Frequently asked questions

The following gives answers to the most frequently asked questions about nutritional counselling and nutrition therapy. The practice is happy to answer any further questions you might have.

1. Who bears the costs of nutrition counselling or nutrition therapy?

The first invoice recipient is always the client. You can apply for a subsidy (cost-sharing) with your health insurance company.
Preventive nutritional counselling (§20 SGB V) is for healthy people. Public health insurance companies usually grant subsidies of up to 75 euros per insured person once or twice a year.
Nutrition therapy counselling (§43 SGB V) is for people with a diet-related illness. People with public health insurance are entitled to a subsidy if the counselling is prescribed by a doctor. The subsidy amount depends on the health insurance company.
The tariffs charged by private health insurances have yet to cover nutrition counselling and nutritional therapy by qualified nutritionists. Degreed oecotrophologists (Dipl. oec. troph.) cannot charge using the German Scale of Medical fees (GOÄ), the legal private-patient valuation scale for medical practitioners.
Please contact your health insurance company directly for information as to whether and to what extent cost sharing is possible. The difference between the calculated costs or invoice amount and the promised subsidy is your cost contribution. If your health insurance company does not agree to a contribution, then it is 100% up to you to cover costs.

2. How do I approach the the health insurance company about cost-sharing?

See here for all information on how to apply.

3. Does the application have to be submitted to the health insurance company before I start nutrition therapy?

If clarifying possible cost sharing in advance is important to you, then contact your health insurance company before making an appointment. Otherwise, therapy and the application for cost sharing can run in parallel.

4. Can’t the practice settle directly with the health insurance company?

No. Billing is exclusively between the practice and the client, i.e. the client is the recipient of the invoice and the person liable to pay. If the health insurance company has granted a subsidy in advance, then the insurer will reimburse you to your account after you show them the invoice. You will then transfer the total invoice amount to the practice.

5. Who should I contact to get the medical certificate of necessity?

The certificate of necessity can be completed by your family doctor, your internist or a specialist treating doctor, e.g. gastroenterologist, endocrinologist, gynaecologist, etc. You can use the form provided here (PDF approx. 150 KB) . Your doctor can also fill out a referral form or write an informal, two-line note (attestation).

6. How long is a medical referral valid?

The referral is not bound to a quarter, but should be submitted to your health insurance company as soon as possible. The nutritional counselling and therapy practice will also need a copy.

7. How many sessions do I need?

The total amount of time required and thus the number of sessions depends on your diagnosis and the various issues associated with it. Please refer to your cost estimate for the calculated expense. The calculated time can be divided into several shorter sessions of 40 minutes each or fewer sessions of 50 – 60 minutes each. Not every session is the same length; it all depends on the situation. The time interval between sessions is approximately 4 – 8 weeks on average.

8. How do I write a food diary?

– Instructions food diary (PDF approx. 90 KB)
– Submission of nutrition protocol for food intolerances (PDF approx. 210 KB)
– Submission of nutritional protocol for weight issues and other topics. (PDF approx. 230 KB)

9. What should I bring to the first appointment?

The most important document for the first appointment is the nutrition diary. If examinations have been carried out in recent years and if you have copies of the documents (e.g. laboratory values, tests for food intolerance, reports of gastrointestinal and colonoscopy, etc.) please bring them with you. If there have been no examinations or if you have no copies, we can still make the first appointment.

10. How is to pay?

At the end of the nutritional counseling and therapy, you will receive the invoice with a payment target of four weeks.

11. Can I pay in installments?

If you would like to pay in installments, please let me know before the first appointment so that we can make a specific agreement in this regard.

Gaby Lingath