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Checklist for doctors and dentists on out-patient treatment

A patient who has health insurance in another Member State would like to undergo private treatment from you in your surgery. The checklist below provides you with an overview of what you need to bear in mind before, during and after treatment.

Before treatment

  • You have made sure that your patient came to Germany from a Member State for treatment and did not become in need of treatment during a stay in Germany. In the latter case, the patient should be treated within the framework of the European Health Insurance Card or of a Provisional Replacement Certificate. The patient furthermore did not express a desire to be treated on the basis of a billing certificate from the German health insurance fund or of a form E 112 or S2.
  • You have informed the patient that he/she must pay the doctor’s fee privately. The costs will be in line with the Fee Code for Doctors or the Fee Code for Dentists, respectively.
  • You have obtained the patient’s written confirmation that he/she wishes to be treated by you privately. Ideally, the confirmation is provided on a multilingual form in order to avoid any subsequent misunderstandings.
  • You have reached an agreement with the patient with regard to the form and period of the payment. In order to avoid any subsequent problems when it comes to payment, we recommend that you have the costs paid while the patient is still in your surgery.
  • You have obtained information from the patient regarding his/her medical history, and have inspected copies from his/her medical records where necessary.
  • You have made sure that the patient has understood and consented to all the treatment steps which you are planning.

During treatment

  • You have noted all the measures, diagnoses and examination results in the medical records.

After treatment

  • If you need to prescribe medicinal products or medicinal devices to your patient, ask him/her whether these prescriptions are to be presented in Germany. If they are to be presented outside Germany, particular requirements need to be taken into account with regard to the content (Link -> Information for healthcare providers -> Prescriptions). Inform your patient that there may currently still be problems in practice if he/she presents prescriptions in other Member States. You should therefore recommend to the patient to present the prescriptions in Germany.
  • You have issued the patient with an itemised bill on the basis of the Fee Code for Doctors or the Fee Code for Dentists, respectively.

Documents and Links



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