Fact sheet no. 7
The law requires co-payment for certain services of the health schemes from the insured person:
|Health scheme service||Co payment amount|
|Medicines, dressing materials, aids, travel costs, socio therapy, domestic help||10% of the price, a minimum of 5 €, a maximum of € 10.
Not more than the actual cost.
|Remedies (e.g. physiotherapy, speech therapy)||10% of the cost and the cost of the home visit, plus 10 € for each prescription|
|Home nursing care||10% of the cost limited to 28 days per calendar year, plus € 10 for each prescription|
|Incontinence material||10% of costs, a maximum of 10 € for the whole month's supply|
|Hospital treatment||10 € per day for up to 28 days per calendar year|
|In patient prevention and rehabilitation measures and cures||10 € per day
Exception: Follow-up treatment is to be considered as hospital treatment.
|Dentures||Due to the fixed subsidies and considering the bonus, co-payment is variable|
Insured persons up to age 18 are exempt from co-payment (except: travelling expenses)
Co payment limits
For every calendar year all insured persons from the age of 18 years makes a co-payment in the amount of 2%, chronically ill 1% of their annual gross income.
When determining the personal co-payment limit all gross revenue of the insured person and their household family members must be taken into consideration.
If the co-payments exceed these co-payment limits, you can be exempted on request, either through an advance for the coming year, or by proof of the payments already made in the current year.
The applicant receives at the end of the calendar year a temporary exemption card and is not required upon its submission to make any further payments.