costs of the therapy
The cost of psychotherapy depends on your insurance coverage. We provide treatment for self-paying clients, privately insured clients, people eligible for civil service benefits, and those with statutory health insurance.
People with statutory health insurance (gesetzliche Versicherung)
People with statutory health insurance (gesetzlich Versicherte) are generally entitled to have the costs of psychotherapy covered by their health insurance (Krankenkasse). Since our practice currently cannot bill through a regular insurance panel contract (Kassensitz), access to treatment depends on whether cost coverage can be applied for in individual cases through the reimbursement procedure (Kostenerstattungsverfahren).
Cost reimbursement
If you do not find a therapy place (Therapieplatz) in time at a practice with an insurance panel contract (Praxis mit Kassenzulassung), treatment may be possible under certain conditions through the cost reimbursement procedure (Kostenerstattungsverfahren). In that case, a few steps are required as proof for the health insurance fund (Krankenkasse).
Important steps:
- Document the search for a therapy place at practices with an insurance panel contract (Praxen mit Kassenzulassung). You should note the name, contact details, date, and response.
- Call the Appointment Service Center (Terminservicestelle) at 116117 and attend a psychotherapeutic consultation (psychotherapeutische Sprechstunde). There you will receive the PTV-11 form (PTV-11-Formular).
- If you are already receiving medical or psychiatric treatment (ärztliche oder psychiatrische Behandlung): obtain a certificate of urgency (Dringlichkeitsbescheinigung) and a referral report (Konsiliarbericht).
- Submit an application to the health insurance fund.
If this option is suitable for you, please write to us. We will be happy to support you and send you templates and forms for the individual steps..
Privatversicherte und Beihilfe
If you are privately insured (privat versichert) or eligible for civil service benefits (beihilfeberechtigt), the costs of psychotherapy can in many cases be covered in full or in part. Billing is based on the fee schedule for psychotherapists (Gebührenordnung für Psychotherapeuten, GOP).
Since private insurance plans and civil service benefit rules (Beihilferegelungen) can vary, it is advisable to check with your insurance provider or benefits office (Beihilfestelle) before starting treatment to find out which documents are required and to what extent the costs will be covered.
We are happy to help with the required documents. The invoice will be issued in your name, and you then submit it to your private health insurance (private Krankenversicherung) or benefits office (Beihilfestelle).
Self-paying clients
The costs can also be paid privately. They are not set freely, but are based on the fee schedule for psychotherapists (Gebührenordnung für Psychotherapeuten, GOP).
The advantage of self-payment (Selbstzahlung) is that no applications have to be submitted to a health insurance fund (Krankenkasse) and treatment can be arranged directly. Before treatment begins, we discuss the expected costs.