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Why you should switch now
to Germanys best
health insurance fund
Benefi its,serviceand more
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Are you looking for a health insurance fund that offers you more than theusual standards? For the protection of your health do you want a partnerthat puts the focus on your individual interests and needs from the verystart? Then Techniker Krankenkasse is the right choice for you.
We are a modern health service provider where extensive benefits, com-petent advice and convenient service are closely intertwined. No matterwhat your health-related concerns are we provide you comprehensivemedical care as well as decision-making assistance and orientation.
TK has received several awards for its offers and its service quality. Forus this is both confirmation and motivation. That is why we are constantlyworking on making our price/performance ratio even more attractive foryou. Sound financial planning, lean structures and modern performancemanagement are the building blocks for this.
People who decide in favour of TK do so for good reason. Because theyknow how to appreciate our dedication, our performance capability andour innovative power. TK for a healthy future.
Your partner for a healthy future
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TechnikerKrankenkasse
1. RangKrankenkassen,NaturheilverfahrenAusgabe 7/2008
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Benefits
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Expect more from us
Additional benefitsfor TK members
TKs mission is to provide the best possible care to you in all aspects oflife. To support you when you need help: for work-related stress, familyplanning or following an accident. We dont want to be just a health insur-ance fund, but your partner.
In doing so, we make consistent use of our options for extra benefits. Thismeans that with us you dont just get what is prescribed by law, but alsoprofit from additional benefits. These are firmly stipulated in our charterand are generally granted without case-by-case checks! And childrenand spouses without an income of their own are of course co-insured atTK at no extra cost.
This includes, for example, additional benefits in the areas of home care,domestic help, check-ups, health seminars/prevention courses and ac-companying children to hospital.
Thats why in the nationwide comparison of health insurance funds by thebusiness magazine FOCUS-MONEY TK took first place in the category ofadditional benefits out of 141 health insurance funds tested*.
Also, as part of integrated care TK works out its own contracts, allowingthe best possible recovery. Here specialist doctors, hospitals and reha-bilitation centres work even more closely together, thus ensuring an opti-mally coordinated, transparent treatment a clear advantage for complexillnesses. TK members have nothing but their convalescence to look after.
* FOCUS-MONEY, 49/2008 issue.
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Health ReformStarting January 2009 all members of statutory health insurance will be
paying the same contribution rate set by the government. No matter
in which health insurance fund they are insured. Only when funds are
not sufficient are health insurance funds allowed to collect additional
contributions from their members. If there are surpluses, they may pay
their members bonuses. Thats why in choosing your health insurance
fund in the future it will be even more important to compare the benefits
and services.
The offers of healthinsurance funds are not
identical in all areas. To showthis clearly in this brochure we
have labelled the benefits and services
that go beyond the offers of many healthinsurance funds with the Leistung undmehr (Benefit and more) symbol. As aTK member you benefit from theseextras.
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Health courses, early detection and vaccinations
Preventionand check-upsBeing fit and active to an old age this is no problem with the numerouscourses offered by TK. Improper nutrition, stress, nicotine and a lack ofexercise trigger many illnesses. We show you how to effectively preventillness early on, recognise behaviours harmful to good health and changethem step-by-step with specific tips for everyday life.
TK currently offers its own health courses on the following topics:Exercise, nutrition, coping with stress (including overcoming stress forchildren), relaxation, addiction prevention, family (e.g. Stress-free infamily bliss and Family ties).
All of the courses are based on the latest scientific findings and are taught
by qualified experts only. TK provides partial payments towards coursefees.
Bonus for health-conscious people
The best protection against illness is strengthening your own health.Thats why we offer our members the TK Bonus Programme (see page 8).As part of the programme many of your activities for maintaining yourhealth will be rewarded with cash or non-cash bonuses.
Health at the workplace
To promote health at the workplace TK puts on individual events andprogrammes at many companies.
TK Health Trainer
Would you like to eat healthier, smoke less or get rid of a few extrapounds? The personal TK Health Trainer at www.tk-online.de will helpyou reach your health-related goals.
The TK Health Trainer is available for the topics of fitness, nutrition,smoking, diabetes and stress and it can easily be geared towards yourpersonal needs. Thus, the TK Health Trainer can help you, for example, tofind out which type of sport is the best for you. In addition, on request theTK Health Trainer will create your own personal training or diet plan andgive you tips on how to keep you cool when under stress.
Health lifestyles our commitment
Its not just the right behaviour that can promote our health. It depends onthe environment: Places in which we spend a lot of time, because wework, learn or play there should promote or maintain our health. Thatswhy TK provides financial support to kindergartens and schools that dedi-cate themselves intensively to the topic of health. In addition, we are in-volved in community health sponsorship.More info is available at:
www.tk-online.de/gesundekita
www.tk-online.de/gesundeschule
www.tk-online.de/gesundekommune
Benefits
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Taking advantage of opportunities, identifying risks
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The earlier illnesses are diagnosed, the greater are the chances forrecovery. Thats why TK naturally also covers the costs for check-ups forits members.
Check-ups for children
At TK children in the first six years of life are entitled to ten check-upsfor the early detection of illnesses.
New TK benefit: Hearing test for the little ones
Since 1st January 2009 TK has been offering newborn hearing screen-ing, because in Germany one of every 1,000 children is born with abilateral hearing disorder. Children can be helped best if this is detectedearly on.
Medical check-ups for adolescents
An additional check-up can be carried out on adolescents at the age of13. This is dedicated to the early detection of illnesses which endangerphysical, mental or social development.
Check-ups for adults
From the age of 35 TK members can get a health check-up every twoyears in order to detect frequently occurring illnesses early on and to beable to treat them effectively.
Test for chlamydia
TK offers a test for detecting infection with chlamydia bacteria for womenunder the age of 25.
Check-ups for early cancer detection
If detected early, many types of cancer are treatable. TK covers thecosts for statutory cancer screening check-ups. TK also covers the costsfor a skin cancer screening conducted every two years for their membersage 35 and older.
Vaccinations
Whether for influenza, diphtheria or tetanus, TK covers the costs for
many kinds of vaccinations. And we were the first health insurance fundto reimburse for immunizations to prevent cervical cancer.
Rotavirus vaccination for infants
TK is one of the first health insurance funds to reimburse the costs fororal rotavirus vaccinations. These viruses are the most common cause ofacute stomach and intestinal infections in infants.
Travel vaccinations
TK covers the costs for travel vaccinations (minus any statutory co-pay-ment) for personal travel abroad. This applies to a wide variety of vaccina-tions such as against cholera, European early summer meningo-enceph-alitis, yellow fever, hepatitis A and B, Japanese encephalitis, malariaprophylaxis (as tablets), meningococcal meningitis, rabies and typhus.
TipNew TK benefit: U7a
In this extra childrens examinationdoctors already check three-year-oldswhether, for example, their languageand behaviour is developing in linewith their age. Thus TK insured parentscan keep an even better eye on thelevel of their childs development.
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Tip Bonus programme for children The earlier people develop an awareness
of health, the better. This is why co-insuredchildren and adolescents can join in on theTK bonus programme. They get their ownbonus booklet from TK.
Healthy living pays off twice
TK Bonus programme
Watching ones health has always paid off through more energy and asense of well-being. But living up to ones best intentions on a daily basisis not always an easy thing to do. Thats why TK wants to help you to getmotivated again and again. Get involved in our Bonus programme.
Strengthen health, earn bonuses
In the TK Bonus programme you will receive a bonus for activities thatimprove your health. This includes, among other things, health courses andcheck-ups. If you have taken part in at least three quality-assured activities,you can receive attractive cash and non-cash rewards for this. So in thefuture its doubly rewarding for you to go to a medical check-up or do sport,for example.
Reward shop on the internet
You can select from, among other things, cash rewards of EUR 30, 60 or90 or selected non-cash rewards. The current complete overview of allrewards is available at www.tk-online.de/bonusprogramm.
Many offerings for your health
TK offers you many ways of improving your own health. Especially inthe area of check-ups and prevention. Courses and activities you andco-insured family members can can receive a bonus for include:
Prevention courses such as Back basic & plus, Fitness basic &special, Walking/Nordic walking, Spinal gymnastics, Autogenictraining, Hatha yoga, Tai Chi or Whole food nutrition
Check-ups such as cancer screening, dental care, health check-up,vaccinations
Being awarded a sports badge and active membership in a sports orfitness studio
The complete overview of activities for which you or your childrencan receive a bonus is available online atwww.tk-online.de/bonusprogramm.
Benefits
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Natural healing methods and acupuncture
Gentle medicine at TK
A lot of people also prefer natural healing methods as a form of therapy.TK has been offering this option to its members for a long time. Breathingtherapy and autogenic training, for example.
Top marks for natural medicine therapies
TK offers of natural medicine therapies have been awarded top marks inseveral tests: The finance magazine EURO awarded top marks to TKfor an excellent offer of alternative natural medicine therapies. What wasespecially highlighted by the examiners is that such benefits are generalfirmly fixed in TKs charter and are not just granted on a case-by-casebasis. In the KO-TEST magazine TK took first place in the Healthinsurance funds, natural medicine therapies test. In the comparison ofhealth insurance funds by business magazine FOCUS-MONEY TK tookfourth place in the category of natural medicine therapies out of 141health insurance funds tested.
Acupuncture
In the worlds largest study on acupuncture conducted to date involving over
half a million patients TK and 13 other health insurance funds working in con-
junction with Charit in Berlin proved that acupuncture is effective, safe and
leads to a long-term improvement in the patients quality of life. This is why for
certain indications acupuncture is a health insurance fund benefit and availa-
ble to all TK members with chronic back or knee pain.
Read more about natural healing methods and acupuncture atwww.tk-online.de.
Supplementary insurance
As an addition to our offerings of gentle medicine we offer you the optionof private supplemental insurance from ENVIVAS (more on page 31).
TipMedications from homeopathy, phyto-therapy (herbal medicine) and anthro-posophy (spiritual science) are paid byTK, if you choose the new TK NaturalMedicine Plan (also see page 14).
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Techniker
Krankenkasse
1. RangKrankenkassen,NaturheilverfahrenAusgabe 7/2008
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Protection for parents and children
Extensive benefitsfor families
TK provides a large number of benefits specially tailored to the needs ofchildren, adolescents and parents.
Spouses and children are co-insured at no extra charge
And this is always the case as long as they have no income of their own.And, just like the member, they also enjoy the range of TK benefits.
Pregnancy and childbirth
If you are planning a family, TK is the right place for you: We cover care
from accredited doctors and midwife assistance, for birth preparationcourses, postnatal exercises and, of course, for childbirth in hospital oron an out-patient basis in a birth centre. If necessary, we also pay forhousehold maintenance and domestic help.
Information for parents, children and adolescents online
Extensive info covering pregnancy, birth and nursing is available atwww.tk-online.de/elternwerdenfor expectant mothers and fathers andthose who have already become parents.
The www.scoolz.de internet portal provides assistance to pupils andapprentices with respect to health, vocational training and occupation.Dr Karin Anderson gives psychological counselling in the Help Forumhere.
Especially for children www.tk-logo.de, TKs online science magazineoffers exciting info on the topics of medicine, nature and health.
Information on all pregnancy-related issues
TK designed the Rundum schwanger information and advice packagefor all pregnant members. This compact information package guidesyou through the individual phases of the pregnancy and offers youinteresting facts worth knowing about nutrition and exercise, childbirthand breast feeding. It also provides medical and legal background in-formation.
Financial support: maternity allowance
Taking care of their children without having to worry about money TKsmaternity allowance helps mothers do it. Working mothers receive itduring the qualifying period. This begins six weeks before the antici-pated date of birth and ends eight weeks afterwards. For prematureor multiple births this is twelve weeks afterwards.
Heath spa treatment for parents and children
Whether alone or together with their children: When medically necessaryTK pays for the costs of health spa treatment for mothers, fathers andchildren. This allows you to recover and to practise new, healthy attitudeswithout the stress of everyday life.
Benefits
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Sick benefit while taking care of a sick child
If you have to stay at home to care for you sick child, TK will pay you asick benefit equalling the amount you would receive if you yourself wereill and unable to work.
Family planning and contraceptives
Family planning has do be done with caution. Thats why TK will cover thecosts of medical advice on contraception as well as all related check-upsrequired. In addition, TK will cover the costs of contraceptives for insuredpersons up to the age of 20 if prescribed by a doctor.
Artificial insemination
Provided that certain conditions are met, TK will cover 50 percent of thecost of artificial insemination for married couples.
Medical check-ups
TK will in addition cover all the costs for all legally prescribed check-upsfor children and teenagers (more details on page 7).
Health courses for stress management
Budding parents stand to benefit from the TK course, Stressfrei insFamilenglck (Stress-free in family bliss) to prepare themselves ideallyfor their new phase of life with their offspring. And for children TK offersspecial courses such as the Bleib locker! (Stay cool!) course to helpthem better cope with stress.
TipDo you have any questions related tothe health of your child? Then simplycall our TK Family Telephone. Moreabout his on page 30.
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Short waiting times and fast help
Coordinatedtreatment
An odyssey from doctor to doctor, a lack of coordination between doctors
and hospitals, waiting times lasting weeks many patients are familiar with
this. To face these weaknesses in the health care system TK has developed
new services exclusively for their members as part of coordinated treatment.
Overview of benefi ts
optimally coordinated treatment
more transparency and information for the insured member
a high standard of medical care
shorter clinic stays
rehabilitation close to home
In coordinated treatment (also referred to as integrated care) care pro-
viders such as doctors, hospitals and rehabilitation centres work closely
together, exchange information and coordinate treatment. This makes it
possible to avoid duplicated examinations, to more effectively design the
course of therapy and to shorten the duration of treatment and all of this
at no extra cost to you.
In particular, this system has proven itself for complex illnesses requiring
different phases of treatment. In order to offer its members the widest range
possible TK is continuously developing new ideas for different disease pat-
terns. Youll find some examples below.
Out-patient operations
Rapid advances in medicine have made it possible for many operationstoday to be done on an out-patient basis without involving long hospitalstays. For children in particular this is a considerable psychological reliefbecause they can go back home on the day of the operation.
Early detection and treatment of colon cancer
TK members running an increased level of risk due to incidences of ill-ness in the family get additional assistance and information. In addition,if needed, they receive targeted diagnostics and advice for their carematching their personal level of risk to family or inherited colon cancer.
TipYou can make use of these offers for coordi-nated treatment if you decide on the TKIntegrated Care Plan. More information aboutTK optional plans is on pages 14 and 15.
Benefits
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Depression
By early detection of depression and consistent and individual treat-ment the health of the person affected can be improved. TK ensurestop-quality treatment, especially on an out-patient basis, via reduced wait-ing times, active integration of the patient in therapy and personal care.
Homeopathy*
TK actively supports the desire of a steadily growing number of membersfor alternative forms of treatment such as homeopathy. Thats why we arenow covering the costs for a variety of homeopathic benefits in selectGerman Lnder.
Back pain
With this concept TK is taking a new route in the medical care of patientswith back pain. The goal is to prevent pain from becoming chronic by
combined physical, behavioural and pain therapy. This improves thepatients long-term quality of life.
Quality-assured breast screening and diagnostics*
The goal of this TK offer is to significantly improve the early diagnosisof suspected breast cancer. Gynaecologists, radiologists and the localbreast cancer centre work together intensively. Tumours can thus bedetected significantly earlier and more precisely; the chances for recov-ery rise significantly.
Telemedicine for the heart
In this innovative concept patients who have been in hospital due to car-diac insufficiency are given individual expert advice by telephone on howto best cope with their illness. Patients with severe cardiac insufficiencyalso receive a blood pressure measuring device and a set of scales. Thisdata is transferred to a team of experts by mobile phone once per day.This identifies threatening developments, avoiding emergency situations.
You can get more information about the new types of care on theinternet: www.tk-online.de/koordiniertebehandlung.
Everything under one roof: ATRIO-MED*
Shorter distances, reduced waiting times and integrated medical careunder one roof: these are the benefits of ATRIO-MED care centres. TK isthe first health insurance fund to cooperate with such innovative facilitiesas part of integrated care. TK members thus benefit from exclusive serv-ices and extremely effective treatment at no additional charge.
And most importantly: All steps of therapy and the test results are coor-dinated and recorded in a central electronic file. Thus, every one of thedoctors at ATRIO-MED can always get a comprehensive picture of thestate of his patients health and offer a precisely coordinated course oftherapy.
At present there are ATRIO-MED centres in Cologne, Hamburg, Leipzigand Berlin: other exclusive care centres are in the planning stages.
* These types of care are initially being offered on a regional basis. 13
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For your individual insurance protection
TK optional plans
If you lead a health-conscious life you yourself know best what kind ofmedical care makes sense for you. Thats why with the TK combinedplans Techniker Krankenkasse gives you the option of adjusting yourinsurance protection to meet your personal needs. So you can now, forexample, choose to add additional benefits or secure a comprehensivetravel insurance package without paying one cent for it.
We offer you a selection of different plans:
TK plans for which you receive additional benefits TK plans for innovative forms of care TK plans for which you receive a bonus
An overview of the plans:
TK Private Practice Plan for private patient status
With this plan your doctor will welcome and treat you like a private patient.The doctor writes you a bill that you then submit to TK for reimburse-ment. TK will cover 90 percent of the bill as reimbursable costs. In thisplan participants pay a monthly rate to TK that varies based on their age.
TK Sick Benefi t Plans for the self-employed
If you are self-employed and fall ill, you also bear a financial burden inaddition to impaired health. With the new optional TK Sick Benefit Plansshould you fall ill, you can now insure yourself financially in addition toreceiving normal health insurance cover. You can choose according toyour age and income which plan is the best one for you.
TK Traveller Plan travel insurance package as a reward
With this innovative deductible plan you can receive worldwide healthinsurance cover and comprehensive service benefits for your foreigntravel at no extra charge (through our cooperation partner, ENVIVAS). Itsas easy as this: If during a calendar you neither avail yourself of a healthspa in Germany nor reimbursement of travel expenses for stationary careand rehabilitation benefits, you can receive this attractive travel insurancepackage as a reward.
TK Private Natural Medicine Plan for alternative medicine
In this plan for a monthly premium you can be prescribed by your doctormedicines from homeopathy, phytotherapy and anthroposophy the costsof which may not normally be covered by health insurance funds. In theTK Private Natural Medicine Plan you receive these medicines prescribedto you personally. The costs will be reimbursed by TK.
Benefits
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TK Integrated Care Plan for innovative methods of treatment
In this free plan TK members receive special offers going beyond the nor-mal benefits. In this plan the most important benefit for TK members is thespecially close cooperation amongst attending primary care physicians,specialist doctors, hospitals and other care providers such as pharma-cies and rehabilitation centres. More about this on pages 12 and 13.
More information about the plans
We will be happy to answer your questions about the optional plans. Justdial tel. 0800 285 85 85 (Mon to Sun, 24/7, free call in Germany) or visitus on the internet at www.tk-online.de. Because we are continuouslyexpanding our optional plans, youll always find the up-to-date informationplans there.
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TipThe optional plans give you thefreedom to adjust your insurancecover to meet your individual needs.
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The initiative from Prof. Dr. Dietrich Grnemeyer and TK
Health for Germany
With Health for Germany prominent doctor and book author Prof. Dr.Dietrich Grnemeyer and TK are jointly campaigning for the health ofGermans. Living healthy is pretty easy this is the most important mes-sage of the nationwide initiative. And TK and Prof. Dr. Dietrich Grne-meyer are bringing them to the public in many promotions and events.
How to maintain long-term health has now become an almost daily topicin the media: a balanced diet and moderate exercise are especiallyimportant. Thats why one of the major goals of Health for Germany isimparting very practical, workable strategies for healthy living. To do this,many cooperative activities and events have been created, for instance:
Sport cooperation
The aim of TKs sport cooperation is to motivate fans to become morehealth conscientious. TK has entered into more than 50 cooperation pro-grammes in different types of sport nationwide, including:
Football: Hamburger SV
TK has been the health partner of first division HSV since 2008. TK is par-ticularly concerned with the health of the littlest up-and-coming players.Thats why TK is also involved in the HSV football school.
Handball: Hamburger SV, TBV Lemgo and Rhein-Neckar Lwen
In the national league competitors in matters of Health for Germanythe top clubs in the first division are on the ball as TK advertising part-ners.
Road tour
Hows your back? How fit is your heart? How stressed out are you? inthe Health for Germany road tour you find out. In addition to a backcheck and a heart screening people can also have their feet measured atthe events.
Discussion sessions
In discussion sessions Prof. Dr. Dietrich Grnemeyer explains in anextremely entertaining way how everyone can lead a health-consciouslife. Above all, the professor is a recognised specialist on the subject ofbacks.
Lectures
With his Moving motivation programme former tennis pro Charly Steebconveys how someone can change his everyday habits to the benefit ofhis own health.
Further information at www.gesundheit-fuer-deutschland.de.
Benefits
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From check-ups to treatment
Dental benefits
Whether for plaque removal, fillings or periodontal treatments: We coverall statutory dental benefits from prevention to treatment.
Orthodontic treatment
In line with statutory mandate TK covers the cost of medically requiredorthodontic treatment for children and adolescents under 18 years ofage, and in certain circumstances adults, too. Just ask us.
Dental prostheses and crowns
Should you require dental prosthesis or a crown TK shares in the costswith fixed-rate subsidies.
No practice fee for dental check-ups
If you get regular check-ups, you are exempt from paying the practicefee for them twice per year. Incidentally, children are always exemptfrom paying the practice fee.
Subsidies for preventive care
You receive the highest subsidies if you take care of your teeth and goto a check-up at least once per year. Because after five years the fixedsubsidy rises by 20 percent and an additional ten percent after tenyears. Proof is provided via a bonus booklet in which your dentist verifiesthe check-ups.
Higher subsidies
In addition, you can also lower your costs for dental prosthesis with thedental plans from our partner, ENVIVAS Krankenversicherung AG (seepage 31 for further information).
Bonus for dental check-ups
For a dental check-up you can claim a bonus in the TK Bonus pro-gramme. So, go for a check-up and dont lose out on the bonus.
TipIf you require dental prosthesis, the TK Medicaland Health Advice Centre may, if desired, checkthe treatment and cost schedule of your dentistat no charge.
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In- and out-patient
Health spa treatmentand rehabilitation:
charging your batteriesTreatment at a health spa can avert illness and also be extremely helpfulfor a complete recovery. This can take place on an out-patient basis at anaccredited health spa or at a health spa close to home or on an in-patientbasis.
First and foremost the purpose of a stay at a health spa is to stabilisethe health of the patient and thus avert possible illness, to heal themor to mitigate illness-related complaints. The self-help and individual re-sponsibility of the patient for his health should also be strengthened and
promoted. In TKs branch offices there are specially trained advisors whoare happy to assist you in finding out the most suitable medical offer foryou tailored to the individual goals of your health spa therapy.
Out-patient health spa therapy
For out-patient health spa therapy the member can choose an accred-ited health spa specialised in his illness along with his doctor. Room andboard as well as travel to and from the health spa are decidedupon and organised by the member himself. TK covers the costs foraccredited health spa medical treatment. Any necessary therapy at thehealth spa, minus the legally prescribed co-payment (exemption, seepage 23), is also paid by TK.
TK also naturally pays a subsidy for any other costs (such as visitors tax,room and board, travel expenses).
Out-patient rehabilitation benefi ts
Out-patient rehabilitation benefits are comprehensive treatments carriedout in or near to where the member lives. They can be considered if out-patient treatment, such as massages or physiotherapy, is limited inthe local area. TK covers the legally stipulated reimbursement rates inaccredited facilities minus the legally prescribed co-payment.
Benefits
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In-patient health spa treatment
Should your doctor determine that local treatment and health spa ther-apy on an out-patient basis be insufficient for successful treatment,in-patient health spa treatment may be necessary for illness preventionand rehabilitation. This can take place in many top-class preventativeand rehabilitation centres in Germany TK has concluded many con-tracts with them. In in-patient health spa therapy TK also covers thecosts for visitors tax, room and board in addition to medical treatmentand therapy except for the legally prescribed co-payment.
Rehabilitation counselling on request
Sometimes you need a bit more help. For instance, when you are seri-ously ill and need information about the options for treatment. Ourspecially trained rehabilitation advisors will assist you in coordinatingthese activities. Theyll provide you information about suitable hospi-tals and doctors. Theyll tell you about TKs exclusive treatment offersand will arrange proper care for you. They know the right benefits and
prerequisites not just at TK, but also those of other service providers.The advantage for you: You have an personal advisor who is informedabout your health situation and who counsels and assists you duringthe recovery process.
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An overview of the most important benefi ts
Were there for youfrom A to ZThe TK catalogue of benefits comprises over 10,000 individual benefits.From preventative measures up to rehabilitation, from state-of-the-artmedical technology to tried and true natural medicine therapies. So youget just the right help from us that you need. Here is an overview of themost important benefits.
Aids
This includes hearing aids, oxygen therapy devices, braces and wheel-chairs. TK covers the costs for aids prescribed by doctor. In fact, eitherto the amount or agreed prices for wheelchairs and walkers or to theamount of the fixed rate for orthopaedic inlays, for example.
Domestic help
If you require domestic help because you are temporarily unableto maintain your household for health-related reasons, TK will coverthese costs. For instance, if you have to care for children younger than14 years of age and no one else in your household can take on theseduties. We will cover these benefits with no time restrictions. TK alsopays domestic help if you must accompany your TK-insured child to thedoctor or hospital.
Errors in treatment
Should you have the impression that you have been improperly treated, TK
will provide you assistance in ascertaining the medical facts. Our specially
trained expert advisors are happy to answer your questions related to this.
Home nursing care
If due to illness you require a trained nurse, TK will cover the costs. Thisis possible if doing so averts or reduces treatment that is actually neces-sary in hospital or if required hospital treatment is not currently feasible and no one living in the household can care for you. You can alsoreceive home nursing care without hospital treatment if by doing so thegoal of your medical treatment is assured. We cover the costs of homenursing care for as long as necessary with no time limit.
Hospital treatment
TK always covers the costs for hospital treatment to the full medically
necessary extent with no time limit.
Insurance protection on trips
As a TK member you also have insurance protection on your trips withinEurope because Germany has entered into social insurance treaties withmost European countries. Should you fall ill during your holiday you mayclaim all benefits in accordance with the law of the country of travel thatcannot be put off until your return to Germany. To receive treatment, justpresent your TK insurance card with integrated European health insurancecard (EHIC, found on the back of your insurance card) or an E111 formfrom TK.
Benefits
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We offer a special service in select hospitals abroad. There you can betreated on an in- or out-patient basis at any time. The hospitals German-speaking staff will provide you assistance and are available for informationand support. Like in Germany, you only have to present your TK insurancecard. A joint initiative of TK and AOK Rheinland/Hamburg makes thisEuropean service possible. You can find further information, participatingclinics and their addresses under the heading Europaservice atwww.tk-online.de.
Long-term care insurance
As a TK member you are normally also insured by TK for long-term care.So you are covered if in old age or as the result of an illness or handicapyou require long-term care. This cover comprises support for care withinyour own home as well as in a nursing home.
Medical treatment
For consultation and treatment at your general physician or a specialist
doctor TK covers the costs minus the practice fee charged. This also
applies to house calls. And you are of course free to choose your statutory
health fund doctor.
Nursing care training
Any family member who supports a person in need of care at home takeson a lot of responsibility and is greatly challenged both physically andmentally. In order to provide assistance to private care-givers in carryingout their responsibilities, TK covers free nursing care training coursesconducted by qualified nursing staff. Starting with general courses up topersonal training conducted at home.
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Benefits
Out-patient treatments
Many operations that were in the past associated with a lengthy stay in
hospital can now be carried out on an out-patient basis at the same level of
quality. For the most part, this means that you can go straight home after-
wards. Detailed info is available at www.ambulant-operieren.info.
Pharmaceuticals and bandages/dressings
If for your recovery your doctor prescribes bandages/dressings or pre-
scription pharmaceuticals, TK will cover the costs for them. For children
up to twelve years of age we will also cover the costs for non-prescription
medicines restricted to sale at pharmacies. In exceptional cases this also
applies to adults.
Psychotherapy
Mental illnesses must be treated by qualified specialists. TK covers thecosts for treatment by a statutory doctor or licensed psychotherapist.
Reimbursement of travel costs
If travel for in-patient treatment is necessary, TK will cover the necessarycosts. This also applies to transport to hospital via ambulance or patienttransports for travel to in-patient rehabilitation. Travel for out-patient treat-ments can also be covered in exceptional cases.
Sick benefi t
TK pays you a sick benefit if you are unable to work. Even if you are ini-tially only able to take up your occupation part-time, you will receive asick benefit from TK.
Therapeutic measures
TK covers the costs for therapeutic measures prescribed by statutorydoctors. This includes physiotherapy, medicinal baths, heat therapies,massages and occupational and speech therapies.
Treatment abroad
TK members can always avail themselves to medical benefits while abroad.
This means that any member who is temporarily located in a country in
the European Economic Community or Switzerland can receive out-patient
attention there. This is advantageous if, for example, you would like to be
treated by a specialist in France.
TipAre you looking for a doctor near you or doyou need information about midwives, occupa-tional therapists or other facilities and servicesin the health care system? You can find over130.000 doctors at www.tk-online.de.
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For your information: Co-payments and co-payment exemption
TK members 18 years of age or older must pay a share of the costs fora variety of benefits. This applies, for example, to pharmaceuticals andband-ages/dressings, hospital stays as well as therapeutic measures andaids such as physiotherapy and hearing aids.
As a TK member you can be exempted from co-payments once thesereach two percent of your annual (family) gross income. For the severelychronically ill and family members living in their household the paymentlimit is one percent. We would be happy to inform you of the details!
Medicines exempt from co-payment
Because TK has entered into discount agreements with top-name phar-maceutical manufacturers, TK members can receive many medicationswith no co-payment.
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TipChildren and adolescents under the ageof 18 are exempt from co-payments,except for travel costs and dental pros-thesis.
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Service
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In branch offi ces, by telephone, in brochures
Our strengths:advice and service
TK offers you more than other health insurance funds the flexibility ofa modern service provider combined with the peace of mind of a largestatutory health insurance fund. We regularly ask our members whatwe can do better so we can continuously improve. Competent staff,quick handling of all your matters, well-prepared information and quickaccessibility form the foundation of our customer-friendly service. Wehave already been commended for this by a variety of independent insti-tutions.
Would you like to get free, quick and personal advice for a matter thathas just come up? Our TK ServiceTeam is there for you 24/7, 365 days
per year on 0800 - 285 85 85 (free call in Germany).
Over 200 branch offi ces nationwide
There are over 200 TK branch offices throughout Germany fromFlensburg to Rosenheim, from Saarbrcken to Cottbus. You can alwayscount on meeting a personal advisor for your concerns here.
Call Back Service
You can also just have us call you back at the time that suits you best.Click the Call Back button at www.tk-online.de to do this. You can enteryour question here and will then be called back at the time you specify.
Honorary TK advisors never far away
Many TK members like to get involved for Germanys best health insur-ance fund. In many companies and universities there are people who acton a voluntary basis for TK and their members, over 10,000 nationwide.Simply because they are committed to TK. They give competent answersto questions related to health insurance, help fill in applications or initiatecontact with TK.
Extensive health information
There is an enormous supply of health-related information in the media.But not everything is factually true and free from commercial interest.
From TK you get competent, up-to-date information without all the tech-nical jargon. On the topics of exercise, nutrition, stress, strengtheningyour back, for example, and about frequently occurring illnesses asbrochures or on the internet at www.tk-online.de.
TipTK employees will also be happy tovisit you at home. Simply call andarrange a time and date even outsidenormal office hours.
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TipVisitors welcome! Even if you are not insuredat TK you can use the exclusive service atwww.tk-online.de. Simply sign up as a visitorand try us out.
Extensive online service
Your TK branch officeon the web
At TK you can take care of many of your concerns quickly and easilyonline from any internet connection in the world, 24 hours a day.How does it work? With our special service and information offer atwww.tk-online.de.
With www.tk-online.de you can use the comprehensive service of aTK branch office very easily from your computer. To do this, log into thesecure area of our web site. A wide variety of useful features is available:
update address, telephone numbers and bank details order a new insurance card find the TK branch office closest to you
be reminded of check-ups and vaccination appointments make benefit claims request necessary certificates health brochures, patient information, CD-ROMs, training posters and
much more to download or order
Service
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TK clinic guide
An excellent source of information for people looking for a suitable hospital
for pending treatment is the new TK clinic guide at www.tk-online.de. This
is where youll find out about select clinics. For example, which operations
are frequently carried out, which forms of therapy are being offered and
how the quality of treatement is. In addition, you can fall back on the expe-
riences of former patients at 200 hospitals who have rated the facilities
according to the success of treatment and their general satisfaction.
The TK clinic guide was already awarded the top mark of good byStiftung Warentest in Autumn 2007.
Pharmaceuticals database
When does self-medication make sense? When is it better to visit the
doctor? What are the effects of specific medicines? TK provides decision-making assistance with the pharmaceuticals database from StiftungWarentest. At www.tk-online.de you will find extensive reviews of 9,000major medications, including a price comparison of suitable drugs withthe same active ingredient.
Pharmaceuticals Information (TK-ViA)
This service gives you a list of all medicines that have been prescribedto you and purchased from a pharmacy in the past two years. This infor-mation is helpful to your attending physician or pharmacist and helpsyou save money: Medicines for which cheaper alternatives exist are in-dicated.
TK benefi t guide
With this interactive offer on the TK home page you yourself can quicklyand easily check which benefits TK can provide you. For example,whether you receive money from TK if you have to care for your sick childat home. You will also get information and the appropriate applicationforms if youd like to apply for health spa treatment or get advice if youhave received improper medical treatment. Just click on one of the topicsand youll quickly be guided to the information through a virtual dialogue.
TK patient dialogue
An interactive, scientifically verified online offer from TK to best prepare
for a visit to the doctor (currently only available for the indicators of lowerback pain and depression): You disclose the type and reason for yourmedical condition to a virtual expert and receive individual informationand proposals for possible cures. Youll then be well-prepared to speakto your doctor. More info about patient dialogue is available atwww.tk-online.de/arzt-patient.
Study aid: www.unikosmos.de
A single click at www.tk-online.de takes you towww.unikosmos.de,TKs university site. If youre in the first semester or studying for finalexams, a student at a technical school or university, this virtual studentguide offers every student extensive info, up-to-date news and compe-tent help for issues related to higher education and health. Furthermore,you can exchange tips and experiences with others in the three forums.
www.tk-online.de offers even more
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Your best choice for all health-related questions
TK Medical andHealth Advice CentreWould you like to get a quick answer to your health-related question andnot wait for your next visit to the doctor? Having problems understandingthe package insert?
Available round the clock for you
You can call the TK Medical and Health Advice Centre and reach quali-fied doctors round the clock. Your personal questions will be competent-ly answered even at weekends, nights and public holidays when mostdoctors offices and pharmacies are closed. Call our English-languagehotline:
Tel. 018 02 - 85 00 11(from 6 cents per call depending on service provider)
Choose competence
Over 90 specialist doctors work here covering all major disciplines, fromopthomologists, dermatologists and pain therapists to dentists. You canask them about any health-related topics such as:
symptoms of illnesses examination methods effectiveness of medications operations prevention and check-ups
E-mail works too
You can also contact the doctors in the TK Medical and Health Advice Centreby e-mail. You will receive individual replies via this method. Just clickwww.tk-online.deand youll find a standard request form. Just fill it outand submit it. Your concerns will be quickly passed on to a specialistdoctor and answered within 24 hours.
Tip
Call Back ServiceBy request you can also be called back by theTK Medical and Health Advice Centre or theTK Family Telephone. For example, if a doctorwants to get additional information for you afterthe first call.
Service
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Security while travelling
TK Foreign AssistanceDespite the best of preparations and care you may need medicalassistance during your stay abroad. You can then count on TK ForeignAssistance.
Available 24 hours a day
The team of qualified doctors will assist you on the telephone with com-petency and expert knowledge. Round the clock 365 days a year! Forinstance, a single call is all it takes for the staff to give you the name ofthe closest German or English-speaking doctor or get in touch with yourgeneral practitioner.
Information before your trip
No matter if you are going on holiday or starting off a business trip
TK Foreign Assistance can also help you prepare for your trip. Simply callor visit us on the internet at www.tk-online.de/reisen. You can, for exam-ple, get detailed information about required vaccinations, the medicalcare in the country of travel and insurance protection abroad. And TKcovers the costs for recommended travel vaccinations such as hepatitisA and B, malarial prophylaxis or cholera (see page 7).
A free service exclusively for TK members
For TK members the TK Foreign Assistance service is free except for theprice of the call:
Tel. +49 18 02 - 85 00 05 (price per call depending on country of travel)
TipTo complement our benefits we offeryou private foreign travel from our co-operation partner ENVIVAS (more onpage 31).
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Specially for babies, children and adolescents
TK Family TelephoneMany parents know this from painful experience: children often getsuddenly sick, in the middle of the night or at weekends, for instance.TK offers a special service specifically for your questions related to thehealth of babies, children and adolescents: the TK Family Telephone.
24 hours a day, 365 days a year
The TK Family Telephone team is made up of experienced paediatri-cians, child psychiatrists and other doctors from a variety of disciplines.This is where you can get competent answers to your questions roundthe clock, such as:
My babys teeth are coming in and hes crying a lot. Is there anythingI can do to help him?
How do I clean my sons abrasions?
My child cant fall asleep at night. What can we do? Our son is hyperactive. How should we be handling this?
And even when your child is not sick you can always get in touch with anexpert for all health and prevention-related questions. Each call is treatedconfidentially as at the doctors office. Try out our service at:
Tel. 018 02 - 85 00 00(from 6 cents per call depending on service provider)
Further information via the internet
You can also contact TK Family Telephone via the internet. You can askyour questions online. Youll receive an answer within 24 hours froman experienced doctor of course. Just click TK Family Telephone atwww.tk-online.de/familie.
Service
Tip Also for children and adolescents
Older children and the young prefer to discusssome questions alone with a doctor. Aboutthe topic of sexuality, for example. For thisreason they can of course call the TK FamilyTelephone themselves.
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Exclusive for TK members
Private supplementaryinsurance plansEvery person has individual health protection needs and requirements.Thats why TK, in cooperation with ENVIVAS Krankenversicherung AGand Volksfrsorge Deutsche Lebensversicherung AG, gives you theoption of individually supplementing your TK insurance cover by meansof a variety of private supplemental plans. And this at specially favour-able terms reserved exclusively for TK members. An overview of theplans:
PraxisExtra
Supplements TK benefits in the areas of dentistry, corrective lenses,alternative practitioners and hospital. Includes foreign travel health in-surance.
KlinikSpezial
Provides benefits for hospital stays such as accommodation in a one ortwo-bed room and treatment by chief physician as well as out-patientoperations.
StarterPlus
Covers additional out and in-patient benefits specially for young peopleup to 29 years of age.
VitalXtra
Specially developed for members age 60 or older and provides benefitsfor dental prosthesis and corrective lenses.
DentalXtra and DentalTop
You can lower your co-payment for dental prosthesis ( crowns, bridges,prosthetics), inlays and implants are also subsidised. Depending on theselected plan you will be reimbursed for 30 or 50 percent of the invoiceamount.
KT-Plus
The Sick benefit plus plan protects you from lost income for long-termhospitalisation.
KHT-Plus
This hospital per diem insurance gives you a per diem of up to EUR 50for you in hospital.
TravelPlus and TravelXL
TravelPlus is the foreign travel health insurance for your holiday travel forup to eight weeks and business trips for up to ten days. For longer staysabroad you are best insured with the TravelXL plan.
PflegePlus and PflegeXtra
Additional protection for nursing care at an excellent price/performanceratio. The new PflegeXtra plan supplements the PflegePlus offer withextensive counselling services.
Death benefit insurance
The insurance for everyone who wants to plan ahead for costs incurredupon death.
Further information about the rates is available at www.tk-online.de.
The Standard & Poors ratingagency gave the financialpower of ENVIVAS an AA(excellent) rating. More infois available atwww.standardandpoors.com.
Quality tested:
TravelPlus was thetest winner among
43 tested travelinsurance policies
(Finanztest 5/2008)
(i
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Membershipand more
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Welcome to TK!
Switch now and enjoy the advantages of our services tested by StiftungWarentest and our extensive benefits!
Its easy to switch to TK!
Uniform notice periods apply to all mandatory and voluntary insured per-sons, independent from income limits. After switching insurance funds allinsured persons are always bound to their insurance fund for 18 months.The notice period is two months until the end of the month. If a healthinsurance fund raises an additional contribution it is possible to switchhealth insurance funds earlier. The period of committment does not applyin this case.
An example
You give notice to your previous health insurance fund on 21st July takingeffect on 30th September. Your TK membership begins on 1st October.
Its as easy as this:
complete the TK application give notice to your old health insurance fund send cancellation confirmation from prior health insurance fund to your
TK branch office TK issues a membership certificate and, for example, sends this to your
employer
A note for students
For the most part students are family insured and exempt from contribu-tions until their 25th birthday. They can then be insured immediately by TK.
Do you have any questions about switching or membership?
We look forward to your call!
You can reach us round the clock 365 days a year!
Tel. 0800 - 422 55 85(free call in Germany)
Good, better, TK insured!
TK membership
TipA TK membership application form isavailable at:
www.tk-online.de/mitgliedwerden.
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Convincing benefi ts and services
Recruit membersand winDo you feel like really relaxing and charging up your batteries? Then takepart in the big Recruit members and win! TK campaign.
Several times per year we will be awarding exclusive trips for two personsfrom among participants able to recruit a new member for TK.
Win exclusive trips
As a winner youll be spoiled in first-rate hotels. With massages, bathsand many other applications for health and well-being. In perfect scenicsurroundings of course on the German coast or in the low-lying moun-tains, for example.
Its easy to recruit new members
There are plenty of convincing arguments for TK. Starting with theextensive benefits, innovative service and the inexpensive contributionrate. Just read this brochure and start recruiting. A colleague or fellowstudent, for instance.
Once you have recruited a new member, just fill out the membership formtogether. And enter yourself as the recruiter. Send off the application andcross your fingers. We wish you luck!
Incidentally, all prizes are donated. Membership contributions are notused to finance the trips.
Membershipand more
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TipA membership application and detailsabout current profit is available atwww.tk-online.de.
Always accessible from anywhere.
Customer advice even after business hours
Got any questions related to health and health insurance?Our ServiceTeam is there for you 24 hours a day, 365 daysper year: Tel. 0800 - 285 85 85 (free call in Germany).
Advice for you round the clock
No matter what your question is: Both of our medical hotlines,the TK Medical and Health Advice Centre and TK Family Tele-phone are there for you day and night see page 28 or 30.
Travel without risk: TK Foreign Assistance
Out of the country and sick? TK Foreign Assistance will helpand give you the name of the closest German or English-speaking doctor see page 29.
Individual insurance protection
Selection of the plan you want
Adjust your insurance protection to your personal needs avariety of individual TK combined plans with different advan-tages make this possible see pages 14 and 15.
Up-to-date information
Online convenience: www.tk-online.de
On the internet we offer you a special section for TK mem-bers in which you can find a lot of information and services.The TK reminder service for check-up appointments, forinstance, and the clinic guide with hospital reviews by TKmembers see pages 26 and 27.
Know what helps: Pharmaceuticals database
Youll find a lot of information about pharmaceuticals. In thepharmaceuticals database from Stiftung Warentest and theTK-ViA, a compilation of doctor-prescribed medicines seepage 27.
Errors in treatment know what to do
For justified suspicion of errors in treatment we will helpyou in clarifying the facts and assist you in filing a claim fordamages see page 20.
Valuable health tips
Health courses: a wide range of offers for you
With our health courses you put your best intentions intopractice: We can help you, for example, to eat healthier orgive up smoking see page 6.
The TK Bonus programme: health pays off
For check-ups, a fitness studio membership and much moreyou receive a bonus from TK that can be exchanged for itemsor cash rewards see page 8.
Exclusive benefi ts included
TK contracts with certified specialists
We enter into individual contracts with select doctors andclinics. The advantage for you are shorter waiting times andbenefits going beyond the standard see page 12 and 13.
Travel vaccinations
TK covers the costs for a lot of vaccinations. That also appliesto vaccinations recommended for private trips to distantcountries see page 7.
Excellent supplementary insurance
For your individual requirements our cooperation partnerENVIVAS Krankenversicherung AG offers a range of supple-mental insurance plans. For alternative treatments, treatmentby chief physician, dental prosthesis or foreign travel seepage 31.
Healthy growth for your health
Nearly 2,000 new members per day
TK is growing more quickly than other health insurance funds.Today over seven million members rely on the efficiency ofTechniker Krankenkasse. With an upward trend.
Good price/performance ratio
At TK price and performance add up. TK members get more
benefits than legally prescribed.
Sound economic management
TK has been and remains debt-free, because we think and actcost-effectively. This is proven by our low share of administra-tive costs and the continuously growing range of benefits.
Your benefi ts at a glance
TK advantages
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We are here to help.
Have you got any questions about your health insurance at the TK?The TK ServiceTeam is available for you 24 hours a day, 365 daysper year: Tel. 0800 - 285 85 85 (free call in Germany)
TK Medical and Health Advice Centreand TK Family Telephone
Over 90 specialist doctors are on call for your health questions over thephone at the TK Medical and Health Advice Centre. Please contact:
Tel. 018 02 - 85 00 11Mon-Sun, 24/7 (from 6 cents per call depending on provider)
The TK Family Telephone provides answers to health-related questions forbabies, children and teenagers.
Tel. 018 02 - 85 00 00Mon-Sun, 24/7 (from 6 cents per call depending on provider)
Online
Please visit our website for detailed information as well as exclusiveservices on health insurance, health and fitness:
www.tk-online.de
You are also welcome to direct any enquiries to us via e-mail.Please write to:
service@tk-online.de
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