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. 2005 Nov 24;6(Suppl 1):30–36. doi: 10.1007/s10198-005-0316-z

Table 2.

Benefit-defining laws/ decrees and catalogues

Statutory Health Insurance (SHI) - general benefit regulation SHI - general directives of the Federal Joint Commitee SHI - special directives of the Federal Joint Commitee (positive) SHI - appendices to directives of the Federal Joint Commitee (negative) SHI - DRG SHI - EBM SHI - BEMA SHI - BEL-II Statutory long term care insurance - general benefit regulation
Catalogue: type of document, actors and contents
HC.1. x x x (X) x
HC.1.2 x x x (X) x
HC.1.3.1 x x x (XI) x
HC.1.3.2 x x x (I) x (XII) x x
HC.1.3.3 x x x (II) x (XI) x
HC.1.3.9 x x x (III) x (XI)
HC.2.1/2.2 x x
HC.2.3 x
HC.3.1 x x
HC.3.2 x x
HC.3.3 x x (IV) x
HC.4.1 x x x
HC.4.2 x x x x
HC.4.3 x x (V)
HC.5.1.1 x x
HC.5.1.2 x x x (VI)
HC.5.2 x x x (VII)
HC.6.1 x x x (VIII)
HC.6.3 x
HC.6.4 x x x (IX) x x
HC.6.5 x

FJC Federal Joint Committee, SHI Statutory Health Insurance, GBR General Benefit Regulation, DRG diagnosis-related group, EBM Uniform Value Scale, BEMA Uniform Value Scale–dentists, BEL-II Uniform Value Scale–dental technicians,

I Directives on the Provision of Prosthetic Services

II Directives on Psychotherapy

III Directives on Nonphysician Care

IV Directives on Home Nursing Care

V Directives on Patient Transport

VI Directives on OTC

VII Directives on Medical Aids

VIII Directives on Maternity Care

IX Directives on A. Early Detection of Cancer, B. Dental Prophylaxis & C. Medical Examinations for the Early Detection of Diseases

X Appendix to Directive according to SGB V, Sect. 137c (to evaluate hospital procedures)

XI Appendix to Directive on Medical Procedures,

XII Appendix to Directive on New Dental Procedures