The aid listing of the legal health insurance in Germany contains a listing of the aids, which are for the German legal health insurance achievement requiring.

It is to create a comprehensive price and product transparency for Versicherte, Leistungserbringer, contract physicians and health insurance companies. It covers all aids with fixed amounts and/or prices, which are regulationable due to their function fitness and their therapeutic use, including its quality standards.

The aid listing contains a listing of the care aids beside the aids also in accordance with the legal distinction of health insurance and nursing care insurance in Germany.

The listing is provided to the price determinations together by the central associations of the health insurance companies and adapted continuously medical-technical progress as well as.

Basis of the aid listing is "§ the 128 of the SGB V, which is converted with the production of the listing.

Wording SGB V "§ 128 aid listing

The central associations of the health insurance companies provide an aid listing together. To be indicated in the listing the aids covered by the obligation to perform are the fixed amounts or agreed upon prices planned for it to be specified and. The aid listing is to be updated regularly. Before production and updating of the listing opportunity is to be given to the central organizations of the Leistungserbringer and aid manufacturers concerned to the statement; the statements are to be included into the decision. The aid listing is to be made well-known in the federal legal gazette.

Beyond the pure listing production with the aid listing also qualitative interests fulfilled in accordance with the SGB V "§ 139.

Wording SGB V "§ 139 quality assurance with aids

(1) The central associations of the health insurance companies together and uniformly are to develop quality standards to the safety device of a sufficient, appropriate, functional and economic supply of the insured ones with aids for certain aids. The quality standards are to be published in the aid listing after "§ 128.

(2) A condition of the admission of new aids into the aid listing is that the manufacturer the function fitness and the therapeutic use of the aid as well as its quality prove. On the admission into the aid listing the central associations of the health insurance companies decide together and uniformly, after the medical service examined the conditions. The central associations of the health insurance companies regulate the procedure for the admission into the aid listing. It is to be worked toward the fact that the documents are present within six months after filing of an application completely to guarantee and that the decision is made at the latest six months after collecting main of the complete documents. Over the decision an answer is to be given.

(3) The central associations of the health insurance companies together and uniformly deliver product group-referred recommendations regarding the advanced training of the Leistungserbringer of aids and regarding the quality assurance of the achievement contribution.

Further legislation

Further legislation in connection with the production aid listing in the SGB V is

• "§ 33 aids
• "§ 34 impossible medicine, welfare and aids
• "§ 213 adoption of resolutions by the central associations of the health insurance companies and
• "§ 302 account of the other Leistungserbringer.

Survey of performances

In the aid listing of the GKV the following groups are listed by aids:

1 suction apparatus 2 adaptation assistance 3 application assistance 4 bath assistance 5 bandages of 6 irradiators of 7 blind aids 8 inserts 9 10 going assistance 11 aid against Dekubitus of 12 aids with Tracheostoma 13 hearing aids 14 inhalation and breath therapy devices 15 Inkontinenzhilfen 16 communication assistance of 17 aids to the compression therapy of 18 patient vehicles of 19 nursing for the sick articles 20 storage assistance of 21 measuring instruments for body condition/functions 22 mobility assistance 23 Orthesen/rails 24 prostheses 25 Sehhilfen 26 seat assistance 27 speech assistance 28 standing assistance 29 Stomaartikel 30 31 shoes 32 therapeutic movement devices 33 toilet assistance 50 care aids to the easement of the care 51 care aids to the hygiene/hygiene 52 care aids to the more independent 53 care aids to the Linderung of complaints 54 care aids intended for consumption different does not occupy 98 other care aids 99

Photograph procedure

In principle only products can be taken up, which fulfill the quality standards of the appropriate product groups. A condition for the admission of new aids into the aid listing is that the manufacturer the function fitness and the therapeutic use of the aid as well as its quality prove.

Approach address

For central associations of the health insurance companies is responsible the guild's health insurance funds (IKK) - Federal association. If a manufacturer or a Vertreiber wishes the admission of a product into the aid listing, a written request is to be submitted at the IKK Federal association. Detailed information to the aid listing and the request procedure is available under the address

IKK Federal association p.o. box 10 01 52 51401 Bergisch Gladbach Tel.: 02204/44 131 fax: 02204/44 208 Internet address

(Conditions 01-2005)

Related links

• Opinion of the aid listing

Articles in category "Aid listing of the legal health insurance"

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