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COVID-19 TESTS

Germany to charge €3 for rapid Covid tests

Germany is set to end free rapid Covid tests for all from July. In future they will cost €3.

A Covid test centre in Rostock.
A Covid test centre in Rostock. Photo: picture alliance/dpa | Bernd Wüstneck

Vulnerable groups, however, will still be able to get the tests, known as Bürgertests, free of charge under the plans.

Health Minister Karl Lauterbach said: “I will make no secret of the fact that I would have liked to have continued the free citizenship tests for all.”

However, Lauterbach said the taxpayer-funded testing strategy is costing an average of a billion euros per month.

“The truth is – unfortunately, we can’t afford that in the tight budget situation that awaits us in autumn,” he said. 

€3 contribution from July

The new testing regulations are to apply from the start of July.

The concept foresees expenditures of €2.7 billion by the end of the year. If the government had continued to offer free tests for all, the costs would have been around €5 billion.

The federal government also plans to reduce the amount that is given to the test centres per test – from the current €11.50 to €9.50.

In future, free rapid tests will continue to be available for vulnerable groups, including children up to five years of age, women at the beginning of pregnancy, and visitors to clinics and nursing homes.

The states will have the option of taking over the co-payment of €3 for other groups as well.

Lauterbach had previously spoken out in favour of continuing to provide free Covid tests for people with symptoms who suspect they have Covid, as well as before large events. 

READ ALSO: Germany to scrap free Covid tests for all 

Bürgertests should in future continue to be used specifically where they bring the greatest benefit,” said Lauterbach after the health ministers’ conference.

Lauterbach said he negotiated with Federal Finance Minister Christian Lindner to come up with the new testing system. 

“The use of taxpayers’ money will become more effective, as not everything can be paid by the federal government in the long run, because our possibilities have reached their limits,” said Lindner. 

Autumn Covid wave

Lauterbach also warned of a severe Covid wave in autumn.

“A very difficult time lies ahead,” the Health Minister said. He said the health ministers across Germany would take a joint approach to tackling the pandemic.

READ ALSO: German Health Ministry lays out autumn Covid plan 

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HEALTH

EXPLAINED: The new rules around getting a sick note over the phone in Germany

Due to high Covid infection numbers throughout the summer, it’s now possible to get a sick note from a doctor over the phone again for some illnesses. Here’s what you need to know.

EXPLAINED: The new rules around getting a sick note over the phone in Germany

What’s happened?

In spring 2020, German authorities changed the law so that people with a mild upper respiratory tract illness, such as the common cold, were able to get an incapacity to work certificate or AU-Bescheinigung by simply calling and speaking to their GP.

The rule was extended several times and finally reversed on June 1st this year due to falling infection figures. Since then people have had to go back to the practice – or do a video call if the doctor’s office has that system in place – to get a sick note.

Now, due to a decision by the Joint Federal Committee, the regulation has been reintroduced and patients can call their GP again for a sick note.

Can I get a sick note over the phone for any illness?

No. As before, the regulation only applies to patients suffering from a mild upper respiratory tract illness. Though Covid has not explicitly been named in the announcement, it seems that it is intended to be covered by the regulation.

If the doctor is convinced that the patient is unfit for work after a telephone consultation, then they can issue a sick note for up to seven days.

READ ALSO: EXPLAINED: The changes around doctor’s notes in Germany you should know

If the symptoms persist after seven days, the certificate can be extended once more for another week.

Why now?

According to the Chairman of the G-BA, Josef Hecken, the regulation has been introduced now as a response to rising Covid numbers and in anticipation of the cold and flu season in the coming months: “We want to avoid full waiting rooms in doctors’ offices and the emergence of new infection chains,” he said.

The telephone sick leave rule is a simple, proven and uniform nationwide solution for that, he said. The rule is also necessary because video consultation hours are not yet available everywhere.

What else should I know?

The health insurer DAK is calling for telephone sick leave in the case of light respiratory diseases to be made possible on a permanent basis in Germany. DAK’s CEO Andreas Storm said that this should “not always be up for debate, because it has proven itself.” 

READ ALSO: Everything you need to know about making a doctor’s appointment in Germany

The social association VdK also welcomed the reintroduction of the rule. The VdK’s President Verena Bentele said that the regulation would help to protect high-risk groups in particular from potential infections.

What are the rules to know about sick notes in Germany?

Germany has a strict system in place. If you are sick, you need to give your employer a Krankmeldung (notification of sickness) before the start of work on the first day (of your illness).

However, you also need to hand in a Krankschreibung (doctor’s note) on the fourth day of your illness. Some employments contracts, however, require you to submit a sick not earlier than the fourth day so check with your boss or HR on that point. 

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