Question:
Why are patients with statutory health insurance not offered private medical treatment on a self-pay basis at this practice?
Answer:
Our practice participates in the statutory health insurance system and is therefore subject to the legal requirements of Social Security Code V (SGB V) as well as the regulations of the associations of statutory health insurance physicians and the Federal Framework Agreement for Physicians. These regulations stipulate that patients with statutory health insurance are generally treated as health insurance patients within the framework of the principle of benefits in kind.
„Voluntary“ private treatment of patients insured under statutory health insurance is only legally permissible in very limited exceptional cases and under strict formal conditions (in particular with a special, clearly worded fee agreement concluded in writing before the start of treatment). Even formal errors can lead to the practitioner being accused of a billing or contract violation—with possible criminal consequences, including professional disciplinary measures and the risk of losing their license or approval.
Around consistently avoid any misinterpretation of the legal situation, any appearance of circumventing the principle of payment in kind, and any criminal or professional legal risks, our practice therefore offers As a rule, no private medical treatment for persons with statutory health insurance on a self-pay basis. to.
Recommendation if you wish to receive treatment exclusively from private physicians:
If, as a person with statutory health insurance, you nevertheless expressly and permanently wish to receive purely private medical treatment outside the statutory health insurance structures, we recommend that you contact a Private medical practice without contract physician accreditation There, treatment is generally possible regardless of whether you have statutory or private health insurance, on the basis of a private fee agreement, without affecting the special obligations arising from contract-based medical care.
Recommendation if you would like a faster appointment:
As a person with statutory health insurance, your family doctor can initiate a so-called family doctor referral at a cooperating family doctor's office. see here.