Co-payments are a form of financial participation in the costs of healthcare services. This contribution, also known as a co-payment, is intended to ensure that the insured person is aware of the benefits they are claiming.
| Range | Additional payments | Limits / Exceptions |
| Medicines and dressings | 10 % of the costs | minimum EUR 5, maximum EUR 10; no more than the actual costs |
| Travel costs* | 10 % of the costs per trip | minimum EUR 5, maximum EUR 10; no more than the actual costs |
| Home nursing care | 10 % of the costs plus EUR 10 per prescription | limited to 28 days per calendar year |
| Domestic help | 10 % of the calendar day costs | minimum EUR 5, maximum EUR 10; no more than the actual costs |
| Remedies | 10 % of the cost of the product plus EUR 10 per prescription | – |
| Aids | 10 % for each remedy | minimum EUR 5, maximum EUR 10; no more than the actual costs Exception: aids intended for consumption: 10% per unit of consumption, maximum EUR 10 per month |
| Hospital Treatment | 10 EUR per calendar day | Maximum 28 days per calendar year |
| Inpatient provision | 10 EUR per calendar day | – |
| Medical rehabilitation | 10 EUR per calendar day | for follow-up rehabilitation limited to 28 days per calendar year, taking into account the co-payment for hospital treatment |
| Medical care and rehabilitation for mothers and fathers | 10 EUR per calendar day | – |
| Sociotherapy | 10 % of the calendar day costs | minimum EUR 5, maximum EUR 10; no more than the actual costs |
Children and young people up to the age of 18 are exempt from co-payments (with the exception of travel costs). The total of all annual co-payments is limited by the individual contribution limit of two percent of the annual gross income.
For the chronically ill, a reduced charge limit of one percent applies under certain conditions (chronic illness regulation).
In addition to the statutory co-payments, insured persons also have to pay co-payments for certain services. These include, for example, co-payments if the cost of a medicine exceeds the fixed amount or co-payments for dentures, orthodontics or certain aids.
Calculate own contribution for co-payments
The calculation is not legally binding.
