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.

Based on a change in the law that came into effect on 1 July 2022, SWICA aims to seamlessly switch its cover for psychotherapy from supplementary insurance to basic insurance. Please inform your patients about the change in how costs are covered before you provide treatment.
Benefits for psychological psychotherapy will be covered under mandatory healthcare insurance (OKP) as of 1 July 2022. 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.
The legislator has set 31 December 2022 as the end date for making the change from the old to the new model. Until 31 December 2022, cases that do not yet meet the mandatory insurance (KVG) prerequisites will be covered under SWICA's supplementary insurance.

As of 1 January 2023, SWICA will pay KVG benefits solely in accordance with the new model.
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.
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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