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  3. Medical: Pharmaceuticals

im Rahmen der GKV erbringbare Leistung

English translation: Covered by the NHS

12:04 Dec 5, 2015
German to English translations [PRO]
Medical - Medical: Pharmaceuticals / Abrechnung GKV
German term or phrase: im Rahmen der GKV erbringbare Leistung
Es geht um die Beurteilung eines potentiellen Zusatznutzens eines neuen Medikaments. Darin wird ein Behandlungsverfahren als "im Rahmen der GKV erbringbare Leistung" klassifiziert. Genau heißt es:

"Nach der Richtlinie des G-BA zu Untersuchungs- und Behandlungsmethoden der vertragsärztlichen Versorgung ist xxx eine im Rahmen der GKV erbringbare Leistung."

Ich bin mir nicht ganz sicher, ob mit "erbringbar" "reimbursable" also "eligible for reimbursement by statutory health insurance" gemeint ist?

Bin für Eure Aufklärung dankbar :-)
PPaulus
Germany
Local time: 12:52
English translation:Covered by the NHS
Explanation:
Die Gesundheissysteme sind zu unterschiedlich als das auf Englisch wirklich übertragbar wäre, aber die NHS entpricht am nächsten die GKV.

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Note added at 16 mins (2015-12-05 12:20:54 GMT)
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Bzw. "services covered by the NHS"
Selected response from:

David Williams
Germany
Local time: 12:52
Grading comment
Thanks for your support, I added the German term in brackets ;-)
4 KudoZ points were awarded for this answer



Summary of answers provided
4 +1Covered by the NHS
David Williams
4 +1(a service) covered by statutory health insurance
philgoddard
3service that they can perform/deliver within the frames of
Erzsébet Czopyk


Discussion entries: 6





  

Answers


15 mins   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
Covered by the NHS


Explanation:
Die Gesundheissysteme sind zu unterschiedlich als das auf Englisch wirklich übertragbar wäre, aber die NHS entpricht am nächsten die GKV.

--------------------------------------------------
Note added at 16 mins (2015-12-05 12:20:54 GMT)
--------------------------------------------------

Bzw. "services covered by the NHS"

Example sentence(s):
  • What is covered by the NHS and what is not?
  • Charges for services not covered by the NHS

    Reference: http://www.aitunemedicalpractice.co.uk/frequently-asked-ques...
    Reference: http://www.themoathousesurgery.co.uk/info.aspx?p=6
David Williams
Germany
Local time: 12:52
Native speaker of: Native in EnglishEnglish
PRO pts in category: 16
Grading comment
Thanks for your support, I added the German term in brackets ;-)

Peer comments on this answer (and responses from the answerer)
agree  Ramey Rieger (X)
6 mins
neutral  Edith Kelly: but only in UK
1 hr
  -> Exactly, hence my comment about the differences between the health systems.
neutral  philgoddard: It's wrong to translate one country's health system with the name of another's. They're completely different entities.
5 hrs
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27 mins   confidence: Answerer confidence 3/5Answerer confidence 3/5
service that they can perform/deliver within the frames of


Explanation:
Hilfsmittel-Richtlinie - Gemeinsamer Bundesausschuss
https://www.g-ba.de/.../2012-03-15_HilfsM-RL_Neufass...
Der Gemeinsame Bundesausschuss (G-BA) hat im schriftlichen ... von Hilfsmitteln in der vertragsärztlichen Versorgung ... Zuständigkeit der gesetzlichen Krankenversicherung besteht. ... Leistungen nach dem Bundesversorgungsgesetz ...

A method of treatment is classified as "service to be delivered/performed within the frames of the GKV

Nach der Richtlinie des G-BA zu Untersuchungs- und Behandlungsmethoden der vertragsärztlichen Versorgung ist xxx eine im Rahmen der GKV erbringbare Leistung

http://opk-info.de/wp-content/uploads/Beschluss_GBA_Rili_Neu...
§ 3 Genehmigung zur Durchführung und Abrechnung
1
Die Durchführung und Abrechnung von ambulanter neuropsychologischer Diagnostik und
Therapie im Rahmen der vertragsärztlichen Versorgung ist erst nach Erteilung der
Genehmigung durch die Kassenärztliche Vereinigung zulässig. = the treatment under the contractual medical care is allowed only after an Approval by the physicians' association is obtained
2
§ 4 Indikationen
Die Genehmigung ist zu erteilen, wenn die in § 6 Absatz 2 genannten fachlichen Anforderungen erfüllt werden und dies gegenüber der KV nachgewiesen wird.

Following the directive of the G-BA for examination and treatment methods of the contractual medical care xxx is a service that they can perform/deliver within the frames of the GKV.


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Note added at 29 mins (2015-12-05 12:33:17 GMT)
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I am not sure the services will be covered but shall be approved

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Note added at 31 mins (2015-12-05 12:35:54 GMT)
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In Hungary the method of treatment shall be approved first, then you can apply for its coverage - and you may receive it or not. But for method with no approval you will never receive a coverage, you have to finance them from your own budget/pocket. It was widely discussed in connection with cryotherapy of the cancer patients.

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Note added at 32 mins (2015-12-05 12:37:05 GMT)
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http://www.kv-thueringen.de/presse/30_publ/10_archiv/2009/rs...

Erzsébet Czopyk
Hungary
Local time: 12:52
Specializes in field
Native speaker of: Native in HungarianHungarian
PRO pts in category: 4
Notes to answerer
Asker: Thanks for your support ;-)

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5 hrs   confidence: Answerer confidence 4/5Answerer confidence 4/5 peer agreement (net): +1
(a service) covered by statutory health insurance


Explanation:
It stands for gesetzliche Krankenversicherung. You could probably ignore "Leistung".

philgoddard
United States
Native speaker of: English
PRO pts in category: 38
Notes to answerer
Asker: Thanks for your support ;-)


Peer comments on this answer (and responses from the answerer)
agree  uyuni
16 hrs
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