Regulations
Infos for patients
Requirements
Both private and health insurance patients are treated in our practice.
As a rule, up to 90% of speech therapy services are covered by health insurance. According to the law, there is a co-payment of 10% and a prescription fee of 10 euros.
For members of private insurance companies, we are happy to provide an overview of the costs of our services so that you can find out the exact amount of any co-payment from your insurance company in advance.
Children up to the age of 18 are still exempt from the co-payment.
All children up to the age of 18 are treated without co-payment.
The prescription
A doctor's prescription is required for speech therapy support. You will receive this after a visit to your treating doctor.
The prescription can be issued by any competent doctor. The prescription describes the speech, language or swallowing problem and the requirements for treatment. We will be happy to advise you free of charge on how to order the prescription with the correct details to prevent unnecessary paperwork.
The procedures
If your doctor recommends speech therapy treatment, come to our practice with the prescription within 14 days so that the prescription remains valid.
The aim is to investigate and diagnose the cause(s) of the communication problem.
The results, as well as the prognosis and possible therapeutic measures, will be discussed with you. The therapy includes exercises, an explanation of the correlations and homework. For treatment to be successful, you should generally practise independently at home for 10 minutes every day. During the therapy sessions, learning principles are developed together to encourage self-learning.
Information for doctors
In order to ensure the logistically smooth running of a speech therapy session, we would like to give you a few tips on issuing prescriptions.
After scanning the health insurance card (pink-blue A4 form no. 14), the data is entered. To the left of your patient's address, tick whether they are exempt or not exempt from the statutory co-payment (10% regulation).
Initial prescription Tick the box (X)
Home visit Tick Yes or No
Therapy report required, then please tick Yes
Therapy duration 45 or 60 min (depending on indication)
Prescription quantity 10
Therapy frequency: between 1 - 3 per week
Indication code e.g. SP1 for a speech development delay
ICD-10 code is required (preferably two codes)
Your diagnosis with main symptoms
Tick the follow-up prescription
Home visit Tick Yes or No
Therapy report required, please tick Yes
Therapy duration 45 or 60 min (depending on indication)
Prescription quantity 10
Therapy frequency: between 1 - 3 per week
Indication code e.g. SP1 for a speech development delay
ICD-10 code is required (preferably two codes)
Your diagnosis with main symptoms
After 60 therapies (SP5), for example, an exception to the standard case is required. Your medical budget will not be charged for this item.
A medical justification is required here. This prescription is subject to authorisation by Novitas BKK.
Home visit Tick yes or no
Therapy report required, please tick Yes
Therapy duration 45 or 60 min (depending on indication)
Prescription quantity 10
Therapy frequency: between 1 - 3 per week
Indication code e.g. SP1 for a speech development delay
ICD-10 code is required (preferably two codes)
Your diagnosis with main symptoms
Further possible exceptions can be found in the catalogue of remedies (see link)
https://heilmittelkatalog.de/files/luxe/hmkonline/logo/diag.htm
