The one who takes permanently prescription drugs, must not be burdened by the costs of overly financially. Therefore, there is a maximum limit to the fees from the patients. If it is exceeded, patients from further co-payments to free, explains the chamber of pharmacists of lower Saxony
As soon as the equity share of the co-payments such as prescription fees, co-payments for medicine and medical AIDS, hospital, rehab, and other exceeds the load limit, patients can make a request for co-payment exemption from your statutory health insurance. This limit is calculated individually. It depends on the household’s gross income, such as, for example, the salary or the pension. The load limit for all persons living in the household is annually two percent of gross income. For patients affected by a chronic illness, a limit of one percent of the gross income. With the payment calculator on aponet.de you can easily find out whether you can make the payment free. The co-payments earnings limit at the time of the liberation, already on the strain, they will be reimbursed retroactively.
Tip: receipts and documents to collect
In addition to income patients need for the exemption to prove all receipts and receipts for payments co-payments. It is particularly important that the documents always contain the correct and full name of the Insured. Here, the local pharmacy is happy to help to collect the correct and complete documents, and compile. Patients with local pharmacy and the customer’s card at any time to make a list of your co-payments create. A precondition is that the patients with the storage of your medicines are data.
Liberation is also in the run-up to möpossible
Some patients, the chronically ill, know in advance that your payments are regularly above the load limit. These patients have the opportunity to pay the border amount in advance to your health insurance and to receive an exemption. The collection of receipts and supporting Documents not applicable in this case. The so-called costs of the co-payment exemption, however, shall not affect: the price of a drug over the by the health insurance Fund reimbursed the fixed amount that you must pay the Patient for the difference between the fixed price and the actual price.
AK Niedersachsen/NK
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