Online Access Act

The “Act to Improve Online Access to Administrative Services” (Online Access Act – OZG) stipulates that essential administrative services must also be offered digitally. It is intended to make it easier to apply for services from authorities, administrations and therefore also statutory health insurance companies.

Administrative services of the statutory health and long-term care insurance

Since January 1, 2023, many administrative services can be accessed on the federal portal published by the Federal Ministry of the Interior, Building and Community. federal portal can be applied for. These include statutory health and long-term care insurance services such as general membership applications, ordering a new insurance card or applying for maternity benefits.

The health insurance funds must ensure that they can process electronic inquiries about their administrative services via the federal portal in the same way as direct inquiries to their own portals, in particular online branch offices and Internet branches.

Technically, this takes place via a two-stage linking process:

1. Insured persons who call up a topic area on the federal portal can select their health insurance fund after an initial general information and are
2. The customer is then redirected to a specific application offer from the health insurance company – for example in an Internet branch or service app.

Administrative services of the statutory health and long-term care insurance

Right to choose health insurance	§ 173 SGB V
Electronic health card	§ 291 SGB V; § 8 KVLG 1989
Photograph for the electronic health card	§ Section 291a (5) and (6) SGB V; Section 8 KVLG 1989
Compulsory insurance	§ 8 SGB V
Family insurance	§ 10 SGB V; § 7 KVLG 1989
Reimbursement of contributions	§ Section 231 SGB V; Section 40 (7) KVLG 1989
Reimbursement of costs	§ 13 SGB V; § 8 KVLG 1989
Reimbursement of partial costs	§ 14 SGB V; § 8 KVLG 1989
Applying for and terminating voluntary insurance	§ 9 SGB V, § 191 No. 3 SGB V
Preventive medical services for people with health insurance in inpatient facilities	§ Section 23 (2), (4) SGB V; Section 8 KVLG 1989
Dental treatment for people with health insurance	§ Section 28 (2) SGB V; Section 8 KVLG 1989
Orthodontic treatment for people with health insurance	§ 29 SGB V; § 8 KVLG 1989
Dentures	§ 55 SGB V § 56 SGB V; § 8 KVLG 1989
Prevention services for people with health insurance (courses)	§ 20 Para. 4 No. 1 SGB V; § 8 KVLG 1989
Preventive medical services for people with health insurance in the outpatient sector	§ Section 23 (2), (4) SGB V; Section 8 KVLG 1989
Inpatient and outpatient hospice services for people with health insurance	§ 39a SGB V; § 8 KVLG 1989
Benefits for termination of pregnancy	§ 24b SGB V; § 8 KVLG 1989
Home help for people with health insurance	§ 38 SGB V; § 10 KVLG 1989
Farm and household help from the agricultural health insurance fund	§ 9 KVLG 1989; § 9 KVLG 1989
Domestic help during pregnancy	§ 24h SGB V; § 10 KVLG 1989
Maternity benefit	§ 24i SGB V; § 14 KVLG 1989
Measures to induce pregnancy	§ 27a SGB V; § 8 KVLG 1989
Sickness benefit for self-employed persons (declaration of choice)	§ Section 44 (2) sentence 1 no. 2 SGB V
Sickness benefit in the event of illness of the child	§ 45 SGB V; § 8 KVLG 1989
Stress testing and occupational therapy for people with health insurance	§ 42 SGB V; § 8 KVLG 1989
Health insurance contribution of the burden limit for co-payments in statutory health insurance	§ 61 SGB V § 62 SGB V
Home nursing care for people with health insurance	§ 37 SGB V; § 8 KVLG 1989
Continued insurance	§ 26 SGB XI
Benefits for carers during care leave and short-term absence from work	§ 44a SGB XI
Care allowance for self-procured care aids	§ 37 SGB XI
Home care if the caregiver is unable to attend	§ 39 SGB XI
Additional benefits for people in need of care in outpatient residential groups	§ 38a SGB XI
Measures to improve the living environment Granting of subsidies	§ Section 40 (4) SGB XI
Combination of cash and non-cash benefits for people with statutory long-term care insurance	§ 38 SGB XI
Additional benefits for caregivers during care leave from grants (for care courses)	§ 45 SGB XI
Short-term care for people with statutory long-term care insurance	§ 42 SGB XI
Day and night care for people with long-term care insurance	§ 41 SGB XI
Full inpatient care for people with statutory long-term care insurance	§ 43 SGB XI
Care in fully inpatient facilities for people with disabilities	§ 43a SGB XI
Long-term care benefits in kind for people with statutory long-term care insurance	§ 36 SGB XI
Care aids	§ Section 40 (1-3) SGB XI
Sickness benefit in the event of illness of a mentally or physically disabled child with accompanying benefits	§ 44b SGB V; § 8 KVLG 1989