If illness is due to an accident at work, it is not the health insurance company but the accident insurance provider, i.e. the employer‘s liability insurance associ- ation, which bears the costs of the treatment. A work- related accident is also an accident that happens on the way to work or home from work.
In such a case, please inform the doctor or the hospital that this is a work-related accident, so that they can invoice accordingly. You will not need to present your health card in this case. If it later becomes evident that this was not a work-related accident, the employers‘ liability insurance association will settle with the health insurance fund. In addition, you are also obliged to immediately inform your employer of the accident, as the latter must submit a corresponding notification to the employer‘s liability insurance association.
If a treatment is to be charged to the accident insu- rance provider, the employee does not have to bear any excess. The costs are always covered in full. This is a fixed charge for some services, however. If these are exceeded in consultation between the doctor and patient, the patient must bear the excess themselves.