In the third-party payment scheme, the insurance institution pays the amount of the insurance meeting in the cost of the products/service directly to the caregivers (healers, home care webshop,...). The beneficiary must therefore no longer advance this amount. He only has to pay any charges.

What should you do if you are entitled to the third party payment scheme?

As your healthcare provider (in this case, home care webshop) the third party payer scheme If you apply the payment, you will only pay him the amount that is for your account (the personal share) and possibly a supplement if the healthcare provider is not in a contractual situation.

You do not advance the health insurance allowance. Your sickness fund will pay this benefit directly to the healthcare provider (in this case, home care webshop).

In that case, you should not send certificates for assistance to your sickness fund.

In what cases do you have the right to the third party payment scheme?

In particular, you are entitled to that scheme:

• if you are hospitalized
• in most cases with the pharmacist.

Certain social categories of insured persons may be entitled to benefits under the legislation of the Member State in which they are employed. social third-party paying scheme at the GP.

The third-party payment scheme for patients with the status of chronically ill person (Sustainable status of chronic disease .) is possible since 1 May 2014.

From 1 October 2015:

• The doctor will be responsible for the third party payer scheme should be used for the patients who have been given increased concession This measure does not apply to house visits
  
  

Specifically, what are you doing?

Download You here the document by filling out this document together with us, you give permission that the sickness fund pays directly to us, so that you do not have to finance anything for yourself.