Apply for exemption from the additional payment in accordance with Section 62 of the Book V of the Social Code

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Section 62 of the Book V of the Social Code regulates the exemption from additional payment to the medical costs for statutory health insurance companies. If you exceed a certain limit, you no longer need to make additional payments in the current calendar year.

An exemption application can be worthwhile.
An exemption application can be worthwhile.

Liberation from the Co-payment According to § 62 SGB V, you must apply to your health insurance company, which will issue you with a corresponding certificate.

Exemption when the limit is reached

  • As an insured person in the statutory health insurance, you only have to make additional payments up to the so-called load limit in the current calendar year, cf. § 62 para. 1 SGB V.
  • If you have already reached this limit within a calendar year, your health insurance company must provide you with a certificate of the Issue exemption from the additional payment according to § 62 SGB V, which you then present, for example, when submitting a prescription to the pharmacy can.
  • The load limit that applies to any statutory health insurance is usually 2% of the gross annual income.
  • However, if you are chronically ill, your limit is only 1% of the gross annual income for living expenses.
    • No health insurance: additional payment to the statutory health insurance upon admission? - Interesting facts about statutory health insurance

    Since the 1st April 2007 there is a regulation in the Social Security Code, which also applies to people ...

    Different regulations apply if you belong to a certain age group and a chronic one Are ill for which there are early diagnosis examinations if you have not taken advantage of them have, cf. § 62 para. 1 SGB V.

Provide evidence of additional payments made

  • With many health insurance companies, you can now determine your individual copayment limit online. This can help you keep track of when to apply.
  • When determining the load limit, your gross annual income - and gross income Of your relatives with whom you live in the same household - added together with the respective additional payments, see. § 62 para. 2 SGB V.
  • You can apply for an exemption from additional payments in accordance with Section 62 of the Book V of the Social Code to Health insurancewith which you are insured. You must submit the relevant proof of income and proof of any additional payments you have already made.

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