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Health app on prescription (DiGA): entitlement and prescription

Digital health applications (DiGA), tested health apps, can be covered by the statutory health insurer. This usually requires a medical prescription or approval by the insurer when the indication is proven. This is how you get the app free of charge.

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Your chances of getting your money back

Insured persons are entitled to be provided with tested digital health applications (DiGA) that are listed in the official directory (§ 33a SGB V). The costs are covered by the health insurer.
You usually get access through a medical or psychotherapeutic prescription or through an application to the insurer with proof of the matching indication.

What you should do now

  1. 1

    1. Find a suitable DiGA

    Check the official DiGA directory to see whether there is a reimbursable app for your indication.

  2. 2

    2. Get a prescription

    Have the DiGA prescribed by a doctor or psychotherapist, or apply for it with proof of the indication at the insurer.

  3. 3

    3. Request an activation code

    Submit the prescription to the insurer and receive an activation code for free use.

  4. 4

    4. Object if refused

    If the insurer refuses, you can lodge an objection within one month and prove the indication.

How to spot the scam

  • You pay for a health app yourself even though it would be reimbursable as a DiGA.
  • The insurer refuses without a concrete justification.
  • The indication is not sufficiently proven.

Frequently asked questions

What is a DiGA?

A digital health application, a tested health app that is listed in the official DiGA directory. Insured persons are entitled to be provided with it, and the costs are covered by the statutory health insurer (§ 33a SGB V).

How do I get an app on prescription?

Usually through a medical or psychotherapeutic prescription or through an application to your insurer with proof of the matching indication. With the prescription you receive an activation code from the insurer.

What if the insurer refuses?

You can lodge an objection within one month and prove the medical indication. Make sure the desired app is listed in the DiGA directory and is intended for your indication.

Take action now

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General information for self-help, not legal advice (RDG). In case of a high loss or uncertainty: contact a consumer advice center or a lawyer.