Points limit for medication

Basic health insurance only covers up to a set quantity of certain types of medication. This threshold is referred to as the points limit. If exceeded, costs will be payable by you. Read on to discover exactly what this means and what your options are.

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Frequently asked questions

Why is there a points limit?The points limit is intended to prevent medication from being prescribed too frequently or in excessive quantities. It ensures that medication is only used when medically required. It protects both patients and health insurers.

Does supplementary insurance cover costs if the points limit is exceeded?No, as the costs of medication subject to points limits are solely billed via basic health insurance. Nothing changes with regard to the status of the limit that has been reached.