Kürtaj masraflarının geri ödenmesi için yasal sağlık sigortası fonuna başvurmak
Uygulamaya giden yolunuz
Masrafların karşılanması için yasal sağlık sigortanıza başvurabilirsiniz.
Ulusal Yasal Sağlık Sigortası Fonları Birliği'nin Sağlık Sigortası Navigatörü sizi yasal sağlık sigortası fonunuzun portalına götürür. Orada başvurunuzu nasıl yapacağınızı öğrenebilirsiniz.
Herhangi bir sorunuz varsa veya tavsiye almak istiyorsanız, lütfen yasal sağlık sigortası sağlayıcınızla iletişime geçin.
If additional cost coverage is requested in cases where there is no medical or criminological indication:
- Proof of your personal income and financial circumstances, e.g. current salary statement or bank statement
Please contact your health insurance company to find out which additional documents are required in addition to proof of your personal income and financial circumstances.
You do not have to pay anything for the application.
Basitçe açıklamak gerekirse
If the abortion is performed for criminological or medical reasons, the costs will be covered by the health insurance company and billed by your doctor via the electronic health card (eGK). A prior application for cost coverage is not required. This is the case in the following two constellations:
- If the termination of the pregnancy is necessary from a medical point of view in order to avert a danger to your life or the risk of serious impairment to your physical or mental state of health, the health insurance company will cover the costs of the abortion. In this case, it is not necessary to apply to the health insurance company for the costs to be covered, as the doctor will make the necessary determination.
- If the pregnancy is to be terminated because it is the result of an offense against sexual self-determination, for example in the case of rape, the health insurance company will cover the costs of the abortion if no more than 12 weeks have passed since conception. In this case, it is not necessary to apply to the health insurance company for the costs to be covered, as the doctor will make the appropriate findings.
If the abortion is performed for other reasons, it is illegal but not punishable if the following conditions are met in full:
- You prove to the doctor by means of a certificate from a recognized conflict counselling centre that you have sought advice from a pregnancy conflict counselling centre at least three days before the procedure.
- A doctor will perform the abortion.
- A maximum of 12 weeks have passed since conception.
In this case, the health insurance fund will cover the costs of
- medical advice on the preservation and termination of the pregnancy,
- medical treatment with the exception of the abortion and follow-up treatment if there are no complications,
- the provision of medicines, dressings and remedies and
- hospital treatment
The costs for the medical procedure of the abortion itself and for medical aftercare if there are no complications are not covered by health insurance.
However, if you have little or no income, in certain cases you can apply to your statutory health insurance fund to have the costs of these services covered. This is the case, for example, if you are considered to be in social need.
Hangi gereklilikler yerine getirilmelidir?
If there is no medical or criminological indication, you are entitled to full coverage of the costs of an abortion by the statutory health insurance fund if
- you have your place of residence or habitual abode in Germany and
- after examination by the health insurance company, you cannot reasonably be expected to bear the costs of the abortion for financial reasons. You can find out the exact requirements and income limits for this from your health insurance company.
An unreasonable cost burden exists for you in particular if you
- receive assistance with living expenses ("social assistance") or
- receive income support;
- have a disability and receive training support (training support within the framework of the Federal Employment Agency's order on individual support for vocational training or on employment and vocational support for people with disabilities) or
- a training grant under the Federal Training Assistance Act (BAföG) or
- receive benefits under the Asylum Seekers Benefits Act;
- are accommodated in a home or similar facility and the costs for this are borne by social welfare or youth welfare.
Sıkça sorulan sorular ve cevapları
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