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HEALTH

First two coronavirus cases confirmed in Austria

Two people have been tested positive for the coronavirus in Austria, the authorities reported on Tuesday. These are the first cases in the country after the outbreak of the virus in northern Italy.

First two coronavirus cases confirmed in Austria
Photo: Johann Groder/ EXPA / APA / AFP

The two 24-year-olds have been quarantined in a hospital in Innsbruck, the capital of Tyrol province, which borders Italy, according to Tyrol Governor Guenther Platter.

One of them is from Lombardy, one of the Italian regions hit with the outbreak, but it is not yet clear how the two contracted the virus. Both are suffering a fever but are in a stable condition.

Italy, which borders Austria, has seen a huge jump in cases in recent days. Seven people in Italy have so far died after catching the virus, all of whom were either elderly or had pre-existing conditions.

According to the World Health Organization, the epidemic has peaked at its epicentre in China, where it has killed more than 2,600 people and infected over 77,000 others. But the situation has worsened elsewhere with nearly 2,700 other cases and more than 40 deaths globally.

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HEALTH

When can I ask for reimbursement for medical expenses in Austria?

If you visit an 'elective doctor' in Austria or go for certain procedures and examinations, you might have to pay the costs upfront. But when will your statutory health insurance reimburse you?

When can I ask for reimbursement for medical expenses in Austria?

Austria’s health system can seem complicated. Most people are insured by statutory insurance companies, ensuring they receive quality care for free in the country. 

However, there may be times when you want to go the private route – be it for specific examinations, or if you are searching for a particular specialist or, most commonly, if you just can’t or won’t wait to get an appointment via the public system. As the number of public doctors drops, more and more people have reached out to the “elective” doctors, or to private laboratories for certain exams instead of waiting weeks in the public system.

In those cases, the public health insurance funds often reimburse your expenses, at least partially. 

READ ALSO: Six things to know about visiting a doctor in Austria

When can I ask for reimbursement?

There are several cases when you can be reimbursed by Austria’s largest health insurance company, the ÖGK. These include:

  • Private or elective doctors: Elective doctors do not have a contract with the Austrian Health Insurance Fund (ÖGK). You will therefore be treated there as a private patient and must initially pay for the treatment yourself. In most cases, ÖGK will reimburse part of the costs.
  • Dental Health: In addition to conservative dental treatment and dentures, the ÖGK dental services also include jaw adjustments (braces).
  • CT, MRI and x-rays: Computed tomography (CT), magnetic resonance imaging (MRI) and X-rays are “diagnostic imaging procedures”. The Austrian Health Insurance Fund (ÖGK) covers the costs if the examination is carried out at an authorized institute.
  • Therapists: the ÖGK will cover costs for speech therapy, physio therapy and psychotherapy, among others. You can read more HERE.
  • Midwives: Midwives support women during pregnancy, during childbirth and in the initial period afterwards. The Austrian Health Insurance Fund (ÖGK) covers certain costs for the midwife.
  • Hospital stays: Persons insured with the Austrian Health Insurance Fund (ÖGK) can receive outpatient or inpatient treatment in certain hospitals throughout Austria. The fund will not cover any special fees that are incurred for accommodation in “special class” (some hospitals offer private rooms as special class, for example). For medically necessary treatment in hospitals with which there is no contractual relationship,  ÖGK currently pays a daily care cost allowance of € 399.97, but not more than the actual costs incurred.
  • Medical aids and medication: The Austrian Health Insurance Fund (ÖGK) covers the costs of medical aids and aids such as hearing aids, diabetes supplies or bandages if you have a doctor’s prescription for them. The ÖGK also covers medication costs, but you need a prescription from a doctor. 

READ ALSO: How much can you expect to pay for private healthcare in Vienna?

How much will I get?

The reimbursement does not cover the whole cost. Once the reimbursement is approved, you will get 80 percent of what the ÖGK would have paid to the public system. This is not the same as 80 percent of your invoice.

The insurance fund doesn’t always approve invoices, it will evaluate the need and set up limits (so, you won’t get a refund on every doctor’s visit if you go to the same specialist type in a short period, for example). Particularly if you plan on a big expense, it’s worth it to check with the fund beforehand if they would cover the private costs.

How can I claim reimbursement?  

You first need to obtain receipts for all medical expenses, including doctor’s invoices, hospital bills, and pharmacy receipts. You’ll also need to gather payment confirmation. Then, you submit this information as a claim request on the website of your insurance company. With ÖGK, the link is HERE.  

You then wait for the processing time, which can take up to several weeks. If your request is approved, you’ll receive the money back straight to the bank account you have in your account details on the insurance website. 

READ ALSO: Will my Austrian health insurance pay for medical expenses abroad?

What if I have private insurance?

Most private insurance in Austria work with statutory companies. You’ll follow the same exact path. Once you get confirmation of how much the public insurance will reimburse you (or if it won’t reimburse you), you can then send all these documents to your private insurance. They will pay the difference between what you got from the public company and what you paid in private healthcare.

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