. | description |
| 1 | Persons obliged to and entitled to insurance | ||
| 3 | Family insured | ||
| 5 | Pensioners in the health insurance of pensioners and their family members | ||
| 000 | Insured person without taking part in a sample | ||
| 1.. | female, without EU / BU pension receipt | ||
| 2 .. | male, without EU / BU pension receipt | ||
| 3 .. | female, with EU / BU pension receipt | ||
| 4 .. | male, with EU / BU pension receipt | ||
| 5 .. | like 1, only born before 1900 | ||
| 6 .. | like 2, only born before 1900 | ||
| 7 .. | like 1, only born after 1999 | ||
| 8th.. | like 2, only born after 1999 | ||
| .YY | Year of birth | ||
| 1 | Insured from old federal states | ||
| 4th | Social welfare recipients, § 264 SGB V | ||
| 6th | Supervised foreigners in Germany, BVG incl. OEG, IfSG, SVG, ZHG, HHG, PrVG and BEG | ||
| 7th | Social security agreement , according to expenditure, cross-border commuters | ||
| 8th | Social security agreement, flat rate | ||
| 9 | Insured person from the new federal states | ||
| D. | like 1, and disease management programs for bronchial asthma | ||
| F. | like 9, and Disease Management Programs for Bronchial Asthma | ||
| A. | like 1, and disease management programs for breast cancer | ||
| C. | like 9, and disease management programs for breast cancer | ||
| S. | like 1, and disease management programs for COPD | ||
| P | like 9, and disease management programs for COPD | ||
| E. | like 1, and disease management programs for type 1 diabetes mellitus | ||
| N | like 9, and disease management programs for type 1 diabetes mellitus | ||
| M. | like 1, and disease management programs for type 2 diabetes mellitus | ||
| X | like 9, and disease management programs for type 2 diabetes mellitus | ||
| K | like 1, and disease management programs for coronary artery disease | ||
| L. | like 9, and disease management programs for coronary artery disease |
The status has only accounting and statistical significance for billing with the health insurances and says nothing about the benefit entitlement of the insured. The entitlement to benefits is based on Book V of the Social Code (SGB V) and is available to all insured persons if the legal requirements are met.
New features from October 1st, 2014:
Since October 1, 2014, health insurance forms have to be printed in the status field in Germany according to the following requirements:
1st position (insured status)
| 1 | - member | ||||
| 3 | - Family member | ||||
| 5 | - Pensioner |
2nd position (special groups of people)
| 4th | - BSHG (Federal Social Welfare Act) §264 SGB V | ||||
| 6th | - BVG (Law on Provision for Victims of War) | ||||
| 7th | - SVA marking, intergovernmental | ||||
| 8th | - SVA marking, flat rate | ||||
| 9 | - Beneficiaries according to §§ 4 and 6 AsylbLG |
3rd position (DMP status)
| 1 | - Type 2 diabetes mellitus | ||||
| 2 | - breast cancer | ||||
| 3 | - Coronary heart disease | ||||
| 4th | - Type 1 diabetes mellitus | ||||
| 5 | - Bronchial asthma | ||||
| 6th | - COPD (chronic obstructive pulmonal disease) | ||||
| 7th | - Chronic heart failure | ||||
| 8th | - depression | ||||
| 9 | - back pain |
There is a space between each of the 3 digits. If no value is required for the 2nd and / or 3rd digit, a space also appears in its place.
The numbers 4/6/7/8 in the earlier status supplement (east-west status) correspond to the information in the new second digit, the 1 and 9 for east / west designation are completely omitted. The information on the DMP, which is differentiated according to east / west (previously identified by letters), is now shown as a precisely assigned number for each DMP in all of Germany.
Individual evidence
- ↑ Agreement on the new KZBV insured status