a hip prosthesis (hip-Tep) or knee prosthesis (knee-tep) means returning to mobility, independence and quality of life. In Germany, legally insured persons were treated almost exclusively in public clinics, while private clinics were reserved for private patients. But this condition changes: More and more health insurance patients are given access to highly specialized private clinics such as the Curaparc Clinic Mainz or the Lilium Clinic in Wiesbaden .

In this article you will learn everything about the legal basis, the procedure of the individual cost transfer , concrete advantages over treatment in public hospitals, and why the Curaparc-Clinic Mainz under the direction of Prof. Dr. med. Karl Philipp Kutzner is the first choice for legally insured persons.

What is an individual assumption of costs?

The transfer of individual costs enables legally insured persons to be treated in a private clinic without having to pay for the medical costs of the operation even. The patient submits an application to his health insurance company to cover the treatment costs in a non -contract medical institution. If this application is approved, the cash register pays the complete operation if the costs are comparable to those of a contract hospital.

The endoprostheticum has built up a comprehensive expertise in dealing with this application process over the past three years. The clinic actively supports patients in the wording and submission of the documents. Many statutory health insurance companies are increasingly becoming open to this form of care and approving the coverage of treatment costs without restrictions.

Legal basis for the individual cost transfer

The legal basis provides §13 SGB V. This paragraph enables the reimbursement of costs in special exceptional cases , for example if the waiting time in a regular hospital is not medically justifiable or if specialized service providers can be expected better results. §73 SGB V (special care) and judgments of the Federal Social Court also strengthen the position of patients.

Step-by-step instructions for the application

1. Specialist indication through an orthopedic surgeon or trauma surgeon
2. offer or cost overview of the private clinic
3. the comparison costs of a regular hospital
4. Reason : medical necessity, e.g. B. long waiting times, complex intervention
5. Application to the health insurance company with documents
6. Wait to wait or object

The advantages of private clinics for legally insured persons

• Planning security : fixed surgery dates without short-term cancellation
• Fast appointments : Operation often within a few weeks
• Specialized teams : often more experienced surgeons
• Individual support : Chief physicians personally look after
• Modern equipment : z. B. navigation systems, robotics

The problems of public hospitals in endoprosthetics

Many public clinics suffer from:

• Lack of personnel
• OP failures due to emergency overload
• Having months
• High fluctuation in nursing staff
• increasing frustration in patients and relatives

Endoprosthetics are particularly crucial because many patients live with pain for months.

The advantages of private clinics in endoprosthetics for society

The integration of specialized private clinics in the supply of legally insured can also develop positive effects in a society as a whole. It relieves public hospitals, reduces waiting lists and ensures more efficient use of existing resources. This type of care offers a valuable addition, especially in times of increasing personnel bottlenecks and overload of the clinics. the quality standard and improves patient satisfaction in the entire health system .

• Fast appointments : Operation often within a few weeks
• Specialized teams : often more experienced surgeons
• Individual support : Chief physicians personally look after
• Modern equipment : z. B. navigation systems, robotics

The Curaparc-Clinic Mainz: Endoprosthetics at a top level

The Curaparc clinic in Mainz is under the direction of Prof. Dr. med. Karl Philipp Kutzner , one of the leading specialists for hip and knee prosthetics in the Rhine-Main area. As a certified endoprosthesis center, the endoprostheticum :

• Minimally invasive surgical techniques
• Modern implants with long durability
• Individual patient planning
• Exact prosthetic positioning using navigation
• consistent follow -up treatment

Endoprosthetics in the renowned Lilium Clinic in Wiesbaden

In addition to Curaparc-Clinic, Prof. Dr. Kutzner also in the renowned Lilium Clinic Wiesbaden , another state-of-the-art private clinic in the Rhine-Main area. There, too, law insured persons benefit from his expertise as part of the individual cost transfer. The Lilium Clinic also offers excellent infrastructure, short waiting times and individual care - and thus stands for first -class endoprosthetic care at the highest level.

The role of the endoprotherapeuticum

The Endo rehab takes place directly on the Curaparc campus. There, patients are mobilized by specialized rehabilitation therapists immediately after the operation. This guarantees seamless transitions without transport stress and ensures measurably better rehabilitation results.

Experience reports from health insurance patients

Numerous legally insured persons report positive experiences:

• "After months of waiting in the university hospital, finally help"
• "Finally a doctor who took the time"
• "After two weeks I was back on my feet"

Economy and fairness

The private clinics ensure that the treatment costs correspond to the public sentences in order to facilitate an individual cost. Only election services such as single rooms or chief physician contract are subject to a fee.

Conclusion:

Legally insured persons can also benefit from the excellence of a private clinic today. The Curaparc clinic Mainz and the Wiesbaden Lilium Clinic offer outstanding quality, short waiting times and human care in endoprosthetics. This path can be realized for many by the procedure of the transfer of individual costs.

We will be happy to advise you in the Endoprostheticum and support you in the application, so that there is little effort for you as a patient. Let yourself be informed individually- for a new quality of life with hip or knee prosthesis. Legally insured can also benefit from the excellence of a private clinic today. 

Let yourself be advised- for a new quality of life with hip or knee prosthesis.