Costs covered by health insurance companies

Thanks to my training as a dietician and the ‘Qualified Diet and Nutrition Counsellor VFED’ certificate, I fulfil the provider qualification for nutrition specialists, which is required in the prevention guidelines of the GKV-Spitzenverband der Health Insurance. This is a prerequisite for the proportionate assumption of costs by health insurance companies for preventive nutritional counselling and therapy. Services according to § 20 SGB V or §43SGB V.

My services are invoiced on an hourly basis and with proof for the health insurance company.

The health insurance companies currently support your appointments between 40% - 100%, please enquire in advance.

Individual counselling:

You will need a certificate of necessity or a prevention recommendation from your doctor for your individual counselling to be covered by your health insurance. You can download these at the bottom of this page. AOK Bayern insured persons are often not supported in individual counselling, as the AOK have their own counsellor. However, it is worth contacting the health insurance company directly. Prevention courses have fewer hurdles there.

Prevention course:
In order to receive a subsidy for a prevention course, it is sufficient to submit the course certificate with the invoice to the health insurance company. You will receive the certificate after completing the course. Please enquire in advance about the extent to which the course is subsidised by your health insurance fund.

I am happy to help with any questions at my Phone Time Wendsday 9:00-11:00 AM 


Pension insurance

If nutritional therapy is deemed necessary by the rehabilitation centre as an aftercare service and recommended accordingly on form G4900, the pension insurance will cover the costs for up to 10 appointments initially; an extension is possible.
 
In the case of children, the parents must be involved.

Ablauf der kostenerstattung durch die Krankenkasse

Kostenerstattung durch Krankenkasse - Schritt 1 - Ärztliche Notwendigkeitsbescheinigung oder Präventionsempfehlung von der Ärztin / vom Arzt
Kostenerstattung durch Krankenkasse - Schritt 2 - Terminvereinbarung telefonisch, per E-Mail oder per Kontaktformular
Kostenerstattung durch Krankenkasse - Schritt 3 - Kostenvoranschlag, den Du bei Deiner Krankenkasse einreichst

Kostenerstattung durch Krankenkasse - Schritt 4 - Start Ernährungsberatung / -Therapie oder Präventionskurs
Kostenerstattung durch Krankenkasse - Schritt 5 - Du erhältst Deine Rechnung und reichst diese bei der Krankenkasse ein
Kostenerstattung durch Krankenkasse - Schritt 6 - Kostenerstattung an Dich durch die Krankenkasse


Download
Ärztliche Notwendigkeitsbescheinigung nach §43
Utilisation of a nutritional intervention for presentation to the doctor. This have to be in german, sorry for that.
Ärztliche Notwendigkeitsbescheinigung -
Adobe Acrobat Dokument 79.7 KB
Download
Cost overview for nutritional therapy consultation
Here you will find the cost overview for your health insurance company.
For children and adolescents, please send me an email, as well as for people on the spectrum.
Cost CalculationSept24 englisch.pdf
Adobe Acrobat Dokument 145.0 KB
Download
Präventionsempfehlung
This form is merely a recommendation that a patient can use, for example, to apply for nutritional counselling from their health insurance provider.
Praeventionsempfehlung.pdf
Adobe Acrobat Dokument 705.3 KB