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HEALTH

When, where and how can I get the flu shot in Germany?

Seasonal flu vaccines, Covid boosters, and the monkeypox vaccine are recommended for risk groups in Germany as it gets colder. Here’s what you need to know.

When, where and how can I get the flu shot in Germany?
A nurse gives a flu shot (Photo by JEAN-PIERRE MULLER / AFP)

Flu cases are way up in Germany this year – back to over 22,000 nationwide so far, and those are just the laboratory-confirmed ones. With many Covid-19 restrictions also having slowed the spread of flu in 2020 and 2021, German doctors are particularly encouraging at-risk groups to get this year’s flu vaccine.

Who?

In principle, anyone in Germany can speak to their doctor and get the flu vaccine. However, it is recommended particularly for certain at-risk groups.

According to the German Robert Kock Institute (RKI), which advises the government on viruses, these groups include:

  • anyone over the age of 60
  • pregnant women from their second trimester
  • people with chronic underlying medical conditions such as diabetes, HIV, Multiple Sclerosis, or various heart conditions
  • People who live or work in care homes
  • Medical personnel
  • People who work in areas with particularly high amounts of traffic. These could include schools or Kitas, for example
  • People who live with or care for someone from one of these groups

When?

Flu season’s peak is normally expected in January. That’s why doctors advise you to have your protection in place before then. So the best time to get vaccinated for the flu is between October and December.

With the vaccine taking about 10-14 days to kick in, doctors advise making sure you have the shot by mid-December, so that when the season peaks in January, your body is prepared to fight off the virus if you come in contact with it.

Where?

The easiest place to get a flu vaccine is at your doctor’s office. However, some health authorities run public vaccination campaigns, depending on your federal state. Some workplaces may also administer flu shots on site once a year.

For the first time this season though, pharmacies in Germany will be able to administer a flu shot to any adult with statutory health insurance. Check with your local pharmacy to see if they do it.

Can I get the flu shot at the same time as my Covid-19 booster shot?

In most cases, there are no restrictions on getting the flu shot and a Covid booster at the same time. Most flu vaccines given in Germany are inactivated viruses, which can be administered simultaneously with a flu shot. You don’t have to wait between getting one shot and getting the other.

If giving it you at the same time, your doctor will likely use both arms – one for each vaccine.

READ ALSO: What to know about getting a fourth Covid vaccination in Germany

What about Monkeypox?

Germany has now seen its total number of reported monkeypox cases hit 3,656—with around half of all cases being reported in Berlin. With more and more people getting vaccinated though, the seven-day average of new infections has slowed from a peak of 71 per day in mid-July to less than one a day in October.

That’s far less than the US rate of 105 a day or even Spain at just over four a day.

The vast majority of cases worldwide and in Germany have been detected in gay and bisexual men, whom German health authorities are still advising to get vaccinated if they haven’t already.

Other risk groups include people who work in certain laboratories where they might become exposed, and people who have already potentially been exposed.

Someone who suspects they’ve been in contact with a confirmed case of monkeypox is advised to get a vaccine shot within four days.

READ ALSO: Who can get the monkeypox vaccine in Germany – and how?

Member comments

  1. My children and I got our flu vaccines from the US military last week. Being sick is no fun. Everyone should get it, not just “at-risk” groups.

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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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