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Emergency

Sick pay stopped after an MD assessment: how to fight back

The health fund often relies on an assessment by the Medical Service (MD) to stop sick pay. You do not have to accept that: you can object within one month. What matters is being continuously certified sick so that the claim does not break off.

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Your chances of getting your money back

Against the stopping of sick pay you can object within one month (§ 84 SGG). What is decisive is your incapacity for your specific job, the MD assessment is only an estimate that is attackable.
Pay attention to seamless sick certification: have yourself certified again in time (on the last day of the current incapacity, at the latest on the next working day), otherwise the claim can be lost, regardless of the objection.

What you should do now

  1. 1

    1. Get seamless sick certification

    Make sure the follow-up certificate connects seamlessly. Even one day's gap can endanger the sick pay claim.

  2. 2

    2. Lodge an objection

    Object to the decision on time in writing and refer to your continued incapacity for work.

  3. 3

    3. Collect certificates

    Submit current medical findings that prove your incapacity for your job.

  4. 4

    4. Consider urgent legal protection

    If a financial emergency threatens, an urgent application to the social court can make sense. Get support if needed.

How to spot the scam

  • The follow-up sick certificate does not connect seamlessly.
  • The MD assessment judges a blanket 'fitness for work' without reference to your job.
  • The fund pushes for a rehabilitation application without explaining the consequences.

Frequently asked questions

Can the fund simply cut my sick pay?

Only by a decision, against which you can object within one month (§ 84 SGG). If it relies on an MD assessment, that is an estimate that you can attack with medical findings about your incapacity for work.

Why is seamless sick certification so important?

Because the sick pay claim is tied to the medically established incapacity for work. If the certification breaks off even one day, the claim can be lost. Have yourself certified again in time, this is separate from the objection.

What if I urgently depend on the money?

Then, alongside the objection, an urgent application to the social court can be an option so that payment continues provisionally. In case of a threatened emergency, get support, for example from a social advice service.

Take action now

We put together the ready-made texts and the right places to contact for you.

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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.