Psychotherapists information SWICA health insurance

Information for psychotherapists

SWICA is committed to helping customers who have mental health problems by providing them with quick and easy access to psychotherapy from qualified professionals. By including psychological psychotherapy in mandatory healthcare insurance (OKP), the legislator has made it easier for all insured persons to access affordable, quality-assured psychotherapeutic services.

Following a change in the law, SWICA is committed to ensuring a smooth transition in its cover for psychotherapy services from supplementary insurance to basic insurance and will assist psychotherapists in the process. Read more about it here.
Benefits for psychological psychotherapy are covered under mandatory healthcare insurance (OKP). If you are a psychotherapist who meets the prerequisites and is authorised to send invoices in accordance with the Health Insurance Act (KVG) (e.g. you have a valid payment account reference (PAR) number), SWICA will review your invoices in compliance with statutory provisions and reimburse you accordingly.
As psychological psychotherapy will be a mandatory KVG benefit as of 1 July 2022, supplementary insurance will no longer cover such benefits after that date. Under Art. 44 para. 1 KVG (rate protection), it is not permissible to charge amounts above the applicable KVG rates. Benefits for psychological psychotherapy will only be covered by supplementary insurance if the provider has opted out of basic insurance pursuant to Art. 44 para 2 of the Federal Health Insurance Act (KVG).
Please contact your association directly for support with implementing the change and with requesting KVG authorisation / a PAR number in good time.

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