
I want to consult with a medical specialist and, when I look online, the closest place to me offering what I think I need is the Helios Klinik. But the glossy website makes it look like it is some special private place and I do not fully understand everything about the German health system, so I was not sure even what some of the things about payment on the website means:
[https://www.helios-gesundheit.de/kliniken/lengerich/ihr-aufenthalt/zuzahlung-und-kosten/](https://www.helios-gesundheit.de/kliniken/lengerich/ihr-aufenthalt/zuzahlung-und-kosten/)
I have public-health insurance, so I guess my question is: can I ring up and arrange a consultation at the above place on the basis of my health insurance?
8 comments
Yes, it is.
The “Zuzahlungen” mentioned on the website you linked refer to overnight stays, where the rule is that patients on Public insurance pay 10€ a night. But that goes for every clinic, not just Helios.
The information you are looking for is under the heading “Gesetzlich versicherte Patienten” in the page you linked.
Long story short, they will accept your public insurance and take care of all billing. You are only liable for a co-pay of 10 EUR per day if you are staying at the hospital overnight.
Yes. But seems like a place that might have long wait times for publicly insured people.
Try using DeepL when you want something translated.
It’s a normal hospital accepting all patients. It’s not “some special private place”.
There’s a whole paragraph about how public insurance usually covers treatment. The references to payment are about the legally set co-pay – 10 Euro per day, capped at 280 Euro yearly.
https://www.reddit.com/r/germany/wiki/health_insurance
On the subject. I was private insured as a kid (from my parents) and public the last 20 years of my adulthood. I sometimes forget how privileged privates are. My mother wanted to make an appointment at her doctor at a hospital yesterday and they treated her like trash. She was confused, as she was a patient for 20 years there. When they realized, she was private, suddenly, she was the queen of Germany in person. That really sucks.
Since the question has already been answered, I can add that, if you can avoid it, don’t go to a Helios clinic. They treat their staff like shit and I can’t imagine they treat their patients any better. They run hospitals like a business: Profit first.
Ambulatory treatment is almost exclusively in office-based (practices, MVZ) physicians. Hospitals can provide specialized specific ambulatory service (contracted to the regional association of public health insurance physicians). But in contrast to office-based specialists, where you can visit without referral, ambulatory treatment in hospitals need referral from an office-based specialist.
The others have talked about cost, one more thing:
You need a “Einweisung” or “Überweisung” (referral (?)) to be admitted into a clinic or see a specialist. You can’t just show up there and book yourself in (unless it is an an emergency, you go to A&E and they decide to keep you).
So see your Hausarzt (GP) first, and ask him to give you a Einweisung or Überweisung.