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What does the treatment of childlessness cost, and who pays for it?

We recommend that privately insured persons find out from their private insurance who assumes the costs before treatment starts.

Statutory health insurance companies assume the entire costs of the diagnostic procedures for finding the reason of the infertility.

In the wake of the Health System Modernisation Act (Gesundsheitssystem-Modernisierungs-Gesetz, GMG), since 1.1.2004, persons insured with statutory health insurance must assume 50% of the treatment costs themselves. The statutory health insurance companies usually take over 50% of costs for a limited number of treatment cycles, but only if both spouses are insured in a statutory health insurance company.


The following requirements must be met on the part of the couple who wants a child:

  • Partners are married to each other
  • Minimum age of woman and man 25 years
  • Maximum age of woman 40 years, maximum age of man 50 years
  • After sterilisation as a rule no benefits for medically assisted fertilisation may be claimed.
  • Negative HIV test for woman and man
  • A treatment plan must exist that is approved by the statutory health insurance companies.

As part of the treatment of childlessness there is the option to have the following additional medical services performed, whose costs are not covered by the health insurance companies.

 

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