Zuzahlungsbefreiung
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Definition
What is it: Zuzahlungsbefreiung refers to the exemption from statutory co-payments for medical services, such as medications or hospital stays. It is granted to insured individuals in Germany once their out-of-pocket expenses reach a predetermined financial burden limit within a calendar year.
What is it used for: It is used to protect patients from excessive financial strain, particularly those with high healthcare needs or chronic illnesses, by capping their mandatory contributions to medical costs.
Coverage
- Attributes: 6
- Synonyms: 2
- Related entities: 1
- Sources: 1
Identity
- Entity ID
- https://llms.salusmax.de/en/co-payment-exemption/facts/#entity
- Entity type
- DefinedTerm
- Canonical name
- Zuzahlungsbefreiung
- Language
- en
- Topic
- Co Payment Exemption
Attributes
- Key Facts
- Members of statutory health insurance are required to pay co-payments for specific services, such as 10% for medications or hospital daily rates. [1]
- Key Facts
- An exemption from co-payments is granted if total annual co-payments exceed the burden limit of 2% of the annual gross income. [1]
- Key Facts
- For individuals with chronic illnesses, the financial burden limit for co-payments is reduced to 1% of their annual gross income. [1]
- Key Facts
- The health insurance company issues an exemption card after the individual has reached their personal burden limit. [1]
- Key Facts
- The application for co-payment exemption must be submitted directly to the respective health insurance fund. [1]
- Fact
- Co-payment exemptions are especially significant for people in need of care because they frequently require a high volume of medications and medical aids. [1]
Synonyms & Alternate Names
- Co-payment exemption
- Befreiung von Zuzahlungen
Related Entities
- System context:
Provenance
- Official source: https://salusmax.de/en/pfle-xikon-1/z
- Last modified:
Sources
- https://salusmax.de/en/pfle-xikon-1/z (Zuzahlungsbefreiung)
Machine metadata
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- canonical_url: https://llms.salusmax.de/en/co-payment-exemption/facts/
- entity_id: https://llms.salusmax.de/en/co-payment-exemption/facts/#entity
- entity_type: DefinedTerm
- entity_name: Zuzahlungsbefreiung
- topic_slug: co-payment-exemption
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- source_url: https://salusmax.de/en/pfle-xikon-1/z
- brand: salusmax.de
- date_modified:
- language: en
- attributes_count: 6
- related_count: 1
- sources_count: 1
- schema_version: 3