Before we can start, it is important that the necessary conditions are met. Unfortunately, it is not possible to do without bureaucracy entirely.
In the following list, we have compiled all the important information for you, including information on the assumption of costs for your fertility treatment.
- Positive rubella immune status
- Negative HIV and hepatitis status in both partners.
Requirements according to Social Code Book V for SHI patients:
- Only married couples can be covered. Entitlement begins at the age of 25 and ends for women at the age of 40 and for men at the age of 50.
- Before treatment begins, a treatment plan must be submitted to the health insurance company for approval.
- The personal contribution varies from one health insurance company to another. Our staff will inform you about the current status.
- Only eggs and sperm of the spouses are used.
- The medical necessity of ICSI must be documented by the doctor. It is only given in cases of male infertility (infertility), possibly in the absence of fertilisation after previous in vitro fertilisation treatment (IVF).
- Prior to treatment, a consultation must have taken place with an authorised institution.
- A maximum of three treatment attempts is possible; previous attempts at artificial insemination are taken into account.
- If spouses are insured with different health insurance companies, the respective health insurance company will assume the costs of the measures/examinations for the spouse who is insured with it.
Costs of cryopreservation are usually not covered.
Cryopreservation of egg and sperm cells as a SHI benefit - Federal Joint Committee decides on guidelines
The Federal Joint Committee (Dept. of Methods Evaluation) has adopted the guideline for the assumption of costs for fertility-protective measures. Until its final implementation, the opinion of the Evaluation Committee is still required (within 6 months). Until then, a transitional arrangement applies.
The cryopreservation of egg and sperm cells as well as the associated medical measures will in future be a service of the statutory health insurance (GKV) under certain conditions. Therapies can be used in the treatment of diseases where there is a risk that they will impair fertility or lead to its loss. [...]