Assistive products are prescribed by a doctor. Ideally, there should be consultation between the doctor, therapist and/or nursing staff, specialist medical supply retailer or assistive technology consultant and the person concerned.
The required assistive products should be described as precisely as possible on the prescription and any special functions required should also be described. It is also recommended that the doctor explains the necessity of the prescription in more detail on the prescription. The SHI-assistive product number for the specific product (if available) or an example product should also be listed.
Assistive products are among the mandatory benefits covered by statutory health insurance (GKV). They are not relevant to doctors' budgets and no reference values (monetary value of assistive products that a doctor can prescribe per quarter and patient) have been set for assistive products.
An entitlement to the provision of assistive products by the health insurance fund does not automatically arise from the prescription by a doctor! This is because the principle of the obligation to provide benefits is that the care must be economical, satisfactory, necessary and appropriate (see Section 12 SGB V). In addition, it must not be an item of daily use.
The statutory health insurance funds regularly approve assistive products that are listed in the Statuatory Health Insurance's Medical Technical Aids Register, provided that all the necessary requirements are met.
Important note on the medical technical aids register: As confirmed by various court rulings, however, the Statuatory Health Insurance's Medical Technical Aids Register is not exhaustive, but is merely an orientation and interpretation aid! It is therefore also possible for assistive products that are not listed in the Statuatory Health Insurance's Medical Technical Aids Register to be covered by the statutory health insurance funds. In this case, the treating physicians must usually provide detailed justification for the prescription.