A newspaper snippet is doing the rounds claiming that asylum seekers have private insurance and therefore enjoy all the benefits. However, that is not true!
This is obviously a letter to the editor, although it is still unknown which newspaper it comes from. The statement that asylum seekers are generally not entitled to statutory health insurance is correct. However, that does not necessarily make them private patients. The benefits are regulated according to §4 AsylbLG and require individual approval.
(Screenshot: Facebook. Note: Name redacted)
It basically works like this: An asylum seeker first goes to the social welfare office. This will issue a corresponding approval in writing, provided that the service can be approved. Due to a very general explanation in the law, exactly when this is is at the discretion of the office, although of course it cannot decide at its whim , but must follow a clear line. This is what the constitutionally protected principle of equality says, which also applies to such administrative acts.
With this treatment certificate, the affected person goes to the doctor. The medical service is provided there and then billed to the social welfare office. The benefits according to AsylbLG are far below the average scope of private health insurance. In some countries it is also possible for the GKV to be billed, whereby the GKV gets the money back from the social welfare office. The exact transfer of services is sometimes regulated differently and cannot be generally clarified.
After a waiting period of 15 months, benefits under the AsylbLG and thus also benefits in the event of illness generally cease to apply and benefits under SGB XII are paid.
This means that insurance is also provided through statutory health insurance. Of course, it is also possible for an asylum seeker to be a private patient. A private patient is also someone who pays for their own medical care, even in individual cases. Germans are also entitled to this within Germany, for example for treatments from doctors and specialists that are not covered by the statutory health insurance provider.
These include, for example, tartar removal, provided at least one has already been billed to the GKV in the same year, as well as certain psychiatric or psychotherapeutic treatments. You have to pay these yourself, which an asylum seeker can of course also do. As with every German, you of course have to have change because it is non-refundable.
Notes:
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