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Expat life: how digital services are finally improving in Germany

Germany has the world’s fourth largest economy and the biggest in Europe by a distance. Yet international people who move to Germany are often bemused to find that its economic power isn’t reflected in its digital capabilities.

Expat life: how digital services are finally improving in Germany
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So, is the Covid-19 pandemic forcing the country to make up for lost time in terms of its technological advancement? The Local, in partnership with digital health insurance provider ottonova, takes a look at the topic and the views of our readers in Germany.

Take care of your health via app-based services with ottonova – Germany’s first fully digital health insurance 

Germany lags behind

Germany ranks only 12th in the EU’s Digital Economy and Society Index, which is led by Finland, Sweden and Denmark. It scores particularly badly – and far below the EU average – in terms of digital public services. Readers of The Local in Germany will not be surprised to learn this.

“Allowing digital signatures instead of having to print and sign everything,” wrote one reader in response to our query about how Germany could raise its game in this area. Yet another lamented that even email “seems sci-fi for most services around Germany”. 

Many people complained about being asked to send documents by fax. Glen Johnson, originally from the UK, has lived in Germany for 24 years but is still amazed at some of the difficulties he faces. “To get a same day reply from my local Ausländeramt (Foreigners’ Office) I have to send a fax because to reply to an email takes a week, if they reply at all,” says Johnson, an illustrator who lives in Oberhausen, North Rhine-Westphalia. 

IT director Karri Laiho, originally from Finland but living in Düsseldorf, is “constantly surprised at the total lack of e-invoicing”. “I can get the providers to extract the money from my account, but only after I receive ‘snail mail’ and sign, mail or fax some ancient SEPA approval to them,” he says. 

Photo: Getty Images
Photo: Getty Images

In major cities, the amount of information and digital services provided by local governments in English is rising, however. 

For example, if you live in Berlin, click here for information on visa procedures and extensions, as well as special regulations for refugees. The following links offer further useful information in three cities: Hamburg (guidance on different work-related residence permits);  Munich (including online contact forms and advice on registering your residence); and Frankfurt (including information on extending a residence permit by email. This page is in German but can be translated with Google Translate).

No paperwork, no ‘snail mail’ and no fax machines: get the benefits of fully digital health insurance with ottonova

Professional life: is digital tech working?

So, how has Germany coped with millions of people being forced to work from home due to the pandemic? Several readers said telecommunications infrastructure was inadequate for the needs of employees today. 

“If you live in moderate to low population areas, home internet and mobile data connections are often slow and unreliable”, wrote one respondent from Koblenz in Rhineland-Palatinate. “The connection is basically good, but fluctuates regularly enough and to a great enough degree that something like a video call is easily disrupted.”

Photo: Getty Images
Photo: Getty Images

An OECD report in 2018 said uptake of digital technologies, including fast broadband and cloud services, was relatively slow in Germany, especially “among small and medium-size enterprises”. Meanwhile, employees at some big companies have still tended to work on fixed computer terminals rather than laptops.

Tax rebates for people working at home are among the many elements of state support the German government is offering in response to the pandemic. Many international residents would clearly also like to see greater progress in digital technology, however, to further support remote working.

Healthcare made easy with digital insurance

Surely the land of BMW and Siemens is getting some things right in the technological race? Well, yes. For one thing, Germany is the European leader in terms of robots in operation to make factory processes more efficient.

And even before Covid-19, there was a belated push to increase digital services in healthcare. During the pandemic, demand for video consultations with doctors has increased across the world. 

In Germany, if you’re employed and earn more than €64,350 per year or self-employed, you can choose to have private health insurance (PKV) such as the one offered by ottonova. As Germany’s first fully digital health insurance provider, ottonova offers a fast digital sign-up process and can even give assistance in your visa application process where appropriate.

With the ottonova app, it’s quick and easy to chat to the English-speaking concierge team, get lightning-fast reimbursement of your bills and have all your health documents in one place.

Hoping to see more of the world post-pandemic? Who can blame you? The special ottonova tariff for non-EU expats also includes worldwide coverage.

Digitalisation in Deutschland may lag behind many countries, but with new approaches like digital health care being on the rise Germany offers some bright spots worth taking your time to consider.

Germany’s first fully digital health insurance offers an easy to use app, a concierge team and special expat tariffs – find out more about how ottonova could work for you

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HEALTH

How to find available therapists in Germany

It’s no secret that mental health care can be particularly tricky to access in Germany. Here are some helpful tips for anyone who is struggling to book an appointment for therapy.

How to find available therapists in Germany

The process to find psychotherapy in Germany’s urban centres is arduous – licensed therapists often have impossibly long wait times, and private practices don’t accept public health insurance.

A major reason that public insurance funded mental health care is hard to find in Germany comes down to regulations. Specifically the ‘coverage plan’ (Bedarfsplanung) that basically limits the number of licences available for publicly insured therapists in a region.

Germany’s maddening bureaucracy probably won’t be fixed any time soon. So residents in need of therapy will need to find a way through the system as it is.

So here are a few helpful tips for finding therapists, as well as how publicly insured patients can have private practice therapy costs reimbursed.

Look for therapists enrolled at academies

You’ll probably have a better chance getting an appointment with therapists who are currently in training, because not everyone knows that this option exists.

You can search for “Akademie für Psychotherapie”, to find one in your location. The Berliner Akademie für Psychotherapie, is one in the capital city, for example.

If you arrange an appointment this way, you can expect to be connected with a grad student therapist in training who needs to complete their supervised practice hours. In this case, you would see your therapist as usual, and they will be going through your session with an experienced therapist afterward.

The main advantages to seeking a therapist in training is that it may be cheaper and you can probably more readily find an appointment. A potential disadvantage is that the therapist you’ll be seeing is less experienced. 

But according to a Stockholm University study, student therapists who receive regular feedback from supervisors may be just as effective as licensed therapists at treating patients.

How to get reimbursed for going to a private practice

As mentioned above, therapists covered by public health insurance are few and far between, especially in many urban centres, and therefore regularly come with long wait times. But for those willing to do battle with the bureaucracy, there is an option to have your costs reimbursed for seeing a private practice therapist.

Specifically, public insurance providers are obligated to provide full reimbursement of costs in the event of a “supply emergency”. 

Waiting times of more than three months are considered unreasonable. So generally, patients can claim a supply emergency if they have contacted several therapists, and none of them offered available appointments within that time frame.

But you’ll want to make sure that your process is properly documented so that you won’t be stuck with the out-of-pocket costs.

First, you’ll need to document your need for psychotherapy. To get this, make an appointment for a psychotherapeutic consultation with a practice in your area, and be sure to collect a written recommendation for treatment (a PTV 11 form). 

If you don’t know where to start with this, look to the Association of Statutory Health Insurance Physicians (Kassenärztliche Vereinigung) for a database of therapists. You can also call 116 117 or use the 116 117 App.

After you’ve got your PTV 11 certificate, you’ll need to document your futile search for a licensed therapist. To do this, contact at least three to five therapists that have public health insurance approval. Keep a list of the names of therapists you contacted, as well as dates and times of contact and how long the waiting list for treatment is. 

Additionally, you should try to arrange treatment through the aforementioned Association of Statutory Health Insurance Physicians, and receive confirmation if it’s not possible. So you’ll need to call 116 117, or use the 116 117 App again. But this time go through the process to have them try to find you placement with a therapist. This should take a maximum of four weeks, but rarely happens.

Finally, if you have documented all of the above and have still not found a readily available therapist, then you can seek out a private practice. You’ll need to enroll as a self-paying patient initially, but then you can submit an application for an outpatient reimbursement (Kostenerstattungsverfahren) along with the previously collected certificates and proof of your search. Private practice therapists are usually familiar with this process, and may be able to help you with the application as well.

READ ALSO: What are the main reasons internationals in Germany turn to therapy?

Free phone consultations for students

Students in Berlin can also take advantage of a free 50-minute conversation with a therapist through StudierendenWERK.

For students elsewhere, it’s worth checking what kind of mental health support services your school offers. Many German universities offer mental health support to some extent, and if school counsellors can’t provide the care that you need, they may be able to offer helpful information about where such services are available in your area.

READ ALSO: Here’s how you can get mental health help in English in Germany

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