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Private Patients

Here you will find all relevant details regarding treatment costs, billing procedures, and other important aspects for privately insured patients.
Patient Information
Patient Information

Billing and Fee Framework

In my practice, the costs for speech therapy services are based on a clear and fair fee framework. For privately insured patients, there are no standardized tariff agreements, which is why a billing range of 1.8 to 2.3 times the highest rate of the statutory health insurance has been established in practice. This approach has been repeatedly confirmed by courts.

A detailed overview of my current fees (price list) can be found here.

In my pediatric speech therapy practice, I base my billing on the established principles of the fee agreement from the GKV-Spitzenverband. For private patients, I charge the 1.8 times rate of the set fees for voice, speech, language, and swallowing therapy. This multiplication factor is common within private honorariums and is based on the individual quality of service, time commitment, and specialization of my practice.
  • The compensation agreement for 2025 under § 125 SGB V can be downloaded as a PDF (German) directly from the GKV-Spitzenverband.

What Does This Mean for You?

The costs for your speech therapy treatment will be calculated based on the services provided. Upon request, you will receive a cost estimate before the therapy begins, which you can submit to your private health insurance. Please note that reimbursement policies may vary depending on the insurer. I recommend that you check with your insurance company in advance for the exact terms and conditions.

Reimbursement Eligibility

Many private insured individuals wonder whether and to what extent their insurance covers the costs for speech therapy services. Generally, most private health insurances recognize and reimburse speech therapy services. However, it is important to clarify in advance which conditions your insurance imposes and which rates have been agreed upon.

Civil Servant Allowance

For beneficiaries of the civil servant allowance the reimbursement is based on the maximum rates of the allowance. The 1.8x rate is typically within the reimbursable range. If you have any uncertainties, I am happy to assist you in understanding the allowance requirements and ensuring the costs are billed correctly.

Process of Cost Reimbursement

  • Submit cost estimate: Submit the cost estimate provided by me to your private health insurance to clarify coverage.
  • Start therapy: After approval from your insurance, we will begin the therapy.
  • Invoicing: You will receive a detailed invoice from me for the services provided, which you can submit to your insurance.
  • Reimbursement: The reimbursement will be processed according to the terms and conditions of your private health insurance.

10 Benefits for Private Patients in My Practice

In my practice, you will receive therapy tailored to the specific needs of your child. We create a trusting and respectful atmosphere that focuses on treating each child and their family with appreciation. With my expertise in pediatric speech therapy and my specialization in supporting children on the autism spectrum, I offer holistic care that considers not only language development but also social and emotional growth.

  1. Individual Therapy Approaches: In my practice, I offer tailored speech therapy approaches specifically designed for children with speech development disorders or Autism Spectrum Disorders (ASD). Each treatment is individually planned to achieve the best possible progress.
  2. Multilingualism as a Strength: As a multilingual therapist, I can overcome a variety of language barriers and specifically address the needs of children growing up in a multilingual environment. This is especially important for families who speak multiple languages, to support language development without additional obstacles.
  3. Specialization in Autism Spectrum Disorders (ASD): With my experience and expertise in speech therapy for children with ASD, I offer a targeted approach that addresses both the linguistic and communicative needs of these children. I work closely with families and professionals to achieve the best outcomes.
  4. Transparent and Fair Billing: As a private patient, you benefit from transparent and fair billing. I base my fees on the recognized compensation agreements and provide you with a detailed invoice that you can submit to your private health insurance for reimbursement. For your peace of mind, I can provide a clear cost estimate in advance, if desired.
  5. Comfortable Environment: In my practice in Berlin-Tempelhof, I create a relaxed and trusting atmosphere that allows your child to feel comfortable and secure. This not only promotes motivation but also contributes to the success of the therapy.
  6. Flexible Appointment Scheduling: I understand that scheduling can often be challenging for parents. That’s why I offer flexible appointment times tailored to the needs of your family. I also strive to accommodate last-minute changes as best as possible.
  7. Close Collaboration with Parents and Professionals: Especially when working with children from the autism spectrum, close collaboration with parents and other professionals such as educators or doctors is of great importance. I am always committed to maintaining an open dialogue and incorporating all relevant information into the therapy.
  8. Modern Therapy Approaches and Ongoing Professional Development: I rely on the latest scientifically backed methods and continuously expand my expertise through further education and specialized workshops. This means your child benefits from the latest insights and innovative approaches.
  9. Long-Term Therapy Planning: Unlike many short-term solutions, I focus on a long-term and sustainable improvement of your child's language and communication skills. I take into account the entire developmental process and the child’s needs over time.
  10. Confidentiality and Discretion: Protecting your privacy and handling your data confidentially is a matter of course for me. You can trust that all information and documents will be treated with the utmost care and discretion.
FAQ

Frequently Asked Questions from privately insured patients

How much does therapy cost for private patients?
The costs are based on 1.8 times the rate of statutory health insurance. You will receive a cost estimate before the therapy begins.
Will my private health insurance cover the therapy?
It depends on the terms of your insurance. Please clarify coverage with your insurer in advance.
How do I receive a cost estimate?
After an initial consultation and determining the therapy needs, I will provide you with a detailed cost estimate.
Do I need a doctor's prescription for speech therapy?
Generally, yes. Please discuss this with your general practitioner or pediatrician.
What happens if my insurance doesn't cover the full cost?
Many private health insurance companies fully reimburse my fees. Cases where this is denied are still the exception. However, I recommend challenging any unjustified reductions. Insist on fulfilling the contractual terms if 100% coverage is agreed upon.
Can I access therapy without insurance?
Yes, self-payers are welcome in my practice. The costs are also based on 1.8 times the statutory health insurance rate.
Is there a minimum number of sessions?
The number of sessions is determined individually based on your child's needs. We will discuss this in detail during the initial consultation. A doctor's prescription typically covers ten therapy sessions. Prescriptions can be reissued if medically and therapeutically necessary.
What payment methods are accepted?
The invoice can be paid via bank transfer. Details will be provided on your invoice.

I hope the information above has provided you with a good overview of billing and reimbursement in my practice. However, as every child and family situation is unique, not all individual questions can be answered in general terms. If you have further questions or would like a personal consultation, I warmly invite you to get in touch with me. Together, we will find the optimal solution for your child.

Simply contact me by phone or email, and we will schedule an appointment for a personal consultation. I look forward to welcoming you and your child to my practice!

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