If you see a therapist who is approved by your health insurance provider, you will not incur any out-of-pocket costs. The prerequisite is a mental illness that meets the criteria for a medical condition. The prerequisite is a mental illness that meets the criteria for a Disease score. Payment is made for as many hours as are included in the approved Short-term or long-term therapy have been approved.
If you are unable to find a spot within a reasonable amount of time, the reimbursement procedure under Section 13(3) of SGB V may apply: The Health insurance will then cover the treatment with a therapist who is not contracted with a health insurance provider. The request must be submitted and justified before treatment begins. Health insurance providers handle this differently.
Those with private insurance should clarify the scope and terms with their insurance provider in advance, as policies vary significantly.
Self-paying patients are billed according to the fee schedule. For a single session of at least 50 minutes (Item 861), the basic rate is currently approximately 40 euros, the standard rate is 92.50 euros, and the maximum rate is up to 140.76 euros. Fees are not subject to negotiation. Any deviating agreements must be made in writing before treatment begins.
