Antrag auf Kostenerstattung - Behandlung im Ausland 2025

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling in your personal information, including your name and insurance number. This is crucial for processing your request.
3. Indicate the country of treatment and the reason for your stay abroad, selecting from options like private, professional, or targeted treatment.
4. Provide details about your diagnosis and any affected body parts. This information helps clarify the medical necessity of your treatment.
5. Specify whether the treatment was due to an accident and if you presented a European Health Insurance Card or foreign health certificate.
6. For each invoice related to your treatment, fill in the date, time, location, type of treatment (e.g., examination, X-ray), and whether it was outpatient or inpatient.
7. Complete the payment details section with your bank account information for reimbursement. Ensure all original invoices are attached as required.

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