
Verfahrensbeschreibungen
Apply for medical rehabilitation
Medical rehabilitation (rehab) refers to measures to restore, improve and maintain health after an illness, an operation or an accident. Medical rehabilitation measures are generally carried out in preventive care or rehabilitation centres with which the responsible insurance provider has concluded a care contract.
Rehabilitation can help you to avoid the permanent onset of a disability or need for care or to cope better with the consequences of your illness. In this case, your health insurance fund will cover the costs.
If rehabilitation is intended to restore your ability to work, medical rehabilitation benefits are provided by the pension insurance fund.
In the event of an occupational illness or accident at work, accident insurance is the responsible service provider.
The services can be provided on an inpatient basis, but increasingly also on an outpatient basis for the whole day and last around three weeks. They can be shortened or extended if medically necessary.
The most common illnesses requiring rehabilitation include
- Joint and spinal disorders
- Diseases of the cardiovascular system
- mental illnesses
- Cancer
The health insurance fund is responsible for special forms of preventive care or rehabilitation such as mother or father-child treatment or geriatric rehabilitation.
Preference and right to choose
You are welcome to tell your insurance provider (health insurance, pension insurance, accident insurance, etc.) about your wishes for a particular rehabilitation centre. Your insurance provider will check whether these wishes can be honoured. Your personal life and family situation will also be taken into account.
However, it is always important that the rehabilitation goal can be achieved in the rehabilitation centre you have chosen with the same effect and in the same quality as in the centre your insurance provider would have chosen.
Health insurance: If there is no sufficient reason for you to choose a more expensive facility, you can still select it if it is medically suitable and has a care contract. In this case, you will have to pay up to half of the additional costs to the health insurance company yourself. The statutory co-payment must be made to the rehabilitation centre regardless of this.
Responsible department
- for the medical recommendation: Your attending physician or . Doctor.
- for the application for medical rehabilitation services:
- for employees with pension insurance: the statutory pension insurance scheme
- for rehabilitation measures following an accident at work or due to an occupational disease: the accident insurance fund or the employers' liability insurance association
- for persons injured in military service or war and victims of violence: the pension office (district office)
- for all persons insured with a statutory health insurance fund (unless another of the institutions listed below is responsible): their health insurance fund
- Persons who have neither pension nor health insurance, but are considered to be in need within the meaning of the Social Assistance Act: the social welfare office
Sozialamt,- if you live in an urban district: the municipal administration
- if you live in a rural district: the district administration
Despite the division into different areas of responsibility, all rehabilitation providers (e.g. health, pension, accident insurance and social compensation organisations) are obliged to work closely together. The contact centres for rehabilitation and participation provide barrier-free information for beneficiaries and employers.
Details
Prerequisite
- Medical recommendation/prescription
- Fulfilment of the waiting period (depending on the reason and the rehabilitation provider)
As a general rule, if you have already received inpatient medical rehabilitation services, you are only entitled to them again after a period of four years. The waiting period for outpatient measures is three years. If an earlier medical rehabilitation service is medically urgently required, you can also apply for a new rehabilitation measure earlier.
Procedure
The doctor will confirm his recommendation for medical rehabilitation services on a form.
- You submit this form together with the application for rehabilitation to the relevant office. You will also receive the application forms there.
- The responsible rehabilitation organisation can order a physical examination to check your entitlement to medical rehabilitation benefits.
- After checking your entitlement, the competent rehabilitation organisation will approve or reject your application for medical rehabilitation benefits.
Deadlines
none
Required documents
- Form with medical recommendation
- Application for medical rehabilitation
Costs
For the application procedure: none
For information on co-payments for inpatient medical rehabilitation measures or outpatient medical rehabilitation measures, please contact the relevant funding organisation (health insurance fund or pension insurance fund, etc.) directly.
Medical rehabilitation measures provided by the accident insurance provider are free of co-payments.
Miscellaneous
none
Legal basis
Sozialgesetzbuch (SGB) Fünftes Buch (V ) - Gesetzliche Krankenversicherung:
- § 27 Krankenbehandlung
- § 40 Leistungen zur medizinischen Rehabilitation
- § 41 Medizinische Rehabilitation für Mütter und Väter
- § 61 Zuzahlungen
- § 111 Versorgungsverträge mit Vorsorge- oder Rehabiltationseinrichtungen
Sozialgesetzbuch (SGB) Sechstes Buch (VI ) - Gesetzliche Rentenversicherung:
- § 9 Aufgabe der Leistungen zur Teilhabe
- § 13 Leistungsumfang
- § 15 Leistungen zur medizinischen Rehabilitation
- 17 Leistungen zur Nachsorge
- § 20 Anspruch
- § 21 Höhe und Berechnung
- § 28 Ergänzende Leistungen
- § 31 Sonstige Leistungen
- § 32 Zuzahlung bei Leistungen zur medizinischen Rehabilitation und bei sonstigen Leistungen
Siebtes Buch Sozialgesetzbuch - Gesetzliche Unfallversicherung:
- § 1 Prävention, Rehabilitation, Entschädigung
- § 26 Grundsatz
- § 33 Behandlung in Krankenhäusern und Rehabilitationseinrichtungen
Release note
Machine generated, based on the German release by: Sozialministerium Baden-Württemberg, 23.05.2025