Taking care of mother-child-cure-request

Health insurance company responsible for application for mother-child cure

05/04/2013

As the mothers' recovery agency states, women applying for a mother and child cure should make sure the application is processed by their health insurance. Only if the earning capacity of the mother is limited, the application would be recognized as a rehabilitation measure by the pension insurance.

Pension insurance is not responsible for mother-child cures
When applying for a mother-child cure, the woman should keep in mind that the health insurance company will not pass the claim on to the pension insurance. If the application is still processed by the pension insurance, mothers should take action against it, advises the mothers recovery plant (MGW). Affected women should immediately contact the pension insurance and inform them that it is not a rehabilitation measure for which the pension insurance would be responsible. The health insurance company is only entitled in the case of a restriction or endangerment of the earning capacity of the mother to forward the application to the pension insurance. In the case of a mother-child, however, the focus is rather on the health problems of women, which arise in connection with parenting due to multiple burdens.

14 percent more mothers and children in spa procedures
According to the annual statistics of the MGW for the past year „is the situation for sick mothers who apply for a course of the MGW, as good as long ago“. Last year, the rejection rate was 19 percent. However, 65 percent of the women affected received a pledge if the mothers were in conflict.

„Our assessment is clearly positive and a success of all political efforts in recent years“, said Marlene Rupprecht, Member of the Board of Trustees and Chairman of the Board of the MGW. It would have „Around 14 percent more mothers and their children are granted a course of health by the health insurance companies“. This trend is also reflected in the expenditure statistics of the statutory health insurance (GKV). Expenditure on preventive and rehabilitation benefits for mothers and mothers with children rose again last year for the first time. They achieved an increase of 15.7 percent and are thus on the level of 2008, the MGW.

Rupprecht criticized that there is still a lack of uniform certificate forms to promote a uniform approach to the application processing. „65 percent success rate in case of contradictions shows that there is still no question of a uniform, uniform procedure for processing applications at the health insurance companies ", says Rupprecht. (Sb)

Also read:
Easier application of mother-child cures
Better chances for mother-child cures
Mother-child cures in danger
Health insurance companies grant fewer and fewer cures
Frequent rejection of mother-child cures

Image: Lucie Kärcher