Common use of Health spa allowance Clause in Contracts

Health spa allowance. After an accident-related hospital stay of at least 21 days, the insurer pays for medically necessary health spa or rehabilitation measures, which are connected to the accident event and documented by a certificate from a specialist. The health spa or rehabilitation measure must be started within six months of completion of hospital treatment and last for no less than 21 days and no more than 28 days. The insurance covers the costs of medical treatment, medicine and remedies (such as baths, massages, and physiotherapy) as well as expenditures for spa tax, accommodations, and meals up to a maximum of € 1,500. The insurer reimburses any remaining costs after prior payment by a statutory or private payor or service provider up to a maximum of € 1,500 per insured person. Costs are only reimbursed once for each accident. § 7 What action is to be taken after an accident has occurred (obligations)? The insured person is obliged to do the following: 1. Undergo a medical examination by physicians appointed by the insurer. The necessary costs of such examination and any loss of income incurred thereby will be borne by the insurer. 2. Release the physician giving treatment or carrying out examinations as well as other insurers and authorities from their professional confidentiality obligation. § 8 When does the insurer pay permanent disability benefits? 1. As soon as the insurer has received the documents that are to be submitted by the insured person for the purpose of documenting the circumstances and consequences of the accident and documenting the completion of the curative treatment necessary for determining the degree of disability, the insurer is obliged to declare within three months whether and to what extent it recognises a claim. 2. If the insurer recognises a claim, benefits will be paid within a period of two weeks.