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Why you should switch now to Germanys best health insurance fund
Contents
Benefits
TK benets Expect more from us . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5 Prevention and check-ups Health courses, early detection and vaccinations. . . . . . . . . . . . . . . . . 6 TK Bonus programme Healthy living pays off twice . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8 Gentle medicine at TK Natural healing methods and acupuncture . . . . . . . . . . . . . . . . . . . . . . 9 Benets for families Protection for parents and children . . . . . . . . . . . . . . . . . . . . . . . . . . . 10 Coordinated treatment Short waiting times and fast help. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 TK optional plans For your individual insurance protection . . . . . . . . . . . . . . . . . . . . . . . 14 Health for Germany The initiative from Prof. Dr. Dietrich Grnemeyer and TK . . . . . . . . . . 16 Dental benets From check-ups to treatment. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 17 Treatment and rehabilitation In- and out-patient . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 Were there for you from A to Z An overview of the most important benets. . . . . . . . . . . . . . . . . . . . . 20 Advice and service In branch ofces, by telephone, in brochures. . . . . . . . . . . . . . . . . . . Your TK branch ofce on the web Comprehensive online service. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TK Medical and Health Advice Centre Your best choice for all health-related questions . . . . . . . . . . . . . . . . TK Foreign Assistance Security while travelling . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TK Family Telephone Specially for babies, children and adolescents . . . . . . . . . . . . . . . . . Private supplementary insurance plans Exclusive for TK members . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . TK membership Good, better, TK insured! . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Recruit members and win Convincing benets and services . . . . . . . . . . . . . . . . . . . . . . . . . . . . TK advantages Your benets at a glance . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Contact Telephone, internet, e-mail. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Service
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Advice The information presented in this brochure provides only an initial overview of the comprehensive benets and services of Techniker Krankenkasse. The German Code of Social Law and the TK Charter constitute the legal basis. Should there be any changes to this, all previously published editions of this brochure become invalid. You can get detailed information and information tailored to individual cases from our TK-ServiceTeam on 0800 - 285 85 85 (free call in Germany). Imprint Techniker Krankenkasse, Bramfelder Strae 140, D-22305 Hamburg, Marketing and Sales Division, Advertising, Internet, and Editorial Department: Roderich Vollmer-Rupprecht (responsible for the content), Katja Loose; editing and text: McCann; Layout and design: Stefan Mortz; Production: Thomas Jasinski; Lithography: Hirte GmbH & Co. KG, Hamburg; Printing: Frank Druck GmbH & Co. KG, Preetz; Photos: Corbis, Getty Images, Masterle and Picture Press. Updated: January 2009
1. Rang
Ausgabe 7/2008
Krankenkassen, Naturheilverfahren
Benefits
The offers of health insurance funds are not identical in all areas. To show this clearly in this brochure we have labelled the benets and services that go beyond the offers of many health insurance funds with the Leistung und mehr (Benet and more) symbol. As a TK member you benet from these extras.
Health Reform
Starting January 2009 all members of statutory health insurance will be paying the same contribution rate set by the government. No matter in which health insurance fund they are insured. Only when funds are not sufcient are health insurance funds allowed to collect additional contributions from their members. If there are surpluses, they may pay their members bonuses. Thats why in choosing your health insurance fund in the future it will be even more important to compare the benets and services.
Benefits
TK Health Trainer
Would you like to eat healthier, smoke less or get rid of a few extra pounds? The personal TK Health Trainer at www.tk-online.de will help you reach your health-related goals. The TK Health Trainer is available for the topics of tness, nutrition, smoking, diabetes and stress and it can easily be geared towards your personal needs. Thus, the TK Health Trainer can help you, for example, to nd out which type of sport is the best for you. In addition, on request the TK Health Trainer will create your own personal training or diet plan and give you tips on how to keep you cool when under stress.
Vaccinations
Whether for inuenza, diphtheria or tetanus, TK covers the costs for many kinds of vaccinations. And we were the rst health insurance fund to reimburse for immunizations to prevent cervical cancer. Rotavirus vaccination for infants TK is one of the rst health insurance funds to reimburse the costs for oral rotavirus vaccinations. These viruses are the most common cause of acute stomach and intestinal infections in infants. Travel vaccinations TK covers the costs for travel vaccinations (minus any statutory co-payment) for personal travel abroad. This applies to a wide variety of vaccinations such as against cholera, European early summer meningo-encephalitis, yellow fever, hepatitis A and B, Japanese encephalitis, malaria prophylaxis (as tablets), meningococcal meningitis, rabies and typhus.
Tip
New TK benet: U7a In this extra childrens examination doctors already check three-year-olds whether, for example, their language and behaviour is developing in line with their age. Thus TK insured parents can keep an even better eye on the level of their childs development.
Benefits
TK Bonus programme
Watching ones health has always paid off through more energy and a sense of well-being. But living up to ones best intentions on a daily basis is not always an easy thing to do. Thats why TK wants to help you to get motivated again and again. Get involved in our Bonus programme.
Tip
Bonus programme for children The earlier people develop an awareness of health, the better. This is why co-insured children and adolescents can join in on the TK bonus programme. They get their own bonus booklet from TK.
Gentle medicine at TK
A lot of people also prefer natural healing methods as a form of therapy. TK has been offering this option to its members for a long time. Breathing therapy and autogenic training, for example.
1. Rang
Ausgabe 7/2008
Techniker Krankenkasse
Krankenkassen, Naturheilverfahren
Tip
Medications from homeopathy, phytotherapy (herbal medicine) and anthroposophy (spiritual science) are paid by TK, if you choose the new TK Natural Medicine Plan (also see page 14).
Acupuncture
In the worlds largest study on acupuncture conducted to date involving over half a million patients TK and 13 other health insurance funds working in conjunction with Charit in Berlin proved that acupuncture is effective, safe and leads to a long-term improvement in the patients quality of life. This is why for certain indications acupuncture is a health insurance fund benet and available to all TK members with chronic back or knee pain. Read more about natural healing methods and acupuncture at www.tk-online.de.
Supplementary insurance
As an addition to our offerings of gentle medicine we offer you the option of private supplemental insurance from ENVIVAS (more on page 31).
Benefits
Tip
Do you have any questions related to the health of your child? Then simply call our TK Family Telephone. More about his on page 30.
Artificial insemination
Provided that certain conditions are met, TK will cover 50 percent of the cost of artificial insemination for married couples.
Medical check-ups
TK will in addition cover all the costs for all legally prescribed check-ups for children and teenagers (more details on page 7).
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Benefits
Coordinated treatment
An odyssey from doctor to doctor, a lack of coordination between doctors and hospitals, waiting times lasting weeks many patients are familiar with this. To face these weaknesses in the health care system TK has developed new services exclusively for their members as part of coordinated treatment.
Overview of benets
optimally coordinated treatment more transparency and information for the insured member a high standard of medical care shorter clinic stays rehabilitation close to home
In coordinated treatment (also referred to as integrated care) care providers such as doctors, hospitals and rehabilitation centres work closely together, exchange information and coordinate treatment. This makes it possible to avoid duplicated examinations, to more effectively design the course of therapy and to shorten the duration of treatment and all of this at no extra cost to you. In particular, this system has proven itself for complex illnesses requiring different phases of treatment. In order to offer its members the widest range possible TK is continuously developing new ideas for different disease patterns. Youll nd some examples below.
Out-patient operations
Rapid advances in medicine have made it possible for many operations today to be done on an out-patient basis without involving long hospital stays. For children in particular this is a considerable psychological relief because they can go back home on the day of the operation.
Tip
You can make use of these offers for coordinated treatment if you decide on the TK Integrated Care Plan. More information about TK optional plans is on pages 14 and 15.
Depression
By early detection of depression and consistent and individual treatment the health of the person affected can be improved. TK ensures top-quality treatment, especially on an out-patient basis, via reduced waiting times, active integration of the patient in therapy and personal care.
Homeopathy*
TK actively supports the desire of a steadily growing number of members for alternative forms of treatment such as homeopathy. Thats why we are now covering the costs for a variety of homeopathic benets in select German Lnder.
Back pain
With this concept TK is taking a new route in the medical care of patients with back pain. The goal is to prevent pain from becoming chronic by combined physical, behavioural and pain therapy. This improves the patients long-term quality of life.
You can get more information about the new types of care on the internet: www.tk-online.de/koordiniertebehandlung.
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Benefits
TK optional plans
If you lead a health-conscious life you yourself know best what kind of medical care makes sense for you. Thats why with the TK combined plans Techniker Krankenkasse gives you the option of adjusting your insurance protection to meet your personal needs. So you can now, for example, choose to add additional benets or secure a comprehensive travel insurance package without paying one cent for it. We offer you a selection of different plans: TK plans for which you receive additional benets TK plans for innovative forms of care TK plans for which you receive a bonus An overview of the plans:
Tip
The optional plans give you the freedom to adjust your insurance cover to meet your individual needs.
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Benefits
Sport cooperation
The aim of TKs sport cooperation is to motivate fans to become more health conscientious. TK has entered into more than 50 cooperation programmes in different types of sport nationwide, including: Football: Hamburger SV TK has been the health partner of rst division HSV since 2008. TK is particularly concerned with the health of the littlest up-and-coming players. Thats why TK is also involved in the HSV football school. Handball: Hamburger SV, TBV Lemgo and Rhein-Neckar Lwen In the national league competitors in matters of Health for Germany the top clubs in the rst division are on the ball as TK advertising partners.
Road tour
Hows your back? How t is your heart? How stressed out are you? in the Health for Germany road tour you nd out. In addition to a back check and a heart screening people can also have their feet measured at the events.
Discussion sessions
In discussion sessions Prof. Dr. Dietrich Grnemeyer explains in an extremely entertaining way how everyone can lead a health-conscious life. Above all, the professor is a recognised specialist on the subject of backs.
Lectures
With his Moving motivation programme former tennis pro Charly Steeb conveys how someone can change his everyday habits to the benet of his own health. Further information at www.gesundheit-fuer-deutschland.de.
Dental benefits
Whether for plaque removal, fillings or periodontal treatments: We cover all statutory dental benefits from prevention to treatment.
Orthodontic treatment
In line with statutory mandate TK covers the cost of medically required orthodontic treatment for children and adolescents under 18 years of age, and in certain circumstances adults, too. Just ask us.
Higher subsidies
In addition, you can also lower your costs for dental prosthesis with the dental plans from our partner, ENVIVAS Krankenversicherung AG (see page 31 for further information).
Tip
If you require dental prosthesis, the TK Medical and Health Advice Centre may, if desired, check the treatment and cost schedule of your dentist at no charge.
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Benefits
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Benefits
Aids
This includes hearing aids, oxygen therapy devices, braces and wheelchairs. TK covers the costs for aids prescribed by doctor. In fact, either to the amount or agreed prices for wheelchairs and walkers or to the amount of the xed rate for orthopaedic inlays, for example.
Domestic help
If you require domestic help because you are temporarily unable to maintain your household for health-related reasons, TK will cover these costs. For instance, if you have to care for children younger than 14 years of age and no one else in your household can take on these duties. We will cover these benets with no time restrictions. TK also pays domestic help if you must accompany your TK-insured child to the doctor or hospital.
Errors in treatment
Should you have the impression that you have been improperly treated, TK will provide you assistance in ascertaining the medical facts. Our specially trained expert advisors are happy to answer your questions related to this.
Hospital treatment
TK always covers the costs for hospital treatment to the full medically necessary extent with no time limit.
We offer a special service in select hospitals abroad. There you can be treated on an in- or out-patient basis at any time. The hospitals Germanspeaking staff will provide you assistance and are available for information and support. Like in Germany, you only have to present your TK insurance card. A joint initiative of TK and AOK Rheinland/Hamburg makes this European service possible. You can nd further information, participating clinics and their addresses under the heading Europaservice at www.tk-online.de.
Medical treatment
For consultation and treatment at your general physician or a specialist doctor TK covers the costs minus the practice fee charged. This also applies to house calls. And you are of course free to choose your statutory health fund doctor.
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Out-patient treatments
Many operations that were in the past associated with a lengthy stay in hospital can now be carried out on an out-patient basis at the same level of quality. For the most part, this means that you can go straight home afterwards. Detailed info is available at www.ambulant-operieren.info.
Benefits
Psychotherapy
Mental illnesses must be treated by qualied specialists. TK covers the costs for treatment by a statutory doctor or licensed psychotherapist.
Sick benet
TK pays you a sick benet if you are unable to work. Even if you are initially only able to take up your occupation part-time, you will receive a sick benet from TK.
Therapeutic measures
TK covers the costs for therapeutic measures prescribed by statutory doctors. This includes physiotherapy, medicinal baths, heat therapies, massages and occupational and speech therapies.
Tip
Are you looking for a doctor near you or do you need information about midwives, occupational therapists or other facilities and services in the health care system? You can nd over 130.000 doctors at www.tk-online.de.
Treatment abroad
TK members can always avail themselves to medical benets while abroad. This means that any member who is temporarily located in a country in the European Economic Community or Switzerland can receive out-patient attention there. This is advantageous if, for example, you would like to be treated by a specialist in France.
Tip
Children and adolescents under the age of 18 are exempt from co-payments, except for travel costs and dental prosthesis.
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Service
Tip
TK employees will also be happy to visit you at home. Simply call and arrange a time and date even outside normal ofce hours.
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Service
Tip
Visitors welcome! Even if you are not insured at TK you can use the exclusive service at www.tk-online.de. Simply sign up as a visitor and try us out.
Pharmaceuticals database
When does self-medication make sense? When is it better to visit the doctor? What are the effects of specic medicines? TK provides decisionmaking assistance with the pharmaceuticals database from Stiftung Warentest. At www.tk-online.de you will nd extensive reviews of 9,000 major medications, including a price comparison of suitable drugs with the same active ingredient.
TK benet guide
With this interactive offer on the TK home page you yourself can quickly and easily check which benets TK can provide you. For example, whether you receive money from TK if you have to care for your sick child at home. You will also get information and the appropriate application forms if youd like to apply for health spa treatment or get advice if you have received improper medical treatment. Just click on one of the topics and youll quickly be guided to the information through a virtual dialogue.
TK patient dialogue
An interactive, scientically veried online offer from TK to best prepare for a visit to the doctor (currently only available for the indicators of lower back pain and depression): You disclose the type and reason for your medical condition to a virtual expert and receive individual information and proposals for possible cures. Youll then be well-prepared to speak to your doctor. More info about patient dialogue is available at www.tk-online.de/arzt-patient.
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Tel. 018 02 - 85 00 11 (from 6 cents per call depending on service provider) Choose competence
Over 90 specialist doctors work here covering all major disciplines, from opthomologists, dermatologists and pain therapists to dentists. You can ask them about any health-related topics such as:
Service
symptoms of illnesses examination methods effectiveness of medications operations prevention and check-ups
Tip
Call Back Service By request you can also be called back by the TK Medical and Health Advice Centre or the TK Family Telephone. For example, if a doctor wants to get additional information for you after the rst call.
TK Foreign Assistance
Despite the best of preparations and care you may need medical assistance during your stay abroad. You can then count on TK Foreign Assistance.
Tip
To complement our benets we offer you private foreign travel from our cooperation partner ENVIVAS (more on page 31).
Tel. +49 18 02 - 85 00 05
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TK Family Telephone
Many parents know this from painful experience: children often get suddenly sick, in the middle of the night or at weekends, for instance. TK offers a special service specically for your questions related to the health of babies, children and adolescents: the TK Family Telephone.
Service
Tip
Also for children and adolescents Older children and the young prefer to discuss some questions alone with a doctor. About the topic of sexuality, for example. For this reason they can of course call the TK Family Telephone themselves.
Quality tested: TravelPlus was the test winner among 43 tested travel insurance policies (Finanztest 5/2008)
The Standard & Poors rating T agency gave the nancial a power of ENVIVAS an AA p (excellent) rating. More info ( is available at www.standardandpoors.com. w
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TK membership
Welcome to TK!
Switch now and enjoy the advantages of our services tested by Stiftung Warentest and our extensive benets!
An example
You give notice to your previous health insurance fund on 21st July taking effect on 30th September. Your TK membership begins on 1st October. Its as easy as this: complete the TK application give notice to your old health insurance fund send cancellation conrmation from prior health insurance fund to your TK branch ofce TK issues a membership certicate and, for example, sends this to your employer
Tip
A TK membership application form is available at: www.tk-online.de/mitgliedwerden.
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TK advantages
Always accessible from anywhere.
Customer advice even after business hours Got any questions related to health and health insurance? Our ServiceTeam is there for you 24 hours a day, 365 days per year: Tel. 0800 - 285 85 85 (free call in Germany).
+ Advice for you round the clock No matter what your question is: Both of our medical hotlines, the TK Medical and Health Advice Centre and TK Family Telephone are there for you day and night see page 28 or 30. + Travel without risk: TK Foreign Assistance Out of the country and sick? TK Foreign Assistance will help and give you the name of the closest German or Englishspeaking doctor see page 29. +
Up-to-date information
Online convenience: www.tk-online.de On the internet we offer you a special section for TK members in which you can nd a lot of information and services. The TK reminder service for check-up appointments, for instance, and the clinic guide with hospital reviews by TK members see pages 26 and 27.
+ Know what helps: Pharmaceuticals database Youll nd a lot of information about pharmaceuticals. In the pharmaceuticals database from Stiftung Warentest and the TK-ViA, a compilation of doctor-prescribed medicines see page 27. +
Errors in treatment know what to do For justied suspicion of errors in treatment we will help you in clarifying the facts and assist you in ling a claim for damages see page 20.
Good price/performance ratio At TK price and performance add up. TK members get more benets than legally prescribed. Sound economic management TK has been and remains debt-free, because we think and act cost-effectively. This is proven by our low share of administrative costs and the continuously growing range of benets.
+
Tip
A membership application and details about current prot is available at www.tk-online.de.
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Tel. 018 02 - 85 00 11
Mon-Sun, 24/7 (from 6 cents per call depending on provider)
The TK Family Telephone provides answers to health-related questions for babies, children and teenagers.
Tel. 018 02 - 85 00 00
Mon-Sun, 24/7 (from 6 cents per call depending on provider)
Online
Please visit our website for detailed information as well as exclusive services on health insurance, health and tness:
www.tk-online.de
E-mail
You are also welcome to direct any enquiries to us via e-mail. Please write to:
service@tk-online.de
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