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Assumption of costs for a children's treatment in plain language

Text last updated: 2026-03-05
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Everything you need to know about covering the costs of treatment for children's wishes in plain language

Children's wish: How to apply for money for treatment

You want to get pregnant.
But it doesn't work naturally?

Then a fertility treatment can help.

For example:

Artificial insemination.

The treatment costs money.

The health insurance company can cover part of the costs.
You must submit an application for this.

We explain here:

Zwei Personen, die fragend gucken.
  • When does the health insurance fund pay for treatment?
  • How much money does the health insurance fund pay?
  • Where do you submit the application?
  • What do you need for the application?
  • What does the application cost?
  • Where can you get help and advice?

When does the health insurance fund pay for treatment?

Ein Paar wird von einer Ärztin beraten.

Many things are important for treatment:

  • Your doctor says:
    You cannot get pregnant naturally.
    But:
    A fertility treatment can help.
  • Only your own egg and sperm cells may be used.
    This means:
    Not from another person.
  • You are married.
  • As a woman, you are at least 25 years old.
    You must be at most 39 years old.
  • As a man, you are at least 25 years old.
    You must be at most 49 years old.

How much money does the health insurance fund pay?

Illustration von Geld

The health insurance company pays 50 percent of the treatment.

This means:

You get half of the money back.

Important:

  • A doctor must write the treatment plan.
  • They must show the plan to the health insurance company before the first treatment.
  • The health insurance fund must approve the treatment plan.

Where do you submit the application?

Eine Frau sitzt an einem Tisch und liest auf dem Notebook.

You submit the application to your health insurance fund.

Many health insurance companies allow you to do this online.

Important:

  • The woman's health insurance fund pays for the treatments on the woman's body.
  • The man's health insurance pays for the treatments on the man's body.

What do you need for the application?

Illustration: Klemmbrett mit einem Antrag.

You will need documents for the application.

For example:

  • The treatment plan from the doctor.
  • Or the treatment plan from the Children's Wish Center.

You may also need other documents.

Check with your health insurance provider.

What does the application cost?

Illustration: Bargeld, das durchgestrichen ist, das bedeutet: "Keine Kosten".

You do not have to pay anything for the application.

Where can you get help and advice?

Do you have questions about cost coverage?

Then ask your health insurance provider.

Information

The Ministry for
- Kinder
- Jugend
- Familie
- Gleichstellung
- Flucht und
- Integration
from the federal state of North Rhine-Westphalia has produced this text.

The abbreviation for the ministry is: MKJFGFI.
This is pronounced as follows: EM-KA-JOT-EF-GE EF-I

The ministry would like to translate many texts into plain language.
The ministry uses a computer program for this.
The program is from the company SUMM AI.
If a text has been translated by SUMM AI,
then there is always a note.
The ministry checks the texts.
So that the information is correct.
Particularly important texts are translated by people.
And checked by people with disabilities.