Reimbursement by Statutory Health Insurance

Integrated Care Bahn BKK & MeineMKK

We participate in the integrated care programs of Bahn BKK and MeineMKK. Our practice has special contracts with these health insurance providers. This allows us to offer therapy appointments quickly and without bureaucratic delays, as cost coverage is already regulated by the agreements.

Publicly Insured Patients (GKV)

In exceptional cases, billing is handled via the reimbursement procedure. This means you may receive a therapy slot in our private practice if you urgently need psychotherapy and are unable to find a timely appointment with several therapists covered by statutory health insurance.

In principle, statutory health insurers cover the costs of psychotherapy when there is a medical indication — meaning you are suffering from a mental illness and the therapy is provided by a contracted therapist with public authorization. Despite rising demand, no new public slots are being created in Berlin. Nevertheless, insurers are obligated to provide psychotherapeutic services when needed. If you cannot find a timely appointment with a contracted therapist in an urgent case, you may apply to your insurer for reimbursement of psychotherapy in a private practice.

The following steps have proven effective when applying for reimbursement:

1. Appointment service centers and initial consultation

Contact the appointment service center of the Association of Statutory Health Insurance Physicians or schedule an initial psychotherapeutic consultation with a contracted therapist. There, the need and urgency for treatment will be evaluated and confirmed using form PTV 11.

2. Contact your health insurance provider

Ask your health insurance provider whether they can recommend contracted therapists who can offer not only an initial consultation but also ongoing therapy. Clarify under which conditions your insurer will approve reimbursement. If you encounter blanket or unlawful rejections, consider consulting a lawyer specialized in this area.

3. Rejection log

Keep a record of your attempts to find a therapy spot with contracted therapists. Note the date, type of inquiry, and responses received.

4. Schedule an appointment with us

If your search for a contracted therapist remains unsuccessful, you are welcome to contact us to arrange an introductory session.

5. Urgency certificate

Ask your treating physician for a certificate confirming the urgent need to start psychotherapy. This confirms that a longer waiting period is no longer reasonable.

6. Application

We will support you in submitting your application. Note the deadlines: The insurer must respond within 3 weeks (initial sessions) or 5 weeks (therapy application). After that, approval by default may apply.

Once approved by your health insurance provider, we can begin with the probatory sessions.