Apply for cures for mothers and fathers

Prerequisites

The mother/father-child measure must be prescribed by a doctor. The application and prescription go to the health insurance company for review and approval and are checked by the medical service if necessary.

Documents required

The mother/father-child measure must be prescribed by a doctor. The application and prescription go to the health insurance company for review and approval and are checked by the medical service if necessary.

Deadlines

Mother/father-child measures can be repeated after four years at the earliest, unless this is medically necessary.

Procedure

Check with your health insurance company.

Processing time

The health insurance company has to decide quickly on an application for benefits

• no later than three weeks after receipt of the application or


• if an expert opinion, in particular from the medical service, is obtained, within five weeks of receipt of the application.

Fees

Insured persons who have reached the age of eighteen and take advantage of a mother/father-child measure pay EUR 10.00 per calendar day to the facility that forwards the payments to the health insurance company. If you have little or no income, you can apply to be exempted from the co-payment. Please contact your health insurance company for this.

Legal remedies

If the health insurance company refuses the service, you can appeal against it. If the objection is not remedied, you can appeal to the social court.

Legal basis

§ 41 Fifth Social Security Code

http://www.gesetze-im-internet.de/sgb_5/__41.html

A mother/father-child measure is inpatient medical treatment for mothers and fathers who have health problems or are at risk due to their family situation. The measure can also be used by mothers or fathers alone.

The measure is carried out in a facility of the mothers' convalescence facility or a similar facility. You will also live there during the treatment, which is tailored to the needs of mothers and fathers based on their individual stress situation. The facility is selected by your health insurance company, which must take your wishes into account as far as possible.

The mother/father-child measures usually last three weeks, for children under the age of 14 four to six weeks. They can be repeated after four years at the earliest. If there is a justified medical necessity, an extension or a new service can be requested.