Information for privately insured persons:<\/strong> Before submitting any prescription to a health insurance company, you should check with your health insurance company in advance to see if your private health insurance plan covers the cost of medical cannabis. Private health insurance companies make decisions independently of the actions of statutory health insurance companies and in many cases, the assumption of costs also depends on the rate group chosen in the private insurance plan.<\/p>\n Information for patients with statutory health insurance:<\/strong> Before the attending physician issues a prescription from the public health insurance (formerly a pink prescription) instead of a private prescription, a claim for reimbursement must be submitted to the relevant health insurance company.<\/p>\n The patient makes the request. In the next section you will learn when the statutory health insurance company will cover the costs, what documents are required and how long the whole process takes.<\/p>\n The German Social Code (Sozialgesetzbuch) regulates when a person is entitled to treatment with cannabinoids in the form of dried flowers or extracts in serious illness<\/a>. Section 31(6) SGB V defines the following (1):<\/p>\n This applies if there is no generally accepted treatment available that meets medical standards, if they have already been exhausted, or if the treating physician cannot use them because of expected side effects.<\/p>\n In addition, they must have cannabis treatment<\/a> a not insignificant chance of a noticeable positive effect on the course of the disease and\/or symptoms of a serious illness.<\/p>\n In order for the cost of medical cannabis<\/a> covered by statutory health insurance, the patient or their authorised representative must submit a request.<\/p>\n The application is then assessed by the health insurer or the health service it has appointed.<\/p>\n Eines der Hauptkriterien ist die Frage, ob keine allgemein anerkannte, dem medizinischen Standard entsprechende Leistung als Alternative zur Verf\u00fcgung steht oder diese Optionen bereits ausgesch\u00f6pft wurden.<\/p>\n Um das beurteilen zu k\u00f6nnen, stellen die Krankenkassen einen Fragebogen bereit, den der behandelnde Arzt ausf\u00fcllt. Eine Vorlage f\u00fcr den Arztfragebogen stellt der Medizinische Bund auch auf seiner Website<\/a> read.<\/p>\n Application form for assumption of costs for medical cannabis<\/a> requires detailed information about the disease, current symptoms and what measures and medications have been used so far.<\/p>\n In many cases, the application is completed by the doctor together with the patient. The doctor then signs it and the patient or their legal representative then submits it to the health insurance company.<\/p>\n After receiving the application, the health insurer has three weeks to assess the application and inform the applicant of its decision. In most cases, the statutory health insurer will use the relevant medical cannabis service (MDK) to review applications. A decision can then take up to five weeks. If the time limits are not met, the application is deemed approved.<\/p>\n Palliative care with medical cannabis is a special case: because the patient must be treated as quickly as possible, the health insurance company must decide within three days whether to cover the costs.<\/p>\n If the medical service commissioned by the health insurer decides that the health insurer will not reimburse the patient for the cost of cannabis, the patient can appeal the decision. The decision will include a written reason why the costs will not be covered, which the patient should refer to in the appeal. The negative decision is often based on the fact that standard measures or available medicines have not yet been fully used. If necessary, it is advisable to seek advice from your doctor or lawyer.<\/p>\n As already mentioned, it is always possible for a doctor to prescribe cannabis on a private prescription. Without the consent of the statutory health insurer, the only option is a private prescription, which the patient pays for himself.<\/p>\n The statutory health insurance company only accepts prescriptions for reimbursement if they are pre-approved. This means that the pharmacy that fills the prescription can only submit it to the health insurer if it has a copy of the written authorization for reimbursement.<\/p>\n However, there is one exception: in order to make it easier, especially for pain patients, to obtain the necessary cannabis medicines without an approval process that takes several weeks, the German Pain Society (DGS) has launched a pilot project together with the AOK Rheinland\/Hamburg (3) .<\/p>\n As part of this project, doctors have the opportunity to receive special training and certification. When these trained physicians prescribe cannabinoids, there is no need to seek cost approval. This approach is intended to reduce the bureaucratic burden and allow patients quicker access to medical cannabis.<\/p>\n This means that if cannabis is prescribed by a certified pain therapist, the statutory health insurer will waive the submitted claim and reimburse the cost without approval. Initially, this agreement was only made with AOK Rheinland\/Hamburg, but in the future other health insurance companies have the possibility to join this agreement.<\/p>\n Patients with serious illness have the right to adequate treatment. In some cases, cannabis can be effectively used as a medicine and prescribed by the treating physician. However, whether the statutory health insurance company will cover the cost of treatment depends on a social medical assessment as part of the health insurance company's review of the claim. corporate medical service.<\/p>\n Seit dem 01.04.2023 ist Cannabis kein Bet\u00e4ubungsmittel mehr. Patienten k\u00f6nnen sich nunmehr ein regul\u00e4res Rezept f\u00fcr die ben\u00f6tigte Arznei ausstellen lassen.When is the cost of medical cannabis covered by statutory health insurance?<\/h2>\n
Criteria for reimbursement from statutory health insurance<\/h3>\n
![\"Antrag](\"https:\/\/www.mycannabis.de\/wp-content\/uploads\/2024\/04\/Antrag-Kostenuebernahme-Cannabis.webp\")
<\/p>\nWhat information does a health insurer need to assess a claim for cannabis costs?<\/h3>\n
![\"Krankenkasse](\"https:\/\/www.mycannabis.de\/wp-content\/uploads\/2024\/04\/Krankenkasse-kostenuebernahme-Cannabis-1024x483.webp\")
<\/p>\nContent of the application for cannabis costs:<\/h3>\n
\n
How long does it take to get approval from the health insurance company for reimbursement?<\/h2>\n
What happens if my application is rejected?<\/h3>\n
Can my doctor prescribe cannabis without the consent of the health insurance company?<\/h2>\n
No reimbursement without approval, or is there?<\/h3>\n
![\"cannabis](\"https:\/\/www.mycannabis.de\/wp-content\/uploads\/2024\/04\/cannabis-kostenuebernahme-809x1024.webp\")
<\/p>\nSummary<\/h2>\n
Sources:<\/h4>\n
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\u00a0 https:\/\/www.bfarm.de\/DE\/Bundesopiumstelle\/Cannabis-als-Medizin\/Begleiterhebung\/_node.html<\/a><\/li>\nSimilar blog posts<\/h2>","protected":false},"excerpt":{"rendered":"
\nDoch ein Rezept f\u00fcr Cannabis bedeutet nicht gleichzeitig, dass die Krankenkasse f\u00fcr die Arzneimittelkosten aufkommt. F\u00fcr Cannabis-Verschreibungen verlangen die Kassen, dass die Patienten vorab einen Antrag auf Kosten\u00fcbernahme stellen.<\/p>","protected":false},"author":8493,"featured_media":19636,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1898],"tags":[],"class_list":["post-19106","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-lecebne-konopi"],"acf":[],"yoast_head":"\n