Table 1 Overview: OOPP within German statutory health insurance (2008–2012)
Resource | Regulation of OOPP |
|---|---|
Inpatient care | 10 Euro per day for not more than 28 days in hospitals and follow-up-rehabilitations. |
Outpatient services | Physicians: 10 Euro per quarter for the first contact with a general practitioner or specialist; Dentists: 10 Euro per quarter for the first contact; Non-Physicians: 10 Euro per prescription and 10% of costs. |
Medical supplies | Permanent use: 10% of costs but not more than 10 Euro per month; single use: 10% of costs not less than 5 Euro and not more than 10 Euro; glasses are not reimbursed. |
Pharmaceuticals | 10% of costs but not less than 5 Euro and not more than 10 Euro per drug; non-prescription drugs are not reimbursed. |
Dental prostheses | SHI reimburses 50% of costs, in case of regularly check-ups in the last 5 (10) years 70% (80%). |
Nursing care | 10 Euro per prescription plus 10 Euro per day for the first 28 days. |