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Paid too much for medication? Exemption from co-payments

Prescription fees, co-payments for aids, hospital daily rates: with chronic illness in particular, this adds up. But there is an upper limit: above the burden limit you no longer have to make any co-payments in the calendar year.

Reach your next steps and the matching ready-made texts in just a few minutes, free of charge:

Apply for exemption

Your chances of getting your money back

Your co-payments are capped at 2 % of your annual gross income, and at 1 % for the chronically ill (§ 62 SGB V). Once the limit is reached, the health insurer exempts you from further co-payments for the rest of the calendar year.
The co-payments of the whole family count together; certain allowances for family members are deducted from the income. Important: keep the receipts.

What you should do now

  1. 1

    1. Collect receipts

    Keep all co-payment receipts for the year (pharmacy, remedies and aids, clinic).

  2. 2

    2. Calculate the limit

    2 % (or 1 % for the chronically ill) of your annual gross income, minus family allowances.

  3. 3

    3. Apply for the exemption

    Once the limit is reached, apply for the exemption from your health insurer (enclose the receipts).

  4. 4

    4. Reclaim overpayments

    If you have already paid too much over the year, the insurer refunds the excess amount.

Frequently asked questions

From when do I no longer have to make co-payments?

As soon as your co-payments in the calendar year exceed 2 % of your gross income (1 % for the chronically ill), you are exempt for the rest of the year (§ 62 SGB V). The co-payments of the entire family living in the household count together, minus certain allowances.

Do I get overpaid co-payments back?

Yes. If you have already paid more than your burden limit during the year, the health insurer refunds the amount above it when you submit the receipts. So collect all receipts and apply for the exemption in good time.

Take action now

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

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.