What does GOÄ/GOZ mean?
GOÄ / GOZ 是什么意思？
The abbreviation ‘GOÄ’ stands for Gebührenordnung für Ärzte (scale of fees for doctors). ‘GOZ’ stands for Gebührenordnung für Zahnärzte (scale of fees for dentists). German doctors and dentists are obliged to charge for treatment in accordance with the respective scale of fees. For each treatment, a specific amount is specified for each treatment and varying percentages can be charged based on this amount. The insurer pays 1.8-3.5 times the rate depending on the tariff that has been taken out. Examples: Invoice with a fee rate that exceeds the reimbursable rate: With the MAWISTA Student Classic tariff, the insurer will generally reimburse 1.8 times the scale of fees. The insured person receives an invoice with 2.3 times the rate of the scale of fees. The insurer will reimburse the incurred costs at 1.8 times the rate after they have checked the invoice (with deduction of excess depending on tariff). The difference must be covered by the insured person. We therefore recommend discussing the invoicing methods with the doctor before receiving treatment. Invoice with a fee rate that is lower than the reimbursable rate: With the MAWISTA Student Classic Comfort tariff, the insurer will generally reimburse all insured benefits from 1.8 to 3.5 times the rate.
缩写“GOÄ”代表 Gebührenordnung für Ärzte（德国医疗收费标准）。缩写“GOZ”代表 Gebührenordnung für Zahnärzte（德国牙科收费标准）。德国医生和牙医有义务按照各自的现行收费标准收取治疗费用。该收费标准对每种治疗均明确规定了一个具体金额，医生可以据此收取不同比率的诊费。根据您签订的保险合同，保险公司将按照收费标准 1.8 倍至 3.5 倍的比率进行赔付。 例如： 一份收费比率超过可赔付比率的账单：在 MAWISTA Student Classic 医疗保险中，保险公司一般最高能赔付收费标准 1.8 倍的金额。被保人收到一份金额为收费标准 2.3 倍的账单。保险公司将在审核之后（如有必要将根据具体保险扣除自费部分）按 1.8 倍的比率报销费用。差额必须由被保人支付。因此，我们建议，在治疗前与医生讨论费用明细。 一份收费比率低于可赔付比率的账单：在 MAWISTA Student Classic Comfort 医疗保险中，保险公司一般会按照 1.8 倍至 3.5倍 的比率赔付所有受保项目。