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Welcome to the Business-K(l)asse
Dear customers,the Hanseatische Krankenkasse was
founded in 1826 by merchants in Hamburg. It is one of the oldest health insurance funds in Germany. Hanseatic
principles are a tradition with us and guide our actions. Social responsibility, service,
forward-thinking management, innovation and reliability have made HEK to the
Business-K(l)asse among statutory health insurance funds.
HEK stands for benefits that go beyond expectations and our multiple award-winning service. As a modern service
company for us service means to develope digital and smart tools, which offers you
a simple and comfort use with extra benefits. These provide the certainty in any life situation that being insured with
the Business-K(l)asse is something special. That’s something not only our success and health-conscious customers understand. It’s something that has been confirmed
in numerous quality and comparison tests where HEK always performs excellently.
Torsten KafkaHEK Managing Director
Torsten Kafka, HEK Managing Director
4 | SERVICES
5 | PHYSICIAN SERVICES
6 | BENEFITS FOR FAMILIES
7 | PREVENTATIVE CARE
9 | DENTAL HEALTH
10 | BUSINESS PARTNERS
11 | FACTS AND FIGURES
BECOME A MEMBERUse the QR-Code
CONTENTS PREFACE
23
Services &Physician Services
Fast means immediately with us
HEK Service-App
You can expect quick and excellent service with the Business-K(l)asse. That’s why we offer “immediate service”. This means we
answer or process all customer questions on the same day. This includes reimbursement,
approval for home assistance or services during pregnancy. You will receive an answer to any email sent during the
weekdays within two hours, and we will answer your call within a few seconds.
You can easily and securely use the digital services with your smartphone
and tablet. Whether you will give us your certificate of incapacity, an invoice or
birth certificate - simply scan and send the documents to us. You can also request a
certificate of membership with our app. If you are registered, you can use additional
services, for example to see your insurance data or use your personal mailbox. Get
comfortably and fastly in contact with us:www.hek.de/service-app
Physician guide Are you looking for a doctor, dentist or psychotherapist?
Our physician guide not only shows you which practices are nearby, it also provides detailed information on directions,
availability, office hours, and patient service. Patients can evaluate the practices, staff and physician with our
physician guide. You can read the subjective impressions others have of the practice and quickly and easily book your appointment through our physician guide. You can find our
physician guide here:www.hek.de/arzt-lotse
Hospital guide Which clinic is best for the upcoming operation? The hospital guide can help. You can read here about the
departments each clinic has, the therapy and treatment methods that are offered, and find information about the
quality of the clinics.You can find the hospital guide here:
www.hek.de/krankenhaus-lotse
Team DirektWe are at your side with advice and
assistance for all questions related to health and long-term care insurance. Our Team Direkt has qualified social-insurance professionals who can help
you immediately. You can contact us by telephone or email 24 hours a day.
0800 2013123 (free of charge)[email protected]
FacebookYou can find information related to health,
our services and HEK news here:www.hek.de/facebook
NewsletterStay informed with our newsletter-service. We inform you regularly about our services
and benefits.You can subscribe for the service here:
www.hek.de/newsletter
Health hotlineOur expert team at the health hotline can answer your
questions about health, medicines and therapies. You can reach it directly free of charge through Team Direkt.
0800 0213213 (free of charge)
Physician appointment service We would be happy to help you arrange an appointment
with a specialist physician. Our Team Direkt employees will take care of your appointment and respond to you within
one working day. 0800 2013123 (free of charge)
Medexo - Medical second opinion Did you receive a referral for inpatient orthopaedic
treatment? Many of our customers value a qualified second opinion without needing to wait a long time for a second
appointment with a different orthopaedist. Our cooperation partner Medexo offers second opinions from independent
specialists. Contact Medexo here:0800 2013123 (free of charge)
www.medexo.com
Free second opinion for tooth replacement
Benefit from our cooperation with the www.2te-ZahnarztMeinung.de internet portal. If you have chosen treatment that goes beyond primary care, you have the opportunity to do a price comparison between different
dentists here. The benefits to you: The service is free of charge.
4 5
Benefits for families &Preventative care
Medical examination for sportsThe medical examination for sports helps you structure an active lifestyle and thereby prevent or reduce health risks. It’s especially useful if you are starting sports again or for the first time or would
like to intensify your workout. We pay a subsidy for a licensed sports physician.
Midwife call serviceYou have the option of scheduling on-call
service with your midwife between the 37th and 42nd week of pregnancy.
That means your trusted midwife will be available to assist you personally and answer questions 24 hours a day and will
be on site during the birth. We’re happy to subsidise this for you.
Additional prenatal testsWe offer a wide range of prenatal
tests for expectant mothers and their babies. We share in the costs for nuchal translusency scans, a triple test and the
toxoplasmosis test.
Prenatal courses for fathers
More and more women participate together with her husband/life partner in
a prenatal course. Fathers insured with us receive a subsidy for participating in a
prenatal course.
Preventative care for children and youth
In addition to standard preventative care screening for children and youth, we
also cover the cost of the U10 and U11 examinations. So there are no gaps in
care, we also reimburse the cost of the J2 examination for youth.
Bonus Kidsplus & Juniorplus
Preventative care is worth starting from childhood. Children and youth who are
insured with us can through preventative care and sports activities.
VaccinationsVaccinations are important for preventing diseases. That’s why we
assume the costs for all recommended vaccinations. We even assume the costs for HPV vaccination for young women over 14 who would
like preventative care against cervical cancer.
Travel vaccinationsWe assume the costs for travel vaccinations and malaria prophylaxis
for private foreign travel so you can enjoy your holiday carefree.
Health check-upWith the health check-up, you will receive comprehensive
preventative medical care beginning at age 35. We also provide support for this check-up regardless of your age.
Manager check-upThe manager check-up includes the most modern diagnostic methods
for particularly extensive preventative care. You can get a reliable assessment of your health status within only one day. You can take advantage of this check-up at selected partners at special rates. In
addition, you will receive a bonus for your preventative care.
Skin cancer screeningYou can take advantage of the skin cancer screening every two years after age 35. Beginning at age 18, you can have a skin cancer check-
up through us including additional reflected light microscopy if necessary.
Breast cancer screeningBreast cancer screening starts with breast palpation tests at the age
of 30 and continues after age 50 with a mammography screening every two years. Under the age of 50, you will already receive a
subsidy from us for a mammography and the ultrasound “sono-check” examination.
Colon cancer screeningBeginning at age 50, you can be examined for colon cancer. If you
would like take advantage of this preventative care before age 50, you will receive a subsidy from us regardless of your age.
TipWe recommend that you purchase
private health insurance for abroad. This will finance any possible additional costs as well as return transportation to Germany. We would be happy to
offer you additional insurance through our cooperation partner.
6 7
Online-health coursesYou want to do something for your health and stay flexible? Than use our certificated
online-health course for your individual health target. The costs will reimbursed
after course completion.
Preventative care &Dental health
Dental treatmentTeeth can be expensive. So take advantage of a low-cost offer from our cooperation
partner DENT-NET with over 1,000 participating dentists.
Dental prosthesis free of chargeYou can get high-quality dental prosthetics
without co-payments. The materials are produced according to German quality standards. In addition, you will receive a five-year guarantee for your dental
prosthetics.
ImplantsIf you choose an implant, you will
receive special rates.
Fixed retainersFollowing orthodontic treatment, patients often receive a removable retainer to stabilise the tooth and jaw position.
Fixed retainers offer you or your child an increased level of comfort and stability.
You will receive a subsidy from us for such retainers.
Fissure sealingWe also provide a subsidy beyond the statutory benefits for sealing fissures in the front molars.
General anaesthesia during removal of wisdom teeth
If you would like to have your wisdom teeth removed under general anaesthesia, you will receive a subsidy from us following
treatment.
Infowww.hek.de/dent-net
8 9
Treatment in private facilities
Treatment in private facilities is not covered by statutory health insurance
funds. Things are different with HEK. We have concluded healthcare contracts
with private facilities for you, for example for special operations and innovative
treatment methods. You can take advantage of these special benefits
directly with your health card.
The Grönemeyer Institut for microtherapy in Bochum and Berlin is specialised in outpatient and interdisciplinary back
treatment. They treat you with innovative, microtherapeutic and minimally invasive
methods.
The Klinik Fleetinsel Hamburg is a special clinic with orthopaedic specialisation in joint, foot, and spine surgery as well as
sports medicine, and surgical specialisation in general and vascular surgery. They offer exclusive care by specialists and a highly
committed care team.
A solid foundation for attractive performanceWe work according to the principles of Hanseatic merchants. And it pays off. That’s
because responsible action, planning, lean and efficient management and stable finances are the foundation for our success. This puts us in the position to offer our customers
additional benefits and award-winning service at a attractive fee.
Our exclusive partner Median Clinics will provide you expert and comprehensive care during your inpatient rehabilitation with high-quality medical care at various
locations nationwide.
Our partner, Royal Spa, represents exclusive facilities in Marienbad, Luhacovice and Ostrozska Nova in the Czech Republic. Relax and activate your body’s self-healing
powers with proven and professional treatment during an outpatient treatment
at one of these facilities.
HEK at a glance Managing Director:
Torsten Kafka Board of Directors:
Horst Wittrin (Chair) Jürgen Schuder (Deputy Chair)
As a provider of statutory health insurance, we are a legal, federal, self-governing corporation under public law.
We are a member of the Association of Health Insurance Funds (vdek) and operate nationwide.
Our headquarter with over 700 employees is located in Hamburg. Our customers are served at 11 customer centres nationwide.
Currently over 520,000 customers are insured with HEK, including 400,000 contribution-paying members. That makes us to belong to the 30 largest health insurance
fund in Germany.
Since 01 January 2016, our attractive contribution of 15.6 percent has remained unchanged.
By the wayHEK sets a good example for financial
transparency. The Business-K(l)asse discloses all customer-relevant data and facts. Anyone can find more information on the financial situation and statutes of
HEK anytime here:www.hek.de/datenundfakten
Treatment in rehabilitation facilities
With our exclusive partners, we offer you professional treatment for successful
rehabilitation.
Business partners &Facts and figures
10 11
Contact
Hotline0800 0213213 (free of charge)
Fax040 65696-1237
Service-Appwww.hek.de/service-app
Facebookwww.hek.de/facebook
AdressHEK - Hanseatische Krankenkasse 22039 Hamburg