Leistungen A-Z

Women insured under the statutory health insurance scheme are entitled to midwife assistance during pregnancy, during and after childbirth, in addition to the right to medical care. Midwifery assistance comprises the services provided during pregnancy and childbirth by a state-certified and accredited midwife or maternity nurse. The provision of services is regulated by the midwife assistance contract.

Midwifery assistance includes:

• Maternity care and antenatal care services,
• obstetrics,
• services during the puerperium up to 12 weeks after birth and
• other services, such as counselling for the mother in the event of breastfeeding difficulties or regression gymnastics with instruction in a group.

Midwifery assistance can be claimed during pregnancy and up to 12 weeks after delivery (exception: counselling of the mother in case of breastfeeding difficulties or feeding problems of the infant).

Midwifery assistance is provided to insured persons as a benefit in kind, i.e. midwives bill the health insurance funds directly. Only services that are regulated in the midwives' remuneration schedule can be billed.

Insured children are also entitled to midwife assistance if they cannot be cared for by the insured, e.g. in the case of adoption, death or absence of the mother due to illness.

Notice:If you have private health insurance, you should clarify the coverage of costs with your insurance company before making use of the service.

Contact

• Your health insurance fund

existing insurance relationship

None

None

• Contact the midwife of your choice directly.
• If you are a member of a statutory health insurance fund, you must present your health insurance card.
• The midwife will settle with your health insurance company.
• If you are a member of a private health insurance company, you should clarify the coverage of costs with them beforehand.

The responsibility lies with the respective health insurance company.

• Joint circular of the social security institutions (GR v. 6.12.2017-II)

• § Section 15 of the Maternity Protection Act (MuSchG) - Other benefits
• § Section 24c of the Fifth Book of the German Social Code (SGB V) - Benefits for pregnancy and maternity
• § Section 24d of the Fifth Book of the German Social Code (SGB V) - Medical care and midwife assistance
• § Section 24f of the Fifth Book of the German Social Code (SGB V) - Childbirth
• § Section 134a of the Fifth Book of the German Social Code (SGB V) - Provision of midwifery assistance
• Midwife remuneration agreement (Annex 1 to the contract in accordance with Section 134a SGB V), C. Services during the puerperium

You can obtain further information from your statutory or private health insurance and from the German Association of Midwives.

Further information for the state of Bremen:

The Senator for Health, Women and Consumer Protection