Do you have any questions? We have the answers
FAQs – everything you want to know about spas
How do I even get to a spa?
You can find spa treatment options and detailed instructions on how to get to a spa on our website, in the section for the public – how to apply for care.
What is the difference between a basic and a repeat stay covered by health insurance under the current legislation?
The main difference is in the indication for repetition and frequency of treatment, where a basic stay is the first stay for a given indication, while a repeat stay is a subsequent stay and may be covered at shorter intervals than the basic stay (e.g. once every two years, depending on the indication). The length of stay may vary depending on whether care is comprehensive or contributory.
What is the difference between a comprehensive stay and a contributory stay?
Under the comprehensive spa care (CmSC) scheme, patients are reimbursed for treatment, accommodation and meals at a spa. The conditions under which this care can be used are specified by law, i.e. the Indication List. It distinguishes between 11 indication groups (types of illnesses) that are treated at spas. Patients receive CmSC during sick leave. The second option is contributory care, where insurance companies only cover treatment and patients pay for accommodation and meals themselves, using their annual leave allowance for the stay.
In which cases will the health insurance company pay for transport to and from the spa?
Under the CmSC scheme, transport to and from a spa facility is covered by the health insurance company only if, according to the attending physician who prescribes the transport, the patient's health does not allow for transport by normal means without the use of medical transport services.
What about reimbursement for a person accompanying a patient?
The health insurance company will only cover the cost of an accompanying person staying with the patient during CmSC if its necessity is confirmed by the health insurance company's reviewing doctor (on the recommendation of the attending physician). This approval is necessary because this is a non-standard situation that must be based on the patient's specific medical condition or age (for children under 6 years of age).
How do I know if I qualify for a spa with my diagnosis?
You can find out whether your diagnosis is included in the Indication List, which regulates the conditions for receiving covered spa care, from your general practitioner or attending physician (outpatient specialist). And, of course, by looking at the Indication List itself, which you can find here.
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