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General practitioners: home visit rate 2023

In this overview you will find the fees and reimbursement rates for home visits.

The fees apply to doctors who have accepted the rate agreement with the health insurance funds (conventional).

  • Patients with a global medical file (GMD) receive a 1/3 reduction in co-payment for consultations and in certain cases are also reimbursed more for a home visit.
  • Some people with a low income are entitled to the increased allowance . They receive more reimbursement and are entitled to the paying third party scheme .
  • Anyone who is registered in a community health center and contacts a general practitioner there does not pay anything for a consultation or home visit. The normal fee can only be charged for technical services.

An overview of CM refunds can be found in the 'My refunds' section or via the My CM app .

Information about other achievements can be found via the links or you can request it from a CM consultant.

Children under 10 years old

CodePerformanceFeesYou are
Ordinary
insured
You have
increased compensation
Amounts applicable since January 1, 2023
   Back-
payment
Co-paymentBack-
payment
Co-payment
103110Visit a GP with acquired rights35.2727.278.0033.272.00
With global medical file27.278.0033.272.00
103132Visit a recognized general practitioner43.1935.198.0041.192.00
With global medical file35.198.0041.192.00
104215Visit a recognized general practitioner between 6 p.m. and 9 p.m57.4445.7011.7454.802.64
With global medical file45.7011.7454.802.64
104230Visit a recognized general practitioner at night between 9 p.m. and 8 a.m99.3473.0126.3395.423.92
With global medical file73.0126.3395.423.92
104252Visit a recognized general practitioner on Saturday, Sunday or a public holiday between 8 a.m. and 9 p.m64.7850.7514.0361.842.94
With global medical file50.7514.0361.842.94

Patients from 10 to 75 years

CodePerformanceFeesYou are
Ordinary
insured
You have
increased
compensation
Amounts applicable since January 1, 2023
   Back-
payment
Co-paymentBack-
payment
Co-payment
103110Visit a GP with acquired rights35.2721.9313.3431.873.40
With global medical file22.9312.3431.873.40
103132Visit a recognized general practitioner43.1927.0816.1139.833.36
With global medical file28.0815.1139.833.36
104215Visit a recognized general practitioner between 6 p.m. and 9 p.m57.4437.8119.6352.175.27
With global medical file38.8118.6352.175.27
104230Visit a recognized general practitioner at night between 9 p.m. and 8 a.m99.3464.9934.3591.497.85
With global medical file65.9933.3591.497.85
104252Visit a recognized general practitioner on Saturday, Sunday or a public holiday between 8 a.m. and 9 p.m64.7842.6722.1159.195.59
With global medical file43.6721.1159.195.59

People over 75 or chronically ill

CodePerformanceFeesYou are
Ordinary
insured
You have
increased
compensation
Amounts applicable from 1 January 2023
   Back-
payment
Co-paymentBack-
payment
Co-payment
103110Visit a GP with acquired rights35.2722.9312.3431.873.40
With global medical file26.648.6332.892.38
103132Visit a recognized general practitioner43.1928.0815.1139.833.36
With global medical file32.6210.5740.842.35
104215Visit a recognized general practitioner between 6 p.m. and 9 p.m57.4438.8118.6352.175.27
With global medical file38.8118.6352.175.27
104230Visit a recognized general practitioner at night between 9 p.m. and 8 a.m99.3465.9933.3591.497.85
With global medical file65.9933.3591.497.85
104252Visit a recognized general practitioner on Saturday, Sunday or a public holiday between 8 a.m. and 9 p.m64.7843.6721.1159.195.59
With global medical file43.6721.1159.195.59

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